title: The influence of social deprivation on bone donation: a 10 year retrospective study.
abstract: An audit identifying all surgical bone donors over a 10 year period was conducted. Postcodes were used to link data from the index of multiple deprivation (IMD) 2007 to give each donor a deprivation score. An audit from 2000 to 2010 of primary total hip replacement (THR) patients was also conducted, and similarly a deprivation score was identified for each patient. IMD scores are split into quintiles. A high IMD score indicates a high degree of social deprivation. Conversely low IMD scores indicate a more affluent community. The mean IMD 2007 score was 13.36 (95% CI 13.12-13.60). The national mean IMD score is 21.7 (CI 21.52-21.88). The difference is significant (p < 0.0001). The mean IMD 2007 score of primary THR patients identified in the arthroplasty database was 19.19 (CI 19.00-19.38). The difference between the mean arthroplasty score and the mean score of donors is significant (p < 0.0001). The donation rate increases as social deprivation decreases from quintile to quintile in both: the older patients (CI 1.08-1.14; p < 0.0001) and the general population (CI 1.20-1.25; p < 0.0001). Bone donors are substantially less deprived than their donor pool of THR patients. Donor rates are consistently lower in quintiles which are more deprived.
authors.affiliation: kanaigarala@gmail.com
authors.forename: Kanai
authors.initials: K
authors.lastname: Garala
authors.forename: Richard
authors.initials: R
authors.lastname: Power
authors.forename: Joseph
authors.initials: J
authors.lastname: Dias
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D016025:Bone Transplantation; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012923:Social Class; D014019:Tissue Donors / Q000193:education / Q000523:psychology / Q000706:statistics & numerical data*