Evidence map›Paper›PMID 36199832›Full record

ArticleOrthopaedic journal of sports medicine2022

Evaluation of Health Care Disparities in Patients With Anterior Cruciate Ligament Injury: Does Race and Insurance Matter?

Lutul D Farrow, Michael J Scarcella, Christa L Wentt, Cleveland Clinic OME Sports Medicine, Morgan H Jones, Kurt P Spindler, Isaac Briskin, Brian M Leo, Brett W McCoy, Anthony A Miniaci and 8 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 1 institution in 1 country.

Lutul D FarrowInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Michael J ScarcellaInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Christa L WenttInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Cleveland Clinic OME Sports Medicine
Morgan H JonesInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Kurt P SpindlerInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Isaac BriskinInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Brian M LeoInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Brett W McCoyInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Anthony A MiniaciInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Richard D ParkerInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
James T RosneckInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Frank M SaboInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Paul M SaluanInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Alfred SernaInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Kim L StearnsInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Gregory J StrnadInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
James S WilliamsInvestigation performed at Cleveland Clinic, Cleveland, Ohio, USA.
Cleveland Clinic · US

Funding

Meniscus status and activity level after ACLK23AR066133 · NIAMS · CLEVELAND CLINIC LERNER COM-CWRU · PI JONES, MORGAN HERANCOURT · 2015 to 2019
$745k
NIAMS NIH HHS K23 AR066133
6 · The paper itself

Abstract

Background: It is unknown whether race- or insurance-based disparities in health care exist regarding baseline knee pain, knee function, complete meniscal tear, or articular cartilage damage in patients who undergo anterior cruciate ligament reconstruction (ACLR). Hypothesis: Black patients and patients with Medicaid evaluated for ACLR would have worse baseline knee pain, worse knee function, and greater odds of having a complete meniscal tear. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A cohort of patients (N = 1463; 81% White, 14% Black, 5% Other race; median age, 22 years) who underwent ACLR between February 2015 and December 2018 was selected from an institutional database. Patients who underwent concomitant procedures and patients of undisclosed race or self-pay status were excluded. The associations of race with preoperative Knee injury and Osteoarthritis Outcome Score (KOOS) Pain subscale, KOOS Function subscale, and intraoperatively assessed complete meniscal tear (tear that extended through both the superior and the inferior meniscal surfaces) were determined via multivariate modeling with adjustment for age, sex, insurance status, years of education, smoking status, body mass index (BMI), meniscal tear location, and Veterans RAND 12-Item Health Survey Mental Component Score (VR-12 MCS). Results: The 3 factors most strongly associated with worse KOOS Pain and KOOS Function were lower VR-12 MCS score, increased BMI, and increased age. Except for age, the other two factors had an unequal distribution between Black and White patients. Univariate analysis demonstrated equal baseline median KOOS Pain scores (Black, 72.2; White, 72.2) and KOOS Function scores (Black, 68.2; White, 68.2). After adjusting for confounding variables, there was no significant difference between Black and White patients in KOOS Pain, KOOS Function, or complete meniscal tears. Insurance status was not a significant predictor of KOOS Pain, KOOS Function, or complete meniscal tear. Conclusion: There were clinically significant differences between Black and White patients evaluated for ACLR. After accounting for confounding factors, no difference was observed between Black and White patients in knee pain, knee function, or complete meniscal tear. Insurance was not a clinically significant predictor of knee pain, knee function, or complete meniscal tear.

Indexed as

anterior cruciate ligament reconstructioninsurance statusmeniscal tearpatient-reported outcomeracial disparities

Identifiers

PMID36199832
PMCPMC9528024
OpenAlexW4298127784

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.