The Effect of Insurance Type on Time to Anterior Cruciate Ligament Reconstruction in Pediatric Patients: A Critically Appraised Topic
There is moderate evidence indicating that there is a delay in anterior cruciate ligament (ACL) surgery for pediatric patients with public insurance compared to those with private insurance.
College of Health researcher(s)
Abstract
Clinical Scenario
Delay in surgery for anterior cruciate ligament (ACL) injuries increases the risk of complications including secondary injuries. Previous research has shown individuals with public insurance have greater delays in care for a variety of health conditions.
Clinical Question
In pediatric patients with ACL injuries, is the time from injury to surgery longer for patients with public insurance than patients with private insurance?
Summary of Key Findings
Four studies met the inclusion criteria. All studies reported a greater wait time for surgery in pediatric patients with public insurance.
Clinical Bottom Line
There is moderate evidence indicating that there is a delay in ACL surgery for pediatric patients with public insurance compared to those with private insurance.
Strength of Recommendation
Grade B evidence exists that there is a delay in surgery for ACL injuries in pediatric patients with public insurance compared to those with private insurance.