Podium Presentation Title: Disparities in the Surgical Management of Shoulder Instability After Emergency Room Presentation

To evaluate the socioeconomic and demographic factors affecting whether a patient undergoes stabilization surgery after presenting to emergency room for shoulder instability. Patients department were identified in New York Statewide Planning Research Cooperative System database from 2015-2018 by International Classification of Disease 10 Clinical Modification diagnosis codes anterior dislocation or subluxation. All procedures outpatient setting using Current Procedural Terminology codes. Using unique identifier each patient, data was linked procedure data. A multivariable logistic regression performed assess impact on likelihood receiving surgery. The variables included analysis age, sex, race, social deprivation (SDI), Charlson Comorbidity Index (CCI), repeat dislocation, primary insurance type. 16,721 patients 1,028 (6.1%) went have Younger ages, those with recurrent dislocations (OR=2.606, p<.0001), workers compensation relative private (OR=1.318, p=0.0492) had increased odds Hispanic (OR=0.711, p=0.003) African American (OR=0.63, p<.0001) decreased White patients. Medicare (OR=0.389, Medicaid (OR=0.582, self-pay (OR=0.352, all less likely undergo privately insured Higher (OR=0.993, also associated Shoulder instability subsequent is disparities among insurance, deprivation. Considering relationship between differential care health disparities, it critical define involved increase physician awareness promote appropriate management This study can help provide basis policy interventions improve access equitable orthopaedic care.