Clinical Scorecard: Examining Racial and Ethnic Differences in Health Perception and Access to Care for Adults with Hip Osteoarthritis: Insights from a National Study of Over 16,000 Participants in the All of Us Program

At a Glance

Key Highlights

• Hip osteoarthritis affects 7.2% of the global population.
• Black and Hispanic adults show greater joint damage and symptom severity compared to White adults.
• Disparities in care delivery exist even when controlling for income and insurance status.
• Structural and perceptual barriers impede minority patients' access to care.
• The All of Us Research Program provides a unique dataset for examining these disparities.

Guideline-Based Recommendations

Diagnosis

• Utilize ICD-10 codes for hip osteoarthritis diagnosis.

Management

• Consider non-surgical therapies including NSAIDs, corticosteroid injections, and exercise programs.

Monitoring & Follow-up

• Assess patient-reported outcomes and barriers to care in follow-up evaluations.

Risks

• Higher pain and disability scores among Black and Hispanic patients.

Patient & Prescribing Data

Adults aged 18 and older with a diagnosis of hip osteoarthritis.

Minority patients are less likely to receive timely interventions such as diagnostic imaging and total joint arthroplasty.

Clinical Best Practices

• Address both structural and perceptual barriers to improve care access.
• Implement culturally sensitive interventions to promote equitable outcomes.
• Enhance provider communication and trust with minority patients.

Related Resources & Content

• All of Us Research Program