{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T15:34:12Z","timestamp":1770392052072,"version":"3.49.0"},"reference-count":38,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thespinejournalonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Spine Journal"],"published-print":{"date-parts":[[2025,10]]},"DOI":"10.1016\/j.spinee.2025.03.003","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T02:08:42Z","timestamp":1742868522000},"page":"2272-2279","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Neighborhood socioeconomic disadvantage predicts extended length of stay and nonhome discharge but not readmissions or reoperations after anterior cervical discectomy and fusion"],"prefix":"10.1016","volume":"25","author":[{"given":"Ignacio","family":"Pasqualini","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alp","family":"Turan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shujaa T.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed K.","family":"Emara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa M.","family":"Mahmood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omolola","family":"Fakunle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore","family":"Rudic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tariq","family":"Said","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitchell K.","family":"Ng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Assem A.","family":"Sultan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Savage","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominic W.","family":"Pelle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.spinee.2025.03.003_bib0001","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1097\/NOR.0000000000000828","article-title":"Time to reflect and take action on health disparities and health inequities","volume":"41","author":"Salmond","year":"2022","journal-title":"Orthop Nurs"},{"key":"10.1016\/j.spinee.2025.03.003_bib0002","unstructured":"U.S. Department of Health and Human Services. The Biden-\u2060Harris administration takes action to improve health and wellbeing by addressing social determinants of health. 2023. Accessed January 3, 2024.https:\/\/www.hhs.gov\/about\/news\/2023\/11\/16\/biden-harris-administration-takes-action-improve-health-and-wellbeing-addressing-social-determinants-health.html"},{"issue":"26","key":"10.1016\/j.spinee.2025.03.003_bib0003","doi-asserted-by":"crossref","first-page":"2456","DOI":"10.1056\/NEJMp1802313","article-title":"Making neighborhood-disadvantage metrics accessible \u2014 the neighborhood atlas","volume":"378","author":"Kind","year":"2018","journal-title":"N Engl J Med"},{"issue":"6","key":"10.1016\/j.spinee.2025.03.003_bib0004","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1007\/s11524-006-9094-x","article-title":"The development of a standardized neighborhood deprivation index","volume":"83","author":"Messer","year":"2006","journal-title":"J Urban Health"},{"issue":"2","key":"10.1016\/j.spinee.2025.03.003_bib0005","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/j.socscimed.2005.06.017","article-title":"US-based indices of area-level deprivation: results from HealthCare for Communities","volume":"62","author":"Eibner","year":"2006","journal-title":"Social Sci Med"},{"key":"10.1016\/j.spinee.2025.03.003_bib0006","unstructured":"Health resources and services administration. Health Workforce Shortage Areas. Accessed January 11, 2024. https:\/\/data.hrsa.gov\/topics\/health-workforce\/shortage-areas"},{"issue":"1","key":"10.1016\/j.spinee.2025.03.003_bib0007","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.53620","article-title":"Association of Hospital quality and neighborhood deprivation with mortality after inpatient surgery among Medicare beneficiaries","volume":"6","author":"Diaz","year":"2023","journal-title":"JAMA Network Open"},{"key":"10.1016\/j.spinee.2025.03.003_bib0008","article-title":"Association between area deprivation index and concerns to COVID-19: a multi-level analysis of individual and area factors","author":"Lee","year":"2023","journal-title":"SSM - Population Health"},{"issue":"1","key":"10.1016\/j.spinee.2025.03.003_bib0009","doi-asserted-by":"crossref","first-page":"e168","DOI":"10.1017\/cts.2023.580","article-title":"Telemedicine and health disparities: association between the area deprivation index and primary care telemedicine utilization during the COVID-19 pandemic","volume":"7","author":"Ostovari","year":"2023","journal-title":"J Clin Translation Sci"},{"key":"10.1016\/j.spinee.2025.03.003_bib0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.sste.2021.100412","article-title":"A comparison of two neighborhood-level socioeconomic indexes in the United States","volume":"37","author":"Boscoe","year":"2021","journal-title":"Spatial Spatio-Temporal Epidemiol"},{"issue":"2","key":"10.1016\/j.spinee.2025.03.003_bib0011","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s11999-010-1519-x","article-title":"The