{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,12]],"date-time":"2026-11-12T10:27:28Z","timestamp":1794479248802,"version":"4.9.1"},"reference-count":36,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","surgjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.surg.2026.110312","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T02:21:11Z","timestamp":1778552471000},"page":"110312","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Outcomes following major cardiac procedures in socially vulnerable patients are not improved at high-volume centers"],"prefix":"10.1016","volume":"196","author":[{"given":"Giselle","family":"Porter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konmal","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kruti","family":"Desai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Troy","family":"Coaston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Sakowitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4705-0262","authenticated-orcid":false,"given":"Peyman","family":"Benharash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basam","family":"Omari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2026.110312_bib1","doi-asserted-by":"crossref","first-page":"5135","DOI":"10.1111\/jocs.17229","article-title":"The effect of socioeconomic factors on patient outcomes in cardiac surgery","volume":"37","author":"McLeish","year":"2022","journal-title":"J Card Surg"},{"key":"10.1016\/j.surg.2026.110312_bib2","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/j.athoracsur.2020.05.102","article-title":"Effect of neighborhood socioeconomic factors on readmissions and mortality after coronary artery bypass grafting","volume":"111","author":"Coyan","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.surg.2026.110312_bib3","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.1016\/j.athoracsur.2021.10.006","article-title":"The association of socioeconomic factors with outcomes for coronary artery bypass surgery","volume":"114","author":"Hannan","year":"2022","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.surg.2026.110312_bib38","doi-asserted-by":"crossref","first-page":"2225","DOI":"10.1186\/s12889-025-23442-4","article-title":"Use of Z-codes related to social determinants of health among adult inpatients in France: a nationwide study from 2014 to 2022","volume":"25","author":"Fernandes","year":"2025","journal-title":"BMC Public Health"},{"key":"10.1016\/j.surg.2026.110312_bib4","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1016\/j.jtcvs.2022.02.061","article-title":"Contemporary socioeconomic-based disparities in cardiac surgery: are we closing the disparities gap?","volume":"167","author":"Newell","year":"2024","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.surg.2026.110312_bib5","doi-asserted-by":"crossref","first-page":"1480","DOI":"10.1016\/j.jtcvs.2025.01.010","article-title":"Low socioeconomic status adversely influences outcomes after coronary artery bypass grafting","volume":"170","author":"Brlecic","year":"2025","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.surg.2026.110312_bib6","doi-asserted-by":"crossref","first-page":"1935","DOI":"10.1016\/j.athoracsur.2021.06.025","article-title":"Failure to rescue: a new Society of Thoracic Surgeons quality metric for cardiac surgery","volume":"113","author":"Kurlansky","year":"2022","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.surg.2026.110312_bib7","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.athoracsur.2016.04.051","article-title":"Failure to rescue rates after coronary artery bypass grafting: an analysis from the Society of Thoracic Surgeons Adult Cardiac Surgery Database","volume":"102","author":"Edwards","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.surg.2026.110312_bib8","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1016\/j.surg.2021.03.004","article-title":"Impact of hospital volume on resource use after elective cardiac surgery: a contemporary analysis","volume":"170","author":"Hadaya","year":"2021","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2026.110312_bib9","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1001\/jamasurg.2013.3649","article-title":"Understanding the volume-outcome effect in cardiovascular surgery: the role of failure to rescue","volume":"149","author":"Gonzalez","year":"2014","journal-title":"JAMA Surg"},{"key":"10.1016\/j.surg.2026.110312_bib11","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.surg.2024.03.044","article-title":"Association of socioeconomic vulnerability with outcomes after emergency general surgery","volume":"176","author":"Sakowitz","year":"2024","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2026.110312_bib12","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1097\/MLR.0b013e31819432e5","article-title":"A modification of the Elixhauser comorbidity measures into a point system for hospital death using administrative data","volume":"47","author":"van Walraven","year":"2009","journal-title":"Med Care"},{"key":"10.1016\/j.surg.2026.110312_bib14","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1002\/sim.4780040112","article-title":"A Wilcoxon-type test for trend","volume":"4","author":"Cuzick","year":"1985","journal-title":"Stat Med"},{"key":"10.1016\/j.surg.2026.110312_bib15","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1097\/SLA.0000000000004691","article-title":"County-level social vulnerability is associated with worse surgical outcomes especially among minority patients","volume":"274","author":"Diaz","year":"2021","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2026.110312_bib16","doi-asserted-by":"crossref","DOI":"10.1016\/j.surg.2025.109655","article-title":"Patient-reported health-related social needs obtained at the bedside and outcomes after elective major surgery","volume":"187","author":"Schultz","year":"2025","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2026.110312_bib17","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.amjsurg.2023.09.028","article-title":"Social vulnerability is associated with higher risk-adjusted rates of postoperative complications in a broad surgical population","volume":"229","author":"Dyas","year":"2024","journal-title":"Am J Surg"},{"key":"10.1016\/j.surg.2026.110312_bib18","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1016\/j.amjsurg.2022.06.012","article-title":"Social determinants of health Z-codes and postoperative outcomes after colorectal surgery: a national population-based study","volume":"224","author":"Pollak","year":"2022","journal-title":"Am J Surg"},{"key":"10.1016\/j.surg.2026.110312_bib19","doi-asserted-by":"crossref","first-page":"1907","DOI":"10.1186\/s12889-024-19418-5","article-title":"Social