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Table 7 Associations of race/ethnicity and SES with pain/opioid use after THA

From: Risk factors for pain after total hip arthroplasty: a systematic review

First author

Year

Study design

n

Follow-up, yr

Outcome measures

Associations of race/ethnicity and SES with postoperative pain/opioid use

Prentice [9]

2019

RC

12,560

1

Opioid usage

Higher opioid use in African Americans, lower opioid use in Asian (compared to white)

Goodman [10]

2018

RC

4170

2

WOMAC

Worse pain in African Americans

Lavernia [19]

2015

RC

564

3.5 (1–9)a

VAS, WOMAC, SF-36

Worse pain in African Americans

Dowsey [22]

2014

PC

835

1

HHS

No association

Greene [23]

2014

RC

11,464

1

VAS

Worse pain in patients with low education

Neuburger [31]

2013

RC

59,680

0.5

OHS

Worse pain in low SES

Krupic [30]

2013

RC

1216

1

VAS

Worse pain in immigrants

Allen Butler [38]

2011

PR

119

2

VAS, HHS

Worse pain in African Americans, those with low education, and those with low income

Lavernia [42]

2011

RC

739

2

WOMAC, SF-36

Worse pain in minority patients, especially African Americans

Clement [40]

2011

PC

1359

1

OHS

Worse pain in more deprived patients

Schafer [45]

2010

CC

1113

0.5

WOMAC

Greater odds of poor pain outcome in patients who are single, living alone, on disability

Fortin [58]

1999

PC

116

0.5

WOMAC

No association with education level

  1. CC Case–control, CI Confidence interval, HHS Harris Hip Score, OHS Oxford Hip Score, OR Odds ratio, PC Prospective cohort, PR Prospective randomized, RC Retrospective cohort, SES Socioeconomic status, SF-36 36-Item Short-Form Health Survey, THA Total hip arthroplasty, VAS Visual analog scale, WOMAC Western Ontario and McMaster Universities Arthritis Index
  2. aData presented as mean (range)