Racial disparities in peri-operative complications following primary total hip arthroplasty

J Orthop. 2020 Mar 26:21:155-160. doi: 10.1016/j.jor.2020.03.037. eCollection 2020 Sep-Oct.

Abstract

Background: This study assesses if post-operative outcomes following THA vary by racial groups.

Methods: A review of the ACS-NSQIP database was performed to compare THA patient outcomes from 2008 to 2016 according to race.

Results: During the study period, 117,389 THA patients were identified. Blacks were at significantly increased risk of peri-operative complications in comparison to non-Hispanic Whites, including serious medical morbidity (+27%), and prolonged length of stay (+53%).

Conclusions: Despite multivariate control and propensity-matched analysis of important risk factors, race independently predicts longer operative times and higher rates of discharge to non-home facilities.

Keywords: Arthroplasty; Complications; Discharge location; Operative time; Primary total hip replacement; Racial disparity.