Evidence map›Paper›PMID 39602061›Full record

ReviewSpine deformity2025

Healthcare disparities in adult and pediatric spinal deformity: a state of the art review.

Lancelot Benn, Tarek Yamout, Mauro Costa Morais Tavares Junior, Adwin Denasty, Laurel C Blakemore, Serena S Hu, Qusai Hammouri, Joe Minchew, Isaac Karikari, Joseph Osorio and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Spine deformity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

12 authors.

Lancelot BennDepartment of Orthopaedic Surgery, Medstar Orthopaedic Institute, Washington Hospital Center, Washington, DC, USA.
Tarek YamoutDepartment of Orthopaedics and Physical Performance, University of Rochester, Rochester, NY, USA.
Mauro Costa Morais Tavares JuniorAACD, Association for the Assistance of Disabled Children, Sao Paulo, Brazil.
Adwin DenastyDepartment of Orthopaedics and Physical Performance, University of Rochester, Rochester, NY, USA.
Laurel C BlakemorePediatric Specialists of Virginia, Fairfax, VA, USA.
Serena S HuDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, CA, USA.
Qusai HammouriDepartment of Orthopaedic Surgery, NYU/Langone, New York, NY, USA.
Joe MinchewDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Isaac KarikariDepartment of Neurosurgery, The University of Oklahoma College of Medicine, Oklahoma, OK, USA.
Joseph OsorioDepartment of Neurosurgery, University California, San Diego, CA, USA.
Olavo Biraghi LetaifAACD, Association for the Assistance of Disabled Children, Sao Paulo, Brazil.
Addisu MesfinDepartment of Orthopaedic Surgery, Medstar Orthopaedic Institute, Washington Hospital Center, Washington, DC, USA. amesfin@gmail.com.ORCID http://orcid.org/0000-0003-0076-4185

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA health disparity refers to a greater disease burden or negative health outcomes influenced by social, economic, and environmental factors. Numerous studies in the surgical literature show that social drivers of health affect health outcomes. Similar disparities may affect treatment and outcomes of spine deformity patients. This study aims to review existing literature on healthcare disparities in patients with spinal deformities.

methodsA comprehensive search of articles from 1/2002 to 7/2024 in two databases included keywords and Medical Subject Heading terms: "health disparities," "scoliosis," "social determinant of health," "disparities," "spine deformity," and "race". The 22 studies that met the inclusion criteria were U.S.-based, English-language, peer-reviewed research covering all age groups. Exclusion criteria excluded studies unrelated to spinal deformity and case reports.

resultsThe search resulted in 22 potential articles investigating health care disparities in spinal deformity patients. Black patients were noted to present with disease progression compared to White patients. Females have a longer length of stay (LOS) than males. The Black and Hispanic patients had longer LOS than Whites. The privately insured patients were more likely to receive timely care than Medicaid recipients.

conclusionThe consensus across much of the literature reviewed indicate that surgeon volume, hospital volume, sex/gender, race/ethnicity, socioeconomic status, and insurance status impact patient outcomes in adult and pediatric spinal deformity. Prospective studies and solutions to address these disparities are needed. LEVEL OF EVIDENCE: Level III.

Indexed as

Healthcare DisparitiesScoliosisSpinal CurvaturesAdolescentAdultChildFemaleHumansLength of StayMaleUnited StatesHealth disparitiesInsuranceRaceSexSpine deformitySurgeon volume

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.