vulnerability and surgery outcomes: a cross-sectional analysis","volume":"24","author":"Abdelhack","year":"2024","journal-title":"BMC Public Health"},{"key":"10.1016\/j.surg.2026.110312_bib20","doi-asserted-by":"crossref","DOI":"10.1016\/j.jtcvs.2026.01.025","article-title":"The association between the Distressed Communities Index and failure to rescue after cardiac surgery among Medicare beneficiaries","author":"Pegues","year":"2026","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.surg.2026.110312_bib21","doi-asserted-by":"crossref","first-page":"1100","DOI":"10.1016\/j.jtcvs.2022.07.013","article-title":"Socioeconomic distress is associated with failure to rescue in cardiac surgery","volume":"167","author":"Strobel","year":"2024","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.surg.2026.110312_bib22","doi-asserted-by":"crossref","first-page":"1777","DOI":"10.1016\/j.surg.2021.06.001","article-title":"Profiles in social vulnerability: the association of social determinants of health with postoperative surgical outcomes","volume":"170","author":"Paro","year":"2021","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2026.110312_bib23","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1001\/jamasurg.2025.0045","article-title":"Food insecurity and clinical outcomes in surgical trauma patients","volume":"160","author":"Ehsan","year":"2025","journal-title":"JAMA Surg"},{"key":"10.1016\/j.surg.2026.110312_bib24","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1001\/jamasurg.2025.1809","article-title":"Food insecurity in US surgical patients: findings from the National Health Interview Survey","volume":"160","author":"Jones","year":"2025","journal-title":"JAMA Surg"},{"key":"10.1016\/j.surg.2026.110312_bib25","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.jvs.2025.08.047","article-title":"Association of food and housing insecurity with outcomes after revascularization for chronic limb-threatening ischemia","volume":"83","author":"McNamara","year":"2026","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.surg.2026.110312_bib26","doi-asserted-by":"crossref","DOI":"10.5888\/pcd21.240060","article-title":"Social deprivation and multimorbidity among community-based health center patients in the United States","volume":"21","author":"Valenzuela","year":"2024","journal-title":"Prev Chronic Dis"},{"key":"10.1016\/j.surg.2026.110312_bib27","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1093\/eurpub\/ckab015","article-title":"Role of social support in the relationship between financial hardship and multimorbidity\u2014a causal mediation analysis","volume":"31","author":"Singh","year":"2021","journal-title":"Eur J Public Health"},{"key":"10.1016\/j.surg.2026.110312_bib28","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0275215","article-title":"Frequency and patient attributes associated with emergency department visits after discharge: retrospective cohort study","volume":"17","author":"Salgado","year":"2022","journal-title":"PLoS One"},{"key":"10.1016\/j.surg.2026.110312_bib29","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1111\/jocn.15932","article-title":"Access to post-acute care services reduces emergency department utilisation among individuals insured by Medicaid: an observational study","volume":"31","author":"Brom","year":"2022","journal-title":"J Clin Nurs"},{"key":"10.1016\/j.surg.2026.110312_bib30","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.jacc.2013.05.002","volume":"62","author":"Harold","year":"2013","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.surg.2026.110312_bib31","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1016\/j.jcin.2017.02.015","article-title":"Impact of institutional and operator volume on short-term outcomes of percutaneous coronary intervention: a report from the Japanese Nationwide Registry","volume":"10","author":"Inohara","year":"2017","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.surg.2026.110312_bib32","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1016\/j.jvs.2019.06.194","article-title":"Impact of hospital volume on patient safety indicators and failure to rescue following open aortic aneurysm repair","volume":"71","author":"Scali","year":"2020","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.surg.2026.110312_bib33","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1016\/j.jvs.2019.12.044","article-title":"Association of hospital volume with patient selection, risk of complications, and mortality from failure to rescue after open abdominal aortic aneurysm repair","volume":"72","author":"Giles","year":"2020","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.surg.2026.110312_bib34","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1097\/TA.0000000000001985","article-title":"High-volume hospitals are associated with lower mortality among high-risk emergency general surgery patients","volume":"85","author":"Ogola","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.surg.2026.110312_bib35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jss.2021.06.032","article-title":"Barriers to post-discharge monitoring and patient-clinician communication: a qualitative study","volume":"268","author":"Brajcich","year":"2021","journal-title":"J Surg Res"},{"key":"10.1016\/j.surg.2026.110312_bib36","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2017-3402","article-title":"Poverty, transportation access, and medication nonadherence","volume":"141","author":"Hensley","year":"2018","journal-title":"Pediatrics"},{"key":"10.1016\/j.surg.2026.110312_bib37","first-page":"210","article-title":"Social needs of dual-enrolled Medicare-Medicaid patients with medication nonadherence in a telehealth medication therapy management program","volume":"29","author":"Almod\u00f3var","year":"2023","journal-title":"J Manag Care Spec Pharm"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606026002370?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606026002370?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,12]],"date-time":"2026-11-12T09:37:20Z","timestamp":1794476240000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039606026002370"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":36,"alternative-id":["S0039606026002370"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2026.110312","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Outcomes following major cardiac procedures in socially vulnerable patients are not improved at high-volume centers","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2026.110312","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"110312"}}