Barriers to Total Joint Arthroplasty: A Comparison of High‐Poverty and Low‐Poverty Communities
Authors' conclusion
People from high-poverty communities identified lack of trust in surgeons and fear of poor surgical outcomes as more significant barriers to TJA compared to people from low-poverty communities.
Study context
- Population
- Survey participants recruited at New York City clinics and nationally through an arthritis advocacy group; survey based on interviews with underrepresented minority patients with OA16.8% from high-poverty communities
- Participants
- 702 participants
- Exposure
- High-poverty vs low-poverty communities
- Outcome
- Rating barriers to total joint arthroplasty (TJA) (trust in surgeon, recovery concerns, cost and/or insurance issues, fear of poor surgical outcomes, timing considerations) as very or extremely important
Methodological detailssurvey, geocoding to census tracts, logistic regression adjusted for demographic and clinical factors
- Survey
- Geocoding to census tracts
- Logistic regression adjusted for demographic and clinical factors
Main finding
As reported in the abstract
Barriers rated very or extremely important
High-poverty communities vs Low-poverty communitiesAdjusted odds ratio (95% CI)
Trust in surgeon
1.87(1.24–2.82)
Fear of poor surgical outcome
1.68(1.08–2.61)
Observational data: associations, not effects.
Original publication
Barriers to Total Joint Arthroplasty: A Comparison of High‐Poverty and Low‐Poverty Communities. Arthritis Care Res (Hoboken). Published 12 December 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →