Racial/Ethnic and Socioeconomic Disparities in Osteoarthritis Management.

Angel M Reyes, Jeffrey N Katz

Journal: Rheumatic diseases clinics of North America 2021;47(1):21-40

PMID: 34042052

Free Full Text on PubMed Central View on PubMed

Abstract

This article reviews the literature on racial and socioeconomic disparities in the management of osteoarthritis. Treatments investigated include arthritis education, dietary weight management, exercise/physical therapy, pharmacologic therapy with nonsteroidal antiinflammatory drugs and opioids, intra-articular steroid injections, and total joint replacement. The amount of evidence for each treatment modality varied, with the most evidence available for racial and socioeconomic disparities in total joint arthroplasty. Black patients, Hispanic patients, and patients with low socioeconomic status (SES) are less likely to undergo total joint replacement than white patients or patients with high SES, and generally have worse functional outcomes and more complications.

Address: Department of Orthopaedic Surgery, Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Harvard Medical School, BWH Orthopaedics, OrACORe Group, 75 Francis Street, BTM Suite 5016, Boston, MA 02115, USA. Electronic address: [email protected].; Department of Orthopaedic Surgery, Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Harvard Medical School, BWH Orthopaedics, OrACORe Group, 75 Francis Street, BTM Suite 5016, Boston, MA 02115, USA; Section of Clinical Sciences, Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

DOI: 10.1016/j.rdc.2020.09.006

Link outs

Free resources

Full Text Sources:

Medical:

https://medlineplus.gov/osteoarthritis.html

Other Literature Sources:

https://scite.ai/reports/34042052

Subscription / membership required

Full Text Sources:

MeSH Terms: Black or African American, Ethnicity, Healthcare Disparities, Humans, Osteoarthritis, Socioeconomic Factors