![]() ![]() These states were chosen due to their large populations, geographic diversity, and quality of data available. We used the Healthcare Cost and Utilization Project (HCUP) New York and Florida State Inpatient Databases (SID) from 2006 to 2014 to identify patients who underwent THA (CPT Code 27130). ![]() In addition, we hypothesized that patients who traveled farther to receive care may be more likely to have postoperative complications as these patients may travel farther to receive specialized care for complex disease processes or increased medical comorbidities. We hypothesized that age, medical comorbidities, insurance status, race, and income would be associated with travel distance. In order to focus on issues of access to care, we specifically focused our analysis on patients requiring greater than 25 miles of travel to undergo THA. The purpose of this study was to identify associations between socioeconomic factors and travel distance required for elective THA as well as to assess the relationship between travel distance and postoperative complications. In addition, there is limited literature describing the association between preoperative travel distance and postoperative outcomes following THA. ![]() While existing literature describes the association between postoperative outcomes following total joint replacements and sociodemographic factors, to date, characteristics of patients that are associated with increased travel distance for hip arthroplasty are not well understood, , ]. This study found that postoperative complications were similar between the 2 groups. Another study examined outcomes following femoroacetabular impingement syndrome operations based on whether patients traveled more or less than 50 miles to receive care. One study found that patients who traveled farthest to undergo total knee arthroplasty (TKA) were younger and had more severe disease processes. However, there is evidence that patient demographics may be associated with distance traveled to receive orthopaedic care as well as postoperative outcomes. With an aging population, it is estimated that there will be 635,000 THA procedures performed annually in the United States by 2030. Total hip arthroplasty (THA) is a common, effective procedure performed in order to alleviate pain caused by osteoarthritis of the hip. ![]()
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