ArticleThe Laryngoscope2026
Predictors of Adenotonsillectomy for Publicly Insured Children With Sleep-Disordered Breathing.
Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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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
4 citing papers in PubMed.
- Geographic and racial/ethnic patterns of polysomnography use among children enrolled in Medicaid, 2017-2019.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026Observational
- Predictors of Adenotonsillectomy for Publicly Insured Children With Sleep-Disordered Breathing.The Laryngoscope · 2026Article
- Combined Effects of Race and Ethnicity With Rurality on Tonsillectomy Rates Among Children Enrolled in Medicaid.Academic pediatricsArticle
- Article
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo examine sociodemographic factors (e.g., race, ethnicity, rural status) in adenotonsillectomy rates for pediatric obstructive sleep-disordered breathing with public insurance.
methodsThis study included patients < 18 years with a diagnosis of obstructive sleep-disordered breathing with 12-month follow-up from 2011 to 2020 using the South Carolina Medicaid database. Logistic regression analyses were performed for adenotonsillectomy attainment within 1 year of diagnosis, with covariates of sex, age, race, ethnicity, geographic residence, and polysomnography.
resultsThe cohort included 76,650 children (mean age [SD] 7.1 [4.5] years, 51.0% male). White children were more likely to undergo adenotonsillectomy than Black children (40%; relative risk [RR], 0.60; 95% CI, 0.57-0.62), Hispanic children (50%; RR, 0.50; 95% CI, 0.46-0.54), and other children (33%; RR, 0.67; 95% CI, 0.64-0.69). When polysomnography was obtained, these differences were no longer significant for Black (RR, 0.98; 95% CI, 0.89-1.06) and other (RR, 0.98; 95% CI, 0.89-1.06) children, and were reduced for Hispanic children (RR, 0.86; 95% CI, 0.72-1.00). When PSG was not used, children in large towns were more likely to undergo adenotonsillectomy than those in rural (RR, 0.69; 95% CI, 0.63-0.74) and urban cores (RR, 0.77; 95% CI, 0.74-0.80).
conclusionsThis analysis of a statewide Medicaid database showed that Black and Hispanic children, as well as those living in urban and rural areas, were less likely to undergo adenotonsillectomy for sleep-disordered breathing than White children and those living in large towns. Associations were partially attenuated with preoperative polysomnography, suggesting a need to further understand its role in adenotonsillectomy disparities. LEVEL OF EVIDENCE: Level 3.
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