June 11, 2026 · Clinical orthopaedics and related research · DOI: 10.1097/CORR.0000000000004018

Is Neighborhood Socioeconomic Deprivation Associated With Outcomes Following Primary THA and TKA? A Systematic Review Utilizing the Area Deprivation Index

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This systematic review investigates the association between neighborhood socioeconomic deprivation, as measured by the Area Deprivation Index (ADI), and postoperative outcomes following primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). The authors found that higher ADI scores correlated with increased healthcare utilization, worse patient-reported outcomes, and a higher incidence of postoperative complications, suggesting that socioeconomic factors significantly influence surgical outcomes. The study highlights the importance of incorporating ADI into clinical practice to better address the needs of patients from disadvantaged backgrounds.

Angelina R Furyes, Khaled A Elmenawi, Loren Hackett, Matthew E Deren, Nicolas S Piuzzi

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