Race, ethnicity, insurance coverage, and preoperative status of hip and knee surgical patients.

Carlos J. Lavernia, David Lee, Rafael J. Sierra, Orlando Gómez-Marín

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Our objective was to examine the association between race/ethnicity and insurance type and the preoperative status of patients undergoing joint arthroplasty surgery. Quality of life and WOMAC measures were collected preoperatively in a consecutive series of patients undergoing primary hip or knee arthroplasties (n = 573). Non-Hispanic whites had lower preoperative pain and WOMAC scores and higher Quality Well Being Index and SF-36 scores compared with other racial/ethnic subgroups. Patients with Medicare/private insurance had better preoperative scores relative to patients with Medicaid or no insurance. Racial/ethnic status was generally more strongly associated with preoperative status than was insurance type. Hispanics, blacks, and patients without Medicare or private health insurance reach arthroplasty surgery with lower preoperative functional and health status.

Original languageEnglish (US)
Pages (from-to)978-985
Number of pages8
JournalThe Journal of arthroplasty
Volume19
Issue number8
DOIs
StatePublished - Dec 2004

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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