Public health

Sociology

Rehabilitation

Population

Joint arthroplasty

Economic growth

Family medicine

Nursing

Ethnic group

Surgery

Political science

Intensive care medicine

Socioeconomic status

Physical therapy

Health care

Economics

Health equity

Psychological intervention

Anthropology

Arthroplasty

Medicaid

MEDLINE

Reimbursement

Gerontology

Medicine

Environmental health

Current Reviews in Musculoskeletal Medicine

Purpose of Review The primary aim of this review was to evaluate recently published total joint arthroplasty (TJA) studies in order to accurately summarize the current concepts regarding racial and ethnic disparities in total joint arthroplasty. Recent Findings Many studies found that racial and ethnic disparities in TJA are present in all phases of arthroplasty care including access to, utilization of, and postoperative outcomes after TJA. Summary Factors that limit patient access to TJA—increased patient comorbidities, lower socioeconomic status, and Medicaid/uninsured status—are also disproportionately associated with underrepresented patient populations. Minority patients are more likely to require more intensive postoperative rehabilitation and non-home discharge placement. This in turn potentially adds additional concerns regarding hospital/provider reimbursement in light of the current Medicare/Medicaid model for arthroplasty surgeons, thus creating a recurrent cycle in which disparities in TJA reflect the complex interplay of overall health disparities and access inequalities associated with racial and ethnic biases. Literature demonstrating evidenced-based interventions to minimize these disparities is sparse, but the multifactorial cause of disparities in TJA highlights the need for multifaceted solutions on both a systemic and individual level.

Racial Disparities in Total Joint Arthroplasty