Burns : journal of the International Society for Burn Injuries · 2025
Access to laser therapy for treatment of hypertrophic scars after burn injury.
СтатьяНазвание и аннотация: Перевод в очереди
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Hinson Chandler, Green Allen, Sheckter Clifford
Аннотация
BACKGROUND: Hypertrophic scarring, a frequent complication of burn injuries, leads to pain, functional impairment, and psychological distress. Laser therapy, particularly by means of a fractional ablative laser, has become a standard treatment to improve scar aesthetics and quality of life. Despite its adoption, disparities in access remain underexplored.
METHODS: This study utilized data from the State Ambulatory Surgery and Services Databases (2014-2019) for New York and Florida, identifying patients receiving laser therapy for hypertrophic scars. Comparative analyses included demographic and socioeconomic factors, assessed vis-à-vis a general burn admission cohort from the 2020 Healthcare Cost and Utilization Project National Inpatient Sample. Logistic regression evaluated predictors of laser therapy utilization while Poisson regression evaluated temporal trends.
RESULTS: Among 709 laser therapy recipients, patients were significantly younger (β: -0.001; 95 % CI -0.001, -0.002), predominantly female (OR: 2.19; 95 % CI 1.87-2.56), and non-white (OR: 1.44; 95 % CI 1.23-1.69) compared to the general burn cohort. They also predominantly resided in higher-income zip codes (OR: 4.25; 95 % CI 3.26-5.66). While 37.5 % of all burn admissions are from the lowest income quartile, only 29.5 % of all laser cases were low income. In comparison, 24.5 % of all laser cases were in the highest income quartile compared to 14.7 % of all burn admissions. There was a significant increase in the incidence of laser treatments over the study period (IRR [95 %]: 1.29 [1.23-1.35]) CONCLUSION: Recipients of laser therapy for hypertrophic scars differ demographically from the United States inpatient burn population, highlighting disparities shaped by demographic and socioeconomic factors.
METHODS: This study utilized data from the State Ambulatory Surgery and Services Databases (2014-2019) for New York and Florida, identifying patients receiving laser therapy for hypertrophic scars. Comparative analyses included demographic and socioeconomic factors, assessed vis-à-vis a general burn admission cohort from the 2020 Healthcare Cost and Utilization Project National Inpatient Sample. Logistic regression evaluated predictors of laser therapy utilization while Poisson regression evaluated temporal trends.
RESULTS: Among 709 laser therapy recipients, patients were significantly younger (β: -0.001; 95 % CI -0.001, -0.002), predominantly female (OR: 2.19; 95 % CI 1.87-2.56), and non-white (OR: 1.44; 95 % CI 1.23-1.69) compared to the general burn cohort. They also predominantly resided in higher-income zip codes (OR: 4.25; 95 % CI 3.26-5.66). While 37.5 % of all burn admissions are from the lowest income quartile, only 29.5 % of all laser cases were low income. In comparison, 24.5 % of all laser cases were in the highest income quartile compared to 14.7 % of all burn admissions. There was a significant increase in the incidence of laser treatments over the study period (IRR [95 %]: 1.29 [1.23-1.35]) CONCLUSION: Recipients of laser therapy for hypertrophic scars differ demographically from the United States inpatient burn population, highlighting disparities shaped by demographic and socioeconomic factors.