Evidence map›Paper›PMID 41322886›Full record

ArticleCureus2025

Geospatial Analysis of Orthopedic Workforce Distribution Across Georgia.

Dev Shah, William E Long, Shervin Eskandari, Anna Bozzone, Stephen A Parada

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Dev ShahOrthopaedic Surgery, Augusta University Medical College of Georgia, Augusta, USA.
William E LongOrthopaedic Surgery, Augusta University Medical College of Georgia, Augusta, USA.
Shervin EskandariOrthopaedic Surgery, Augusta University Medical College of Georgia, Augusta, USA.
Anna BozzoneOrthopaedic Surgery, Augusta University Medical College of Georgia, Augusta, USA.
Stephen A ParadaOrthopaedic Surgery, Augusta University Medical College of Georgia, Augusta, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHealthcare disparities between rural and urban populations have been well documented; however, orthopedic surgery-specific care remains under-characterized in rural communities. The purpose of this study was to assess rural-urban disparities in access to orthopedic care in Georgia. STUDY TYPE: This is a cross-sectional study.

methodsThe Georgia Composite Medical Board database was utilized to identify practicing orthopedic surgeons and their location of practice. County-level demographic data, including population and median household income, were collected from the 2020 United States Census. Counties were stratified using the 2023 Rural-Urban Continuum Codes, and they were sorted into metropolitan (categories one to three) and non-metropolitan counties (categories four to nine). Metrics calculated included orthopedic surgeon density per 100,000 residents, surgeon density per 100 square miles, average travel distance from the county centroid to the nearest orthopedic practice, and income correlation per county.

resultsA total of 838 orthopedic surgeons were identified across Georgia's 159 counties. Metropolitan counties had significantly higher provider density than non-metropolitan counterparts, both per 100,000 residents (4.81 vs. 2.56, p = 0.009) and per 100 square miles (3.07 vs. 0.22, p < 0.001). Rural counties also experienced a greater travel burden to the nearest orthopedic provider (15.85 vs. 8.19 miles, p < 0.001), and fewer counties had at least one orthopedist (34.9% rural vs. 54.1% urban). Correlation analysis revealed that lower income was associated with both greater travel burden (ρ = -0.47, p < 0.001) and lower provider density per capita (ρ = 0.34, p < 0.001).

conclusionThis study highlights a significant gap in access to orthopedic care between rural and urban counties in Georgia, with individuals in rural counties having limited access to orthopedic care due to longer travel distances and lower surgeon density.

Indexed as

access to caregeorgiaorthopaedicsrural healthcare accessworkforce distribution

Identifiers

PMID41322886
PMCPMC12661093

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LicenceCC BY
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Registered trials

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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.