Frank Stinchfield Award: the impact of socioeconomic factors on outcome after THA: a prospective, randomized study","volume":"469","author":"Butler","year":"2011","journal-title":"Clin Orthopaed Related Res\u00ae"},{"issue":"22","key":"10.1016\/j.spinee.2025.03.003_bib0012","doi-asserted-by":"crossref","first-page":"1968","DOI":"10.2106\/JBJS.22.00251","article-title":"The effect of social deprivation on fracture-healing and patient-reported outcomes following intramedullary nailing of tibial shaft fractures","volume":"104","author":"Hong","year":"2022","journal-title":"J Bone Joint Surg"},{"key":"10.1016\/j.spinee.2025.03.003_bib0013","doi-asserted-by":"crossref","DOI":"10.1016\/j.jse.2022.05.001","article-title":"Patients with limited health literacy have worse preoperative function, pain control and experience prolonged hospitalizations following shoulder arthroplasty","author":"Puzzitiello","year":"2022","journal-title":"J Shoulder Elbow Surg"},{"issue":"12","key":"10.1016\/j.spinee.2025.03.003_bib0014","doi-asserted-by":"crossref","first-page":"2465","DOI":"10.1016\/j.jse.2022.04.023","article-title":"Neighborhood socioeconomic disadvantage does not predict outcomes or cost after elective shoulder arthroplasty","volume":"31","author":"Moverman","year":"2022","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.spinee.2025.03.003_bib0015","article-title":"Disparities in anterior cervical discectomy and fusion provision and outcomes for cervical stenosis","volume":"14","author":"Das","year":"2023","journal-title":"N Am Spine Soc J"},{"issue":"24","key":"10.1016\/j.spinee.2025.03.003_bib0016","doi-asserted-by":"crossref","first-page":"1701","DOI":"10.1097\/BRS.0000000000004455","article-title":"Patients from socioeconomically distressed communities experience similar clinical improvements following anterior cervical discectomy and fusion","volume":"47","author":"Lambrechts","year":"2022","journal-title":"Spine (Phila Pa 1976)"},{"issue":"18","key":"10.1016\/j.spinee.2025.03.003_bib0017","article-title":"Association of Neighborhood socioeconomic deprivation with utilization and costs of anterior cervical discectomy and fusion","volume":"48","author":"M","year":"2023","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2025.03.003_bib0018","doi-asserted-by":"crossref","first-page":"e341","DOI":"10.1016\/j.wneu.2022.03.124","article-title":"Neighborhood-level socioeconomic status predicts extended length of stay after elective anterior cervical spine surgery","volume":"163","author":"Hagan","year":"2022","journal-title":"World Neurosurg"},{"issue":"6","key":"10.1016\/j.spinee.2025.03.003_bib0019","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1016\/j.mayocp.2022.01.018","article-title":"Socioeconomic deprivation and premature cardiovascular mortality in the United States","volume":"97","author":"Bevan","year":"2022","journal-title":"Mayo Clinic Proceed"},{"issue":"2","key":"10.1016\/j.spinee.2025.03.003_bib0020","doi-asserted-by":"crossref","first-page":"e375","DOI":"10.1097\/SLA.0000000000004243","article-title":"Hospital costs following surgical complications: a value-driven outcomes analysis of cost savings due to complication prevention","volume":"275","author":"Stokes","year":"2022","journal-title":"Ann Surg"},{"issue":"4","key":"10.1016\/j.spinee.2025.03.003_bib0021","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1001\/jamainternmed.2018.7464","article-title":"Measuring hospital-acquired complications associated with low-value care","volume":"179","author":"Badgery-Parker","year":"2019","journal-title":"JAMA Internal Medicine"},{"key":"10.1016\/j.spinee.2025.03.003_bib0022","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.2147\/JMDH.S358733","article-title":"Is the hospital value-based purchasing program associated with reduced hospital readmissions?","volume":"15","author":"Beauvais","year":"2022","journal-title":"J Multidiscip Healthc"},{"issue":"10","key":"10.1016\/j.spinee.2025.03.003_bib0023","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCOUTCOMES.118.005098","article-title":"Predicting and preventing hospital readmissions in value-based programs","volume":"11","author":"McCarthy","year":"2018","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"1","key":"10.1016\/j.spinee.2025.03.003_bib0024","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1080\/20479700.2019.1637068","article-title":"Medicare cost reduction in the US: a case study of hospital readmissions and value-based purchasing","volume":"14","author":"Kocakulah","year":"2021","journal-title":"Int J Healthcare Manage"},{"key":"10.1016\/j.spinee.2025.03.003_bib0025","first-page":"167","article-title":"Trends and costs of anterior cervical discectomy and fusion: a comparison of inpatient and outpatient procedures","volume":"38","author":"Martin","year":"2018","journal-title":"Iowa Orthop J"},{"issue":"5","key":"10.1016\/j.spinee.2025.03.003_bib0026","doi-asserted-by":"crossref","first-page":"E11","DOI":"10.3171\/2018.2.FOCUS17790","article-title":"Outpatient