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Joint replacement with rheumatoid arthritis

Updated on October 23, 2024

People of color receive joint replacement surgeries two-thirds less often than white patients. In this video, learn more about the discrepancy.

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Transcript

00:00
Hi, Dr. Ortiz. As a woman of color, I'm wondering, is there anything I need to know about joint replacement
00:06
due to my rheumatoid arthritis? [MUSIC PLAYING]
00:16
Thanks so much for asking. That's a great question. Let's just get into it. Inflammatory conditions like rheumatoid arthritis
00:22
can sometimes require surgery if nonsurgical treatment has been ineffective. Over the last 30 years, joint replacement surgery
00:29
has become one of the safest and most reliable procedures done in the United States. There are approximately 750,000 knee replacements and over
00:38
450,000 hip replacement surgeries done annually in the US. However, studies have shown that people of color
00:45
receive joint replacements 2/3 less often than white people. A variety of factors may be the cause of this discrepancy, one
00:52
being patient preference. People of color are generally more hesitant to choose a surgery as a form of treatment
00:58
due to concerns of surgery outcome and a lack of knowledge surrounding the procedure and its potential recovery time.
01:05
In addition, joint replacement surgery can often be inaccessible for people of color. Lack of insurance is one reason people of color
01:12
may not be able to access proper treatment. Other factors include socioeconomic constraints, geographic limitations, and fewer orthopedic surgeons
01:21
in minority communities. Nonsurgical treatments are usually considered before surgery. However, there are also discrepancies
01:28
in that area as well. Research shows that Black patients are more likely to be prescribed steroids instead of biologics.
01:35
Biologics are advanced targeted therapies that can be used to treat rheumatoid arthritis. While steroids can also treat rheumatoid arthritis,
01:43
there can be long-term side effects like high blood pressure, diabetes, and osteoporosis. By improving patient provider communication,
01:51
providing access to joint replacement information, proper post-op care, and acknowledging disparities in health care, we can better assist people of color,

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