The impact of socio-economic factors on parental non-adherence to the Ponseti protocol for clubfoot treatment in low- and middle-income countries: A scoping review.

Only income-level of the parents rendered a borderline significant result ( p = 0.07). 57 However, Avilucea et al. went a step further and did a sub-population analysis of the population attending their clubfoot clinic in Albuquerque, New Mexico, USA. 58 Patients attending the clinic from rural parts of the state (used as a proxy for distance and travel time to the clinic), especially Native American patients, faced similar issues as patients in LMICs.

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