{"id":"https://openalex.org/W2539929815","doi":"https://doi.org/10.1111/jgs.14367","title":"Reducing Hospital Readmission Disparities of Older Black and White Adults After Elective Joint Replacement: The Role of Nurse Staffing","display_name":"Reducing Hospital Readmission Disparities of Older Black and White Adults After Elective Joint Replacement: The Role of Nurse Staffing","publication_year":2016,"publication_date":"2016-10-27","ids":{"openalex":"https://openalex.org/W2539929815","doi":"https://doi.org/10.1111/jgs.14367","mag":"2539929815","pmid":"https://pubmed.ncbi.nlm.nih.gov/27787880","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/5173419"},"language":"en","primary_location":{"id":"doi:10.1111/jgs.14367","doi":"https://doi.org/10.1111/jgs.14367","is_oa":false,"landing_page_url":"https://doi.org/10.1111/jgs.14367","pdf_url":null,"source":{"id":"https://openalex.org/S204183829","display_name":"Journal of the American Geriatrics Society","issn_l":"0002-8614","issn":["0002-8614","1532-5415"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-1","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Geriatrics Society","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5173419","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5079992766","display_name":"Karen B. Lasater","orcid":"https://orcid.org/0000-0002-5834-1954","observed_orcids":["https://orcid.org/0000-0002-5834-1954"]},"institutions":[{"id":"https://openalex.org/I4405271814","display_name":"Leonard Davis Institute of Health Economics","ror":"https://ror.org/033gy9j95","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405271814"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Karen B. Lasater","raw_affiliation_strings":["Center for Health Outcomes and Policy Research, School of Nursing, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Outcomes and Policy Research, School of Nursing, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania","institution_ids":["https://openalex.org/I4405271814","https://openalex.org/I79576946"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017734058","display_name":"Matthew D. McHugh","orcid":"https://orcid.org/0000-0002-1263-0697","observed_orcids":["https://orcid.org/0000-0002-1263-0697"]},"institutions":[{"id":"https://openalex.org/I4405271814","display_name":"Leonard Davis Institute of Health Economics","ror":"https://ror.org/033gy9j95","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405271814"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthew D. McHugh","raw_affiliation_strings":["Center for Health Outcomes and Policy Research, School of Nursing, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Outcomes and Policy Research, School of Nursing, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania","institution_ids":["https://openalex.org/I4405271814","https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5079992766"],"corresponding_institution_ids":["https://openalex.org/I4405271814","https://openalex.org/I79576946"],"apc_list":{"value":4760,"currency":"USD","value_usd":4760},"apc_paid":null,"fwci":1.7637,"has_fulltext":false,"cited_by_count":29,"citation_normalized_percentile":{"value":0.85111648,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"64","issue":"12","first_page":"2593","last_page":"2598"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.4196999967098236,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.4196999967098236,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.24120000004768372,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.04100000113248825,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.9390000104904175},{"id":"https://openalex.org/keywords/racial-disparities","display_name":"racial disparities","score":0.9890000224113464},{"id":"https://openalex.org/keywords/nurse-staffing","display_name":"nurse staffing","score":0.7250000238418579},{"id":"https://openalex.org/keywords/hip-arthroplasty","display_name":"total hip arthroplasty","score":0.7609999775886536},{"id":"https://openalex.org/keywords/total-knee-arthroplasty","display_name":"total knee arthroplasty","score":1.0},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.7480000257492065},{"id":"https://openalex.org/keywords/black-patients","display_name":"Black patients","score":0.8119999766349792},{"id":"https://openalex.org/keywords/elective-orthopedic-surgery","display_name":"elective orthopaedic surgery","score":0.7459999918937683},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.38600000739097595}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9347193241119385},{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.829211950302124},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.7787344455718994},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.6726216077804565},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.6113799214363098},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.5136484503746033},{"id":"https://openalex.org/C2781385661","wikidata":"https://www.wikidata.org/wiki/Q4677918","display_name":"Acute care","level":3,"score":0.47873732447624207},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4779758155345917},{"id":"https://openalex.org/C2778104916","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Knee replacement","level":3,"score":0.4634985625743866},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.45957207679748535},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.22127264738082886},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.21905839443206787},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.21015051007270813},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.17682519555091858},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.16504502296447754},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001741","descriptor_name":"Black or African American","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":"Q000600","qualifier_name":"supply & distribution","is_major_topic":true},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019644","descriptor_name":"Arthroplasty, Replacement, Hip","qualifier_ui":"Q000451","qualifier_name":"nursing","is_major_topic":true},{"descriptor_ui":"D019645","descriptor_name":"Arthroplasty, Replacement, Knee","qualifier_ui":"Q000451","qualifier_name":"nursing","is_major_topic":true},{"descriptor_ui":"D044465","descriptor_name":"White