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Developing a Novel Surgical Care Access Score for Patients With Osteoarthritis Considering Total Knee Replacement.


ABSTRACT:

Objective

Access to specialized orthopedic care is an important determinant of the decision to undergo total knee replacement (TKR); however, most studies have mainly used distance to the nearest high-volume hospital as the primary proxy for access. We applied the two-step floating catchment area (2SFCA) method to develop a more comprehensive TKR access score that accounts for other potential factors (ie, supply of and demand for this procedure) that also affect access.

Methods

To apply the 2SFCA method, we first estimated TKR demand using the Centers for Disease Control and Prevention estimates of prevalence of osteoarthritis, which were multiplied by estimates of patients who would potentially benefit from TKR. We then estimated TKR supply using the number of TKRs performe

SUBMITTER: Ghomrawi HMK 

PROVIDER: S-EPMC11684978 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature