, Volume 8, Issue 1, pp 39-41
Date: 24 Jan 2012

Impact of Race/Ethnicity in OA Treatment

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Introduction

Racial/ethnic disparities in the use of joint replacement surgery for knee and hip osteoarthritis (OA) have long been described [4, 9, 23]. Whether these represent differences in the frequency and severity of OA at various joint sites [11, 12] or differences in patient preference, access to medical care, or other factors has been the source of considerable study in the last 10 to 15 years [6]. This article emphasizes racial/ethnic differences in, and factors associated with, the use or lack of use of various therapeutic interventions for OA, and new insights into potential mechanisms underlying these disparities, with an eye toward understanding how effective modalities might be applied in various populations likely to benefit.

Ethnic Disparity in Care of OA

In 1995, Hoagland and colleagues reported a study of racial/ethnic differences in total hip arthroplasty (THA) in 17 hospitals in the San Francisco area between 1984 and 1988 [9]. Whites were twice as likely as Blacks to