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Racial Differences Seen for Joint Replacement Care and Outcomes – Consumer Health News

FRIDAY, April 29, 2022 (HealthDay News) — Racial variations persist throughout the continuum of care amongst sufferers present process complete joint arthroplasty (TJA), based on a research printed within the April 15 situation of the Journal of Bone and Joint Surgery.

Jeffrey Okewunmi, from the Icahn School of Medicine at Mount Sinai in New York City, and colleagues assessed tendencies in racial variations in care and end result traits earlier than, throughout, and after TJA surgical procedure for osteoarthritis. The evaluation used Medicare claims information to establish 1.48 million TJAs (2013 to 2018).

The researchers discovered that in each 2013 and 2018, Black sufferers (5.0 %) have been extra doubtless than White sufferers to have the next Deyo-Charlson comorbidity index (rating >0; odds ratio [OR], 1.32 for each), to require extra transfusions (OR, 1.55 and 1.77), to be discharged to institutional post-acute care (OR, 1.40 and 1.49), and to be readmitted inside 90 days (OR, 1.38 and 1.21). The Comprehensive Care for Joint Replacement program coincided with reductions in racial variations in 90-day readmission (−1.24 %) and 180-day readmission (−1.28 %) in adjusted difference-in-differences analyses.

“These findings both highlight the extent and persistence of racial differences in this surgical patient population while also emphasizing the potential for a novel approach to reduce racial disparities: bundled payment designs,” the authors write.

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