People","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1111/jgs.14367","doi":"https://doi.org/10.1111/jgs.14367","is_oa":false,"landing_page_url":"https://doi.org/10.1111/jgs.14367","pdf_url":null,"source":{"id":"https://openalex.org/S204183829","display_name":"Journal of the American Geriatrics Society","issn_l":"0002-8614","issn":["0002-8614","1532-5415"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-1","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Geriatrics Society","raw_type":"journal-article"},{"id":"pmid:27787880","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/27787880","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Geriatrics Society","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:4621440","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5173419","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:5173419","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5173419","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"J Am Geriatr Soc","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:europepmc.org:4621440","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5173419","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.8974000215530396}],"sustainable_development_goals_aurora":[{"display_name":"Quality education","id":"https://metadata.un.org/sdg/4","score":0.5699999928474426}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G2272688294","display_name":"Nursing Impact on Care Outcomes for Chronically Ill and Minority Patients","funder_award_id":"R01NR004513","funder_id":"https://openalex.org/F4320337353","funder_display_name":"National Institute of Nursing Research"},{"id":"https://openalex.org/G4254133239","display_name":"A Panel Study of Hospital Nursing Resources and Racial Disparities in Elder Outcomes","funder_award_id":"R01AG041099","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G436690360","display_name":null,"funder_award_id":"T32\u2013NR0714","funder_id":"https://openalex.org/F4320337353","funder_display_name":"National Institute of Nursing Research"},{"id":"https://openalex.org/G9000910663","display_name":"Advanced Training in Nursing Outcomes Research","funder_award_id":"T32NR007104","funder_id":"https://openalex.org/F4320337353","funder_display_name":"National Institute of Nursing Research"}],"funders":[{"id":"https://openalex.org/F4320306139","display_name":"Robert Wood Johnson Foundation","ror":"https://ror.org/02ymmdj85"},{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"},{"id":"https://openalex.org/F4320337353","display_name":"National Institute of Nursing Research","ror":"https://ror.org/01y3zfr79"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":27,"referenced_works":["https://openalex.org/W1792408686","https://openalex.org/W1972297740","https://openalex.org/W1975738326","https://openalex.org/W1982768347","https://openalex.org/W1983247589","https://openalex.org/W1984379686","https://openalex.org/W1988056690","https://openalex.org/W2035740692","https://openalex.org/W2036244563","https://openalex.org/W2040613057","https://openalex.org/W2044417549","https://openalex.org/W2054085905","https://openalex.org/W2060221820","https://openalex.org/W2065281446","https://openalex.org/W2095541744","https://openalex.org/W2118762638","https://openalex.org/W2124529718","https://openalex.org/W2136830424","https://openalex.org/W2137831832","https://openalex.org/W2141440815","https://openalex.org/W2145809939","https://openalex.org/W2158127690","https://openalex.org/W2164870148","https://openalex.org/W2170131723","https://openalex.org/W2312293211","https://openalex.org/W2885813120","https://openalex.org/W4234686673"],"related_works":["https://openalex.org/W3200195282","https://openalex.org/W1866297295","https://openalex.org/W2339071931","https://openalex.org/W2263632071","https://openalex.org/W2076102246","https://openalex.org/W7065621258","https://openalex.org/W1993318660","https://openalex.org/W2060221820","https://openalex.org/W2048707050","https://openalex.org/W4390083996"],"abstract_inverted_index":{"OBJECTIVES:":[0],"To":[1],"examine":[2],"racial":[3],"differences":[4],"in":[5,57],"readmissions":[6],"of":[7,46,98,133,157,219,221],"older":[8,38,72,126,160,175,222,236],"adults":[9],"undergoing":[10,73],"elective":[11,74,208],"total":[12,75,78],"hip":[13,76],"and":[14,24,26,34,40,62,71,123,170,189,224],"knee":[15,79],"replacement,":[16],"to":[17,27,107,202],"determine":[18],"the":[19,30],"relationship":[20,31],"between":[21,32],"nurse":[22,150,212],"staffing":[23,33,213],"readmission,":[25],"study":[28],"whether":[29],"readmission":[35,94,111,134,158,206,220],"differs":[36],"for":[37,121,159,174,187,235],"black":[39,102,127,176,223,237],"white":[41,115,161,200,225],"adults.":[42],"DESIGN:":[43],"Cross-sectional":[44],"analysis":[45],"multiple":[47],"linked":[48],"secondary":[49],"data":[50],"sources.":[51],"SETTING:":[52],"Nonfederal":[53],"acute":[54],"care":[55],"hospitals":[56,229],"California,":[58],"Florida,":[59],"New":[60],"Jersey,":[61],"Pennsylvania":[63],"(n":[64],"=":[65,82,85,89,138,144,164,168,179,183],"483).":[66],"PARTICIPANTS:":[67],"Patients":[68],"aged":[69],"65":[70],"or":[77],"replacement":[80],"(N":[81],"106,848;":[83],"n":[84,88],"102,762":[86],"white,":[87],"4,086":[90],"black).":[91],"MEASUREMENTS:":[92],"Unplanned":[93],"within":[95],"30":[96],"days":[97],"discharge.":[99],"RESULTS:":[100],"Older":[101,193],"patients":[103,128,162,177],"were":[104],"more":[105,196],"likely":[106,197],"have":[108],"an":[109,204],"unplanned":[110,205],"(7.5%)":[112],"than":[113,198],"their":[114,199],"counterparts":[116,201],"(5.6%).":[117],"Even":[118],"after":[119,185,207],"adjusting":[120,186],"patient-":[122,188],"hospital-level":[124,190],"factors,":[125],"had":[129,230],"40%":[130],"greater":[131,155,172,232],"likelihood":[132],"(odds":[135],"ratio":[136],"(OR)":[137],"1.40,":[139],"95%":[140,166,181],"confidence":[141],"interval":[142],"(CI)":[143],"1.21-1.61).":[145],"Each":[146],"additional":[147],"patient":[148],"per":[149],"was":[151,214],"associated":[152,215],"with":[153,216],"8%":[154],"odds":[156,173,218],"(OR":[163,178],"1.08,":[165],"CI":[167,182],"1.01-1.15)":[169],"15%":[171],"1.15,":[180],"1.08-1.22)":[184],"factors.":[191],"CONCLUSION:":[192],"minorities":[194],"are":[195],"experience":[203],"orthopedic":[209],"surgery.":[210],"More-favorable":[211],"lower":[217],"patients,":[226],"but":[227],"better-staffed":[228],"a":[231],"protective":[233],"effect":[234],"patients.":[238]},"counts_by_year":[{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1}],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2016-11-04T00:00:00"}