{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T08:00:32Z","timestamp":1781078432693,"version":"3.54.1"},"reference-count":31,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinical-breast-cancer.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Breast Cancer"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.clbc.2025.07.004","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T19:32:05Z","timestamp":1751916725000},"page":"150-156","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Area Deprivation Index (ADI) as a Predictor of Surgical Complications in Patients Undergoing Mastectomy"],"prefix":"10.1016","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1278-0505","authenticated-orcid":false,"given":"Felix J.","family":"Klimitz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laetitia S.","family":"Chiarella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lioba","family":"Huelsboemer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stav","family":"Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Boroumand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Kochen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander J.","family":"Kammien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SeungJu Jackie","family":"Oh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Kauke-Navarro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fortunay","family":"Diatta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bohdan","family":"Pomahac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"12","key":"10.1016\/j.clbc.2025.07.004_bib0001","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.52688","article-title":"Changes to the US Preventive Services Task Force screening guidelines and incidence of breast cancer","volume":"7","author":"Zhang-Petersen","year":"2024","journal-title":"JAMA Netw Open"},{"issue":"4","key":"10.1016\/j.clbc.2025.07.004_bib0002","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/j.jamcollsurg.2020.11.011","article-title":"10-Year survival after breast-conserving surgery compared with mastectomy in Louisiana women with early-stage breast cancer: a population-based study","volume":"232","author":"Chu","year":"2021","journal-title":"J Am Coll Surg"},{"issue":"2","key":"10.1016\/j.clbc.2025.07.004_bib0003","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1056\/NEJM199307083290207","article-title":"The increasing disparity in mortality between socioeconomic groups in the United States, 1960 and 1986","volume":"329","author":"Pappas","year":"1993","journal-title":"N Engl J Med"},{"issue":"1","key":"10.1016\/j.clbc.2025.07.004_bib0004","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s13690-023-01026-1","article-title":"Socioeconomic disparities in health outcomes in the United States in the late 2010s: results from four national population-based studies","volume":"81","author":"Kim","year":"2023","journal-title":"Arch Public Health"},{"issue":"9","key":"10.1016\/j.clbc.2025.07.004_bib0005","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1634\/theoncologist.2013-0243","article-title":"Disparities in breast cancer treatment and outcomes: biological, social, and health system determinants and opportunities for research","volume":"18","author":"Wheeler","year":"2013","journal-title":"Oncologist"},{"issue":"2","key":"10.1016\/j.clbc.2025.07.004_bib0006","doi-asserted-by":"crossref","first-page":"e21","DOI":"10.1016\/j.jacc.2021.09.006","article-title":"2021 ACC\/AHA\/SCAI guideline for coronary artery revascularization: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"79","author":"Lawton","year":"2022","journal-title":"J Am Coll Cardiol"},{"issue":"7","key":"10.1016\/j.clbc.2025.07.004_bib0007","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1001\/jamainternmed.2021.2441","article-title":"Socioeconomic inequality in Respiratory health in the US from 1959 to 2018","volume":"181","author":"Gaffney","year":"2021","journal-title":"JAMA Intern Med"},{"issue":"3","key":"10.1016\/j.clbc.2025.07.004_bib0008","first-page":"1238","article-title":"Introduction of an area deprivation index measuring patient socioeconomic status in an integrated health system: implications for population health","volume":"4","author":"Knighton","year":"2016","journal-title":"EGEMS (Wash