ArticleOrthopaedic journal of sports medicine2022
Association of Insurance Status With Treatment Delays for Pediatric and Adolescent Patients Undergoing Surgery for Patellar Instability.
Article in Orthopaedic journal of sports medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 13 citations in OpenAlex.
- Government Insurance and Higher Area Deprivation Index Associated With Increased Time to Care in Patients With Traumatic Patellar Instability.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- The Impact of Socioeconomic Disadvantage and Insurance on Delays in Fixation of Distal Radius Fractures.Hand (New York, N.Y.) · 2026Article
- Public Insurance Is Associated with Delays to Surgery in Pediatric Patients with a First-Time Patellar Dislocation Involving a Loose Body.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- 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
- Insurance Status and Income Proxies Are the Most Consistent Predictors of Disparities in Access to Care and Outcomes After Medial Patellofemoral Ligament Reconstruction in the United States: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2025Review
- Contemporary Markup Trends in Orthopaedic Sports Procedures: An Analysis of 2014-2021 Medicare Data.Orthopaedic journal of sports medicine · 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
- Navigating Limitations and Clinical Challenges in Indonesian Tertiary Trauma Center for Penetrating Brain Injury: A Case Report and Literature Review.Asian journal of neurosurgery · 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 Socioeconomic Factors on Time to Surgery for Distal Radius Fractures.Plastic and reconstructive surgery. Global open · 2024Article
- Focus areas and methodological characteristics of North American-based health disparity research in sports medicine: a scoping review.British journal of sports medicine · 2024Article
- Home ownership, full-time employment, and other markers of higher socioeconomic status are predictive of shorter time to initial evaluation, shorter time to surgery, and superior postoperative outcomes among lateral patellar instability patients undergoing medial patellofemoral ligament reconstruction.Knee surgery & related research · 2023Article
- 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
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Health care disparities have been highlighted in pediatric sports medicine, but the association between insurance status and delayed care for patients undergoing surgery for patellar instability has not been defined. Purpose: To determine whether there is an association between insurance status and delays in care in pediatric and adolescent patients undergoing surgery for patellar instability. Study Design: Cohort study; Level of evidence, 3. Methods: This was a retrospective case series at a safety-net tertiary referral center of pediatric and adolescent patients undergoing surgical treatment for patellar instability. Insurance status was classified as public or private. We calculated the times from injury to clinical evaluation, injury to magnetic resonance imaging (MRI), injury to surgery, clinical evaluation to MRI, and clinical evaluation to surgery. Comparisons were made between insurance groups. Results: Included were 78 patients (38 public, 40 private insurance) who underwent surgery for patellar instability. The public insurance group was older ( Conclusion: Significant delays were seen for pediatric and adolescent patients with patellar instability and public insurance (approximately 6 times longer to clinical evaluation, more than 5.5 times longer to obtain MRI, and 4.5 times longer to surgery) relative to injured patients with private insurance. Even after adjusting for delays to clinical evaluation, publicly insured patients had a delay from clinic to surgery that was triple that of privately insured patients.
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Registered trials
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