Jasmin S Vargas, Abdullah Arif, Amin M Alayleh, Peter C Shen, Eric H Durudogan, Neeraj M Patel
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Understanding this will allow researchers to address areas of need and ultimately reduce disparities.</p><p><strong>Purpose: </strong>To explore trends in orthopaedic sports medicine disparities research, with attention to study design, community engagement, and the development of interventions.</p><p><strong>Study design: </strong>Scoping review; Level of evidence, 3.</p><p><strong>Methods: </strong>The Clarivate Web of Science platform was queried for English-language articles in the orthopedics and sports sciences categories between 2013 and 2022 with the following keywords: \"disparities,\"\"disparity,\"\"inequity,\"\"inequities,\"\"diversity,\"\"socioeconomic,\"\"sex,\"\"gender,\"\"insurance,\"\"race,\" and \"neighborhood.\" Abstracts were reviewed manually to determine study inclusion. Bibliometric data were collected, as was information on the area of focus, study design, determinants of interest, funding sources, and intervention design. Descriptive statistics were recorded.</p><p><strong>Results: </strong>The query yielded 7274 articles, of which 86 addressed disparities or diversity topics in sports medicine. A total of 57 (66.3%) articles were published between 2019 and 2022, and 24 (27.9%) were published in 2022. Predominant journals included the <i>Orthopaedic Journal of Sports Medicine</i> (23.3%) and the <i>American Journal of Sports Medicine</i> (12.8%). Also, 29 articles (33.7%) focused on anterior cruciate ligament (ACL) injuries, and 12 (14%) on rotator cuff tears. Of the 80 observational research articles, the majority (63.8%) were retrospective, and there was a lack of randomized controlled trials or qualitative/mixed methods designs. No studies primarily utilized a community-engaged approach. A total of 31 publications (36%) studied multiple determinants or descriptive data, while 30.2% focused on sex or gender, and 18.6% on insurance. Only 2 (2.3%) studied neighborhood factors. Notably, only 1 study focused on an intervention. Further, only 3 studies (3.5%) were supported directly by the National Institutes of Health funding.</p><p><strong>Conclusion: </strong>This study provides insights into the evolving landscape of sports medicine disparities research. Although the volume of this research has increased substantially in recent years, the literature consists mostly of retrospective studies with a lack of qualitative methodology, community engagement, and development of interventions to reduce disparities. These findings highlight areas for future research.</p>","PeriodicalId":19646,"journal":{"name":"Orthopaedic Journal of Sports Medicine","volume":"13 6","pages":"23259671251350400"},"PeriodicalIF":2.4000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202885/pdf/","citationCount":"0","resultStr":"{\"title\":\"Disparities Research in Sports Medicine Lacks Qualitative Studies, Community Engagement, and Original Interventions.\",\"authors\":\"Jasmin S Vargas, Abdullah Arif, Amin M Alayleh, Peter C Shen, Eric H Durudogan, Neeraj M Patel\",\"doi\":\"10.1177/23259671251350400\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Across the health care landscape, patients experience disparities based on insurance, sex, gender, race, and other determinants. Such findings have been reported in orthopaedic sports medicine; nonetheless, the overall quality of the literature, including its limitations and impact, is unknown. Understanding this will allow researchers to address areas of need and ultimately reduce disparities.</p><p><strong>Purpose: </strong>To explore trends in orthopaedic sports medicine disparities research, with attention to study design, community engagement, and the development of interventions.</p><p><strong>Study design: </strong>Scoping review; Level of evidence, 3.</p><p><strong>Methods: </strong>The Clarivate Web of Science platform was queried for English-language articles in the orthopedics and sports sciences categories between 2013 and 2022 with the following keywords: \\\"disparities,\\\"\\\"disparity,\\\"\\\"inequity,\\\"\\\"inequities,\\\"\\\"diversity,\\\"\\\"socioeconomic,\\\"\\\"sex,\\\"\\\"gender,\\\"\\\"insurance,\\\"\\\"race,\\\" and \\\"neighborhood.\\\" Abstracts were reviewed manually to determine study inclusion. Bibliometric data were collected, as was information on the area of focus, study design, determinants of interest, funding sources, and intervention design. Descriptive statistics were recorded.</p><p><strong>Results: </strong>The query yielded 7274 articles, of which 86 addressed disparities or diversity topics in sports medicine. A total of 57 (66.3%) articles were published between 2019 and 2022, and 24 (27.9%) were published in 2022. Predominant journals included the <i>Orthopaedic Journal of Sports Medicine</i> (23.3%) and the <i>American Journal of Sports Medicine</i> (12.8%). Also, 29 articles (33.7%) focused on anterior cruciate ligament (ACL) injuries, and 12 (14%) on rotator cuff tears. Of the 80 observational research articles, the majority (63.8%) were retrospective, and there was a lack of randomized controlled trials or qualitative/mixed methods designs. No studies primarily utilized a community-engaged approach. 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引用次数: 0
