SynthesisInternational journal of pediatric otorhinolaryngology2025
The impact of social determinants of health on pediatric tonsillectomy.
Synthesis in International journal of pediatric otorhinolaryngology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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.
Who cites it
3 citing papers in PubMed.
- Social Determinants of Preoperative Polysomnography and Surgical Outcomes in Pediatric Tonsillectomy.Laryngoscope investigative otolaryngology · 2026Article
- A Qualitative Exploration of Clinicians' Perspectives on Obstructive Sleep Apnea Facilitators and Barriers to Care.Journal of multidisciplinary healthcare · 2026Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveTo determine if health disparities impact pediatric tonsillectomy rates.
introductionInequities in pediatric tonsillectomy have been identified in individual studies, however, a systematic review characterizing how the specific social determinants of health impact differences in receipt of pediatric tonsillectomy is needed. DATA SOURCES: PubMed, Scopus, and CINAHL databases. REVIEW
methodsA systematic review was performed in accordance with the PRISMA guidelines. The literature search aimed to capture all articles published through August 2022. Included articles evaluated tonsillectomy for the treatment of tonsillitis and/or obstructive sleep-disordered breathing in patients less than 21 years in which one or more social determinants of health were evaluated.
resultsA total of 801 unique articles were identified. Of those, 22 met inclusion criteria. Eight studies (36 %) evaluated tonsillectomy in the context of race, of which all showed that Black children underwent tonsillectomy at significantly lower rates than their White counterparts. Nine studies (41 %) evaluated insurance status, with population-based studies concluding that tonsillectomy utilization was higher in patients with public insurance. Studies of race and insurance were all from the United States. Eight studies (36 %) assessed socioeconomic status and six (28 %) assessed geographic location; however, these latter factors were difficult to compare given the varying metrics and locations among studies.
conclusionThis systematic review shows that Black children undergo tonsillectomy at lower rates than White children, and children with public insurance undergo tonsillectomy at higher rates than children with other insurance types in the United States. Findings for rurality and socioeconomic status were heterogenous given regional and national differences in study settings. LEVEL OF EVIDENCE: I.
Indexed as
Identifiers
What OpenQuestion holds
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.