Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. May 18, 2020; 11(5): 265-277
Published online May 18, 2020. doi: 10.5312/wjo.v11.i5.265
Published online May 18, 2020. doi: 10.5312/wjo.v11.i5.265
Impact of gender and race on expectations and outcomes in total knee arthroplasty
Brian A Perez, Annamarie Horan, Charles L Nelson, Department of Orthopedics, University of Pennsylvania, Philadelphia, PA 19104, United States
James Slover, Emmanuel Edusei, Afshin Anoushiravani, Department of Orthopedic Surgery, New York University Langone Health, New York, NY 10016, United States
Atul F Kamath, Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH 44195, United States
Author contributions: Nelson CL and Slover J designed the research; Perez BA, Edusei E, Anoushiravani A performed the research; Horan A contributed the analysis of the data, Perez BA wrote the paper; Nelson CL, Slover J, Edusei E, Anoushiravani A, and Kamath AF provided edits to the paper.
Institutional review board statement: The study was reviewed and approved by the NYU School of Medicine’s Institutional Review Board and the University of Pennsylvania’s Institutional Review Board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: No additional data is available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Brian Perez, MD, Doctor, Orthopaedic Resident, Department of Orthopaedics, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, United States. brian.perez@pennmedicine.upenn.edu.
Received: January 1, 2020
Peer-review started: January 1, 2020
First decision: February 19, 2020
Revised: April 1, 2020
Accepted: April 8, 2020
Article in press: April 8, 2020
Published online: May 18, 2020
Processing time: 138 Days and 9.1 Hours
Peer-review started: January 1, 2020
First decision: February 19, 2020
Revised: April 1, 2020
Accepted: April 8, 2020
Article in press: April 8, 2020
Published online: May 18, 2020
Processing time: 138 Days and 9.1 Hours
Core Tip
Core tip: Total knee arthroplasties (TKA) are one of the most common surgeries performed in the United States. Even with its popularity, it has been shown that African Americans and women are offered this surgery less than their white male counterparts. We explore the role of potential factors connected to the underutilization of TKA in minorities and women as well as assess patient expectations and outcomes associated with race and gender. We conclude that there are no differences in outcomes between race and gender which leads us to believe that TKA should be offered to everyone equally to remedy disparities.