ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2022
Rural Barriers to Surgical Care for Children With Sleep-Disordered Breathing.
Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- The impact of social determinants of health on pediatric tonsillectomy.International journal of pediatric otorhinolaryngology · 2025Pooled it
- 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
- Tonsillotomy by monopolar diathermy as a new procedure in Greenland: a feasibility study.International journal of circumpolar health · 2025Article
- Hospital Admissions in Pediatric Patients With Tracheostomies Based on Rurality and Insurance Status.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023Article
- Examining Associations Between Neighborhood-Level Social Vulnerability and Care for Children With Sleep-Disordered Breathing.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2022Article
- Rurality predisposes departure from gold-standard care, leading to delayed or accelerated access to surgery: insights from a scoping review.Canadian journal of surgery. Journal canadien de chirurgieArticle
- Combined Effects of Race and Ethnicity With Rurality on Tonsillectomy Rates Among Children Enrolled in Medicaid.Academic pediatricsArticle
- Article
- Tonsillectomy Utilization: Persisting Associations with Ethnicity and Race, Public Insurance, and Rurality Across Studies.Academic pediatricsReview
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo assess the impact of rural-urban residence on children with obstructive sleep-disordered breathing (SDB) who were candidates for tonsillectomy with or without adenoidectomy (TA). STUDY
designRetrospective cohort study.
settingTertiary children's hospital.
methodsA cohort of otherwise healthy children aged 2 to 18 years with a diagnosis of obstructive SDB between April 2016 and December 2018 who were recommended TA were included. Rural-urban designation was defined by ZIP code approximation of rural-urban commuting area codes. The main outcome was association of rurality with time to TA and loss to follow-up using Cox and logistic regression analyses.
resultsIn total, 213 patients were included (mean age 6 ± 2.9 years, 117 [55%] male, 69 [32%] rural dwelling). Rural-dwelling children were more often insured by Medicaid than private insurance (
conclusionRural-dwelling patients experienced longer wait times and driving distance to TA. This study suggests that rurality should be considered a potential barrier to surgical intervention and highlights the need to further investigate geographic access as an important determinant of care in pediatric SDB.
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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.