{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:59:36Z","timestamp":1792083576846,"version":"4.4.0"},"reference-count":48,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100012604","name":"Crown Family Philanthropies","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012604","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Burns"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.burns.2026.108252","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:08:09Z","timestamp":1791558489000},"page":"108252","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Burden to healing: A comparative disability-adjusted life years analysis of burn-related burden across sociodemographic and regional groups in the United States"],"prefix":"10.1016","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1724-4276","authenticated-orcid":false,"given":"Diana B.","family":"Griffin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2385-2383","authenticated-orcid":false,"given":"Tarifa H.","family":"Adam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9552-6483","authenticated-orcid":false,"given":"Robert D.","family":"Galiano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.burns.2026.108252_bib1","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1097\/TA.0000000000003547","article-title":"Are burns a chronic condition? Examining patient reported outcomes up to 20 years after burn injury\u2014A Burn Model System National Database investigation","volume":"92","author":"Abouzeid","year":"2022","journal-title":"J Trauma Acute Care Surg"},{"issue":"4","key":"10.1016\/j.burns.2026.108252_bib2","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1016\/j.pmr.2022.07.001","article-title":"An Introduction to Burns","volume":"33","author":"Ashouri","year":"2022","journal-title":"Phys Med Rehabil Clin N Am"},{"issue":"3","key":"10.1016\/j.burns.2026.108252_bib3","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1007\/s00268-009-0261-6","article-title":"Key concepts for estimating the burden of surgical conditions and the unmet need for surgical care","volume":"34","author":"Bickler","year":"2010","journal-title":"World J Surg"},{"issue":"1","key":"10.1016\/j.burns.2026.108252_bib4","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1097\/TA.0000000000003951","article-title":"Burn excision within 48\u2009h portends better outcomes than standard management: A nationwide analysis","volume":"95","author":"Ramsey","year":"2023","journal-title":"J Trauma Acute Care Surg"},{"issue":"3","key":"10.1016\/j.burns.2026.108252_bib5","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1007\/s00268-009-0261-6","article-title":"Key concepts for estimating the burden of surgical conditions and the unmet need for surgical care","volume":"34","author":"Bickler","year":"2010","journal-title":"World J Surg"},{"issue":"3","key":"10.1016\/j.burns.2026.108252_bib6","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1016\/j.burns.2018.01.002","article-title":"Effect of primary admission to burn centers on the outcomes of severely burned patients","volume":"44","author":"Ehrl","year":"2018","journal-title":"Burns J Int Soc Burn Inj"},{"issue":"3","key":"10.1016\/j.burns.2026.108252_bib7","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1093\/jbcr\/iraa167","article-title":"Burn center referral practice evaluation and treatment outcomes comparison among verified, nonverified burn centers, and nonburn centers: a statewide perspective","volume":"42","author":"Huang","year":"2021","journal-title":"J Burn Care Res Publ Am Burn Assoc"},{"issue":"1","key":"10.1016\/j.burns.2026.108252_bib8","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0226653","article-title":"Recovery of health-related quality of life after burn injuries: An individual participant data meta-analysis","volume":"15","author":"Spronk","year":"2020","journal-title":"PLOS ONE"},{"key":"10.1016\/j.burns.2026.108252_bib9","unstructured":"Ahrens M. US Fire Death Rates by State."