ArticleThe Journal of pediatrics2021
Racial and Ethnic Disparities in Utilization of Tonsillectomy among Medicaid-Insured Children.
Article in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- The impact of social determinants of health on pediatric tonsillectomy.International journal of pediatric otorhinolaryngology · 2025Pooled it
- Location, location, location: wide geographic and racial/ethnic variations in pediatric polysomnography in US Medicaid children.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026Article
- Geographic and racial/ethnic patterns of polysomnography use among children enrolled in Medicaid, 2017-2019.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026Observational
- Clinician Attitudes and Knowledge of Pediatric Sleep-Disordered Breathing.The Annals of otology, rhinology, and laryngology · 2026Article
- Predictors of Adenotonsillectomy for Publicly Insured Children With Sleep-Disordered Breathing.The Laryngoscope · 2026Article
- A Qualitative Exploration of Clinicians' Perspectives on Obstructive Sleep Apnea Facilitators and Barriers to Care.Journal of multidisciplinary healthcare · 2026Article
- Review
- Evaluation of Lytic and Persistent Human Adenovirus Infections in Tonsil Tissue of Children With Tonsillar Hypertrophy: A Matched Case-Control Study.Laryngoscope investigative otolaryngology · 2025Article
- Parental Experiences With Access to Care for Obstructive Sleep-Disordered Breathing: A Qualitative Study.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023Article
- Sociodemographic disparities and healthcare utilization in pediatric obstructive sleep apnea management.Sleep medicine · 2023Article
- Identifying barriers to obstructive sleep-disordered breathing care: Parental perspectives.International journal of pediatric otorhinolaryngology · 2023Article
- Health Disparities in Pediatric Sleep.Sleep medicine clinics · 2023Review
- Racial and Ethnic Disparities in Outcomes Among Newborns with Congenital Diaphragmatic Hernia.JAMA network open · 2023Article
- Health disparities in the detection and prevalence of pediatric obstructive sleep apnea.Frontiers in sleep · 2023Article
- Combined Effects of Race and Ethnicity With Rurality on Tonsillectomy Rates Among Children Enrolled in Medicaid.Academic pediatricsArticle
- Tonsillectomy Utilization: Persisting Associations with Ethnicity and Race, Public Insurance, and Rurality Across Studies.Academic pediatricsReview
- Article
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 at 1 institution in 1 country.
Funding
Abstract
objectiveTo examine racial differences in tonsillectomy with or without adenoidectomy (T&A) for sleep-disordered breathing (SDB) among Medicaid-insured children. STUDY
designRetrospective analysis of the 2016 MarketScan Multistate Medicaid Database was performed for children ages 2 to <18 years with a diagnosis of SDB. Patients with medical complexity and infectious indications for surgery were excluded. Racial groups were categorized into non-Hispanic White, non-Hispanic Black, Hispanic, and other. Adjusted multivariate logistic regression was used to determine if race/ethnicity was a significant predictor of obtaining T&A, polysomnography, and time to intervention.
resultsThere were 83 613 patients with a diagnosis of SDB that met inclusion criteria, of which 49.2% were female with a mean age of 7.9 ± 3.8 years. The cohort consisted of White (49.2%), Black (30.0%), Hispanic (8.0%), and other (13.2%) groups. Overall, 15.4% underwent T&A. Black (82.2%) and Hispanic (82.3%) children had significantly higher rates of no intervention and White patients had the lowest rate of no intervention (76.9%; P < .0001) and the highest rate of T&A (18.7%; P < .0001). Mean time to surgery was shortest in White compared with Black children (P < .0001). Logistic regression adjusting for age and sex showed that Black children had 45% reduced odds of surgery (95% CI 0.53-0.58), Hispanic 38% (95% CI 0.58-0.68), and other 35% (95% CI 0.61-0.70) compared with White children with Medicaid insurance.
conclusionsRacial and ethnic disparities exist in the utilization of T&A for children with SDB enrolled in Medicaid. Future studies that investigate possible sources for these differences and more equitable care are warranted.
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Registered trials
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