Insurance Status and Income Proxies Are the Most Consistent Predictors of Disparities in Access to Care and Outcomes After Medial Patellofemoral Ligament Reconstruction in the United States: A Systematic Review.

The few studies published regarding the socioeconomic factors that influence treatment of patellar instability have found that race, sex, and insurance status may be significant predictors of access to surgical care, timing of initial evaluation and surgery, and cost of treatment. 7 , 8 In 2023, Shankar et al. 9 performed a single-institution retrospective case study investigating socioeconomic predictors of time to initial evaluation, time to surgery, and postoperative outcomes among patients with lateral patellar instability undergoing MPFLR.

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