{"id":23412,"date":"2026-03-18T16:56:28","date_gmt":"2026-03-18T20:56:28","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&p=23412"},"modified":"2026-03-18T16:56:31","modified_gmt":"2026-03-18T20:56:31","slug":"does-marginalization-impact-access-to-tympanostomy-tube-insertion-in-pediatric-patients-in-ontario","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/does-marginalization-impact-access-to-tympanostomy-tube-insertion-in-pediatric-patients-in-ontario\/","title":{"rendered":"Does marginalization impact access to tympanostomy tube insertion in pediatric patients in Ontario?"},"content":{"rendered":"

Importance<\/strong> \u2014 Despite efforts to ensure equitable access to medically necessary services, disparities in care may persist in pediatric otolaryngology services.<\/p>\n

Objective<\/strong> \u2014 To examine the relationship between socioeconomic marginalization and surgical wait times for tympanostomy tube insertion in the healthcare system of Ontario.<\/p>\n

Study design<\/strong> \u2014 Population-based, retrospective cohort study utilizing administrative health data.<\/p>\n

Setting<\/strong> \u2014 Ontario, Canada.<\/p>\n

Participants<\/strong> \u2014 Patients \u226412\u2009years who underwent bilateral tympanostomy tube insertion between 2010 and 2023 were included.<\/p>\n

Exposures<\/strong> \u2014 Socioeconomic marginalization measured by the Ontario Marginalization Index, rurality and immigrant status.<\/p>\n

Main outcome measures<\/strong> \u2014 ENT visit within 90\u2009days of surgery, age at ENT visit, time from ENT visit to surgery, number of ENT visits during each year of follow-up, time to tympanostomy tube removal, and delayed tympanostomy tube removal (\u22655\u2009years post-surgery).<\/p>\n

Results<\/strong> \u2014 A total of 76,574 tympanostomy tube patients were analyzed. As compared to the least marginalized patients, the most marginalized patients were significantly less likely to have an ENT visit within 90\u2009days of surgery (75% vs 81.3%, P\u2009<\u2009.001). The number of emergency department visits (1: \u221215%, \u22652: \u221229%) was protective, decreasing age at ENT visit (P\u2009<\u2009.001). Furthermore, rural residence significantly increased the risk of higher age at ENT visit (+7%) (P\u2009<\u2009.001). Immigrant children were older at their final ENT visit and had longer surgical wait times compared to non-immigrant children (P\u2009<\u2009.001).<\/p>\n

Conclusion<\/strong> \u2014 Significant disparities exist in accessing tympanostomy tubes; socioeconomic marginalization, prior emergency department visits, sex, immigrant and rural status delaying the age at final ENT visit before surgery.<\/p>\n

Relevance<\/strong> \u2014 These findings underscore the need for targeted strategies to improve equitable access to pediatric ENT services.<\/p>\n","protected":false},"excerpt":{"rendered":"

Importance \u2014 Despite efforts to ensure equitable access to medically necessary services, disparities in care may persist in pediatric otolaryngology services. Objective \u2014 To examine the relationship between socioeconomic marginalization and surgical wait times for tympanostomy tube insertion in the healthcare system of Ontario. Study design \u2014 Population-based, retrospective cohort study utilizing administrative health data. […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[16,43,20],"migration-helper-qa-sample-set":[],"class_list":["post-23412","journal_article","type-journal_article","status-publish","hentry","topic-children-and-young-people","topic-eye-ear-nose-and-throat-disorders","topic-health-and-health-care-inequality"],"acf":{"citation":"Duggal C, Le B, McClure JA, Welk B, Dave S, Strychowsky J. J Otolaryngol Head Neck Surg<\/em>. 2026; 55:19160216261422572.\u00a0 Epub 2026 Mar 18.","source_url":"https:\/\/doi.org\/10.1177\/19160216261422572","ices_scientist":[1131],"site":[6739],"research_program":[6743],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"\nICES | Does marginalization impact access to tympanostomy tube insertion in pediatric patients in Ontario?<\/title>\n<meta name=\"description\" content=\"Importance \u2014 Despite efforts to ensure equitable access to medically necessary services, disparities in care may persist in pediatric otolaryngology\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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