ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2023
Healthcare Disparities in Orthopaedic Surgery: A Comparison of Anterior Cruciate Ligament Reconstruction Incidence Proportions With US Census-Derived Demographics.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Sociodemographic Predictors of Postpresentation Delay to Pediatric ACL Reconstruction and Associated Intra-articular Injury Severity.The American journal of sports medicine · 2026Article
- Clinical and Social Predictors of Surgical Treatment for Anterior Cruciate Ligament Injuries.Orthopaedic journal of sports medicine · 2025Article
- Disparity in access to orthopedic surgery between public and private healthcare insurance: a nationwide population-based study.BMC musculoskeletal disorders · 2025Article
- Gaps in diversity and inclusion reporting in United States knee injury clinical trials: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2025Review
- Racial/Ethnic Disparities Exist Among Patients Who Undergo Anterior Cruciate Ligament Reconstruction in Socioeconomic Status, Perception of Health Status and Literacy.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Disparities in Musculoskeletal Oncology.Current reviews in musculoskeletal medicine · 2024Review
- Attitudes Toward Injury-Prevention Program Participation Based on Race and Collegiate Division in Female Athletes.Journal of athletic training · 2024Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDisparities exist and affect outcomes after anterior cruciate ligament (ACL) injury. The purpose of this study was to investigate the association between race, ethnicity, and insurance type on the incidence of ACL reconstruction in the United States.
methodsThe Healthcare Cost and Utilization Project database was used to determine demographics and insurance types for those undergoing elective ACL reconstruction from 2016 to 2017. The US Census Bureau was used to obtain demographic and insurance data for the general population.
resultsNon-White patients undergoing ACL reconstruction with commercial insurance were more likely to be younger, male, less burdened with comorbidities including diabetes, and less likely to smoke. When we compared Medicaid patients who had undergone ACL reconstruction with all Medicaid recipients, there was an under-representation of Black patients and a similar percentage of White patients undergoing ACL reconstruction (P < 0.001). DISCUSSION: This study suggests ongoing healthcare disparities with lower rates of ACL reconstruction for non-White patients and those with public insurance. Equal proportions of patients identifying as Black undergoing ACL reconstruction as compared with the underlying general population suggests a possible narrowing in disparities. More data are needed at numerous points of care between injury, surgery, and recovery to identify and address disparities.
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