{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T20:55:05Z","timestamp":1787604905907,"version":"build-2736575974"},"reference-count":45,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Social determinants of health (SDOH) may influence hand surgery outcomes. The Area Deprivation Index (ADI) is a validated and weighted index comprised of 17 census-based markers of material deprivation and poverty.<\/jats:p>\n                  <jats:p>The purpose was to determine whether patients with high ADI (greater disadvantage) undergoing open reduction and internal fixation (ORIF) for distal radius fractures (DRF) were associated with differences in: (1) medical complications, (2) emergency department (ED) utilizations, (3) readmissions, and (4) costs.<\/jats:p>\n                  <jats:p>Patients who underwent ORIF for DRFs were isolated from an insurance database from 2010 to 2020. ADI is reported on a scale of 0 to 100. Higher numbers indicate greater disadvantage. Patients associated with high ADI (95%\u2009+\u2009) were compared with controls defined as lower ADI (0\u201394%). Patients with high ADI were 1:1 propensity-score matched to controls by age, gender, and Elixhauser Comorbidity Index (ECI). Multivariable logistic regression models computed odds ratios (OR) of ADI on medical complications, ED utilizations, and readmissions. t-tests were used to compare costs. P-values less than 0.05 were considered significant.<\/jats:p>\n                  <jats:p>Patients undergoing ORIF for DRF from high ADI incurred higher rates and odds of developing all medical complications (5.58 vs. 4.63%; OR: 1.23, p\u2009&lt;\u20090.0001). It was found that 90 ED utilizations (0.80% vs. 0.97%; OR: 0.83, p\u2009=\u20090.087) and readmissions (2.71% vs. 2.52%; OR: 1.08, p\u2009=\u20090.243) were similar to controls. Day of surgery ($2,626 vs. $2,571) and 90-day expenditures ($5,019 vs. $4,783) were similar between groups (all p\u2009&gt;\u20090.185).<\/jats:p>\n                  <jats:p>Socioeconomically disadvantaged patients have increased rates and odds of 90-day medical complications following ORIF for DRFs.<\/jats:p>\n                  <jats:p>III.<\/jats:p>","DOI":"10.1055\/a-2498-0841","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T19:22:18Z","timestamp":1737487338000},"page":"133-140","source":"Crossref","is-referenced-by-count":1,"title":["Social Determinants of Health in Patients Undergoing Open Reduction and Internal Fixation for Distal Radius Fractures"],"prefix":"10.1055","volume":"15","author":[{"given":"Adam M.","family":"Gordon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, New York"},{"name":"Questrom School of Business, Boston University, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal R.","family":"Elali","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, New York"},{"name":"SUNY Downstate Health Sciences University, College of Medicine, Brooklyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Choueka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"issue":"03","key":"ref1","first-page":"386","article-title":"Racism and health inequity among Americans","volume":"98","author":"V L Shavers","year":"2006","journal-title":"J Natl Med Assoc"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1097\/01.NURSE.0000803424.08667.c6","article-title":"A syndemic effect: interrelationships between systemic racism, health disparities, and COVID-19","volume":"52","author":"A Richard-Eaglin","year":"2022","journal-title":"Nursing"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"237","DOI":"10.2217\/17455057.4.3.237","article-title":"Gender bias in medicine","volume":"4","author":"K Hamberg","year":"2008","journal-title":"Womens Health (Lond Engl)"},{"issue":"08","key":"ref4","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1177\/0017896919859908","article-title":"Outcomes of gender-sensitivity educational interventions for healthcare providers: a systematic review","volume":"78","author":"S Lindsay","year":"2019","journal-title":"Health Educ J"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1186\/s12939-020-01283-4","article-title":"Gender disparities in clinical practice: are there any solutions? 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