Location of Treatment of Supracondylar Fractures of the Humerus in Children
Abstract
A change in the locations where children are treated for supracondylar fractures of the humerus has occurred during the past 13 years. Pediatric orthopaedic surgeons at specialist centers are seeing an increased number of such fractures. In New England, the number of supracondylar fractures of the humerus treated by closed reduction and percutaneous pinning has remained relatively constant between 1991 and 1999 with a range of 276 to 346 fractures per year, averaging 320 per year. In 1991, 63% of patients were treated by general orthopaedic surgeons in a nonspecialist setting. By 1999, 68% of the fractures were treated at centers with pediatric orthopaedic specialists available whereas only 32% were treated in a general orthopaedic setting. Associated with this change is a decreased length of stay from 2.2 (+/- 0.6) days in nonspecialist centers to 1.4 (+/- 0.4) days average in specialist centers.
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In a 1994 study, the Medicaid Access Study Group found that adult patients with Medicaid had poor access to outpatient care.
“Using this approach in a 1994 study, the Medicaid Access Study Group found that adult patients with Medicaid had poor access to outpatient care.20”
From Auditing Access to Specialty Care for Children with Public Insurance (2011) · cites this paper as [20]
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Auditing Access to Specialty Care for Children with Public Insurance
Bisgaier, J., & Rhodes, K. V. (2011) · New England Journal of Medicine · doi:10.1056/nejmsa1013285 · Cited by 331 · see citing works
- Authors
- Kasser, J. R.
- Affiliations
- Boston Children's Hospital (US)
- Corresponding author
- Kasser, James R
- ORCID
- Kasser, James R
- Venue
- Clinical Orthopaedics and Related Research
- Published
- 2005-05
- Volume
- &NA;
- Issue
- 434
- Pages
- 110-113
- ISSN
- 0009-921X (ISSN-L)
- OpenAlex
- W2000278924
- Cited by
- 54
- References
- 0
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 6 · 2017: 4 · 2016: 2 · 2015: 2 · 2013: 4 · 2012: 2
- FWCI
- 3.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Orthopaedics and Related Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Elbow and Forearm Trauma Treatment
- Health Sciences › Medicine › Epidemiology › Bone fractures and treatments
- Health Sciences › Medicine › Surgery › Shoulder Injury and Treatment
- Keywords
- supracondylar humerus fracture, pediatric fractures, closed reduction, percutaneous pinning, length of hospital stay, New England
- MeSH terms
- Elbow Injuries, Bone Nails, Boston, Child, Child, Preschool, Female, Follow-Up Studies, Fracture Fixation, Internal, Hospitals, Pediatric, Humans, Humeral Fractures, Male, Radiography, Registries, Retrospective Studies, Injury Severity Score, Incidence, Range of Motion, Articular, Fracture Healing, Age Distribution, Sex Distribution, Risk Assessment, Recovery of Function
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