{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T01:31:44Z","timestamp":1793323904733,"version":"4.5.0"},"reference-count":24,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Rio Grande Valley is a medically underserved, demographically unique population that warrants the exploration of various conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"objectives\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We sought to analyze the demographic disparities between the different types of common joint conditions in this community. We hypothesized that osteoarthritis would be the most common joint condition and that the demographics between the various joint conditions would vary depending on age, sex, BMI, and ethnicity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective cohort, from January 1, 2018, to September 4, 2024. Patients\u2019 charts were obtained using the ICD-10 diagnosis codes M15-M19 for osteoarthritis, M05-M06 for rheumatoid arthritis, M10 or M1A for gout, M45 for AS, L40.5 for psoriatic arthritis, M08 for juvenile idiopathic arthritis, and M00.8 for septic arthritis. We analyzed the data via descriptive statistics and panel regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Osteoarthritis was the most common diagnosis, accounting for 87% of cases (7,418 patients) who have this diagnosis alone. Hispanics showed a strong positive association with BMI compared to non-Hispanics (p &lt; 0.001). The largest difference of age was in septic arthritis, with non-Hispanic patients having an adjusted mean age of 71.3 years (95% CI: 57.9, 84.8) compared to 48.2 years (95% CI: 41.8, 54.7) for Hispanic patients. The associations between BMI and Gout, Osteoarthritis, and Rheumatoid Arthritis were statistically significant (p-values: 0.015, 0.014, and 0.030).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusion\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings underscore the importance of targeting obesity and age-related joint conditions in this medically underserved population and may suggest different patterns of disease onset, healthcare access, or lifestyle factors by ethnicity that could inform tailored interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.52965\/001c.161825","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T16:47:10Z","timestamp":1779468430000},"source":"Crossref","is-referenced-by-count":0,"title":["Joint Disease and Demographic Factors in Clinical Populations of Medically Underserved Communities"],"prefix":"10.52965","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0278-5709","authenticated-orcid":true,"given":"Blake C","family":"Martin","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02p5xjf12","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas Rio Grande Valley"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Lopez-Alvarenga","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02p5xjf12","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas Rio Grande Valley"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D","family":"Sander","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02p5xjf12","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas Rio Grande Valley","department":["Orthopedic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"ref1","series-title":"StatPearls","article-title":"Juvenile idiopathic arthritis","author":"A. Thatayatikom","year":"2024"},{"key":"ref2","series-title":"StatPearls","article-title":"Septic arthritis","author":"I. I. Momodu","year":"2024"},{"issue":"7","key":"ref3","first-page":"e1","article-title":"Health care for undocumented immigrants in Texas: past, present, and future","volume":"110","author":"R. Kuruvilla","year":"2014","journal-title":"Tex Med"},{"key":"ref4","doi-asserted-by":"publisher","article-title":"The South Texas Health Status Review: A Health Disparities Roadmap","year":"2013","DOI":"10.1007\/978-3-319-00233-0"},{"key":"ref5","article-title":"Get out and go running: UTRGV's South Texas Diabetes and Obesity Institute working to bring attention to diabetes","author":"University of Texas Rio Grande Valley","year":"2018","journal-title":"UTRGV Newsroom website"},{"issue":"5","key":"ref6","doi-asserted-by":"publisher","first-page":"15579883231195118","DOI":"10.1177\/15579883231195118","article-title":"Breaking down machismo: shifting definitions and embodiments of Latino manhood in middle-aged Latino men","volume":"17","author":"L. A. Valdez","year":"2023","journal-title":"Am J Mens Health"},{"key":"ref7","article-title":"QuickFacts: Hidalgo County, Texas","author":"US Census Bureau"},{"key":"ref8","article-title":"QuickFacts: Cameron County, Texas","author":"US Census Bureau","year":"2023"},{"key":"ref9","article-title":"QuickFacts: Starr County, Texas","author":"US Census Bureau","year":"2023"},{"issue":"1","key":"ref10","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1016\/j.rdc.2020.09.006","article-title":"Racial\/ethnic and socioeconomic disparities in osteoarthritis management","volume":"47","author":"A. M. Reyes","year":"2021","journal-title":"Rheum Dis Clin North Am"},{"key":"ref11","series-title":"StatPearls","article-title":"Osteoarthritis","author":"R. Sen","year":"2024"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.15620\/cdc:145594","article-title":"Arthritis in Adults Age 18 and Older: United States, 2022","author":"N. Elgaddal","year":"2024"},{"key":"ref13","article-title":"Ethnic and racial minorities and socioeconomic status","author":"American Psychological Association","year":"2017","journal-title":"APA website"},{"issue":"4","key":"ref14","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.3390\/ijerph9041201","article-title":"Impact of Hispanic ethnic concentration and socioeconomic status on obesity prevalence in Texas counties","volume":"9","author":"J. J. Salinas","year":"2012","journal-title":"Int J Environ Res Public Health"},{"key":"ref15","article-title":"Kidney Health Care Program Report","author":"Texas Health and Human Services","year":"2022"},{"key":"ref16","article-title":"Bloodstream infection risk associated with race, socioeconomic status among patients on hemodialysis","year":"2023","journal-title":"Am J Manag Care"},{"key":"ref17","series-title":"StatPearls","article-title":"Rheumatoid arthritis","author":"K. Chauhan","year":"2024"},{"issue":"7","key":"ref18","doi-asserted-by":"publisher","first-page":"1316","DOI":"10.1136\/annrheumdis-2013-204627","article-title":"The global burden of rheumatoid arthritis: estimates from the global burden of disease 2010 study","volume":"73","author":"M. Cross","year":"2014","journal-title":"Ann Rheum Dis"},{"issue":"5","key":"ref19","doi-asserted-by":"publisher","first-page":"863","DOI":"10.1007\/s00296-020-04731-0","article-title":"The global prevalence of rheumatoid arthritis: a meta-analysis based on a systematic review","volume":"41","author":"K. Almutairi","year":"2021","journal-title":"Rheumatol Int"},{"key":"ref20","series-title":"StatPearls","article-title":"Gout","author":"A. Fernando","year":"2024"},{"key":"ref21","series-title":"StatPearls","article-title":"Ankylosing spondylitis","author":"K. J. Wenker","year":"2024"},{"key":"ref22","series-title":"StatPearls","article-title":"Psoriatic arthritis","author":"V. Tiwari","year":"2024"},{"issue":"2","key":"ref23","doi-asserted-by":"publisher","first-page":"101692","DOI":"10.1016\/j.berh.2021.101692","article-title":"The epidemiology of psoriatic arthritis: a literature review","volume":"35","author":"P. Karmacharya","year":"2021","journal-title":"Best Pract Res Clin Rheumatol"},{"key":"ref24","article-title":"Psoriatic arthritis: symptoms and causes","author":"Mayo Clinic","year":"2021","journal-title":"Mayo Clinic website"}],"container-title":["Orthopedic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/161825-joint-disease-and-demographic-factors-in-clinical-populations-of-medically-underserved-communities","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:45:53Z","timestamp":1793321153000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/161825-joint-disease-and-demographic-factors-in-clinical-populations-of-medically-underserved-communities"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,22]]},"references-count":24,"URL":"https:\/\/doi.org\/10.52965\/001c.161825","relation":{},"ISSN":["2035-8164"],"issn-type":[{"value":"2035-8164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,22]]}}}