Socioeconomic Disparities in Method of Anesthesia for Knee Arthroplasties in the US

Introduction. Knee arthroplasty (KA) can be performed using general anesthesia (GA), neuraxial anesthesia (NA) or regional anesthesia (RA). We believe proportion of types of anesthetics have changed but that there is a disparity based on socioeconomic factors. Methods. Unadjusted rates and adjusted...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2022-11, Vol.33 (4), p.1809-1820
Main Authors: Keneally, Ryan J, Mazzeffi, Michael A, Chow, Jonathan H, Heinz, Eric R, Shinton, Zak A, Meyers, Brittany A, Dutton, Richard P
Format: Article
Language:English
Subjects:
Anesthesia
Anesthetics
Arthroplasty
Arthroplasty (knee)
Clinical outcomes
Gender
General anesthesia
Health disparities
Hospitals
Income
Joint replacement surgery
Knee
Medical personnel
Patients
Regional anesthesia
Regression analysis
Social factors
Socioeconomic factors
Socioeconomic status
Socioeconomics
Variance analysis
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Summary:Introduction. Knee arthroplasty (KA) can be performed using general anesthesia (GA), neuraxial anesthesia (NA) or regional anesthesia (RA). We believe proportion of types of anesthetics have changed but that there is a disparity based on socioeconomic factors. Methods. Unadjusted rates and adjusted odds ratios for the use of RA or PNB were compared between groupings of patients based on socioeconomic status. Results. General anesthesia is the most common (49.7%) while NA (39.4%) and RA (10.9%) were the second and third. University hospitals and patient home ZIP Code median income had the strongest association with RA as a (adjusted odds ratio (AOR) 26.3, 95% confidence interval (95%CI) 22.1–31.3, p
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2022.0139