},{"issue":"25","key":"10.1016\/j.burns.2026.108252_bib10","doi-asserted-by":"crossref","first-page":"1911","DOI":"10.1056\/NEJM200106213442506","article-title":"Deaths and Injuries from House Fires","volume":"344","author":"Istre","year":"2001","journal-title":"N Engl J Med"},{"issue":"2","key":"10.1016\/j.burns.2026.108252_bib11","first-page":"131","article-title":"Risk factors associated with unintentional house fire incidents, injuries and deaths in high-income countries: a systematic review","volume":"23","author":"Turner","year":"2017","journal-title":"Inj Prev J Int Soc Child Adolesc Inj Prev"},{"issue":"12","key":"10.1016\/j.burns.2026.108252_bib12","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1056\/NEJM199209173271207","article-title":"Risk Factors for Fatal Residential Fires","volume":"327","author":"Runyan","year":"1992","journal-title":"N Engl J Med"},{"issue":"3","key":"10.1016\/j.burns.2026.108252_bib13","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1097\/JOM.0000000000000948","article-title":"Work-Related Burn Injuries Hospitalized in US Burn Centers: 2002\u20132011","volume":"59","author":"Huang","year":"2017","journal-title":"J Occup Environ Med"},{"key":"10.1016\/j.burns.2026.108252_bib14","first-page":"2349","article-title":"Management of Burns","volume":"380","author":"Greenhalgh","year":"2019"},{"issue":"4","key":"10.1016\/j.burns.2026.108252_bib15","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1001\/jamasurg.2023.7763","article-title":"Access to Burn Care in the US","volume":"159","author":"Hur","year":"2024","journal-title":"JAMA Surg"},{"issue":"3","key":"10.1016\/j.burns.2026.108252_bib16","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1097\/BCR.0b013e3181db516b","article-title":"An analysis of social support and insurance on discharge disposition and functional outcomes in patients with acute burns","volume":"31","author":"Farrell","year":"2010","journal-title":"J Burn Care Res Publ Am Burn Assoc"},{"issue":"4","key":"10.1016\/j.burns.2026.108252_bib17","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1016\/j.burns.2022.06.004","article-title":"Impact of community-level socioeconomic disparities on quality of life after burn injury: A Burn Model Systems Database study","volume":"49","author":"Mason","year":"2023","journal-title":"Burns J Int Soc Burn Inj"},{"issue":"1","key":"10.1016\/j.burns.2026.108252_bib18","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1097\/TA.0000000000002259","article-title":"Regional disparities in access to verified burn center care in the United States","volume":"87","author":"Carmichael","year":"2019","journal-title":"J Trauma Acute Care Surg"},{"issue":"1","key":"10.1016\/j.burns.2026.108252_bib19","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0226732","article-title":"Estimating the impact of drug use on US mortality, 1999-2016","volume":"15","author":"Glei","year":"2020","journal-title":"PloS One"},{"issue":"10513","key":"10.1016\/j.burns.2026.108252_bib20","doi-asserted-by":"crossref","first-page":"1873","DOI":"10.1016\/S0140-6736(25)01637-X","volume":"406","author":"GBD 2023 Disease and Injury and Risk Factor Collaborators","year":"2025","journal-title":"Lancet"},{"issue":"5","key":"10.1016\/j.burns.2026.108252_bib21","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1001\/jama.2015.8371","article-title":"Violence in the United States: Status, Challenges, and Opportunities","volume":"314","author":"Sumner","year":"2015","journal-title":"JAMA"},{"issue":"1","key":"10.1016\/j.burns.2026.108252_bib22","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1093\/jbcr\/irad139","article-title":"Access to Certified Burn Centers in the United States: The Geospatial and Transport Cost of Transfer","volume":"45","author":"Edwards","year":"2024","journal-title":"J Burn Care Res Publ Am Burn Assoc"},{"issue":"4","key":"10.1016\/j.burns.2026.108252_bib23","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1001\/jamasurg.2018.5097","article-title":"Association Between Emergency Medical Service Response Time and Motor Vehicle Crash Mortality in the United States","volume":"154","author":"Byrne","year":"2019","journal-title":"JAMA Surg"},{"issue":"2","key":"10.1016\/j.burns.2026.108252_bib24","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1093\/jbcr\/iraf193","article-title":"Regional Differences in Inpatient Adult Burn Etiology Across the United States","volume":"47","author":"Blake","year":"2026","journal-title":"J Burn Care Res Publ Am Burn Assoc"},{"issue":"25","key":"10.1016\/j.burns.2026.108252_bib25","doi-asserted-by":"crossref","first-page":"2468","DOI":"10.1056\/NEJMsr1804754","article-title":"The Major Causes of Death