Evidence map›Paper›PMID 41847897›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale

Does Marginalization Impact Access to Tympanostomy Tube Insertion in Pediatric Patients in Ontario?

Camille Duggal, Britney Le, J Andrew McClure, Blayne Welk, Sumit Dave, Julie Strychowsky

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In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Camille DuggalDepartment of Otolaryngology-Head & Neck Surgery, University of Western Ontario, London, ON, Canada.ORCID 0009-0002-3546-8407
Britney LeInstitute for Clinical Evaluative Sciences, University of Western Ontario, London, ON, Canada.
J Andrew McClureDepartment of Surgery, University of Western Ontario, London, ON, Canada.
Blayne WelkDivision of Urology, University of Western Ontario, London, ON, Canada.
Sumit DaveDivision of Urology, University of Western Ontario, London, ON, Canada.
Julie StrychowskyDepartment of Otolaryngology-Head & Neck Surgery, University of Western Ontario, London, ON, Canada.ORCID 0000-0001-5460-3155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ImportanceDespite efforts to ensure equitable access to medically necessary services, disparities in care may persist in pediatric otolaryngology services.ObjectiveTo examine the relationship between socioeconomic marginalization and surgical wait times for tympanostomy tube insertion in the healthcare system of Ontario.Study designPopulation-based, retrospective cohort study utilizing administrative health data.SettingOntario, Canada.ParticipantsPatients ≤12 years who underwent bilateral tympanostomy tube insertion between 2010 and 2023 were included.ExposuresSocioeconomic marginalization measured by the Ontario Marginalization Index, rurality and immigrant status.Main Outcome MeasuresENT visit within 90 days of surgery, age at ENT visit, time from ENT visit to surgery, number of ENT visits during each year of follow-up, time to tympanostomy tube removal, and delayed tympanostomy tube removal (≥5 years post-surgery).ResultsA total of 76,574 tympanostomy tube patients were analyzed. As compared to the least marginalized patients, the most marginalized patients were significantly less likely to have an ENT visit within 90 days of surgery (75% vs 81.3%,

Indexed as

Healthcare DisparitiesHealth Services AccessibilityMiddle Ear VentilationChildChild, PreschoolFemaleHumansInfantMaleOntarioRetrospective StudiesSocioeconomic Disparities in HealthWaiting Listsmarginalizationpediatricssurgical wait timetympanostomy tube insertion

Identifiers

PMID41847897
PMCPMC13009987

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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.