摘要
背景:在整个医疗保健领域,患者经历基于保险、性别、性别、种族和其他决定因素的差异。这些发现已经在骨科运动医学中报道过;尽管如此,文献的整体质量,包括其局限性和影响,是未知的。了解这一点将使研究人员能够解决需要的领域,并最终减少差距。目的:探讨骨科运动医学差异研究的趋势,关注研究设计、社区参与和干预措施的发展。研究设计:范围审查;证据水平,3。方法:通过Clarivate Web of Science平台查询2013年至2022年间骨科和体育科学类别的英文文章,关键词为:“差异”、“差距”、“不平等”、“不平等”、“多样性”、“社会经济”、“性别”、“性别”、“保险”、“种族”和“社区”。人工审查摘要以确定纳入研究。收集文献计量学数据,以及有关重点领域、研究设计、兴趣决定因素、资金来源和干预设计的信息。记录描述性统计数据。结果:查询产生7274篇文章,其中86篇涉及运动医学的差异或多样性主题。2019 - 2022年共发表了57篇(66.3%),2022年发表了24篇(27.9%)。主要期刊包括骨科运动医学杂志(23.3%)和美国运动医学杂志(12.8%)。此外,29篇文章(33.7%)关注前交叉韧带(ACL)损伤,12篇(14%)关注肩袖撕裂。在80篇观察性研究文章中,大多数(63.8%)为回顾性研究,缺乏随机对照试验或定性/混合方法设计。没有研究主要采用社区参与的方法。共有31份出版物(36%)研究了多重决定因素或描述性数据,而30.2%关注性别或性别,18.6%关注保险。只有2个(2.3%)研究了邻里因素。值得注意的是,只有一项研究关注干预措施。此外,只有3项研究(3.5%)得到了美国国立卫生研究院的直接资助。结论:本研究为运动医学差异研究的发展提供了见解。尽管近年来这项研究的数量大幅增加,但文献大多是回顾性研究,缺乏定性方法、社区参与和减少差异的干预措施的发展。这些发现突出了未来研究的领域。
Disparities Research in Sports Medicine Lacks Qualitative Studies, Community Engagement, and Original Interventions.
Background: Across the health care landscape, patients experience disparities based on insurance, sex, gender, race, and other determinants. Such findings have been reported in orthopaedic sports medicine; nonetheless, the overall quality of the literature, including its limitations and impact, is unknown. Understanding this will allow researchers to address areas of need and ultimately reduce disparities.
Purpose: To explore trends in orthopaedic sports medicine disparities research, with attention to study design, community engagement, and the development of interventions.
Study design: Scoping review; Level of evidence, 3.
Methods: The Clarivate Web of Science platform was queried for English-language articles in the orthopedics and sports sciences categories between 2013 and 2022 with the following keywords: "disparities,""disparity,""inequity,""inequities,""diversity,""socioeconomic,""sex,""gender,""insurance,""race," and "neighborhood." Abstracts were reviewed manually to determine study inclusion. Bibliometric data were collected, as was information on the area of focus, study design, determinants of interest, funding sources, and intervention design. Descriptive statistics were recorded.
Results: The query yielded 7274 articles, of which 86 addressed disparities or diversity topics in sports medicine. A total of 57 (66.3%) articles were published between 2019 and 2022, and 24 (27.9%) were published in 2022. Predominant journals included the Orthopaedic Journal of Sports Medicine (23.3%) and the American Journal of Sports Medicine (12.8%). Also, 29 articles (33.7%) focused on anterior cruciate ligament (ACL) injuries, and 12 (14%) on rotator cuff tears. Of the 80 observational research articles, the majority (63.8%) were retrospective, and there was a lack of randomized controlled trials or qualitative/mixed methods designs. No studies primarily utilized a community-engaged approach. A total of 31 publications (36%) studied multiple determinants or descriptive data, while 30.2% focused on sex or gender, and 18.6% on insurance. Only 2 (2.3%) studied neighborhood factors. Notably, only 1 study focused on an intervention. Further, only 3 studies (3.5%) were supported directly by the National Institutes of Health funding.
Conclusion: This study provides insights into the evolving landscape of sports medicine disparities research. Although the volume of this research has increased substantially in recent years, the literature consists mostly of retrospective studies with a lack of qualitative methodology, community engagement, and development of interventions to reduce disparities. These findings highlight areas for future research.
期刊介绍:
The Orthopaedic Journal of Sports Medicine (OJSM), developed by the American Orthopaedic Society for Sports Medicine (AOSSM), is a global, peer-reviewed, open access journal that combines the interests of researchers and clinical practitioners across orthopaedic sports medicine, arthroscopy, and knee arthroplasty.
Topics include original research in the areas of:
-Orthopaedic Sports Medicine, including surgical and nonsurgical treatment of orthopaedic sports injuries
-Arthroscopic Surgery (Shoulder/Elbow/Wrist/Hip/Knee/Ankle/Foot)
-Relevant translational research
-Sports traumatology/epidemiology
-Knee and shoulder arthroplasty
The OJSM also publishes relevant systematic reviews and meta-analyses.
This journal is a member of the Committee on Publication Ethics (COPE).