Perspective - Journal of Orthopaedics and Trauma ( 2022) Volume 12, Issue 11

Impact of Perceived Discrimination in Orthopedic Care

Rosner Bernard*
Department of Orthopedics, University of Colorado, United States
*Corresponding Author:
Rosner Bernard, Department of Orthopedics, University of Colorado, United States, Email:

Received: 02-Nov-2022, Manuscript No. APJOT-23-90362 ; Editor assigned: 04-Nov-2022, Pre QC No. APJOT-23-90362 (PQ); Reviewed: 18-Nov-2022, QC No. APJOT-23-90362; Revised: 23-Nov-2022, Manuscript No. APJOT-23-90362 (R); Published: 30-Nov-2022, DOI: 10.4303/2090-2921/2360133


Demographics, comorbidities, and baseline surgical data were compared between groups. Adverse outcomes during her first thirty days after surgery were also examined. Compared with white patients, black patients were found to have a lower mortality rate, a lower postoperative blood transfusion rate, and a higher frequency of deep wound infections. There are clear differences in demographic, surgical and outcome data between them. Further epidemiological studies are needed to further investigate racial differences in orthopedic trauma surgery.

The most radical changes in health policy aimed at reducing racial disparities were implemented and continue to this day. It is unclear whether these initiatives have reduced racial disparities among patients undergoing total shoulder arthroplasty. The purpose of this study was to investigate racial differences in surgical rates, complications, and mortality in patients undergoing total shoulder arthroplasty.


We analyzed the national utilization rates of primary anatomical and reverse total shoulder arthroplasty. Population- adjusted and gender-adjusted surgical rates have been developed over time and standardized based on insurance status. Multivariate logistic regression was used to determine racial differences in morbidity and mortality. Racial disparities in reverse shoulder arthroplasty and patients undergoing reverse shoulder arthroplasty worsen over time. Black patients, irrespective of insurance status, have lower national primary anatomic and reverse shoulder arthroplasty utilization rates and higher risks of morbidity and mortality than white patients. Improved initiatives are needed to reduce these racial disparities, and more research is needed to understand their underlying causes.

The results of this study show that, despite national initiatives, racial disparities persisted in all analyzed practices and were exacerbated in one-third of the analyzed practices. These differences were evident in hospital education or insurance status. We need new initiatives to reduce racial disparities and improve equity in health care. Caucasian adult patients undergoing elective primary total knee or hip arthroplasty under general or truncal (spinal or epidural) anesthesia were included. Differences in anesthesia technique and postoperative complications between the two groups were assessed before and after matching. Total joint replacement is an effective treatment for osteoarthritis-related conditions that cannot be resolved with non-surgical treatments. A growing body of evidence supports the use of spinal anesthesia for these surgical procedures. Using the Surgeons-National Surgical Quality Improvement Program database, we investigated the effect of race on type of anesthesia and postoperative outcome in elective total joint replacement surgery.


In most cases, communication between orthopedic surgeons and patients regarding chronic management of knee and hip osteoarthritis did not differ by patient race. These findings reduce the potential role of communication at orthopedic facilities in explaining well-documented racial differences in the use of total joint replacement surgery. Before visiting the clinic, patients were asked about their previous experiences with racism and class discrimination in the health care system. Visits were recorded and coded for instrumental and emotional communication content and nonverbal emotional tone. After the encounter, patients rated the informational value of the visit, the warmth or respect of the donor, and the ease of communication with the donor. Regression models stratified by patient race assessed the associations between racism and classism and communication outcomes.

Copyright: © 2022 Rosner Bernard. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.