Paper 07: Race and Income Influence Patient Outcomes After Multiligament Knee Injuries

Objectives: This study aimed to assess the influence of socioeconomic status (SES) variables on patient-reported outcomes and return to work following surgery for a multiligament knee injury. Methods: We retrospectively reviewed patients at our institution who underwent multi-ligament knee reconstru...

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Bibliographic Details
Published in:Orthopaedic journal of sports medicine 2024-07, Vol.12 (7_suppl2)
Main Authors: Wolfe, Isabel, Chalem, Isabel, Spath, Alexandra, Li, Zachary, Moore, Michael, Alaia, Michael
Format: Article
Language:English
Subjects:
Clinical outcomes
Injuries
Knee
Low income groups
Marital status
Patients
Surgery
Variables
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Summary:Objectives: This study aimed to assess the influence of socioeconomic status (SES) variables on patient-reported outcomes and return to work following surgery for a multiligament knee injury. Methods: We retrospectively reviewed patients at our institution who underwent multi-ligament knee reconstruction between 2012 and 2022. SES variables of interest included median household income, occupation, race, sex, and marital status. International Knee Documentation Committee (IKDC) scores were used to assess clinical outcomes. Patients reported whether they had returned to work at final follow-up. Data was available for each SES variable for a subset of the cohort. Chi-square tests and Fisher exact tests were used to compare the proportion of patients who returned to work by race, sex, income, marital status, and job type (sedentary vs. nonsedentary) and to compare the proportion of patients with sedentary jobs within each demographic variable. Mann-Whitney U tests were used to compare the distribution of IKDC scores at final follow-up across the same demographic variables. Results: There were 144 patients with multiligament knee injuries for whom data on at least 1 SES variable was available with a median final follow-up of 3.2 years. Patients were 73.2% male with an average age of 38.8 years. Overall, 26.8% of patients were married and 56.1% of patients had sedentary jobs. Of the patients who were working before surgery (63% of the total cohort), 56.0% returned to work after surgery. There was a significant difference in the proportion of patients who had sedentary jobs by income (12.5% low income vs. 50.7% high income, p
ISSN:2325-9671
2325-9671
DOI:10.1177/2325967124S00020