The Impact of Race/ethnicity on Preoperative Time to Hip Stabilization Procedure After Hip Fracture

Overview

Journal South Med J

Specialties General Medicine
General Surgery

Date 2010 Apr 9

PMID 20375948

Citations 7

Authors

Tracy U Nguyen-Oghalai

Yong-Fang Kuo

Helen Wu

Navkiran K Shokar

Michael Grecula

Steven Tincher

Kenneth J Ottenbacher

Affiliations

Soon will be listed here.

Abstract

Background: We sought to examine the preoperative time for hip stabilization procedure among Hispanics, non-Hispanic blacks (blacks) and non-Hispanic whites (whites).

Methods: This was a secondary data analysis using Medicare claims data. Our analysis included 40,321 patients admitted for hip fracture hospitalization from 2001-2005. Our primary analysis was generalized linear modeling, and our dependent variable was preoperative time. Our independent variable was race/ethnicity (Hispanics, blacks versus whites), and covariates were age, gender, income, type of hip fracture and comorbidities.

Results: Bivariate analyses showed that both Hispanics and blacks experienced a longer preoperative time (P < 0.01). The average (mean) of days to surgery was 1.2 for whites, 1.6 for blacks and 1.7 for Hispanics. The delayed preoperative time among Hispanics and blacks persisted after adjusting for covariates.

Conclusions: The delayed preoperative time among minorities suggests the need to closely monitor care among minorities with hip fracture to determine how to best address their developing needs.

Citing Articles

Disparities in Dual-energy X-ray Absorptiometry Scan Utilization Across Race/Ethnic Groups Before and After Hip Fractures.

Rudisill K, Ratnasamy P, Sanchez J, Grauer J J Am Acad Orthop Surg Glob Res Rev. 2024; 8(9).

PMID: 39303221 PMC: 11419421. DOI: 10.5435/JAAOSGlobal-D-24-00052.

The Application of Medicare Data for Musculoskeletal Research in the United States: A Systematic Review.

Mahmoudi E, Malay S, Maroukis B, Sarsour T, Chung K J Am Acad Orthop Surg. 2019; 27(13):e622-e632.

PMID: 31232800 PMC: 6604860. DOI: 10.5435/JAAOS-D-17-00297.

Association Between Sarcopenic Obesity and Falls in a Multiethnic Cohort of Postmenopausal Women.

Follis S, Cook A, Bea J, Going S, Laddu D, Cauley J J Am Geriatr Soc. 2018; 66(12):2314-2320.

PMID: 30375641 PMC: 6289680. DOI: 10.1111/jgs.15613.

Risk factors for fracture in middle-age and older-age men of African descent.

Sheu Y, Cauley J, Patrick A, Wheeler V, Bunker C, Zmuda J J Bone Miner Res. 2013; 29(1):234-41.

PMID: 23775783 PMC: 3830695. DOI: 10.1002/jbmr.2016.

Postacute rehabilitation care for hip fracture: who gets the most care?.

Freburger J, Holmes G, Ku L J Am Geriatr Soc. 2012; 60(10):1929-35.

PMID: 23036079 PMC: 3470736. DOI: 10.1111/j.1532-5415.2012.04149.x.

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