DC)"},{"issue":"2","key":"10.1016\/j.clbc.2025.07.004_bib0009","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1016\/j.jamcollsurg.2016.04.047","article-title":"Surgical disparities: a comprehensive review and new conceptual framework","volume":"223","author":"Torain","year":"2016","journal-title":"J Am Coll Surg"},{"issue":"3","key":"10.1016\/j.clbc.2025.07.004_bib0010","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1016\/j.jamcollsurg.2012.11.014","article-title":"Racial disparities in surgical care and outcomes in the United States: a comprehensive review of patient, provider, and systemic factors","volume":"216","author":"Haider","year":"2013","journal-title":"J Am Coll Surg"},{"issue":"1","key":"10.1016\/j.clbc.2025.07.004_bib0011","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1089\/heq.2020.0037","article-title":"The association between area deprivation index and patient-reported outcomes in patients with advanced cancer","volume":"5","author":"Rosenzweig","year":"2021","journal-title":"Health Equity"},{"issue":"1","key":"10.1016\/j.clbc.2025.07.004_bib0012","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1007\/s00381-023-06098-6","article-title":"Association of area deprivation index (ADI) with demographics and postoperative outcomes in pediatric brain tumor patients","volume":"40","author":"Aguirre","year":"2024","journal-title":"Childs Nerv Syst"},{"issue":"6","key":"10.1016\/j.clbc.2025.07.004_bib0013","doi-asserted-by":"crossref","first-page":"1962","DOI":"10.1016\/j.athoracsur.2021.07.021","article-title":"High socioeconomic deprivation and coronary artery bypass grafting outcomes: insights from Michigan","volume":"113","author":"Thompson","year":"2022","journal-title":"Ann Thorac Surg"},{"issue":"5","key":"10.1016\/j.clbc.2025.07.004_bib0014","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1016\/j.amjsurg.2023.02.002","article-title":"Socioeconomic disadvantage and pediatric surgical outcomes","volume":"225","author":"Cockrell","year":"2023","journal-title":"Am J Surg"},{"key":"10.1016\/j.clbc.2025.07.004_bib0015","article-title":"Evaluating the Association of Area Deprivation Index (ADI) on postoperative outcomes in pancreatic adenocarcinoma","author":"Khalid","year":"2024","journal-title":"J Surg Oncol."},{"key":"10.1016\/j.clbc.2025.07.004_bib0016","doi-asserted-by":"crossref","DOI":"10.1097\/SAP.0000000000004234","article-title":"The use of acellular dermal matrix may not increase 30-day complications in direct-to-implant breast reconstruction: a multi-institutional analysis of 10,177 cases","author":"Knoedler","year":"2025","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.clbc.2025.07.004_bib0017","doi-asserted-by":"crossref","DOI":"10.1007\/s00266-024-03927-0","article-title":"Gynecomastia surgery in 4996 male patients over 14 years: a retrospective analysis of surgical trends, predictive risk factors, and short-term outcomes","author":"Knoedler","year":"2024","journal-title":"Aesthetic Plast Surg."},{"issue":"2","key":"10.1016\/j.clbc.2025.07.004_bib0018","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1097\/JS9.0000000000000909","article-title":"Racial disparities in surgical outcomes after mastectomy in 223 000 female breast cancer patients: a retrospective cohort study","volume":"110","author":"Knoedler","year":"2024","journal-title":"Int J Surg"},{"key":"10.1016\/j.clbc.2025.07.004_bib0019","doi-asserted-by":"crossref","DOI":"10.1245\/s10434-025-17273-1","article-title":"ASO author reflections: the five-item modified frailty index in breast cancer surgery: past insights, present evidence, and future directions","author":"Chiarella","year":"2025","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.clbc.2025.07.004_bib0020","article-title":"Unveiling inequities: racial disparities in risk-reducing mastectomy for breast cancer prevention","author":"Knoedler","year":"2024","journal-title":"Clin Breast Cancer"},{"key":"10.1016\/j.clbc.2025.07.004_bib0021","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.bjps.2024.11.011","article-title":"Protein as a preoperative predictor - impact of hypoalbuminemia on 30-day outcomes of breast reduction surgery","volume":"100","author":"Knoedler","year":"2024","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.clbc.2025.07.004_bib0022","unstructured":"Pew Research Center. Facts about the U.S. Black population. Accessed November 25, 2024. https:\/\/www.pewresearch.org\/social-trends\/fact-sheet\/facts-about-the-us-black-population."