Black Americans lose 72,000 quality-adjusted life years (QALYs) due to disparities in total knee replacement (TKR) offer and complication rates, a recent study found. Therefore, programs to decrease disparities in TKR use are urgently needed. Researchers used the Osteoarthritis Policy Model, a computer simulation of knee osteoarthritis (OA), to predict QALY outcomes for black and white knee OA patients with and without TKR. They estimated per-person QALYs gained from TKR as the difference between QALYs with current TKR use and QALYs when no TKR was performed. They found:
- Black men and women gain 64,100 QALYs from current TKR use.
- With white offer and complications rates, they would gain an additional 72,000 QALYs.
- Because these additional gains are unrealized, it is calculated as a loss of 72,000 QALYs.
- Black Americans lose 67,500 QALYs because of lower offer, 15,800 QALYs because of lower acceptance, and 2,600 QALYs because of higher complications.
Kerman HM, Smith SR, Smith KC, et al. Disparities in total knee replacement: Population losses in quality-adjusted life years due to differential offer, acceptance, and complication rates for black Americans. [Published online ahead of print January 24, 2018]. Arthritis Care Res. doi:10.1002/acr.23484.
This Week's Must Reads
Inverse U-Shaped Link Between CRP, Systolic BP in RA, Arthritis Res Ther; 2018 Jun 1; Yu, Kim, Vanni, et al
Exercise Linked with Protective CV Risk in RA , J Clin Rheumatol; 2018 ePub May 25; Byram, et al
No Link Between Coffee Consumption and Incident RA, J Clin Rheumatol; ePub 2018 Apr 19; Lamichhane, et al
PROMIS Forms Capture Fatigue Experience in RA, Qual Life Res; ePub 2018 May 24; Bartlett, et al
MBDA Score Independently Predictive of Relapsing RA, PLoS One; ePub 2018 May 23; Moghadam, et al
Must Reads in Mixed Topics
Fragility Fracture Risk Linked with Sarcoidosis, Osteoporos Int; 2018 May; Ungprasert, et al
Renal Transplants Improve Survival in ESRD-GPA, Ann Rheum Dis; ePub 2018 May 14; Wallace, et al
Cognitive Impairment Linked with Hip Fracture Risk, J Bone Miner Res; ePub 2018 May 7; Diem, et al
Lean Mass, Muscle Strength and Power, in Older Men, J Bone Miner Res; ePub 2018 Apr 27; Chalhoub, et al
Obesity and Late-Life Mobility Issues Post-Surgery, Arthritis Care Res; ePub 2018 Apr 25; Shadyab, et al