Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Symposium: AAOS/ORS/ABJS Musculoskeletal Healthcare Disparities Research Symposium 25 articles

Articles

Breakout Session: Ethnic and Racial Disparities in Joint Arthroplasty

Randall C. Morgan MD, MBA, James Slover MD, MS

Many authors report racial and ethnic disparities in total joint arthroplasty. The extent and implications, however, are not fully understood.

Defining Racial and Ethnic Disparities in THA and TKA

Kaan Irgit MD, Charles L. Nelson MD

For minority populations in the United States, especially African Americans, Hispanics, and Native Americans, healthcare disparities are a serious problem. The literature documents racial and ethnic utilization disparities with regard to THA and TKA.

Patient Gender Affects the Referral and Recommendation for Total Joint Arthroplasty

Cornelia M. Borkhoff PhD, Gillian A. Hawker MD, MSc, FRCPC, James G. Wright MD, MPH, FRCSC

Rates of use of total joint arthroplasty among appropriate and willing candidates are lower in women than in men. A number of factors may explain this gender disparity, including patients’ preferences for surgery, gender bias influencing physicians’ clinical decision-making, and the patient-physician interaction.

Defining Ethnic and Racial Differences in Osteoporosis and Fragility Fractures

Jane A. Cauley DrPH

Osteoporotic fractures are a major public health issue. The literature suggests there are variations in occurrence of fractures by ethnicity and race.

Culturally Competent Care Pedagogy: What Works?

Daryll C. Dykes MD, PhD, Augustus A. White MD, PhD

In its 2002 publication, the Institute of Medicine reported American racial and ethnic minorities receive lower-quality health care than white Americans. Because caregiver bias may contribute to disparate health care, the Liaison Committee on Medical Education and the Accreditation Council for Graduate Medical Education have issued specific directives to address culturally competent care education.

Breakout Session: Sex/Gender and Racial/Ethnic Disparities in the Care of Osteoporosis and Fragility Fractures

Mark D. Neuman MD, Ann M. Kennelly BA, Laura L. Tosi MD

Recent epidemiologic and clinical data suggest men and racial and ethnic minorities may receive lower-quality care for osteoporosis and fragility fractures than female and nonminority patients. The causes of such differences and optimal strategies for their reduction are unknown.

Minimizing Disparities in Osteoporosis Care of Minorities With an Electronic Medical Record Care Plan

Ronald A. Navarro MD, Denise F. Greene RNP, Raoul Burchette MS, Tadashi Funahashi MD, Richard Dell MD

Ethnic disparities in care have been documented with a number of musculoskeletal disorders including osteoporosis. We suggest a systems approach for ensuring osteoporosis care can minimize potential ethnic disparities in care.

Sex and Gender Considerations in Male Patients With Osteoporosis

Christopher J. Dy MD, MSPH, Lauren E. LaMont MD, Quang V. Ton MD, Joseph M. Lane MD

Osteoporosis remains underrecognized and undertreated in both men and women, but men who sustain fragility fractures experience greater morbidity and mortality. While men exhibit advanced comorbidity at the time of hip fracture presentation, there are distinct sex- and gender-specific factors related to the pathophysiology and treatment of osteoporosis that further influence morbidity and mortality.

Disparities in Amputations in Minorities

Kristin M. Lefebvre PT, PhD, CCS, Lawrence A. Lavery DPM, MPH

As a result of the impact of health disparities on the healthcare system such as their influence on arenas significant to healthcare distribution, including cost, quality, and access, identification and resolution of health disparities is a primary national agenda item. Resolution of disparities in amputation is an area of opportunity that warrants further consideration.

Ethnic and Racial Factors Influencing Well-being, Perceived Pain, and Physical Function After Primary Total Joint Arthroplasty

Carlos J. Lavernia MD, Jose C. Alcerro MD, Juan S. Contreras MD, Mark D. Rossi PhD

Studies suggest, even when controlling for disease severity, socioeconomic status, education, and access to care, racial and ethnic minorities receive lower-quality health care and have worse perceived pain and function before and after total joint arthroplasty.

Mortality in Female War Veterans of Operations Enduring Freedom and Iraqi Freedom

Jessica D. Cross MD, Anthony E. Johnson MD, Joseph C. Wenke PhD, Michael J. Bosse MD, James R. Ficke MD

Combat-wounded service members are surviving battle injuries more than ever. Given different combat roles held by men and women, female service members should survive wounds at an unprecedented rate.

Optimizing Screening for Osteoporosis in Patients With Fragility Hip Fracture

Archana Roy MD, Michael G. Heckman MSc, Mary I. O’Connor MD

Osteoporosis, the underlying cause of most hip fractures, is underdiagnosed and undertreated. The 2008 Joint Commission reportshowed only an average of 20% of patients with low-impact fracture are ever tested or treated for osteoporosis. We developed an integrated model utilizing hospitalists and orthopaedic surgeons to improve care of osteoporosis in patients with hip fracture.