},{"issue":"8","key":"10.1016\/j.clbc.2025.07.004_bib0023","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.26243","article-title":"Neighborhood socioeconomic disadvantage across the life course and premature mortality","volume":"7","author":"Lawrence","year":"2024","journal-title":"JAMA Netw Open"},{"issue":"10075","key":"10.1016\/j.clbc.2025.07.004_bib0024","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1016\/S0140-6736(16)32380-7","article-title":"Socioeconomic status and the 25\u2008\u00d7\u200825 risk factors as determinants of premature mortality: a multicohort study and meta-analysis of 1\u00b77 million men and women","volume":"389","author":"Stringhini","year":"2017","journal-title":"Lancet"},{"issue":"4","key":"10.1016\/j.clbc.2025.07.004_bib0025","doi-asserted-by":"crossref","first-page":"680","DOI":"10.2105\/AJPH.2011.300158","article-title":"Health status, neighborhood socioeconomic context, and premature mortality in the United States: the National Institutes of Health-AARP Diet and Health Study","volume":"102","author":"Doubeni","year":"2012","journal-title":"Am J Public Health"},{"issue":"1","key":"10.1016\/j.clbc.2025.07.004_bib0026","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.amepre.2017.09.002","article-title":"Associations between neighborhood environment, health behaviors, and mortality","volume":"54","author":"Warren","year":"2018","journal-title":"Am J Prev Med"},{"issue":"8","key":"10.1016\/j.clbc.2025.07.004_bib0027","doi-asserted-by":"crossref","first-page":"1894","DOI":"10.1007\/s11606-021-07090-z","article-title":"Neighborhood socioeconomic disadvantage and mortality among Medicare beneficiaries hospitalized for acute myocardial infarction, heart failure, and pneumonia","volume":"37","author":"Hermes","year":"2022","journal-title":"J Gen Intern Med"},{"issue":"10","key":"10.1016\/j.clbc.2025.07.004_bib0028","doi-asserted-by":"crossref","first-page":"1416","DOI":"10.1513\/AnnalsATS.202304-310OC","article-title":"Neighborhood socioeconomic disadvantage, healthcare access, and outcomes of hospitalizations for common pulmonary conditions: a national study of Medicare beneficiaries","volume":"20","author":"Lusk","year":"2023","journal-title":"Ann Am Thorac Soc"},{"issue":"7","key":"10.1016\/j.clbc.2025.07.004_bib0029","doi-asserted-by":"crossref","first-page":"1233","DOI":"10.1016\/j.arth.2022.03.029","article-title":"Enhanced preoperative education pathways: a step toward reducing disparities in total joint arthroplasty outcomes","volume":"37","author":"Turcotte","year":"2022","journal-title":"J Arthroplasty"},{"issue":"7","key":"10.1016\/j.clbc.2025.07.004_bib0030","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0286757","article-title":"The effect of preoperative behaviour change interventions on pre- and post-surgery health behaviours, health outcomes, and health inequalities in adults: a systematic review and meta-analyses","volume":"18","author":"Fong","year":"2023","journal-title":"PLoS One"},{"issue":"3","key":"10.1016\/j.clbc.2025.07.004_bib0031","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1097\/XCS.0000000000000763","article-title":"Impact of prehabilitation on postoperative mortality and the need for non-home discharge in high-risk surgical patients","volume":"237","author":"Zarate","year":"2023","journal-title":"J Am Coll Surg"}],"container-title":["Clinical Breast Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1526820925001995?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1526820925001995?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T07:29:20Z","timestamp":1781076560000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1526820925001995"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["S1526820925001995"],"URL":"https:\/\/doi.org\/10.1016\/j.clbc.2025.07.004","relation":{},"ISSN":["1526-8209"],"issn-type":[{"value":"1526-8209","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Area Deprivation Index (ADI) as a Predictor of Surgical Complications in Patients Undergoing Mastectomy","name":"articletitle","label":"Article Title"},{"value":"Clinical Breast Cancer","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clbc.2025.07.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}