title: Disparities in joint replacement utilization: a quality of care issue.
abstract: Although total joint replacement is an effective treatment option for end-stage lower extremity osteoarthritis, racial disparities in joint replacement utilization have been well documented. These disparities may be due in part to patient-level factors such as willingness to consider joint replacement and worse expectations of joint replacement outcomes. In addition, African-Americans may have worse outcomes after total joint replacement and are more likely to have surgery performed by surgeons with lower volumes or in hospitals with lower volumes. All of these issues may be considered concerns with the quality of care delivered to African-Americans with osteoarthritis.
authors.affiliation: University of Pittsburgh, School of Medicine, Pittsburgh, PA 15261, USA.
authors.forename: N
authors.initials: N
authors.lastname: Emejuaiwe
authors.forename: A C
authors.initials: AC
authors.lastname: Jones
authors.forename: S A
authors.initials: SA
authors.lastname: Ibrahim
authors.forename: C K
authors.initials: CK
authors.lastname: Kwoh
mesh_terms: D001741:Black or African American; D019643:Arthroplasty, Replacement / Q000706:statistics & numerical data*; D003657:Decision Making; D054625:Healthcare Disparities; D006801:Humans; D011787:Quality of Health Care; D018570:Risk Assessment