Total joint replacement may be a valuable treatment for Aboriginal and Torres Strait Islander people with osteoarthritis, but uptake is low

Penny O'Brien; Sharmala Thuraisingam; Samantha Bunzli; Ivan Lin; Dawn Bessarab; Juli Coffin; Peter F M Choong; Michelle M Dowsey

doi:10.1111/ans.17974

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Total joint replacement may be a valuable treatment for Aboriginal and Torres Strait Islander people with osteoarthritis, but uptake is low

Journal article

Open access

Peer reviewed

Total joint replacement may be a valuable treatment for Aboriginal and Torres Strait Islander people with osteoarthritis, but uptake is low

Penny O'Brien, Sharmala Thuraisingam, Samantha Bunzli, Ivan Lin, Dawn Bessarab, Juli Coffin, Peter F M Choong and Michelle M Dowsey

ANZ journal of surgery, Vol.92(10), pp.2676-2682

2022

DOI: https://doi.org/10.1111/ans.17974

PMID: 36054270

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Abstract

Arthroplasty, Replacement

Health Services, Indigenous

Humans

Native Hawaiian or Other Pacific Islander

Osteoarthritis - surgery

Quality of Life

Retrospective Studies

Background: Despite bearing a higher burden of osteoarthritis, little research has examined disparities in the access, utilisation and surgical outcomes associated with total joint replacement (TJR) among Aboriginal and Torres Strait Islander people. Methods: We conducted a retrospective cohort study to compare the sociodemographic and clinical characteristics of all Aboriginal and Torres Strait Islander and non-Aboriginal patients who underwent primary hip and knee replacement at St Vincent's Hospital Melbourne between 1996 and 2019. Results: A total of 10 277 primary total knee or hip replacements were performed in the 1996-2019 study period, of which 49 (0.5%) patients identified as either Aboriginal and/or Torres Strait Islander. Aboriginal and Torres Strait Islander patients were younger (61.7 ± 11.8 vs. 68.3 ± 10.3 years; P < 0.001), recorded higher Body Mass Index scores (median (IQR), 36.0 (29.5-41.4) vs. 30.8 (27.0-35.3); P < 0.001) and were more likely to experience multiple co-morbidities at the time of surgery. Despite these findings, Aboriginal and Torres Strait Islander patients did not experience higher complication rates and experienced comparable, clinically meaningful quality of life improvements 12-months post-surgery. Conclusions: TJR appears to be a valuable treatment option for Aboriginal and Torres Strait Islander people with end-stage osteoarthritis. Our study was limited by the small number of procedures conducted in patients who identify as Aboriginal and Torres Strait Islander. Further research is needed to understand why uptake of TJR by Aboriginal and Torres Strait Islander people is low.

Details

Title: Total joint replacement may be a valuable treatment for Aboriginal and Torres Strait Islander people with osteoarthritis, but uptake is low
Authors/Creators: Penny O'Brien - The University of Melbourne
Sharmala Thuraisingam - The University of Melbourne
Samantha Bunzli - The University of Melbourne
Ivan Lin - The University of Western Australia, Western Australian Centre for Rural Health, Geraldton, Western Australia, Australia
Dawn Bessarab - The University of Western Australia
Juli Coffin - The Kids Research Institute Australia
Peter F M Choong - The University of Melbourne
Michelle M Dowsey - The University of Melbourne
Publication Details: ANZ journal of surgery, Vol.92(10), pp.2676-2682
Publisher: Wiley
Grant note: APP1154203 / National Health and Medical Research Council Practitioner Fellowship APP1116235 / PhD scholarship offered through the Australian National Health and Medical Research Council Centre for Research Excellence in Total Joint Replacement APP1122526 / National Health and Medical Research Council Career Development Fellowship Australian Government Research Training Program Scholarship
Identifiers: 991005560446907891
Murdoch Affiliation: Ngangk Yira Institute for Change
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.34 Orthopedics; 1.34.158 Arthroplasty Innovations
Web Of Science research areas: Surgery
ESI research areas: Clinical Medicine