Key result
Pediatric patients with government-assisted insurance experienced significantly longer delays from injury to ACL surgery (174.6 vs 90.4 days) and higher rates of meniscal injuries (81% vs 65%).
Why the study?
Delays in pediatric ACL reconstruction are linked to increased concomitant knee injuries and worse outcomes, but few studies have described factors contributing to these delays and adverse outcomes.
Does socioeconomic status (measured by insurance type) impact time to treatment and clinical outcomes in pediatric patients undergoing ACL reconstruction?
Population
127 pediatric patients undergoing primary ACL reconstruction at a tertiary pediatric hospital
Comparison
Government-assisted insurance vs commercial insurance
Design
Retrospective review
Authors
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Lower SES linked to delayed pediatric ACLR care and higher stiffness risk; leaves open whether interventions can mitigate disparities.
Observational (n=127)
No
Does socioeconomic status (measured by insurance type) impact time to treatment and clinical outcomes in pediatric patients undergoing ACL reconstruction?
Absolute Event Rate: 174.6% vs 90.4%
p-value: p=<0.0001
In pediatric patients undergoing ACL reconstruction, government-assisted insurance is associated with significant delays in care, higher rates of concomitant meniscal injuries, and increased postoperative complications.
Patel et al. (2019) conducted an observational in Anterior cruciate ligament (ACL) injury (n=127). Government-assisted health insurance vs. Commercial health insurance was evaluated on Time from injury to surgery (days) (p=<0.0001). Pediatric patients with government-assisted insurance experienced significantly longer delays from injury to ACL surgery (174.6 vs 90.4 days) and higher rates of meniscal injuries (81% vs 65%).
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