No Evidence for Race and Socioeconomic Status as Independent Predictors of 30-Day Readmission Rates Following Orthopedic Surgery

American Journal of Medical Quality

Volumn 30, Issue 5, 2015, Pages 484-488

  Hunter, Tracey ^a   Yoon, Richard S ^a   Hutzler, Lorraine ^a   Band, Philip ^a   Liublinksa, Victoria ^b   Slover, James ^a   Bosco, Joseph A ^a  

^a NYU HOSPITAL FOR JOINT DISEASES   (United States)

^b HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

complications; DRG; Medicare; readmission

Indexed keywords

ADVERSE EFFECTS; ANCESTRY GROUP; COHORT ANALYSIS; FEMALE; HEALTH CARE DISPARITY; HOSPITAL READMISSION; HUMAN; LENGTH OF STAY; MALE; MIDDLE AGED; ORTHOPEDIC SURGERY; POSTOPERATIVE COMPLICATIONS; PROGNOSIS; PURCHASING; RISK FACTOR; SOCIAL CLASS; STATISTICS AND NUMERICAL DATA;

COHORT STUDIES; CONTINENTAL POPULATION GROUPS; FEMALE; HEALTHCARE DISPARITIES; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; ORTHOPEDIC PROCEDURES; PATIENT READMISSION; POSTOPERATIVE COMPLICATIONS; PROGNOSIS; RISK FACTORS; SOCIAL CLASS; VALUE-BASED PURCHASING;

EID: 84940024424     PISSN: 10628606     EISSN: 1555824X     Source Type: Journal    
DOI: 10.1177/1062860614534882     Document Type: Article

References (22)

1. Patient Protection and Affordable Care Act 2010. http://housedocs.house.gov/energycommerce/ppacacon.pdf. Accessed June 9, 2013.
2. Medicare Payment Advisory Commission. Report to the Congress: issues in a modernized Medicare program. www.medpac.gov/documents/june05_entire_report.pdf. Published June2005. Accessed June 10, 2013.
3. K.J.BozicS.DurbhakulaD.J.Berry. Differences in patient and procedure characteristics and hospital resource use in primary and revision total joint arthroplasty: a multicenter study. J Arthroplasty. 2005;20(7suppl 3):17-25.
4. S.HaririK.BozicC.LaverniaA.PrestipinoH.Rubash. Medicare reimbursement: past, present, and future. J Bone Joint Surg Am. 2007;89:2536-2546.
5. R.A.McCormackT.HunterN.RamosR.MichelsL.HutzlerJ.A.Bosco. An analysis of causes of readmission after spine surgery. Spine. 2012;37:1260-1266.
6. K.OngF.MowatN.ChanE.LauM.HalpernS.Kurtz. Economic burden of revision hip and knee arthroplasty in Medicare enrollees. Clin Orthop Relat Res. 2006;446:22-28.
7. E.PhilbinG.DecP.JenkinsT.DiSalvo. Socioeconomic status as an independent risk factor for hospital readmission for heart failure. Am J Cardiol. 2001;87:1367-1371.
8. A.E.WallaceY.Young-XuD.HartleyW.B.Weeks. Racial, socioeconomic, and rural-urban disparities in obesity-related bariatric surgery. Obes Surg. 2010;20:1354-1360.
9. F.McClellanA.White3rdR.JimenezS.Fahmy. Do poor people sue doctors more frequently? Confronting unconscious bias and the role of cultural competency. Clin Orthop Relat Res. 2012;470:1393-1397.
10. B.RothenbergT.PearsonJ.ZwanzigerD.Mukamel. Explaining disparities in access to high-quality cardiac surgeons. Ann Thorac Surg. 2004;78:18-25.
11. E.A.DaileyA.CizikJ.KastenJ.R.ChapmanM.J.Lee. Risk factors for readmission of orthopaedic surgical patients. J Bone Joint Surg Am. 2013;95:1012-1019.
12. W.W.SchairerA.CarrerV.Deviren. Hospital readmission after spine fusion for adult spinal deformity. Spine (Phila Pa 1976). 2013;38:1681-1689.
13. W.W.SchairerT.P.VailK.J.Bozic. What are the rates and causes of hospital readmission after total knee arthroplasty?Clin Orthop Relat Res. 2013;472:181-187.
14. R.McCormackR.MichelsN.RamosL.HutzlerJ.SloverJ.Bosco. Thirty-day readmission rates as a measure of quality: causes of readmission after orthopedic surgeries and accuracy of administrative data. J Healthc Manag. 2013;58:64-76.
15. N.J.BirkmeyerN.Gu. Race, socioeconomic status, and the use of bariatric surgery in Michigan. Obes Surg. 2012;22:259-265.
16. J.SkinnerW.ZhouJ.Weinstein. The influence of income and race on total knee arthroplasty in the United States. J Bone Joint Surg Am. 2006;88:2159-2166.
17. E.T.DavisE.A.LingardE.H.SchemitschJ.P.Waddell. Effects of socioeconomic status on patients’ outcome after total knee arthroplasty. Int J Qual Health Care. 2008;20:40-46.
18. E.NackeN.RamosS.SteinL.HutzlerJ.A.Bosco3rd. When do readmissions for infection occur after spine and total joint procedures?Clin Orthop Relat Res. 2013;471:569-573.
19. K.E.JoyntE.J.OravA.K.Jha. Thirty-day readmission rates for Medicare beneficiaries by race and site of care. JAMA. 2011;305:675-681.
20. M.ShulanK.GaoC.D.Moore. Predicting 30-day all-cause hospital readmissions. Health Care Manag Sci. 2013;16:167-175.
21. S.S.RathoreF.A.MasoudiY.Wang. Socioeconomic status, treatment, and outcomes among elderly patients hospitalized with heart failure: findings from the National Heart Failure Project. Am Heart J. 2006;152:371-378.
22. M.QasimR.M.Andrews. Post-Surgical Readmissions among Patients Living in the Poorest Communities, 2009 (Statistical Brief No. 142). Rockville, MD: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs; 2012.