ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2020
Inequalities in Pediatric Fracture Care Timeline Based on Insurance Type.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 22 citations in OpenAlex.
- Socioeconomic Disparities in Secondary Procedures for Pediatric Distal Radius Fractures.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Which Neighborhood-level Metric Is Most Appropriate for Pediatric Sports Medicine Disparities Research?Clinical orthopaedics and related research · 2026Article
- Enhanced recovery after surgery principles in pediatric fractures and sports injuries: strategies, technologies, and outcomes.Frontiers in pediatrics · 2026Review
- Disparities in spinal deformity surgery care for children with cerebral palsy and neuromuscular scoliosis.Spine deformity · 2026Article
- Racial disparities in pediatric spinal fusion surgery affect perioperative outcomes: a national multicenter study.Spine deformity · 2025Article
- Race, Income, and Insurance Status Are Associated with Increased Time to Initial Outpatient Evaluation of Fracture Patients.Journal of the Pediatric Orthopaedic Society of North America · 2024Article
- Delay in Time to Physical Therapy After Orthopaedic Treatment.Journal of the Pediatric Orthopaedic Society of North America · 2023Article
- Disparity in Access and Poorer Health Status in Non-Majority Populations.Journal of the Pediatric Orthopaedic Society of North America · 2023Article
- Assessment of Ethno-racial and Insurance-based Disparities in Pediatric Forearm and Tibial Fracture Care in the United States.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- What Are the Causes and Consequences of Delayed Surgery for Pediatric Tibial Spine Fractures? A Multicenter Study.Orthopaedic journal of sports medicine · 2022Article
- Socioeconomic Status Affects Postoperative Time to Union in Pediatric Patients with a Surgically Treated Fracture.JB & JS open accessArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSocioeconomic and insurance status are often linked with limited access to health care. Despite several government-funded projects aimed at curtailing these barriers, pediatric orthopaedic patients continue to experience delays in receiving timely care for fracture treatments. This delay has been well-identified within the orthopaedic literature but, to our knowledge, has never been characterized based on timeline. Thus, the goal of this study is to evaluate the role of ethnicity, socioeconomic status, and insurance type on the timeline of pediatric patients to obtain orthopaedic care within our community.
methodsPediatric patients presenting to our clinic for the treatment of one of 21 most common fractures were included. Patient demographics and the timeline of patient care were collected by retrospective chart review.
resultsGovernment-funded insurance accounted for 60.6% of the 413 patients. These patients experienced significant (P < 0.001) delays in access to care when compared with commercial insurance patients; the time between injury and referral as well as the overall time from injury to orthopaedic evaluation was 2.8 and twofold greater at 4.4 days and 9.2 days, respectively. A strong correlation was established between income levels and insurance type. DISCUSSION: Pediatric patients with a lower socioeconomic status are more likely to rely on government-funded insurance and experience delays in fracture evaluation.
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