{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T17:00:36Z","timestamp":1781456436565,"version":"3.54.1"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["T 32 CA009672"],"award-info":[{"award-number":["T 32 CA009672"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["americanjournalofsurgery.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Surgery"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.amjsurg.2025.116773","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T07:34:07Z","timestamp":1765265647000},"page":"116773","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Neighborhood deprivation is associated with longer hospital stay for common pediatric surgical procedures independent of complication rates"],"prefix":"10.1016","volume":"253","author":[{"given":"Phillip J.","family":"Hsu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Khosrovaneh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Kunnath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cody L.","family":"Mullens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M.","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8268-8723","authenticated-orcid":false,"given":"Samir K.","family":"Gadepalli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.amjsurg.2025.116773_bib1","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.jss.2018.05.054","article-title":"Examining length of stay after commonly performed surgical procedures in ACS NSQIP pediatric","volume":"231","author":"Papandria","year":"2018","journal-title":"J Surg Res"},{"key":"10.1016\/j.amjsurg.2025.116773_bib2","doi-asserted-by":"crossref","DOI":"10.1016\/j.sempedsurg.2023.151275","article-title":"The past, present and future of ACS NSQIP-Pediatric: evolution from a quality registry to a comparative quality performance platform","volume":"32","author":"Saito","year":"2023","journal-title":"Semin Pediatr Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib3","doi-asserted-by":"crossref","first-page":"1633","DOI":"10.1007\/s00464-021-08413-1","article-title":"Benchmarking utilization, length of stay, and complications following minimally invasive repair of major congenital anomalies","volume":"36","author":"Apfeld","year":"2022","journal-title":"Surg Endosc"},{"key":"10.1016\/j.amjsurg.2025.116773_bib4","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1016\/j.jtcvs.2021.04.072","article-title":"The American association for thoracic surgery congenital cardiac surgery working group 2021 consensus document on a comprehensive perioperative approach to enhanced recovery after pediatric cardiac surgery","volume":"162","author":"Fuller","year":"2021","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib5","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2020-0708","article-title":"Optimizing resources in children's surgical care: an update on the American college of surgeons' verification program","volume":"145","author":"Wang","year":"2020","journal-title":"Pediatrics"},{"key":"10.1016\/j.amjsurg.2025.116773_bib6","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1097\/SLA.0000000000005990","article-title":"Changing landscape of routine pediatric surgery for rural and urban children: a report from the child health evaluation of surgical services (CHESS) group","volume":"278","author":"Gadepalli","year":"2023","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib7","article-title":"Quality of general surgery procedures in children at small rural hospitals","author":"Mullens","year":"2025","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib8","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2025.0046","article-title":"Perceived discrimination in health care settings and care delays in patients with diabetes and hypertension","volume":"8","author":"Jafari Bidgoli","year":"2025","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.amjsurg.2025.116773_bib9","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.jpeds.2021.07.056","article-title":"Social determinants of health needs and pediatric health care use","volume":"238","author":"Hardy","year":"2021","journal-title":"J Pediatr"},{"key":"10.1016\/j.amjsurg.2025.116773_bib10","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1542\/peds.2012-0668","article-title":"Predictors of delayed or forgone needed health care for families with children","volume":"130","author":"Wisk","year":"2012","journal-title":"Pediatrics"},{"key":"10.1016\/j.amjsurg.2025.116773_bib11","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-018139","article-title":"Is lack of social support associated with a delay in seeking medical care? A cross-sectional study of Minnesota and Tennessee residents using data from the behavioral risk factor surveillance system","volume":"8","author":"Reisinger","year":"2018","journal-title":"BMJ Open"},{"key":"10.1016\/j.amjsurg.2025.116773_bib12","doi-asserted-by":"crossref","first-page":"115","DOI":"10.37765\/ajmc.2021.88599","article-title":"Association of social risks with avoiding or delaying health care and with emergency department visits: evidence from 2017 Ohio medicaid assessment survey","volume":"27","author":"Patel","year":"2021","journal-title":"Am J Manag Care"},{"key":"10.1016\/j.amjsurg.2025.116773_bib13","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.40251","article-title":"Interfacility transfer of children with time-sensitive surgical conditions, 2002-2017","volume":"7","author":"Van Arendonk","year":"2024","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.amjsurg.2025.116773_bib14","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1111\/jrh.12801","article-title":"Understanding the impacts of rural hospital closures: a scoping review","volume":"40","author":"Mullens","year":"2024","journal-title":"J Rural Health Off J Am Rural Health Assoc Natl Rural Health Care Assoc"},{"key":"10.1016\/j.amjsurg.2025.116773_bib15","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1001\/jama.2025.13518","article-title":"The one big beautiful bill act-implications for rural health care","volume":"334","author":"Howren","year":"2025","journal-title":"JAMA"},{"key":"10.1016\/j.amjsurg.2025.116773_bib16","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1001\/jama.2025.14945","article-title":"Rural hospitals deserve more than patchwork policies","volume":"334","author":"Mullens","year":"2025","journal-title":"JAMA"},{"key":"10.1016\/j.amjsurg.2025.116773_bib17","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.37296","article-title":"Adherence to guidelines for the administration of intraoperative antibiotics in a