Socioeconomic Status and Time to Treatment in Patients With Traumatic Rotator Cuff Tears.
| Autor: | Gutowski CT; From the Cooper Medical School of Rowan University Camden, Camden, NJ (Ms. Gutowski, Mr. Romiyo, and Dr. Fedorka), and the Cooper University Healthcare Camden, Camden, NJ (Dr. Wright, Mr. Gentile, Dr. Hunter, and Dr. Fedorka)., Wright B, Romiyo V, Gentile P, Hunter K, Fedorka CJ |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews [J Am Acad Orthop Surg Glob Res Rev] 2024 Sep 05; Vol. 8 (9). Date of Electronic Publication: 2024 Sep 05 (Print Publication: 2024). |
| DOI: | e24.00205 |
| Abstrakt: | Introduction: Socioeconomic status (SES) affects access to care for traumatic rotator cuff (RTC) tears. Delayed time to treatment (TTT) of traumatic RTC tears results in worse functional outcomes. We investigated disparities in TTT and hypothesized that individuals from areas of low SES would have longer time to surgical repair. Methods: Patients who underwent repair of a traumatic RTC tear were retrospectively reviewed. Median household income and Social Deprivation Index were used as a proxy for SES. The primary outcome was TTT. Patients were further stratified by preoperative forward flexion and number of tendons torn. Results: A total of 221 patients met inclusion criteria. No significant difference in TTT was observed between income classes (P = 0.222) or Social Deprivation Index quartiles (P = 0.785). Further stratification by preoperative forward flexion and number of tendons torn also yielded no significant difference in TTT. Discussion: Contrary to delays in orthopaedic care documented in literature, our study yielded no difference in TTT between varying levels of SES, even when stratified by the severity of injury. Thus, we reject our original hypothesis. Based on our findings, mechanisms in place at our institution may have mitigated some of these health disparities within our community. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|