Racial and Ethnic Minorities Underrepresented in Pain Management Guidelines for Total Joint Arthroplasty: A Meta-analysis
CONCLUSION: The 2021 Anesthesia and Analgesia in Total Joint Arthroplasty Clinical Practice Guidelines provide evidence-based recommendations that reflect the current standards in orthopaedic surgery, but the studies upon which they are based overwhelmingly underenroll and underreport racial/ethnic minorities relative to their proportions in the US population. As these factors impact analgesic administration, their continued neglect may perpetuate inequities in outcomes after TJA.CLINICAL RELEVANCE: Our study demonstrates that all non-White racial/ethnic groups were underrepresented relative to their proportion of the US population in the 2021 Anesthesia and Analgesia in Total Joint Arthroplasty Clinical Practice Guidelines, underscoring a weakness in the orthopaedic surgery evidence base and questioning the overall external validity and generalizability of these combined CPGs. An effort should be made to equitably enroll and report outcomes for all racial/ethnic groups in any updated CPGs.PMID:38497759 | DOI:10.1097/CORR.0000000000003026
Source: Clinical Orthopaedics and Related Research - Category: Orthopaedics Authors: Katherine Merk Nicholas C Arpey Alba M Gonzalez Katia E Valdez Anna Cohen-Rosenblum Adam I Edelstein Linda I Suleiman Source Type: research
More News: Academia | Anesthesia | Anesthesiology | India Health | Orthopaedics | Pain | Pain Management | Study | USA Health