ArticleOrthopaedic journal of sports medicine2024
The Effect of Greater Area Deprivation and Medicaid Insurance Status on Timing of Care and Rate of Reinjury After Anterior Cruciate Ligament Reconstruction.
Article in Orthopaedic journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Which Neighborhood-level Metric Is Most Appropriate for Pediatric Sports Medicine Disparities Research?Clinical orthopaedics and related research · 2026Article
- The Impact of Socioeconomic Disadvantage and Insurance on Delays in Fixation of Distal Radius Fractures.Hand (New York, N.Y.) · 2026Article
- Insurance Type as an Independent Factor of Surgical Delay After Anterior Cruciate Ligament Injury.Orthopaedic journal of sports medicine · 2026Article
- Unequal Regional Access to ACL Reconstruction in Romania: A Nationwide Epidemiologic Assessment (2017-2023).Medicina (Kaunas, Lithuania) · 2026Article
- The Forward Movement: Amplifying Black Voices on Race and Orthopaedics-We Must Understand the Value of Health Equity.Clinical orthopaedics and related research · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
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Abstract
Background: Lower socioeconomic status and public insurance lead to a longer delay to surgery and a higher likelihood of concomitant pathology before undergoing anterior cruciate ligament reconstruction (ACLR). However, few studies have examined the influence of community deprivation on ACLR timing and outcomes. Purpose/Hypothesis: The primary aim of this study was to define the effect of the area deprivation index (ADI) and insurance classification on access to orthopaedic care after an ACL rupture, and the secondary aim was to determine whether these variables were associated with a second ACL injury after primary ACLR. It was hypothesized that patients with a greater national ADI percentile and Medicaid insurance would experience longer delays to care and an increased risk of reinjury after ACLR. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective study was performed to evaluate patients undergoing primary ACLR between 2016 and 2019. The national ADI percentile was obtained utilizing the Neighborhood Atlas website. The relationship between national ADI percentile and care characteristics (eg, time to specialized care) was investigated using the Spearman rho correlation coefficient ( Results: A total of 197 patients met the inclusion criteria. Longer times from injury to surgery ( Conclusion: Greater national ADI percentile and Medicaid insurance status were associated with adverse ACLR timing and outcomes. Patients with a greater national ADI percentile took significantly longer to obtain surgery after ACL injury. Those who sustained a second ACL injury after ACLR had an overall higher mean national ADI percentile and included a greater proportion of patients with Medicaid compared with those who did not sustain a second ACL injury. Future studies should critically investigate the underlying factors of these associations to reach equity in orthopaedic care.
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