spine surgery: defining the outcomes, value, and barriers to implementation","volume":"44","author":"Pendharkar","year":"2018","journal-title":"Neurosurg Focus"},{"issue":"Suppl 1","key":"10.1016\/j.spinee.2025.03.003_bib0027","doi-asserted-by":"crossref","first-page":"S108","DOI":"10.21037\/jss.2019.04.17","article-title":"Trends in outpatient minimally invasive spine surgery","volume":"5","author":"Basil","year":"2019","journal-title":"J Spine Surg"},{"issue":"2","key":"10.1016\/j.spinee.2025.03.003_bib0028","doi-asserted-by":"crossref","first-page":"266","DOI":"10.14444\/8036","article-title":"The expanding frontier of outpatient spine surgery","volume":"15","author":"Beschloss","year":"2021","journal-title":"Int J Spine Surg"},{"issue":"9","key":"10.1016\/j.spinee.2025.03.003_bib0029","doi-asserted-by":"crossref","first-page":"1944","DOI":"10.1016\/j.spinee.2013.11.038","article-title":"Selection of patients for ambulatory lumbar discectomy: results from four US states","volume":"14","author":"Bekelis","year":"2014","journal-title":"Spine J"},{"issue":"Suppl 2","key":"10.1016\/j.spinee.2025.03.003_bib0030","doi-asserted-by":"crossref","first-page":"S174","DOI":"10.21037\/jss.2019.04.14","article-title":"Lumbar spinal fusion in the outpatient setting: an update on management, surgical approaches and planning","volume":"5","author":"Basques","year":"2019","journal-title":"J Spine Surg"},{"key":"10.1016\/j.spinee.2025.03.003_bib0031","series-title":"Minimally invasive spine surgery: surgical techniques and disease management","first-page":"605","article-title":"Selection of appropriate patients for outpatient spine surgery","author":"Smith","year":"2019"},{"issue":"4","key":"10.1016\/j.spinee.2025.03.003_bib0032","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1097\/BRS.0000000000004519","article-title":"Ambulatory Lumbar Fusion: a systematic review of perioperative protocols, patient selection criteria, and outcomes","volume":"48","author":"Subramanian","year":"2023","journal-title":"Spine"},{"issue":"1","key":"10.1016\/j.spinee.2025.03.003_bib0033","doi-asserted-by":"crossref","first-page":"E36","DOI":"10.1097\/BRS.0000000000000604","article-title":"Feasibility and patient-reported outcomes after outpatient single-level instrumented posterior lumbar interbody fusion in a surgery center: preliminary results in 16 patients","volume":"40","author":"Chin","year":"2015","journal-title":"Spine"},{"issue":"8","key":"10.1016\/j.spinee.2025.03.003_bib0034","doi-asserted-by":"crossref","first-page":"2124","DOI":"10.1177\/21925682211070823","article-title":"Household income as a predictor for surgical outcomes and opioid use after spine surgery in the United States","volume":"13","author":"Barrie","year":"2023","journal-title":"Global Spine J"},{"issue":"12","key":"10.1016\/j.spinee.2025.03.003_bib0035","doi-asserted-by":"crossref","first-page":"1848","DOI":"10.1016\/j.spinee.2023.09.005","article-title":"Unplanned readmissions following ambulatory spine surgery: assessing common reasons and risk factors","volume":"23","author":"Amen","year":"2023","journal-title":"Spine J"},{"issue":"17","key":"10.1016\/j.spinee.2025.03.003_bib0036","doi-asserted-by":"crossref","first-page":"E939","DOI":"10.1097\/BRS.0000000000003968","article-title":"Association of Medicare and Medicaid insurance status with increased spine surgery utilization rates","volume":"46","author":"Benton","year":"2021","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2025.03.003_bib0037","article-title":"Limited health literacy results in lower health-related quality of life in spine patients","author":"Koole","year":"2023","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2025.03.003_bib0038","article-title":"Overlapping surgery in arthroplasty\u2014a systematic review and meta-analysis","author":"Kim","year":"2022","journal-title":"Orthop Traumatol Surg Res"}],"container-title":["The Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943025001500?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943025001500?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T00:19:45Z","timestamp":1758068385000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1529943025001500"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":38,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["S1529943025001500"],"URL":"https:\/\/doi.org\/10.1016\/j.spinee.2025.03.003","relation":{},"ISSN":["1529-9430"],"issn-type":[{"value":"1529-9430","type":"print"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Neighborhood socioeconomic disadvantage predicts extended length of stay and nonhome discharge but not readmissions or reoperations after anterior cervical discectomy and fusion","name":"articletitle","label":"Article Title"},{"value":"The Spine Journal","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.spinee.2025.03.003","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"}]}}