PMID- 32725608
OWN - NLM
STAT- MEDLINE
DCOM- 20211207
LR  - 20221207
IS  - 2196-8837 (Electronic)
IS  - 2196-8837 (Linking)
VI  - 8
IP  - 3
DP  - 2021 Jun
TI  - Total Hip Arthroplasty in Black/African American Patients: an Updated Nationwide 
      Analysis.
PG  - 698-703
LID - 10.1007/s40615-020-00829-0 [doi]
AB  - BACKGROUND: The purpose of this was to investigate recent trends in procedure 
      utilization, comorbidity profiles, hospital length of stay (LOS), 30-day 
      outcomes, and risk factors for adverse events (AEs) among Black patients 
      undergoing total hip arthroplasty (THA). METHODS: Using the American College of 
      Surgeons National Surgery Quality Improvement Program, we retrospectively 
      reviewed all Black patients who underwent elective, primary THA between 2011 and 
      2017. Mixed effects logistic regression analyses were performed to determine the 
      trends in the study outcomes across each individual year. Multivariate logistic 
      regression analyses were performed to identify independent risk factors for AEs. 
      RESULTS: A total of 11,574 Black patients were analyzed. Over the study period, 
      there was an increase by 109% in THA procedures performed in this racial group. 
      During the same time, there were reductions in the prevalence of anemia, dyspnea, 
      tobacco smoking, and osteonecrosis (p < 0.001). The rates of 30-day surgical 
      complications, readmissions, reoperations, and mortality remained unchanged. Only 
      the rate of medical complications demonstrated improvement, driven by a decrease 
      in the incidence of postoperative myocardial infarction (p < 0.001). There was 
      also a significant reduction in LOS > 2 days (68 to 37%, p < 0.001). Independent 
      risk factors for AEs were body mass index > 35, American Society of 
      Anesthesiologists score > 2, dependent functional status, diabetes, bleeding 
      disorders, chronic kidney disease, and osteonecrosis as the surgical indication. 
      CONCLUSION: Between 2011 and 2017, there were improving trends in procedure 
      utilization, comorbidity profiles, and LOS among Black patients undergoing 
      primary THA, but the overall rates of 30-day outcomes remained unchanged. We 
      identified a number of risk factors that may help guide preoperative optimization 
      and patient counseling to mitigate postoperative AEs.
FAU - Sheth, Mihir
AU  - Sheth M
AD  - Department of Orthopaedic Surgery, Baylor College of Medicine, 7200 Cambridge 
      Street, Suite 10A, Houston, TX, 77030, USA.
FAU - Chambers, Monique
AU  - Chambers M
AD  - Department of Orthopaedic Surgery, Baylor College of Medicine, 7200 Cambridge 
      Street, Suite 10A, Houston, TX, 77030, USA.
FAU - Gronbeck, Christian
AU  - Gronbeck C
AD  - University of Connecticut School of Medicine, Farmington, CT, USA.
FAU - Harrington, Melvyn A
AU  - Harrington MA
AD  - Department of Orthopaedic Surgery, Baylor College of Medicine, 7200 Cambridge 
      Street, Suite 10A, Houston, TX, 77030, USA.
FAU - Halawi, Mohamad J
AU  - Halawi MJ
AD  - Department of Orthopaedic Surgery, Baylor College of Medicine, 7200 Cambridge 
      Street, Suite 10A, Houston, TX, 77030, USA. mohamad.halawi@bcm.edu.
LA  - eng
PT  - Journal Article
DEP - 20200728
PL  - Switzerland
TA  - J Racial Ethn Health Disparities
JT  - Journal of racial and ethnic health disparities
JID - 101628476
SB  - IM
MH  - Black or African American/*statistics & numerical data
MH  - Aged
MH  - Arthroplasty, Replacement, Hip/*statistics & numerical data
MH  - Comorbidity
MH  - Female
MH  - Humans
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Treatment Outcome
MH  - United States/epidemiology
OTO - NOTNLM
OT  - Adverse events
OT  - Black/African American
OT  - Risk factors
OT  - Time trends
OT  - Total hip arthroplasty
EDAT- 2020/07/30 06:00
MHDA- 2021/12/15 06:00
CRDT- 2020/07/30 06:00
PHST- 2020/05/07 00:00 [received]
PHST- 2020/07/23 00:00 [accepted]
PHST- 2020/07/14 00:00 [revised]
PHST- 2020/07/30 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2020/07/30 06:00 [entrez]
AID - 10.1007/s40615-020-00829-0 [pii]
AID - 10.1007/s40615-020-00829-0 [doi]
PST - ppublish
SO  - J Racial Ethn Health Disparities. 2021 Jun;8(3):698-703. doi: 
      10.1007/s40615-020-00829-0. Epub 2020 Jul 28.