in Children and Adolescents in the United States","volume":"379","author":"Cunningham","year":"2018","journal-title":"N Engl J Med"},{"issue":"1","key":"10.1016\/j.burns.2026.108252_bib26","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1056\/NEJM199607043350106","article-title":"Surveillance and Prevention of Residential-Fire Injuries","volume":"335","author":"Mallonee","year":"1996","journal-title":"N Engl J Med"},{"issue":"16","key":"10.1016\/j.burns.2026.108252_bib27","doi-asserted-by":"crossref","first-page":"1644","DOI":"10.1001\/jama.2014.13336","article-title":"Association Between Hospital Conversions to For-Profit Status and Clinical and Economic Outcomes","volume":"312","author":"Joynt","year":"2014","journal-title":"JAMA"},{"issue":"5","key":"10.1016\/j.burns.2026.108252_bib28","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1001\/jamasurg.2018.5177","article-title":"Association of Medicaid Expansion With Access to Rehabilitative Care in Adult Trauma Patients","volume":"154","author":"Zogg","year":"2019","journal-title":"JAMA Surg"},{"issue":"3","key":"10.1016\/j.burns.2026.108252_bib29","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1097\/TA.0000000000001644","article-title":"The P50 Research Center in Perioperative Sciences: How the investment by the National Institute of General Medical Sciences in team science has reduced postburn mortality","volume":"83","author":"Finnerty","year":"2017","journal-title":"J Trauma Acute Care Surg"},{"issue":"4","key":"10.1016\/j.burns.2026.108252_bib30","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1097\/CCM.0000000000000790","article-title":"Morbidity and Survival Probability in Burn Patients in Modern Burn Care*","volume":"43","author":"Jeschke","year":"2015","journal-title":"Crit Care Med"},{"issue":"1","key":"10.1016\/j.burns.2026.108252_bib31","first-page":"i7","article-title":"How the science of injury prevention contributes to advancing home fire safety in the USA: successes and opportunities","volume":"24","author":"Gielen","year":"2018","journal-title":"Inj Prev J Int Soc Child Adolesc Inj Prev"},{"issue":"16","key":"10.1016\/j.burns.2026.108252_bib32","doi-asserted-by":"crossref","first-page":"1774","DOI":"10.1001\/jama.2009.1548","article-title":"Geographic Access to Burn Center Hospitals","volume":"302","author":"Klein","year":"2009","journal-title":"JAMA"},{"issue":"11","key":"10.1016\/j.burns.2026.108252_bib33","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1001\/jama.2022.14791","article-title":"The US Medicaid Program: Coverage, Financing, Reforms, and Implications for Health Equity","volume":"328","author":"Donohue","year":"2022","journal-title":"JAMA"},{"issue":"6","key":"10.1016\/j.burns.2026.108252_bib34","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1016\/j.jamcollsurg.2021.08.694","article-title":"Association of the Affordable Care Act Medicaid Expansion with Trauma Outcomes and Access to Rehabilitation among Young Adults: Findings Overall, by Race and Ethnicity, and Community Income Level","volume":"233","author":"Metzger","year":"2021","journal-title":"J Am Coll Surg"},{"issue":"2","key":"10.1016\/j.burns.2026.108252_bib35","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1093\/jbcr\/irae102","article-title":"Understanding Epidemiological Trends in Geriatric Burn Injuries: A National Multicenter Analysis from NEISS 2004-2022","volume":"46","author":"Boroumand","year":"2025","journal-title":"J Burn Care Res Publ Am Burn Assoc"},{"issue":"4","key":"10.1016\/j.burns.2026.108252_bib36","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.surg.2006.07.029","article-title":"The vulnerabilities of age: burns in children and older adults","volume":"140","author":"Bessey","year":"2006","journal-title":"Surgery"},{"key":"10.1016\/j.burns.2026.108252_bib37","series-title":"American College of Surgeons Trauma Quality Programs. Best Practices Guidelines: Geriatric Trauma Management [Internet]","year":"2023"},{"issue":"1","key":"10.1016\/j.burns.2026.108252_bib38","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1186\/s12877-023-03883-5","article-title":"Epidemiological and clinical characteristics of older adults with burns: a 15-year retrospective analysis of 2554 cases in Wuhan Institute of Burns","volume":"23","author":"Wu","year":"2023","journal-title":"BMC