{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T19:48:42Z","timestamp":1792266522372,"version":"4.4.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,5,26]],"date-time":"2024-05-26T00:00:00Z","timestamp":1716681600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The influence of social determinants of health (SDH) on postoperative complications has been investigated in several studies, although correlation with Achilles tendon rupture (ATR) repair remains uninvestigated. SDH encompasses several factors, including insurance status and area-based measurements, including the Area Deprivation Index (ADI) and Social Vulnerability Index (SVI), which ranks neighborhoods by social disadvantage. This study investigated the correlation between patient demographics, SDH, and complications following ATR repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted on 521 patients who presented with acute ATR and met the inclusion criteria, including age\u2009\u226518\u2009years, a minimum of 30-day follow-up, and repair within 28\u2009days of rupture. We reviewed patient demographics, time to surgery (TTS), and postoperative complications, including venous thromboembolism (VTE), rerupture, surgical site infection (SSI), wound dehiscence, and sural nerve injury. SDH variables included race, smoking status, insurance status, level of education, ADI, and SVI. Univariate regression tested the correlation between complications and SDH indicators. Significant variables ( P\u2009&lt;\u2009.05) were included in a multivariate regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Sixty-eight complications occurred in 59 patients (11.3%). Multivariate regression showed that a higher ADI, that is, socially deprived individuals, was associated with lower rates of VTE (OR\u2009=\u20090.41, P\u2009=\u2009.04). Higher body mass index (BMI) was associated with rerupture (OR\u2009=\u20098.73, P\u2009&lt;\u2009.01). Male patients had lower rates of wound dehiscence (OR\u2009=\u20090.31, P\u2009=\u2009.03) and VTE (OR\u2009=\u20090.32, P\u2009=\u2009.02) compared with women. Longer TTS correlated with sural nerve injuries (OR\u2009=\u20092.23, P\u2009&lt;\u2009.01) and shorter TTS with reruptures (OR\u2009=\u20090.02, P\u2009 =\u2009.02).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Some measures of SDH were associated with postoperative complications. Gender also may have an effect, with male sex associated with lower rates of wound dehiscence and VTE. BMI was associated with higher rates of reruptures and overall general complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007241250021","type":"journal-article","created":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T02:48:59Z","timestamp":1716778139000},"page":"879-887","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["The Influence of Patient Characteristics and Social Determinants of Health on Postoperative Complications Following Achilles Tendon Rupture"],"prefix":"10.1177","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2005-8269","authenticated-orcid":false,"given":"Joris R. H.","family":"Hendriks","sequence":"first","affiliation":[{"name":"Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA"},{"name":"Department of Orthopedic Surgery and Sports Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riley J.","family":"Baker","sequence":"additional","affiliation":[{"name":"Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA"},{"name":"University of Connecticut School of Medicine, Farmington, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom M.","family":"de Groot","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University Medical Center Groningen, Groningen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Lans","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory R.","family":"Waryasz","sequence":"additional","affiliation":[{"name":"Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA"},{"name":"Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA"},{"name":"Foot and Ankle Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Newton-Wellesley Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gino M. M. J.","family":"Kerkhoffs","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands"},{"name":"Amsterdam Movement Sciences, Sports, Musculoskeletal Health, Amsterdam, the Netherlands"},{"name":"Academic Center for Evidence-based Sports Medicine (ACES), Amsterdam, the Netherlands"},{"name":"Amsterdam Collaboration on Health & Safety in Sports (ACHSS), IOC Research Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soheil","family":"Ashkani-Esfahani","sequence":"additional","affiliation":[{"name":"Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA"},{"name":"Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA"},{"name":"Foot and Ankle Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Newton-Wellesley Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher W.","family":"DiGiovanni","sequence":"additional","affiliation":[{"name":"Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA"},{"name":"Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA"},{"name":"Foot and Ankle Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Newton-Wellesley Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Guss","sequence":"additional","affiliation":[{"name":"Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA"},{"name":"Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA"},{"name":"Foot and Ankle Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Newton-Wellesley Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,26]]},"reference":[{"key":"bibr1-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X15592486"},{"key":"bibr2-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000144475.05543.e7"},{"key":"bibr3-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2021.0080"},{"key":"bibr4-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1177\/1938640015609983"},{"key":"bibr5-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1186\/1751-0473-3-17"},{"key":"bibr6-10711007241250021","unstructured":"Centers for Disease Control and Prevention\/Agency for Toxic Substances and Disease Registry\/Geospatial Research, Analysis, and Services Program. Social vulnerability index 2016, 2018 and 2020 Database US. 2020. Accessed September 17, 2022. https:\/\/www.atsdr.cdc.gov\/placeandhealth\/svi\/data_documentation_download.html"},{"key":"bibr7-10711007241250021","volume-title":"Healthy People 2020 Midcourse Review","author":"Centers for Disease Control and Prevention, National Center for Health Statistics. Chapter 39: Social determinants of health","year":"2020"},{"key":"bibr8-10711007241250021","doi-asserted-by":"publisher","DOI":"10.4103\/sja.SJA_543_18"},{"key":"bibr9-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5295-6"},{"key":"bibr10-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0276548"},{"key":"bibr11-10711007241250021","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0337"},{"key":"bibr12-10711007241250021","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00787"},{"key":"bibr13-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1177\/1938640018816376"},{"key":"bibr14-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1177\/1938640018769740"},{"key":"bibr15-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202301104"},{"key":"bibr16-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000002331"},{"key":"bibr17-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1802313"},{"key":"bibr18-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2023.04.002"},{"key":"bibr19-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1111\/jth.13868"},{"key":"bibr20-10711007241250021","volume-title":"Applied Linear Statistical Models","author":"Kutner MH","year":"2005","edition":"5"},{"key":"bibr21-10711007241250021","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10040-1273"},{"key":"bibr22-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-07103-2"},{"key":"bibr23-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06824-0"},{"key":"bibr24-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1016\/j.respe.2013.05.014"},{"key":"bibr25-10711007241250021","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOSGlobal-D-21-00016"},{"key":"bibr26-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k5120"},{"key":"bibr27-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmy039"},{"key":"bibr28-10711007241250021","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200211000-00017"},{"key":"bibr29-10711007241250021","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.01188"},{"key":"bibr30-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519876054"},{"key":"bibr31-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001168"},{"key":"bibr32-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1446931"},{"key":"bibr33-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.99B1.BJJ-2016-0434.R1"},{"key":"bibr34-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1093\/bioinformatics\/btr597"},{"issue":"4","key":"bibr35-10711007241250021","volume":"62","author":"Sveen TM","year":"2015","journal-title":"Dan Med J"},{"key":"bibr36-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1177\/19417381221087246"},{"key":"bibr37-10711007241250021","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00635"},{"key":"bibr38-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000698"},{"key":"bibr39-10711007241250021","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-0846"},{"key":"bibr40-10711007241250021","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-029913"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007241250021","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10711007241250021","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007241250021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:23:03Z","timestamp":1777411383000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10711007241250021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,26]]},"references-count":40,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1177\/10711007241250021"],"URL":"https:\/\/doi.org\/10.1177\/10711007241250021","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,26]]}}}