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7 vs 28.0 months, = .0007). Median follow-up was 44.1 months (interquartile range, 29.6-61.3 months). Health care disparities appear to exist among children undergoing decannulation of their tracheostomy tube. Patients with lower SES had a significantly longer time to decannulation than those with higher SES. Health care disparities appear to exist among children undergoing decannulation of their tracheostomy tube. Patients with lower SES had a significantly longer time to decannulation than those with higher SES.Inflammation is a cruc