骨关节炎择期全关节置换术中的种族差异
Racial Disparities in Elective Total Joint Arthroplasty for Osteoarthritis.
作者信息
Usiskin Ilana, Misra Devyani
机构信息
Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.
出版信息
ACR Open Rheumatol. 2022 Apr;4(4):306-311. doi: 10.1002/acr2.11399. Epub 2022 Jan 5.
Abstract
Total joint arthroplasty (TJA) is an effective elective surgical procedure for knee and hip osteoarthritis (OA), yet racial disparities in the use of and outcomes from TJA have been recognized. Racial minority individuals are less willing to undergo TJA, demonstrate worse surgical and functional outcomes, and are more likely to undergo surgery at a low-procedure-volume center. In this systematic review, we summarize evidence to date on racial disparities in TJA and discuss potential factors that may underlie this gap in care for patients with OA.
摘要
全关节置换术（TJA）是治疗膝关节和髋关节骨关节炎（OA）的一种有效的选择性外科手术，但TJA在使用和治疗结果方面的种族差异已得到公认。少数族裔个体不太愿意接受TJA，手术和功能结果较差，并且更有可能在手术量较低的中心接受手术。在本系统评价中，我们总结了迄今为止关于TJA种族差异的证据，并讨论了OA患者护理差距背后可能存在的潜在因素。
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