Perioperative medicine & outcomes
Racial and Ethnic Disparities in Providing Guideline-Concordant Care After Hip Fracture Surgery
Authors' conclusion
Older adults who received care at an institution with an SHFP were more likely to receive guideline-concordant care (bone-protective medication, WBAT-POD1, and VTE prophylaxis), regardless of race and ethnicity. However, the probability of receiving guideline-concordant care at an institution with an SHFP increased more for non-Hispanic White patients than racial and ethnic minority patients.
Study context
- Population
- Patients aged ≥65 years with hip fracture undergoing surgical fixation, American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Targeted Hip Fracture (THF) database, 2016–2021after multiple imputation
- Participants
- 62,194 patients
- Exposure
- Guideline-concordant care at institutions with vs without a standardized hip fracture program (SHFP), in racial and ethnic minority vs non-Hispanic White patients
- Outcome
- Guideline-concordant care: weight-bearing as tolerated on POD1 (WBAT-POD1), venous thromboembolism (VTE) prophylaxis, bone-protective medication; and presence of SHFP at the institution
Methodological detailsregistry database (ACS-NSQIP THF), multiple imputation, stratified by institution SHFP status
- Registry database (ACS-NSQIP THF)
- Multiple imputation
- Stratified by institution SHFP status
Main finding
As reported in the abstract
Risk difference with vs without SHFP, by race and ethnicity
Estimate (95% CI)
Racial and ethnic minority vs Non-Hispanic White
risk difference (SHFP), WBAT-POD1 0.030(0.004–0.056)
Non-Hispanic White
risk difference (SHFP), WBAT-POD1 0.037(0.029–0.45)
Racial and ethnic minority vs Non-Hispanic White
risk difference (SHFP), VTE prophylaxis 0.066(0.040–0.093)
Non-Hispanic White
risk difference (SHFP), VTE prophylaxis 0.080(0.071–0.089)
Racial and ethnic minority vs Non-Hispanic White
risk difference (SHFP), bone-protective medication 0.149(0.121–0.178)
Non-Hispanic White
risk difference (SHFP), bone-protective medication 0.181(0.173–0.190)
Observational data: associations, not effects.
Original publication
Racial and Ethnic Disparities in Providing Guideline-Concordant Care After Hip Fracture Surgery. JAMA Netw Open. Published 1 August 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →