{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T17:05:19Z","timestamp":1788973519648,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:00:00Z","timestamp":1733961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:00:00Z","timestamp":1733961600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:00:00Z","timestamp":1733961600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:00:00Z","timestamp":1733961600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T00:00:00Z","timestamp":1733443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To use the All of Us database to investigate barriers to health care access for patients with meniscus tears and to examine how specific demographic, socioeconomic, and health\u2010related factors independently influence their health care utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The National Institutes of Health All of Us database was queried for patient data between March 2017 and March 2023 to form a cohort of patients with meniscal tears. Patients with meniscal tears were identified using Systematized Nomenclature of Medicine clinical terms. All patients with self\u2010reported meniscus tears were included, with no exclusion criteria to ensure a diverse representation of underrepresented individuals. Patient responses to the \u201cHealthcare Access and Utilization Survey\u201d were analyzed across 4 domains: \u201cdelayed care,\u201d \u201ccould not afford care,\u201d \u201cskipped medication,\u201d and \u201chave not seen a provider in over one year.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 5,671 survey respondents with meniscal tears were included for analysis from a population of 436,000 eligible records. Among them, 27.7% reported delayed care, 23.9% were unable to afford care, 11.8% skipped medication, and 2.0% had not seen a provider in over a year. Patients with annual incomes under $50,000 were more likely to delay care (odds ratio [OR], 1.41;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), be unable to afford care (OR, 1.73;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), or skip medications (OR, 1.79;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Younger age than the cohort mean of 65.4 years, female sex, and poor physical and mental health were associated with impaired access in at least 1 care domain.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Over one\u2010fourth of patients with a diagnosis of meniscus tear who responded to the All of Us \u201cHealthcare Access and Utilization Survey\u201d reported difficulties with access to care across 4 domains, with those of low income, younger age, female sex, and poor mental or physical health experiencing significant barriers to care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical\u00a0Relevance<\/jats:title>\n                    <jats:p>This research can inform strategies for equitable treatment of meniscal injuries by highlighting disparities in orthopaedic care access and utilization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2024.101064","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T12:37:52Z","timestamp":1734007072000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Low Income, Younger Age, Female Sex, and Poor Mental Health Are Risk Factors for Diminished Access to Care Among Patients With Meniscus Tears"],"prefix":"10.1002","volume":"7","author":[{"given":"Drew W.","family":"Barron","sequence":"first","affiliation":[{"name":"Mayo Clinic Alix School of Medicine Scottsdale Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikram S.","family":"Gill","sequence":"additional","affiliation":[{"name":"Mayo Clinic Alix School of Medicine Scottsdale Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayi P.","family":"Boddu","sequence":"additional","affiliation":[{"name":"Mayo Clinic Alix School of Medicine Scottsdale Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan C.","family":"Beckett","sequence":"additional","affiliation":[{"name":"Mayo Clinic Alix School of Medicine Scottsdale Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sailesh V.","family":"Tummala","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Phoenix Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anikar","family":"Chhabra","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Phoenix Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,12]]},"reference":[{"key":"e_1_2_3_2_2","first-page":"344","article-title":"Ligaments: Their nature and morphology","volume":"15","author":"Bland\u2010Sutton J.","year":"1897","journal-title":"Bristol Med Chir J"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-21-00993"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000329"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.08.051"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-016-0279-z"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.04.020"},{"issue":"5","key":"e_1_2_3_8_2","doi-asserted-by":"crossref","DOI":"10.1177\/2325967121S00297","article-title":"Racial, socioeconomic, and demographic disparities in the management of meniscal tears","volume":"9","author":"O\u2019Donnell R.","year":"2021","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_3_9_2","unstructured":"National Institutes of Health.All of Us Research Hub. 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}],"article-number":"101064"}}