ArticleJournal of orthopaedic surgery and research2019
Healthcare disparities among orthopedic trauma patients in the USA: socio-demographic factors influence the management of calcaneus fractures.
Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Area Deprivation Index as a proxy for socioeconomic status in outpatient orthopaedic surgery patients - A prospective registry cross sectional study.Journal of orthopaedics · 2025Article
- Examining our lens: how bias heightens disparities in trauma research.Trauma surgery & acute care open · 2025Review
- Disparities in Musculoskeletal Oncology.Current reviews in musculoskeletal medicine · 2024Review
- Identifying Racial Disparities in Utilization and Clinical Outcomes of Ambulatory Hip Arthroscopy: Analysis of Temporal Trends and Causal Inference via Machine Learning.Orthopaedic journal of sports medicine · 2024Article
- Understanding Changing Demographic and Treatment Trends of Distal Radius Fractures: A TriNetX Database Contemporary Analysis of 32,912 Patients.Journal of hand surgery global online · 2024Article
- Ankle fracture surgery in patients experiencing homelessness: a national evaluation of one-year rates of reoperation.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Transforming the Management of Articular Fractures in the Foot: A Critical Examination of Current Methods and Future Directions: A Review.Journal of personalized medicine · 2024Review
- Disparities Exist in the Experience of Financial Burden Among Orthopedic Trauma Patients: A Systematic Review.Current reviews in musculoskeletal medicine · 2024Review
- Medicare Eligibility and Racial and Ethnic Disparities in Operative Fixation for Distal Radius Fracture.JAMA network open · 2023Article
- Post-Trauma Discharge Instructions: Are We Dropping the Ball?The American surgeon · 2023Review
- Income and Insurance Status Impact Access to Health Care for Hip Osteoarthritis.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Article
- In-Hospital Mortality Risk and Discharge Disposition Following Hip Fractures: An Analysis of the Texas Trauma Registry.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- Differences and their contexts between teaching and nonteaching hospitals in Iran with other countries: A concurrent mixed-methods study.Journal of education and health promotion · 2022Article
- Age and socioeconomic status affect access to telemedicine at an urban level 1 trauma center.OTA international : the open access journal of orthopaedic trauma · 2021Article
- Racial and Gender Shoulder Arthroplasty Utilization Disparities of High- and Low-Volume Centers in New York State.Journal of shoulder and elbow arthroplasty · 2021Article
- Disparities in Access to and Utilization of Surgical Care for Patients with Closed Unstable AO/OTA 44B2 Ankle Fractures and Medicaid.JB & JS open accessArticle
- Disparities in Telemedicine Utilization During COVID-19 Pandemic: Analysis of Demographic Data from a Large Academic Orthopaedic Practice.JB & JS open accessArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSocio-demographic factors have been suggested to contribute to differences in healthcare utilization for several elective orthopedic procedures. Reports on disparities in utilization of orthopedic trauma procedures remain limited. The purpose of our study is to assess the roles of clinical and socio-demographic variables in utilization of operative fixation of calcaneus fractures in the USA.
methodsThe National Inpatient Sample (NIS) dataset was used to analyze all patients from 2005 to 2014 with closed calcaneal fractures. Multivariate logistic regression analyses were performed to evaluate the impact of clinical and socio-demographic variables on the utilization of surgical versus non-surgical treatment.
resultsA total of 17,156 patients with closed calcaneus fractures were identified. Operative treatment was rendered in 7039 patients (41.03%). A multivariate logistic regression demonstrated multiple clinical and socio-demographic factors to significantly influence the utilization of surgical treatment including age, gender, insurance status, race/ethnicity, income, diabetes, peripheral vascular disease, psychosis, drug abuse, and alcohol abuse (p < 0.05). In addition, hospital size and hospital type (teaching versus non-teaching) showed a statistically significant difference (p < 0.05).
conclusionsBesides different clinical variables, we identified several socio-demographic factors influencing the utilization of surgical treatment of calcaneus fractures in the US patient population. Further studies need to identify the specific patient-related, provider-related, and system-related factors leading to these disparities.
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