ArticleOrthopaedic journal of sports medicine2020
Pediatric and Adolescent Shoulder Instability: Does Insurance Status Predict Delays in Care, Outcomes, and Complication Rate?
Article in Orthopaedic journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed.
- Shoulder Instability Pediatric Management of Shoulder Instability in the Pediatric Athlete: A Contemporary Review of Current Evidence.Current reviews in musculoskeletal medicine · 2026Review
- Delays in Orthopaedic Care and Inferior Outcomes after Meniscus Repair in Young Patients With Medicaid versus Commercial Insurance.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- The impact of social determinants of health on shoulder instability and likelihood of surgery: a systematic review.JSES reviews, reports, and techniques · 2025Review
- Clinical outcomes and quality of life of patients after surgical treatment of a tibia plateau fracture.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Do Social Determinants of Health Impact the Initial Evaluation and Management of Pediatric Patients With First-Time Patellofemoral Dislocation?Journal of pediatric orthopedics · 2025Article
- Effect of Ethnicity and Child Opportunity Index on Glenohumeral Labral Repair Postoperative Physical Therapy Attendance in Adolescents.Orthopaedic journal of sports medicine · 2025Article
- Insurance Payor Status and Outcomes in Pediatric Sports-Related Injuries: A Rapid Review.Clinics and practice · 2025Review
- Impact of Race and Social Determinants on Operative Management of Distal Radius Fractures in Medicare Patients.Plastic and reconstructive surgery. Global open · 2025Article
- Incidence of arthroscopic and open pediatric shoulder stabilization procedures across the United States: a Pediatric Health Information System database study.JSES reviews, reports, and techniques · 2024Article
- 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
- Effect of Age and Body Mass Index on Time to Advanced Imaging and Surgery in Young Athletes With Anterior Cruciate Ligament Injury.Orthopaedic journal of sports medicine · 2024Article
- Current Evidence Regarding Shoulder Instability in the Paediatric and Adolescent Population.Journal of clinical medicine · 2024Review
- Delay in Time to Physical Therapy After Orthopaedic Treatment.Journal of the Pediatric Orthopaedic Society of North America · 2023Article
- Disparities in Elective Spine Surgery for Medicaid Beneficiaries: A Systematic Review.Global spine journal · 2023Review
- Public Insurance Is Associated With Decreased Rates of Surgical Management for Glenohumeral Instability: An Analysis of the Rhode Island All-Payers Claims Database.Orthopaedic journal of sports medicine · 2023Article
- Common Upper Extremity Injuries in Pediatric Athletes.Current reviews in musculoskeletal medicine · 2022Review
- Concerns About the Evaluation of Diversity in "Current Perceptions of Diversity Among Head Team Physicians and Head Athletic Trainers": Response.Orthopaedic journal of sports medicine · 2022Article
- Insurance status is not a predictor of rotator cuff tear magnitude.JSES international · 2022Article
- Social and Demographic Factors Impact Shoulder Stabilization Surgery in Anterior Glenohumeral Instability.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Association of Insurance Status With Treatment Delays for Pediatric and Adolescent Patients Undergoing Surgery for Patellar Instability.Orthopaedic journal of sports medicine · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecurrent shoulder instability results from overuse injuries that are often associated with athletic activity. Timely diagnosis and treatment are necessary to prevent further dislocations and secondary joint damage. In pediatric and adolescent patients, insurance status is a potential barrier to accessing timely care that has not yet been explored. PURPOSE: To examine the effect of insurance status on access to clinical consultation, surgical intervention, and surgical outcome of pediatric and adolescent patients with recurrent shoulder instability. STUDY
designCohort study; Level of evidence, 3.
methodsWe conducted a retrospective review of pediatric and adolescent patients who were treated at a single tertiary children's hospital for recurrent shoulder instability between 2011 and 2017. Patients were sorted into private and public insurance cohorts. Dates of injury, consultation, and surgery were recorded. Number of previous dislocations, magnetic resonance imaging (MRI) results, surgical findings, and postoperative complications were also noted. Delays in care were compared between the cohorts. The presence of isolated anterior versus complex labral pathology as well as bony involvement at the time of surgery was recorded. The incidences of labral pathology and secondary bony injury were then compared between the 2 cohorts. Postoperative notes were reviewed to compare rates of repeat dislocation and repeat surgery.
resultsA total of 37 patients had public insurance, while 18 patients had private insurance. Privately insured patients were evaluated nearly 5 times faster than were publicly insured patients (
conclusionPublic insurance status affected access to care and was correlated with the development of secondary bony injury and a higher rate of postoperative dislocations. Clinicians should practice with increased awareness of how public insurance status can significantly affect patient outcomes by delaying access to care-particularly if delays lead to increased patient morbidity and health care costs.
Indexed as
Identifiers
What OpenQuestion holds
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.