{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T22:25:46Z","timestamp":1787955946131,"version":"build-2784847793"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T00:00:00Z","timestamp":1724025600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T00:00:00Z","timestamp":1724025600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T00:00:00Z","timestamp":1724025600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T00:00:00Z","timestamp":1724025600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","arthroscopyjournal.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the impact of social determinants of health (SDOH) disparities on 30\u2010day emergency department (ED) visits, 90\u2010day postoperative complications, and 5\u2010year secondary surgery rates after primary hip arthroscopy using a large national database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A national administrative claims database was used to identify patients who underwent primary hip arthroscopy with femoroplasty, acetabuloplasty, and\/or labral repair between 2015 and 2022. Queries were performed to identify patients who experienced any SDOH disparities, including economic, educational, environmental, or social disparities; those experiencing SDOH disparities within 1 year prior to primary hip arthroscopy were matched 1:1 by age, sex, Elixhauser Comorbidity Index score, diabetes, obesity, and tobacco use to patients not experiencing any lifetime SDOH disparities. The odds of 90\u2010day complications and 30\u2010day ED visits were compared using multivariable logistic regression. Rates of 5\u2010year revision hip arthroscopy and of any secondary surgery (revision hip arthroscopy or total hip arthroplasty) were compared by Kaplan\u2010Meier analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 3,383 primary hip arthroscopy patients who experienced SDOH disparities were matched 1:1 to a control cohort of 3,383 patients who did not experience SDOH disparities (age of 41.0 years and 79.6% female sex in both cohorts). The odds of adverse events after arthroscopy were low and did not differ between the SDOH cohort (1.51%) and no\u2010SDOH cohort (1.57%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .09). Additionally, there was no difference in the odds of 30\u2010day ED visits between the SDOH cohort (5.65%) and no\u2010SDOH cohort (4.79%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .10). The rate of 5\u2010year revision hip arthroscopy was significantly greater among patients experiencing SDOH disparities (5.4% vs 4.1%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .02); however, there was no difference in the rate of any secondary surgery between cohorts (11.8% vs 10.4%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .10).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients experiencing SDOH disparities had similar odds of postoperative complications and ED visits after primary hip arthroscopy but greater rates of 5\u2010year revision hip arthroscopy compared with a matched\u2010control cohort of patients not experiencing SDOH disparities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective case\u2010control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.07.038","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T17:29:05Z","timestamp":1724347745000},"page":"1402","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Social Determinants of Health Disparities Increase 5\u2010Year Revision Rates but Not Postoperative Complications After Primary Hip Arthroscopy"],"prefix":"10.1002","volume":"41","author":[{"given":"Stephen M.","family":"Gillinov","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Massachusetts General Hospital Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary L.","family":"LaPorte","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Massachusetts General Hospital Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan S.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Massachusetts General Hospital Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal S.","family":"Siddiq","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Massachusetts General Hospital Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kieran S.","family":"Dowley","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Massachusetts General Hospital Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan J.","family":"Cherian","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Nebraska Omaha Nebraska U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher T.","family":"Eberlin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Iowa Iowa City Iowa U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Kucharik","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of South Florida Tampa Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott D.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Massachusetts General Hospital Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,19]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.23.01114"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000002446"},{"key":"e_1_2_5_4_2","unstructured":"Centers for Disease Control and Prevention.Social determinants of healthhttps:\/\/www.cdc.gov\/about\/sdoh\/index.htmlPublished December 8 2022. 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