Featured Research

from universities, journals, and other organizations

Does race dictate quality of care?

Date:
September 13, 2011
Source:
Springer
Summary:
Racial minorities have reduced access to high-quality joint replacement care, according to new research. The study shows that African American patients are more likely than Caucasians to receive total knee arthroplasty (or replacement surgery) in low-quality hospitals.

Racial minorities have reduced access to high-quality joint replacement care, according to Dr. Xueya Cai and colleagues from the University of Iowa in the US. Their work, published online in Springer's journal Clinical Orthopaedics and Related Research, shows that African American patients are more likely than Caucasians to receive total knee arthroplasty (or replacement surgery) in low-quality hospitals.

Related Articles


Total joint arthroplasty is widely performed in patients of all races with severe osteoarthritis to relieve pain and improve joint function and mobility. Although several studies have suggested that racial minority patients are less likely to undergo joint replacement surgery, little is known about the quality of arthroplasty care that African Americans receive as compared to Caucasians.

Using data from the Medicare Provider Analysis and Review (MedPAR) files between 2002 and 2005, which contain information regarding hospitalization for Medicare beneficiaries, Cai and colleagues profiled US hospitals' quality of care. Quality was based on the rate of complications including sepsis, hemorrhage, pulmonary embolism, deep vein thrombosis and severe wound infection, as well as the number of deaths, experienced in the 90 days after total knee replacement surgery.

To test for a racial difference in access to high-, intermediate- and low-quality hospitals, the authors then looked at 91,599 elderly patient admissions for total knee replacement between July and December 2005 in 2,842 hospitals.

Their analyses, which focused on Caucasian and African American patients only, showed that African American patients undergoing total knee arthroplasty were less likely to be admitted to high-volume hospitals. Instead, compared to Caucasian patients, they were more likely to be admitted to hospitals that perform fewer knee replacements, which have been correlated to lower-quality knee arthoplasty surgery. The fact that African American race was a predictor for admissions to low-quality hospitals, provides direct evidence of racial disparities in access to high-quality arthroplasty care.

Dr. Xueya Cai concludes: "This racial disparity in access to high-quality arthroplasty care is a major issue, especially as arthroplasties continue to be more widely performed in both Caucasian and non-Caucasian patients with severe osteoarthritis. More work is needed to explore African American neighborhoods, as well as social and physician-referring factors to better understand and address the issues of unequal access and quality of arthroplasties."


Story Source:

The above story is based on materials provided by Springer. Note: Materials may be edited for content and length.


Journal Reference:

  1. Xueya Cai, Peter Cram, Mary Vaughan-Sarrazin. Are African American Patients More Likely to Receive a Total Knee Arthroplasty in a Low-quality Hospital? Clinical Orthopaedics and Related Researchฎ, 2011; DOI: 10.1007/s11999-011-2032-6

Cite This Page:

Springer. "Does race dictate quality of care?." ScienceDaily. ScienceDaily, 13 September 2011. <www.sciencedaily.com/releases/2011/09/110913103107.htm>.
Springer. (2011, September 13). Does race dictate quality of care?. ScienceDaily. Retrieved April 1, 2015 from www.sciencedaily.com/releases/2011/09/110913103107.htm
Springer. "Does race dictate quality of care?." ScienceDaily. www.sciencedaily.com/releases/2011/09/110913103107.htm (accessed April 1, 2015).

Share This


More From ScienceDaily



More Science & Society News

Wednesday, April 1, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Be Careful, April Fools' Day Is Alive And Well

Be Careful, April Fools' Day Is Alive And Well

Newsy (Apr. 1, 2015) — You’re going to want to double-check anything you see on the Internet today. If it sounds too good or too weird to be true, it probably is. Video provided by Newsy
Powered by NewsLook.com
Liberia Sees Resurgence of Drug Trafficking as Ebola Wanes

Liberia Sees Resurgence of Drug Trafficking as Ebola Wanes

AFP (Apr. 1, 2015) — The governments of Liberia and Sierra Leone have been busy fighting the menace created by the deadly Ebola virus, but illicit drug lords have taken advantage of the situation to advance the drug trade. Duration: 01:12 Video provided by AFP
Powered by NewsLook.com
Calif. Gov. Issues Sweeping Water Restrictions

Calif. Gov. Issues Sweeping Water Restrictions

AP (Apr. 1, 2015) — California Gov. Jerry Brown announced a sweeping executive order Wednesday that imposes mandatory water restrictions across the state as California copes with a historic drought and water shortage. (April 1) Video provided by AP
Powered by NewsLook.com
US Cybercrime Sanctions Will Target High-Profile Attackers

US Cybercrime Sanctions Will Target High-Profile Attackers

Newsy (Apr. 1, 2015) — An executive order makes retaliatory sanctions against cybercriminals a matter of policy. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Science & Society

Business & Industry

Education & Learning

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins