{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:03:59Z","timestamp":1785816239216,"version":"3.56.0"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["R25HL105444"],"award-info":[{"award-number":["R25HL105444"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR001450"],"award-info":[{"award-number":["UL1 TR001450"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine sociodemographic factors (e.g., race, ethnicity, rural status) in adenotonsillectomy rates for pediatric obstructive sleep\u2010disordered breathing with public insurance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included patients &lt;\u200918\u2009years with a diagnosis of obstructive sleep\u2010disordered breathing with 12\u2010month follow\u2010up from 2011 to 2020 using the South Carolina Medicaid database. Logistic regression analyses were performed for adenotonsillectomy attainment within 1 year of diagnosis, with covariates of sex, age, race, ethnicity, geographic residence, and polysomnography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The cohort included 76,650 children (mean age [SD] 7.1 [4.5] years, 51.0% male). White children were more likely to undergo adenotonsillectomy than Black children (40%; relative risk [RR], 0.60; 95% CI, 0.57\u20130.62), Hispanic children (50%; RR, 0.50; 95% CI, 0.46\u20130.54), and other children (33%; RR, 0.67; 95% CI, 0.64\u20130.69). When polysomnography was obtained, these differences were no longer significant for Black (RR, 0.98; 95% CI, 0.89\u20131.06) and other (RR, 0.98; 95% CI, 0.89\u20131.06) children, and were reduced for Hispanic children (RR, 0.86; 95% CI, 0.72\u20131.00). When PSG was not used, children in large towns were more likely to undergo adenotonsillectomy than those in rural (RR, 0.69; 95% CI, 0.63\u20130.74) and urban cores (RR, 0.77; 95% CI, 0.74\u20130.80).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This analysis of a statewide Medicaid database showed that Black and Hispanic children, as well as those living in urban and rural areas, were less likely to undergo adenotonsillectomy for sleep\u2010disordered breathing than White children and those living in large towns. Associations were partially attenuated with preoperative polysomnography, suggesting a need to further understand its role in adenotonsillectomy disparities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level 3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70031","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T11:10:34Z","timestamp":1755169834000},"page":"1012-1019","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Predictors of Adenotonsillectomy for Publicly Insured Children With Sleep\u2010Disordered Breathing"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1081-4772","authenticated-orcid":false,"given":"Phayvanh P.","family":"Pecha","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head &amp; Neck Surgery Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela L.","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences and Biostatistics Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marvella E.","family":"Ford","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences and Biostatistics Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul J.","family":"Nietert","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences and Biostatistics Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1671"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2006.04.061"},{"key":"e_1_2_8_4_1","first-page":"261","article-title":"You Cannot Hit Snooze on OSA: Sequelae of Pediatric Obstructive Sleep Apnea","volume":"9","author":"Thomas S.","year":"2022","journal-title":"Children (Basel)"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2010.11.010"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/29.9.1115"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.22114"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2020.01.061"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/01945998221084203"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.smj.0000232966.81950.a4"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599819844791"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2010.11.006"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2020.11.007"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.365"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2021.01.071"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599821993383"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.107.6.1375"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2020.5031"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818792026"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2023.111621"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.8.896"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.2400"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/34.3.379"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811409837"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599819844786"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7274"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820926456"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000216413.22408.FD"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.3085"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200308-1124PP"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/01945998211064233"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7674"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2004.07.015"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70031","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70031","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T08:50:32Z","timestamp":1768207832000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,14]]},"references-count":32,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/lary.70031"],"URL":"https:\/\/doi.org\/10.1002\/lary.70031","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,14]]},"assertion":[{"value":"2025-01-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}