{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:02:14Z","timestamp":1789988534792,"version":"4.0.1"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Disparities impacting acute pancreatitis (AP) outcomes have been reported. Although racial\/ethnic disparities are known in AP, geospatial disparities have been unexplored in pediatric AP. We aimed to investigate area level social determinant of health (SDOH) factors on pediatric AP outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a retrospective study of children hospitalized with AP over 5 years. Data including home addresses and zip codes were geocoded to determine area level factors for SDOH. Descriptive statistics were used to summarize overall sample and stratified by length of stay (LOS), AP severity, and complications. Significance tests were performed using high\u2010dimensional fixed effects regression with multiway cluster\u2010robust standard errors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 242 encounters for 182 participants living in 160 different census tracts were included. Non\u2010Hispanic Black (NHB) children were more likely to live in urban and more minority neighborhoods. Children living in more urban and minority neighborhoods had increased mean LOS, and AP severity. Increased mean LOS persisted in NHB children after adjusting for co\u2010variates (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009). Abstract charges were higher in children with AP who live in poorer neighborhoods even after adjusting for co\u2010variates (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Children hospitalized with AP living in minority and urban neighborhoods experience an increased LOS and complications. NHB children are more likely to live in urban and minority neighborhoods and have an increased mean LOS. Abstract charges are higher for children with AP who live in poorer neighborhoods.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jpn3.70569","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:46:12Z","timestamp":1788846372000},"source":"Crossref","is-referenced-by-count":0,"title":["Race and neighborhood factors influence clinical outcomes in children hospitalized with acute pancreatitis"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7273-1995","authenticated-orcid":false,"given":"Amy","family":"Fan","sequence":"first","affiliation":[{"name":"Heersink School of Medicine University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0600-4198","authenticated-orcid":false,"given":"Elizabeth","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2435-3655","authenticated-orcid":false,"given":"Chinenye R.","family":"Dike","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ueg2.12672"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0b013e3181baac47"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2018.04.013"},{"issue":"2","key":"e_1_2_9_5_1","first-page":"174","article-title":"Disparities in demographics among patients with pancreatitis\u2010related mortality","volume":"10","author":"Buscaglia JM","year":"2009","journal-title":"J Pancreas"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000003597"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2202\/1547-7355.1792"},{"issue":"4","key":"e_1_2_9_8_1","article-title":"On the validity of validation: a commentary on Rufat, Tate, Emrich, and Antolini's \u201cHow Valid Are Social Vulnerability Models?","volume":"111","author":"Flanagan B","year":"2021","journal-title":"Ann Am Assoc Geogr"},{"key":"e_1_2_9_9_1","unstructured":"Agency For Toxic Substances and Disease Registry (ATSDR). Place and Health\u2010Geospatial Research A and Services Program (GRASP). Social Vulnerability Index. Centers for Disease Control and Prevention (CDC);2026.https:\/\/www.atsdr.cdc.gov\/place\u2010health\/php\/svi\/index.html"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd13.160221"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2024.12.026"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-024-08425-6"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000001583"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2018.12.043"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.16854"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.12041"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.12643"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-024-08493-8"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mpa.0000220857.55378.7b"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gtc.2016.07.010"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2025.08.017"},{"issue":"7","key":"e_1_2_9_22_1","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.20579","article-title":"Pediatric Complex Chronic Condition System Version 3","volume":"7","author":"Feinstein JA","year":"2024","journal-title":"JAMA Netw Open"}],"container-title":["Journal of Pediatric Gastroenterology and Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpn3.70569","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jpn3.70569","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpn3.70569","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T10:25:00Z","timestamp":1789986300000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jpn3.70569"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":21,"alternative-id":["10.1002\/jpn3.70569"],"URL":"https:\/\/doi.org\/10.1002\/jpn3.70569","archive":["Portico"],"relation":{},"ISSN":["0277-2116","1536-4801"],"issn-type":[{"value":"0277-2116","type":"print"},{"value":"1536-4801","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]},"article-number":"jpn3.70569"}}