Geriatr"},{"issue":"1","key":"10.1016\/j.burns.2026.108252_bib39","doi-asserted-by":"crossref","DOI":"10.1016\/j.burns.2025.107779","article-title":"Can we predict mortality, length of stay, and time taken to heal at the point of admission in burn patients?","volume":"52","author":"Smith","year":"2026","journal-title":"Burns J Int Soc Burn Inj"},{"issue":"2","key":"10.1016\/j.burns.2026.108252_bib40","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.cps.2023.11.006","article-title":"Burns in the Elderly","volume":"51","author":"Shah","year":"2024","journal-title":"Clin Plast Surg"},{"issue":"4","key":"10.1016\/j.burns.2026.108252_bib41","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1093\/jbcr\/irz059","article-title":"Social Complexity and Risk for Pediatric Burn Injury: A Systematic Review","volume":"40","author":"Padalko","year":"2019","journal-title":"J Burn Care Res Publ Am Burn Assoc"},{"issue":"4","key":"10.1016\/j.burns.2026.108252_bib42","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1093\/jbcr\/iraa045","article-title":"Social Determinants Associated with Pediatric Burn Injury: A Population-Based, Case-Control Study","volume":"41","author":"Padalko","year":"2020","journal-title":"J Burn Care Res Publ Am Burn Assoc"},{"issue":"5","key":"10.1016\/j.burns.2026.108252_bib43","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1136\/archdischild-2016-311644","article-title":"Developmental and behavioural associations of burns and scalds in children: a prospective population-based study","volume":"102","author":"Emond","year":"2017","journal-title":"Arch Dis Child"},{"key":"10.1016\/j.burns.2026.108252_bib44","series-title":"American College of Surgeons Trauma Quality Programs. Best Practices Guidelines for Trauma Center Recognition of Child Abuse, Elder Abuse, and Intimate Partner Violence [Internet]","year":"2019"},{"issue":"2","key":"10.1016\/j.burns.2026.108252_bib45","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1177\/1524838020939136","article-title":"Association of Housing Stress With Child Maltreatment: A Systematic Review","volume":"23","author":"Chandler","year":"2022","journal-title":"Trauma Violence Abus"},{"issue":"6","key":"10.1016\/j.burns.2026.108252_bib46","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1097\/SAP.0000000000003559","article-title":"A Systematic Review of Pediatric Nonaccidental Burns: Protecting the Children Through Knowledge, Vigilance, and Prevention","volume":"90","author":"Gasteratos","year":"2023","journal-title":"Ann Plast Surg"},{"issue":"3","key":"10.1016\/j.burns.2026.108252_bib47","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1097\/SLA.0b013e31815b4480","article-title":"Patient and injury characteristics, mortality risk, and length of stay related to child abuse by burning: evidence from a national sample of 15,802 pediatric admissions","volume":"247","author":"Thombs","year":"2008","journal-title":"Ann Surg"},{"issue":"3","key":"10.1016\/j.burns.2026.108252_bib48","doi-asserted-by":"crossref","DOI":"10.1016\/j.burns.2025.107377","article-title":"Trends and cross-country inequalities in global burns burden among children and adolescents: A population-based study from 1990 to 2021","volume":"51","author":"Wang","year":"2025","journal-title":"Burns J Int Soc Burn Inj"}],"container-title":["Burns"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0305417926004043?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0305417926004043?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:31:08Z","timestamp":1792081868000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0305417926004043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":48,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["S0305417926004043"],"URL":"https:\/\/doi.org\/10.1016\/j.burns.2026.108252","relation":{},"ISSN":["0305-4179"],"issn-type":[{"value":"0305-4179","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Burden to healing: A comparative disability-adjusted life years analysis of burn-related burden across sociodemographic and regional groups in the United States","name":"articletitle","label":"Article Title"},{"value":"Burns","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.burns.2026.108252","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Ltd and ISBI. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"108252"}}