Effect of a Decision Aid on Access to Total Knee Replacement for Black Patients With Osteoarthritis of the Knee: A Randomized Clinical Trial.

ABSTRACT:

Importance

Black patients with advanced osteoarthritis (OA) of the knee are significantly less likely than white patients to undergo surgery. No strategies have been proved to improve access to surgery for black patients with end-stage OA of the knee.

Objective

To assess whether a decision aid improves access to total knee replacement (TKR) surgery for black patients with OA of the knee.

Design, setting, and participants

In a randomized clinical trial, 336 eligible participants who self-identified as black and 50 years or older with chronic and frequent knee pain, a Western Ontario McMaster Universities Osteoarthritis Index score of at least 39, and radiographic evidence of OA of the knee were recruited from December 1, 2010, to May 31, 2014, at 3 medical centers. Exc

SUBMITTER: Ibrahim SA 

PROVIDER: S-EPMC5726272 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature