ArticleHealth services research2019
Rural-urban disparities in health care costs and health service utilization following pediatric mild traumatic brain injury.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Social Determinants of Health in Pediatric Rehabilitation for Children with Traumatic Injury: A Systematic Review.The Journal of pediatrics · 2023Pooled it
- Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Mild Traumatic Brain Injury: Approved by ACEP Board of Directors, February 1, 2023 Clinical Policy Endorsed by the Emergency Nurses Association (April 5, 2023).Annals of emergency medicine · 2023Guideline
- Comparing Two Models of Transition from Inpatient Rehabilitation Following Traumatic Brain Injury: A Pragmatic Comparative Effectiveness Trial.Journal of neurotrauma · 2026Trial
- Disparities in Pediatric Concussion Outcomes and Family Burden by Neighborhood Opportunity.Behavioral sciences (Basel, Switzerland) · 2026Article
- Trajectories of antidepressant dispensing among privately insured transgender people in the United States.Scientific reports · 2026Article
- Do Rural-Urban Disparities Translate into Nursing Complexity at Hospital Admission? Evidence from a Single Tertiary-Care Pediatric Hospital in Italy.Children (Basel, Switzerland) · 2026Article
- Community Resources and Hazards Across the Rural-Urban Continuum.JAMA network open · 2026Article
- Evaluating the electrocardiographic abnormalities in traumatic brain injury: prevalence, severity correlation, and outcome prediction.International journal of burns and trauma · 2026Review
- Systems-based care of the injured child: Technical report.The journal of trauma and acute care surgery · 2025Article
- Rural-urban differences in health service utilization in upper-middle and high-income countries: a scoping review.International journal for equity in health · 2024Article
- Mapping the costs and socioeconomic characteristics involved in traumatic brain injuries: a scoping review.Journal of rehabilitation medicine · 2024Article
- Opioid and non-opioid analgesic regimens after fracture and risk of serious opioid-related events.Trauma surgery & acute care open · 2024Article
- Modeling healthcare demands and long-term costs following pediatric traumatic brain injury.Frontiers in neurology · 2024Article
- Patterns and Trends in Continuous Glucose Monitoring Utilization Among Commercially Insured Individuals With Type 1 Diabetes: 2010-2013 to 2016-2019.Clinical diabetes : a publication of the American Diabetes Association · 2024Article
- Association between traumatic brain injury and mental health care utilization: evidence from the Canadian Community Health Survey.Injury epidemiology · 2023Article
- Rural-urban disparities in healthcare factors and long-term health outcomes in individuals with pediatric-onset spinal cord injury.Frontiers in rehabilitation sciences · 2023Article
- Service Delivery Models for the Management of Pediatric and Adolescent Concussion: A Systematic Review.Archives of rehabilitation research and clinical translation · 2022Review
- Health care resource utilization and costs associated with atrial fibrillation and rural-urban disparities.Journal of managed care & specialty pharmacy · 2022Article
- Outcomes in Patients With Mild Traumatic Brain Injury Without Acute Intracranial Traumatic Injury.JAMA network open · 2022Observational
- Data resources for evaluating the economic and financial consequences of surgical care in the United States.The journal of trauma and acute care surgery · 2022Review
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectivesTo compare health care costs and service utilization associated with mild traumatic brain injury (mTBI) in rural and urban commercially insured children. DATA SOURCE: MarketScan Commercial Claims and Encounters Data, 2007-2011. STUDY
designWe compared health care costs and outpatient encounters for physical/occupational therapy, speech therapy, and psychiatry/psychology encounters 180 days after mTBI among rural versus urban children (<18 years). PRINCIPAL
findingsA total of 387 846 children had mTBI, with 13 percent residing in rural areas. Adjusted mean total health care costs in the 180 days after mTBI were $2778 (95% CI: 2660-2897) among rural children, compared to $2499 (95% CI: 2471-2528) among urban children (adjusted cost ratio 1.11, 95% CI 1.06-1.16). Rural-urban differences in utilization for specific services were also found.
conclusionsTotal health care costs were higher for rural compared to urban children despite lower utilization of certain services. Differences in health service utilization may exacerbate geographic disparities in adverse outcomes associated with mTBI.
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