Arthroplasty today · 2026 · 系統性回顧（依標題推測）
Impact of Rurality on Total Joint Arthroplasty Access and Outcomes: A Systematic Review.
全身性肌肉骨骼・風濕・疼痛 · 全人工關節置換術
中文閱讀摘要
系統性回顧顯示，全關節置換術中農村地區患者併發症、再住院率及住院天數與城市不同，但患者報告結果無差異，提示存在醫療資源落差。
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原始摘要
Background
Total joint arthroplasty (TJA) is one of the most frequent orthopaedic surgeries in the United States; however, disparities in utilization and outcomes based on race, sex, and socioeconomic level have been well documented. The impact of rural geographic location, a characteristic that may impact access to TJA care and postoperative outcomes, remains understudied. This systematic review investigated associations between rural location and several metrics in total hip arthroplasty and total knee arthroplasty to investigate whether disparities are present based on rural geographic location.
Methods
In November 2024, PubMed, Web of Science, Scopus, EMBASE, and Cochrane Review databases were queried. Ten studies investigating TJA utilization and outcomes that included patients in a rural location were included. Study quality was assessed using a modified Newcastle-Ottawa Scale.
Results
Ten articles were included in the final analysis. Differences in complications, readmission rates, and length of stay due to rural location of patient and/or hospital were reported. Results indicate urban TJA patients more frequently discharge to rehab. Patient-reported outcome measures following TJA do not appear different between rural and urban patient groups.
Conclusions
Rural geographic location is associated with different TJA utilization and outcomes and may point to disparities in care. Continued efforts dedicated to eliminating inequalities in TJA care should consider the impact geographic location may have on exacerbating other forms of inequity. The reporting of urban-rural classification of patients in arthroplasty research is important for advancing this area of study. Access to care for all patients should be prioritized.
至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19
書目、來源與全文狀態
- DOI
- 10.1016/j.artd.2025.101884
- PMID／PMCID
- 41993228 / PMC13081216
- 作者
- Agrodnia SL, Call CM, Lachance AD, McDonald JC, Rana AJ, McGrory BJ
- 首次發表日期
- 2026-02-01Europe PMC 提供，部分日期可能依年份或月份推定。
- 卷／期／頁碼或文章編號
- 37 ／ Suppl ／ 101884
- 書目來源與查核日期
- Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
- 全文與授權
- 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。 來源授權標示：cc by。
可回溯引用
Agrodnia SL, Call CM, Lachance AD, McDonald JC, Rana AJ, McGrory BJ. Impact of Rurality on Total Joint Arthroplasty Access and Outcomes: A Systematic Review. Arthroplasty today. 2026;37(Suppl):101884. PMID: 41993228. PMCID: PMC13081216. doi:10.1016/j.artd.2025.101884
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