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BACKGROUND: Lack of insurance has been shown to lead to delays in seeking care as well as fewer preventive medicine visits and poorer overall health status. PURPOSE: To investigate the effects of insurance status on the timing and treatment of patients with bucket-handle meniscus tears. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Charts from 2004 to 2013 were retrospectively reviewed for patients diagnosed with bucket-handle meniscus tears. Patients were divided into 2 groups: insured or underinsured. The insured group included patients with commercial insurance or Medicare. The underinsured group included patients with Medicaid or Charity Care. Time intervals were categorized as .999) for the insured and underinsured, respectively. Repair rates for 6 weeks (19%) (P < .001). CONCLUSION: Underinsured patients experience significant delays in time to presentation and overall time to surgery. However, the overall repair rate between the insured and underinsured is similar. Regardless of insurance status, patients undergoing arthroscopy within 6 weeks of injury have a significantly higher repair rate than those after 6 weeks. CLINICAL RELEVANCE: Patients undergoing arthroscopy within 6 weeks of injury have a significantly higher repair rate than those after 6 weeks.
Sood et al. (Fri,) studied this question.