{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:37:24Z","timestamp":1787067444741,"version":"build-2736575974"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,7,13]],"date-time":"2025-07-13T00:00:00Z","timestamp":1752364800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>For pediatric burn patients, outpatient follow-up is essential to optimize outcomes. Social determinants of health (SDH) influence families\u2019 ability to attend clinic follow-up appointments. We hypothesize that SDH differences are associated with missing outpatient burn follow-up and therefore inferior burn-related outcomes. We performed a retrospective cohort study of patients &amp;lt;18\u00a0years of age who were admitted to our pediatric burn center during 2021-2022. Patient demographics, injury and management details, social work SDH assessment, and post-injury complications were collected. Multivariate regression was conducted to identify independent predictors of missed follow-up. Among 322 patients, median age at injury was 2.5\u00a0years (IQR: 1.4-7.8). Most patients were male (60.2%) and most were White (56.0%). About 46% of patients missed one or more appointment. Patients who missed appointments less often had a primary care provider (PCP) (91.3% vs 98.1%; P\u00a0=\u2009.007) and were more commonly exposed to tobacco\/illicit substances (31.8% vs 21.3%; P\u00a0=\u2009.03). Patients who attended all appointments more often had their burns managed non-surgically (81.6% vs 62.8%, P\u00a0&amp;lt;\u2009.0001). Controlling for relevant clinical factors, independent predictors of missing appointments included not having a PCP (aOR 6.10; 95% CI, 1.25-29.81) and requiring surgical burn management (aOR 3.13; 95% CI, 1.65-5.95). Next steps include collaborating with social work to improve support and resources for patients who are at increased risk for letting their outpatient burn care lapse. This may include establishing a PCP prior to discharge, particularly among patients requiring more extensive burn management.<\/jats:p>","DOI":"10.1093\/jbcr\/iraf139","type":"journal-article","created":{"date-parts":[[2025,7,13]],"date-time":"2025-07-13T03:46:17Z","timestamp":1752378377000},"page":"223-230","source":"Crossref","is-referenced-by-count":1,"title":["Social Determinants of Health Affect Long-Term Burn Care in Pediatric Patients"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9835-3933","authenticated-orcid":false,"given":"Katherine","family":"Bergus","sequence":"first","affiliation":[{"name":"Department of Pediatric General Surgery, Nationwide Children\u2019s Hospital , Columbus, OH 43205 ,","place":["United 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