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Influence of socioeconomic status on outcome of joint replacement surgery

Ellis, Henry B.a; Howard, Krista J.b; Khaleel, Mohammeda

doi: 10.1097/BCO.0b013e3181d07771
SPECIAL FOCUS: Total Joint Replacement

Total joint arthroplasty is one of the most successful and cost-effective treatments for end-stage arthritis. Understanding the disparity of outcomes associated with total knee and hip arthroplasty is crucial in the treatment of arthritis. Disparity in health care occurs in a variety of demographics and is on the front lines of health care policy. An individual's socioeconomic status, typically based on income and educational level, has been shown to have an effect on the outcomes of total joint arthroplasty. Acknowledging the differences in outcomes and discovering ways to reduce the disparity will not only be beneficial to individuals undergoing total joint arthroplasty but will also provide a better foundation for future orthopaedic surgeons and health care workers. Identifying individuals' differences in socioeconomic status and making appropriate adjustments should improve outcomes after total joint arthroplasty and prevent further disparities of care.

aDepartment of Orthopaedic Surgery, The University of Texas Southwestern Medical Center, Dallas

bDepartment of Health Psychology and Neuroscience, The University of Texas at Arlington, Arlington, Texas

Correspondence to Henry B. Ellis, MD, Department of Orthopaedics, The University of Texas Southwestern, 1801 Inwood Road, WA 4.312, Dallas, TX 75390-8883

Tel: +214 645 3143; fax: +214 645 3340; e-mail: henrybellis@gmail.com

© 2010 Lippincott Williams & Wilkins, Inc.