We read the study titled “Evidence-based Perioperative Practice Utilization among Various Racial Populations—A Retrospective Cohort Trending Analysis of Lower Extremity Total Joint Arthroplasty Patients.” It included 3.4 million lower extremity arthroplasty patients from 2006 to 2021. The authors used these data to determine (1) whether utilization of standardized evidence-based perioperative practice increased during the study period, irrespective of race; (2) whether evidence-based perioperative practice was associated with decreased postoperative complications, mortality, and prolonged length of stay across racial groups; and (3) whether evidence-based perioperative practice was associated with a decrease in racial disparities for those postoperative outcomes. The authors found that, despite utilization of evidence-based perioperative practice, Black patients experienced higher rates of postoperative complications, mortality, and prolonged length of stay compared to White patients. Although evidence-based perioperative practice utilization increased during the study period and was found to decrease poorer outcomes for all races, Black patients still experienced...

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