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Assessing preoperative risk factors with sex disparities in total joint arthroplasty patients and financial outcomes from the national inpatient sample database

Journal of the American Academy of Orthopedic Surgeons Nov 03, 2020

Cheah C, Hussein IH, El Othmani A, et al. - This research was sought to provide a population-based epidemiologic assessment of preoperative risk factors and gender disparities and evaluate variations in outcomes following total joint arthroplasty (TJA). Researchers examined the National Inpatient Sample database from 2006 to 2011. They distinguished individuals who had undergone primary total knee and hip arthroplasty and stratified into two cohorts of male and female, and demographic data and comorbidities were obtained. They assessed postoperative complications, length of stay, total charges, and discharge destination for matched cohorts. This research demonstrates gender variations in areas that could account for the underuse of the procedure in both sexes, with women affected to a greater extent. After TJA, understanding these factors will help address the unmet needs of both sexes by encouraging further trials and provider education to ensure that all individuals are able to access the necessary procedures for pain relief and functional improvement.

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