Patients with limited English proficiency are less likely to utilize revision TJA
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According to published results, patients with limited English proficiency are less likely to undergo revision surgery within 1 to 2 years of total joint arthroplasty compared with patients who are proficient in English.
To analyze the effect of English proficiency status on the odds of undergoing revision surgery, researchers from the University of California, San Francisco collected retrospective data on 7,985 total hip and total knee arthroplasty surgeries from January 2013 to December 2021. According to the study, 7.2% of patients (n = 577) had limited English proficiency (LEP), which was defined as having a primary language that was not English.
Researchers found that compared with patients who were proficient in English, patients with LEP were less likely to utilize revision surgery within 1 year (3.2% vs. 1.4%, respectively) and 2 years (3.9% vs. 1.7%, respectively) after primary TJA. At 1 year, patients with LEP had an adjusted OR of 0.45 for undergoing revision surgery. At 2 years, patients with LEP had aOR of 0.44 for undergoing revision surgery, researchers noted.
“Our study’s focus on revision surgeries suggests that LEP patients may continue to face decreased access to surgical care even after they have had initial contact with an orthopedic service during the primary arthroplasty procedure,” the researchers wrote in the study.
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