LEADER 02966nam 2200493 450 001 9910717345303321 005 20221105175745.0 035 $a(CKB)2670000000429459 035 $a(NjHacI)992670000000429459 035 $a(OCoLC)793888628$z(OCoLC)756495878 035 $a(EXLCZ)992670000000429459 100 $a20221105d2011 uy 0 101 0 $aeng 135 $aur||||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 02$aA comparison of joint replacement disparities in VA and non-VA settings $ea systematic review /$fWalid F. Gellad [and three others], editors 210 1$aWashington, DC :$cDepartment of Veterans Affairs, Health Services Research & Development Service,$d2011. 215 $a1 online resource (iv, 55 pages) $cillustrations 225 1 $aEvidence-based Synthesis Program 300 $a"Evidence-based synthesis program." 300 $a"September 2011." 320 $aIncludes bibliographical references. 330 3 $aThe leading cause of disability in the United States is osteoarthritis. There is no known cure. Consequently, osteoarthritis is managed with a variety of treatments to reduce disability, improve function, and alleviate symptoms. When conservative treatments fail, surgical intervention is indicated. The most effective surgical option for moderate to severe osteoarthritis in the knee or hip is total joint replacement (TJR). TJR is often considered appropriate in cases where other non-surgical treatments have not brought adequate relief. TJR in the management of end-stage osteoarthritis is widely utilized and is considered the fastest growing elective surgery in the nation, if not the world. Although TJR is highly successful at treating advanced kip or knee osteoarthritis, there is substantial evidence that disparities exist in TJR utilization in non-VA settings, with racial and ethnic disparities being the most documented. This report compares what is known about disparities in TJR in the VA context with disparities in non-VA settings. 410 0$aEvidence-based synthesis program (Series) 517 $aA comparison of joint replacement disparities in VA and non-VA settings 606 $aArtificial joints 606 $aSurgery$xComplications 607 $aUnited States$2fast 615 0$aArtificial joints. 615 0$aSurgery$xComplications. 676 $a617.580592 700 $aGellad$b Walid F.$01399071 702 $aGellad$b Walid F. 712 02$aUnited States.$bDepartment of Veterans Affairs.$bHealth Services Research and Development Service, 712 02$aWest Los Angeles VA Medical Center.$bEvidence-Based Synthesis Program Center. 712 02$aEvidence-based Synthesis Program (U.S.) 801 0$bNjHacI 801 1$bNjHacl 906 $aBOOK 912 $a9910717345303321 996 $aA comparison of joint replacement disparities in VA and non-VA settings$93463708 997 $aUNINA