ArticleJournal of hand surgery global online2026
Association Between Insurance Status and Recommendation for Surgery for Distal Radius Fractures.
Article in Journal of hand surgery global online, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Disparities continue to impact patient care within orthopedics. Distal radius fractures (DRFs) are extremely common, with variability in surgical indications allowing for potential treatment disparities. The study sought to determine whether (1) insurance status and (2) geographic socioeconomic disadvantage is associated with surgeon treatment recommendation for dorsally angulated DRF. Methods: This retrospective cohort study used institutional data from 2016 to 2021 to assess associations between patient demographics and socioeconomic variables of interest, including geographic socioeconomic disadvantage (Area Deprivation Index), insurance status, and likelihood of operative recommendation. Multivariable logistic regression adjusted for potential confounders including fracture severity based on degree of dorsal angulation (mild, ≥0° and ≤10°; moderate, >10° and <20°; severe ≥20°), radial inclination, ulnar variance, presence of an ulnar styloid fracture, sex, age, and Elixhauser Comorbidity score (α = 0.05). Results: In total, 891 patients were included, with a mean age of 55 years (range 18-62), 78% women (n = 699), and 79.4% White non-Hispanic (n = 707), 2.9% Black non-Hispanic (n = 26), 6.9% Hispanic (n = 61), and 10.9% Other (n = 97). In total, 31% (n=280) of all patients presented with mild DRF, 29% (n = 258) moderate, and 40% (n = 353) severe. Overall, 77% (n = 688) of patients were recommended surgery, and 74% (n = 660) underwent operative management. Public health insurance was associated with lower likelihood of recommendation for surgery. There was no significant difference in treatment recommendation based on Area Deprivation Index. Conclusions: Public health insurance was found to be significantly associated with lower likelihood of recommendation for DRF surgery, even after controlling for fracture severity and individual-level confounding variables. This suggests variability in DRF management based on individual patient factors. Type of study/level of evidence: Prognostic III.
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.