Social Determinants of Health Influence Outcomes in Patients Undergoing Total Hip Arthroplasty: A Systematic Review

Research Mentor Name

Dr. Eric Makhni

Research Mentor Email Address

emakhni1@hfhs.org

Institution / Department

Orthopedic Surgery

Document Type

Research Abstract

Research Type

healthimprovement

Level of Research

no

Abstract

Purpose: To examine the effects of social determinants of health (SDOH) on patient outcomes following total hip arthroplasty (THA)

Methods: A systematic search was conducted using the MEDLINE, Epub Ahead of Print, Web of Science, PubMed and Embase databases in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to find studies involving at least 1 SDOH and its effects on patient reported outcomes and surgical outcomes following THA. 2,840 studies were initially identified and we are still in the process of determining which studies will eventually meet the criteria regarding SDOH influencing postoperative THA outcomes.

Results: Once we obtain our list of studies in the final analysis, we will examine which SDOH (race, ethnicity, socioeconomic status, insurance status, education level, urban/rural geography) and which outcomes (patient survey scores, reoperation, revision, death, dislocation, infection, deep vein thrombosis and pulmonary embolism) were analyzed in each study.

Conclusion: Based on our findings, we will conclude which SDOH impact certain outcomes following THA.

Disciplines

Medicine and Health Sciences

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