ArticleJournal of racial and ethnic health disparities2020
Disparities in Use of Subspecialty Concussion Care Based on Ethnicity.
Article in Journal of racial and ethnic health disparities, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis 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
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Race, ethnicity, and clinical outcome following sport-related concussion: a systematic review.Frontiers in neurology · 2023Pooled it
- Effect of Collaborative Care on Persistent Postconcussive Symptoms in Adolescents: A Randomized Clinical Trial.JAMA network open · 2021Trial
- Predictors of concussion management pathway adherence in New Zealand community rugby: A prospective cohort study.JSAMS plus · 2026Article
- The Leaky Pipeline of Injury: Disparities at Multiple Junctures for Children with Head Trauma.The Journal of pediatrics · 2026Article
- Methodology for promoting equity-informed research in sport and exercise medicine: recommendations from the AMSSM Collaborative Research Network.British journal of sports medicine · 2025Review
- Shared Decision-Making About Returning to Sport After Recovery From Pediatric Concussion: Clinician Perspectives.Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2025Article
- Social Determinants of Health and Lifetime History of Parent-Reported Concussion in School-Aged Children and Adolescents in the United States.Neurotrauma reports · 2025Article
- Article
- Community and Patient Features and Health Care Point of Entry for Pediatric Concussion.JAMA network open · 2024Article
- Social Determinants of Health and Health Equity in the Treatment and Rehabilitation of Sport-Related Concussion: A Content Analysis of Intervention Research and Call-To-Action.Journal of neurotrauma · 2024Review
- Article
- Applying the National Institute on Minority Health and Health Disparities Research Framework to Social Determinants of Health in the Context of Sport-Related Concussion: A Clinical Commentary.Journal of athletic training · 2024Article
- Association between days for concussion recovery and initial specialty clinic evaluation within 48 hours.BMC sports science, medicine & rehabilitation · 2024Article
- Categorizing Sports-Related Concussion Disparities by Key Domains of Social Determinants of Health.Current pain and headache reports · 2024Review
- Focus areas and methodological characteristics of North American-based health disparity research in sports medicine: a scoping review.British journal of sports medicine · 2024Article
- Social Determinants of Health and Health Equity in the Diagnosis and Management of Pediatric Mild Traumatic Brain Injury: A Content Analysis of Research Underlying Clinical Guidelines.Journal of neurotrauma · 2023Article
- Predicting Time to Evaluation After Pediatric Concussion: Factors Affecting Specialty Concussion Care.Orthopaedic journal of sports medicine · 2023Article
- Health Equity for Children with Disabilities.Journal of the Pediatric Orthopaedic Society of North America · 2023Review
- Sports-Related Concussions and Adverse Health Behaviors Among Middle and High School Students.The American journal of sports medicine · 2023Article
- The effect of a home exercise program on visio-vestibular function in concussed pediatric patients.Frontiers in sports and active living · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Concussion is common and subspecialty care can be essential to ensure recovery. However, barriers may exist to accessing care. This study aimed to assess disparities in subspecialty concussion care related to ethnicity, limited English proficiency (LEP), and insurance status. We utilized logistic regression to analyze 2010-2015 administrative data from four Sports Medicine clinics, comparing odds of being seen for concussion to odds of being seen for fracture by ethnicity, insurance type, and interpreter usage, controlling for demographic factors. ICD-9 codes were used to identify concussion and fracture. Our final sample contained 25,294 subjects: 5621 with concussion and 19,673 with fracture. In bivariate analysis, youth seen for concussion had 83% lower odds of being Hispanic compared with youth seen for fracture (95%CI: 75-92%). Due to interactions between ethnicity and interpreter use, we utilized a stratified multivariate model as our final model. Youth with concussion had 1.8× greater odds of having private insurance compared with youth with fracture (Hispanic OR 1.8, 95% CI 1.5-2.3; Non-Hispanic OR 1.8, 95% CI 1.7-2.0). Youth with concussion also had greater odds of not using an interpreter, though the strength of this association was weaker for Hispanic youth compared with non-Hispanic youth (Hispanic OR 1.68, 95% CI 1.30-2.17; Non-Hispanic OR 4.36, 95% CI 3.00-6.35). Age and sex were included as covariates. In conclusion, our analysis suggests disparities in subspecialty concussion care for Hispanic youth, as well as for individuals with LEP and non-private insurance. Further research should explore means for improving access to concussion care for all youth.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.