| Title |
Racial disparities in outcomes of operatively treated lower extremity fractures
|
|---|---|
| Published in |
Archives of Orthopaedic and Trauma Surgery, July 2017
|
| DOI | 10.1007/s00402-017-2766-z |
| Pubmed ID | |
| Authors |
Adam Driesman, Nina Fisher, Sanjit R. Konda, Christian A. Pean, Philipp Leucht, Kenneth A. Egol |
| Abstract |
Whether racial differences are associated with function in the long term following surgical repair of lower extremity fractures has not been investigated. The purpose of this study is to compare how race affects function at 3, 6 and 12 months post-surgery following certain lower extremity fractures. Four hundred and eighteen patients treated operatively for a lower extremity fracture (199 tibial plateau, 39 tibial shaft, and 180 rotational ankle fractures) were prospectively followed for 1 year. Race was stratified into four groups: Caucasian, African-American, Hispanic origin, and other. Long-term outcomes were evaluated using the short musculoskeletal function assessment (SMFA) and pain scores were assessed at 3, 6 months and 1 year. There were 223 (53.3%) Caucasians, 72 (17.2%) African-Americans, 53 (12.4%) Hispanics, and 71 (17.0%) patients from other ethnic groups, included in our study population. Minority patients (African-American, Hispanics, etc.) were more likely to be involved in high velocity mechanisms of injury and tended to have a greater percentage of open fractures. Although there were no differences in the rate of wound complications or reoperations, long-term functional outcomes were worse in minority patients as assessed by pain scores at 6 months and functional outcome scores at 3, 6 and 12 months. Multivariate analysis revealed that only African-American and Hispanic race continued to be independent predictors of worse functional outcomes at 12 months. Racial minorities and those on medicaid had poorer long-term function following fractures of the lower extremity. While minority patients were involved in more high velocity accidents, this was not an independent predictor of worse outcomes. These disparities may result from multifactorial socioeconomic factors, including socioeconomic status and education levels that were not controlled in our study. Prognostic Level III. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 50% |
| Scientists | 1 | 50% |
Mendeley readers
The data shown below were compiled from readership statistics for 61 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 61 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 7 | 11% |
| Student > Doctoral Student | 7 | 11% |
| Student > Bachelor | 6 | 10% |
| Student > Master | 5 | 8% |
| Student > Ph. D. Student | 4 | 7% |
| Other | 9 | 15% |
| Unknown | 23 | 38% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 22 | 36% |
| Nursing and Health Professions | 5 | 8% |
| Sports and Recreations | 2 | 3% |
| Engineering | 2 | 3% |
| Social Sciences | 1 | 2% |
| Other | 1 | 2% |
| Unknown | 28 | 46% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 August 2017.
All research outputs
#14,065,859
of 23,815,455 outputs
Outputs from Archives of Orthopaedic and Trauma Surgery
#627
of 1,215 outputs
Outputs of similar age
#163,558
of 318,287 outputs
Outputs of similar age from Archives of Orthopaedic and Trauma Surgery
#5
of 13 outputs
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So far Altmetric has tracked 1,215 research outputs from this source. They receive a mean Attention Score of 4.0. This one is in the 47th percentile – i.e., 47% of its peers scored the same or lower than it.
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We're also able to compare this research output to 13 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 61% of its contemporaries.