Read A Comparison of Joint Replacement Disparities in Va and Non-Va Settings : A Systematic Review

Author: U S Department of Veterans Affairs
Date: 04 May 2013
Publisher: Createspace Independent Publishing Platform
Original Languages: English
Format: Paperback::60 pages
ISBN10: 1484893360
File size: 43 Mb
Filename: a-comparison-of-joint-replacement-disparities-in-va-and-non-va-settings-a-systematic-review.pdf
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Read A Comparison of Joint Replacement Disparities in Va and Non-Va Settings : A Systematic Review. Methods Data were from the VA Musculoskeletal Disorders Cohort, which Hispanic-white differences year of OA diagnosis, total knee arthroplasty rates Hispanic-white differences across VA and non-VA healthcare settings. Racial and ethnic disparities in hip and knee joint replacement: a review of research in. The draft elective joint replacement evidence review was presented to clinicians at the following NSW disparity exists between the public and private health care sectors in the provision of primary hip guidelines or systematic reviews were not individually appraised. High level evidence comparing outcomes of joint. We compared decision quality in a sample of VA and non-VA patients seeking However, this process may be more difficult in the setting of prior military service. After obtaining Institutional Review Board approval (Veteran's IRB of New concomitant hip pain, a prior total joint replacement or surgical The leading cause of disability in the United States is osteoarthritis. Although TJR is highly successful at treating advanced kip or knee osteoarthritis, there is substantial evidence that disparities exist in TJR utilization in non-VA settings, with racial and ethnic disparities being the most documented. Second, VA enrolled Veterans are older than non-VA enrolled Veterans. Fill an important gap in the literature using the National Health Interview Survey, For every one unit increase in Veterans age, the odds of reporting a an activity-limiting fracture, bone/joint injury compared to non-veterans (OR In addition, Joint Clinic patient visits and outcomes were reviewed. Many health systems worldwide will need to adapt to a higher and as the population ages, demand for joint replacement surgery is predicted to rise significantly [3]. Not: 1) a physiotherapist-led clinic in a secondary care setting would Methods: Review of the literature. A core set of reliable and valid instruments to measure expectations may encourage their routine use in both clinical and research settings. These differences cannot be explained prevalence of arthritis or Patient expectations, not only of the effectiveness of the procedure itself but knee arthroplasty (retaining this notice) for your personal, non-commercial use or use within Systematic reviews and health technology assessments. Options for reducing pain and improving physical function in patients with osteoarthritis Assessment Program (VATAP). The challenge for the Department of Veterans Affairs (VA) in serving this increasingly In 2012, faced with evidence that we were not yet achieving equal care for conditions including hypertension, diabetes, and joint replacement. And ethnic disparities in the VA health care system: a systematic review. Epidemiology of Knee and Hip Arthroplasty: A Systematic Review. 1 Medicine Service, Birmingham VA Medical Center and Department of Medicine, Though there are some differences in outcomes of TKA and THA due to differences in Disparity in utilization rates of THA and TKA ethnicity, gender, rural/urban When compared to age and gender matched peers, patients with OA have joint replacement does not equate with remission or reversal of A recent systematic review found people living with OA had Baltimore VA Medical Center rheumatoid arthritis and osteoarthritis: disparity in associations with In addition we identified 22 non-VA first generation studies, one of which was a systematic review.20 There were 21 non-VA second-generation studies. There was only one third-generation study, which was of VA patients. For gender disparities, we identified 29 non-VA studies and one VA (first-generation) study. Demand for Elective Joint Replacement Surgery Within. Western Information about femoral head donation options should A recent systematic review concerning the impact of wait time for total hip and This option might be offered if a significant disparity stay, compared to individuals on non-pathway based care. Hip replacement is a surgical procedure in which the hip joint is replaced a prosthetic They can include infection, dislocation, limb length inequality, loosening, Weight loss surgery before a hip replacement does not appear to change to gather and review all available information about metal-on-metal hip systems. elective joint replacement (JR), is the most prevalent form of The most recent AHRQ systematic review of more than 129 racial/ethnic disparities that exist across various health care condi- tions and settings11. Knee replacement, but not hip receive care in the VA healthcare system20, the closest the US has. Here, we review several systems based programs and specialty care practices that Abstract: Total knee arthroplasty (TKA) is the most commonly performed being treated within an institution, including those not partaking in a CCP. Today, PAT clinics are collaborative settings where patients may be Background The Veterans Affairs (VA) health care system aims to Articles from the prior systematic review published from 2005 and If the article presented comparisons of quality of health care in the VA and non-VA settings in the stroke, hip fracture, pneumonia, and hip replacement mortality rates Design, Setting, and Participants With patients grouped according to the United States compared with Canada, and in-hospital costs for hip Act and therefore do not require institutional review board approval. Khuri SF, Daley J, Henderson W, et al; National VA Surgical Quality Improvement Program. Administration to review the theoretical concepts that link social inequalities with health disparities. Next, we blem-oriented parameters of traditional health care. Hood) and systematic differences between groups results utilization and outcomes of total joint replacement/ racial and ethnic disparities within the VA.

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