nationwide US sample","volume":"4","author":"Bardia","year":"2021","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.amjsurg.2025.116773_bib18","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1097\/SLA.0000000000003571","article-title":"Variation in intraoperative and postoperative utilization for three common general surgery procedures","volume":"274","author":"Childers","year":"2021","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib19","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1097\/SLA.0000000000001703","article-title":"Impact of enhanced recovery after surgery and fast track surgery pathways on healthcare-associated infections: results from a systematic review and meta-analysis","volume":"265","author":"Grant","year":"2017","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib20","doi-asserted-by":"crossref","first-page":"1948","DOI":"10.1377\/hlthaff.2014.0679","article-title":"The child opportunity index: improving collaboration between community development and public health","volume":"33","author":"Acevedo-Garcia","year":"2014","journal-title":"Health Aff Proj Hope"},{"key":"10.1016\/j.amjsurg.2025.116773_bib21","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.48865","article-title":"Association between neighborhood-level social determinants of health and access to pediatric appendicitis care","volume":"5","author":"Bouchard","year":"2022","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.amjsurg.2025.116773_bib22","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.acap.2023.08.012","article-title":"Child opportunity index disparities in pediatric surgical encounters during the coronavirus 2019 pandemic","volume":"24","author":"Berry","year":"2024","journal-title":"Acad Pediatr"},{"key":"10.1016\/j.amjsurg.2025.116773_bib23","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.amjsurg.2022.09.030","article-title":"Social vulnerability index (SVI) and poor postoperative outcomes in children undergoing surgery in California","volume":"225","author":"Yap","year":"2023","journal-title":"Am J Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib24","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/j.amjsurg.2022.03.051","article-title":"Same-day discharge after appendectomy for uncomplicated appendicitis in children: potential barriers to increased utilization","volume":"224","author":"Buss","year":"2022","journal-title":"Am J Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib25","series-title":"International Statistical Classification of Diseases and Related Health Problems","year":"2016"},{"key":"10.1016\/j.amjsurg.2025.116773_bib26","doi-asserted-by":"crossref","first-page":"e1466","DOI":"10.1542\/peds.2013-1243","article-title":"Frequency and variety of inpatient pediatric surgical procedures in the United States","volume":"132","author":"S\u00f8mme","year":"2013","journal-title":"Pediatrics"},{"key":"10.1016\/j.amjsurg.2025.116773_bib28","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.1097\/SLA.0000000000004234","article-title":"Network analysis of postoperative surgical complications in a cohort of children reported to the national surgical quality improvement program: pediatric","volume":"275","author":"Alzubaidi","year":"2022","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib29","doi-asserted-by":"crossref","first-page":"2528","DOI":"10.1016\/j.jpedsurg.2019.08.033","article-title":"Deriving literature-based benchmarks for pediatric appendectomy and cholecystectomy complications from national databases in high-income countries: a systematic review and meta-analysis","volume":"54","author":"Daodu","year":"2019","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib30","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1053\/j.sempedsurg.2016.10.002","article-title":"Complications in common general pediatric surgery procedures","volume":"25","author":"Linnaus","year":"2016","journal-title":"Semin Pediatr Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jpedsurg.2022.03.014","article-title":"Association between index complication and outcomes after inpatient pediatric surgery","volume":"57","author":"Portuondo","year":"2022","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib32","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1186\/s12887-022-03418-8","article-title":"Postoperative complications after gastrointestinal pediatric surgical procedures: outcomes and socio-demographic risk factors","volume":"22","author":"Brock","year":"2022","journal-title":"BMC Pediatr"},{"key":"10.1016\/j.amjsurg.2025.116773_bib34","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2023.53667","article-title":"Disparities in diagnostic timeliness and outcomes of pediatric appendicitis","volume":"7","author":"Michelson","year":"2024","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.amjsurg.2025.116773_bib35","doi-asserted-by":"crossref","first-page":"e496","DOI":"10.1097\/SLA.0000000000005772","article-title":"Surgical procedures at critical access hospitals within hospital networks","volume":"278","author":"Mullens","year":"2023","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjsurg.2025.116773_bib36","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1001\/jama.2025.0447","article-title":"Trends in travel time to obtain surgical care for rural patients","volume":"333","author":"Mullens","year":"2025","journal-title":"JAMA"},{"key":"10.1016\/j.amjsurg.2025.116773_bib37","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1186\/s12913-017-2079-5","article-title":"What is a hospital bed day worth? A contingent valuation study of hospital chief executive officers","volume":"17","author":"Page","year":"2017","journal-title":"BMC Health Serv Res"}],"container-title":["The American Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961025005963?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961025005963?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T16:39:14Z","timestamp":1781455154000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002961025005963"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":35,"alternative-id":["S0002961025005963"],"URL":"https:\/\/doi.org\/10.1016\/j.amjsurg.2025.116773","relation":{},"ISSN":["0002-9610"],"issn-type":[{"value":"0002-9610","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Neighborhood deprivation is associated with longer hospital stay for common pediatric surgical procedures independent of complication rates","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjsurg.2025.116773","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"116773"}}