ArticleCanadian journal of surgery. Journal canadien de chirurgie
The impact of socioeconomic status on the management of rotator cuff tears in a publicly funded health care system.
Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
backgroundTimely access to care after rotator cuff tear is an important factor in treatment success. We sought to determine the relationship between socioeconomic status (SES) and time to treatment among patients who underwent rotator cuff repair (RCR) in a publicly funded health care system, including time from general practitioner diagnosis to orthopedic consultation (T1) and time from orthopedic consultation to surgery (T2).
methodsWe conducted a retrospective, population-based cohort study using data from the Manitoba Population Research Data Repository. We calculated T1 and T2 for all patients who underwent RCR between 1990 and 2020. We compared times between SES levels as defined using the Socioeconomic Factor Index-2 (SEFI-2). We compared SES level between surgical and nonsurgical patients with rotator cuff injuries between 2015 and 2020.
resultsThere were no significant differences in T1 and T2 by SES level (
conclusionIn a publicly funded health care system, patients with lower SES were less likely to undergo RCR than those with higher SES. The odds of waiting longer than 1 year for surgery from the time of orthopedic consultation were greatest among patients with the lowest SES.
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