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. 2010 May;103(5):414-8.
doi: 10.1097/SMJ.0b013e3181d7ba2f.

The impact of race/ethnicity on preoperative time to hip stabilization procedure after hip fracture

Tracy U Nguyen-Oghalai  1 , Yong-Fang Kuo, Helen Wu, Navkiran K Shokar, Michael Grecula, Steven Tincher, Kenneth J Ottenbacher
Affiliations

The impact of race/ethnicity on preoperative time to hip stabilization procedure after hip fracture

Tracy U Nguyen-Oghalai et al. South Med J. 2010 May.

Abstract

Background: We sought to examine the preoperative time for hip stabilization procedure among Hispanics, non-Hispanic blacks (blacks) and non-Hispanic whites (whites).

Methods: This was a secondary data analysis using Medicare claims data. Our analysis included 40,321 patients admitted for hip fracture hospitalization from 2001-2005. Our primary analysis was generalized linear modeling, and our dependent variable was preoperative time. Our independent variable was race/ethnicity (Hispanics, blacks versus whites), and covariates were age, gender, income, type of hip fracture and comorbidities.

Results: Bivariate analyses showed that both Hispanics and blacks experienced a longer preoperative time (P < 0.01). The average (mean) of days to surgery was 1.2 for whites, 1.6 for blacks and 1.7 for Hispanics. The delayed preoperative time among Hispanics and blacks persisted after adjusting for covariates.

Conclusions: The delayed preoperative time among minorities suggests the need to closely monitor care among minorities with hip fracture to determine how to best address their developing needs.

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Conflict of interest statement

Statement of proprietary interest: The authors have NO commercial or proprietary interest in any drug, device, or equipment mentioned in the submitted article. They have NO financial interest as a consultant, stock owner, employee, evaluator, etc., in any item mentioned in the article.

Institutional Review Board approval was obtained to conduct this study.

Figures

Figure 1
Figure 1
Flowchart of patients included in the study
See this image and copyright information in PMC

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