Does a Multidisciplinary Team Decrease Complications in Male Patients With Hip Fractures?

Christopher J. Dy MD, MSPH, Paul-Michel Dossous MPH, Quang V. Ton MD, James P. Hollenberg MD, Dean G. Lorich MD, Joseph M. Lane MD

Men with hip fractures are more likely to experience postoperative complications than women. The Medical Orthopaedic Trauma Service program at New York Presbyterian Hospital utilizes a multidisciplinary team approach to care for patients with hip fractures. The service is comanaged by an attending hospitalist and orthopaedic surgeon, with daily walking rounds attended by the hospitalist, orthopaedic resident, physical therapist, social worker, and a dedicated Medical Orthopaedic Trauma Service physician assistant.

Breakout Session: Gender and Ethnic Disparities in Pain Management

Atul F. Kamath MD, Mary I. O’Connor MD

Pain management is a complex and evolving topic. Treatment of pain must account for biochemical as well as social and economic factors. Sex, gender, and ethnic differences exist in the pathophysiology, diagnosis, and provision of care for patients with pain.

Implant Survival, Knee Function, and Pain Relief After TKA: Are There Differences Between Men and Women?

Mary I. O’Connor MD

As efforts continue to improve the results of TKA, the potential influence of sex and gender on long-term survival of implants, knee function, pain relief, and patient satisfaction remains relevant, particularly given the increased incidence of osteoarthritis of the knee in women and reports that women derive equal benefit from TKA.

Gender Differences in Osteoporosis and Fractures

Peggy M. Cawthon PhD, MPH

Osteoporosis is generally thought of as a “woman’s disease” because the prevalence of osteoporosis and the rate of fractures are much higher in postmenopausal women than in older men. However, the absolute number of men affected by osteoporosis and fractures is large, as at least 2.8 million men in the United States are thought to have osteoporosis.

Breakout Session: Diversity, Cultural Competence, and Patient Trust

Christopher J. Dy MD, MSPH, Charles L. Nelson MD

The patient population served by orthopaedic surgeons is becoming increasingly more diverse, but this is not yet reflected in our workforce. As the cultural diversity of our patient population grows, we must be adept at communicating with patients of all backgrounds.

Defining Racial and Ethnic Disparities in Pain Management

Jana M. Mossey PhD, MPH, MSN

Substantial pain prevalence is as high as 40% in community populations. There is consistent evidence that racial/ethnic minority individuals are overrepresented among those who experience such pain and whose pain management is inadequate.

Do We Need Gender-specific Total Joint Arthroplasty?

Aaron J. Johnson MD, Christopher R. Costa MD, Michael A. Mont MD

Gender-specific differences in knee and hip anatomy have been well documented. Although it has been accepted these differences exist, there is controversy regarding if and how these differences should be addressed with gender-specific implant designs.

Examining Sex and Gender Disparities in Total Joint Arthroplasty

Wendy M. Novicoff PhD, Khaled J. Saleh MD, MSc, MHCM

Total joint arthroplasty (TJA) is remarkably successful for treating osteoarthritis: most patients see substantial gains in function. However, there are considerable geographic, racial, and gender variations in the utilization of these procedures. The reasons for these differences are complex.

Breakout Session: Gender Disparities in Knee Osteoarthritis and TKA

Mary I. O’Connor MD, Elizabeth Gerken Hooten ScD, MSPH, CPH

Biologically derived (sex-based) and behaviorally influenced (gender-based) disparities exist in knee osteoarthritis and treatment with TKA.

Breakout Session: Ethnic and Gender Differences in Diabetic Foot Management and Amputations

Anthony E. Johnson MD, Carlos Lavernia MD

Although the health status of all Americans has improved substantially in the past century, gender and ethnic disparities still persist. Gender and ethnic disparities in diabetic foot management and amputations are an important but largely ignored issue in musculoskeletal health care.

Gender and Race/Ethnicity Differences in Hip Fracture Incidence, Morbidity, Mortality, and Function

Robert S. Sterling

Hip fracture is an international public health problem. Worldwide, approximately 1.5 million hip fractures occur per year, with roughly 340,000 in the United States in individuals older than 65 years. In 2050, there will be an estimated 3.9 million fractures worldwide, with more than 700,000 in the United States. However, whether there are disparities in morbidity, mortality, and function between men and women or between races/ethnicities is unclear.

Gender Differences in Diabetes-related Lower Extremity Amputations

Monica E. Peek MD, MPH

Diabetes is a major cause of morbidity and mortality in the United States, with much of the economic and social costs related to macrovascular and microvascular complications, such as myocardial infarctions, renal failure, and lower extremity amputations. While racial/ethnic differences in diabetes are well documented, less attention has been given to differences in diabetes outcomes by gender.