{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T14:30:52Z","timestamp":1793716252737,"version":"4.6.1"},"reference-count":38,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T00:00:00Z","timestamp":1708992000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Disparities in social determinants of health (SDH) have been shown to play an increasingly important role in the equitable delivery of health care. Distal radius fractures (DRFs) are among the most common upper-extremity injuries encountered. This study aims to examine the influence of economic, educational, social, environmental, and healthcare disparities on management of these injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>PearlDiver Mariner insurance claims database was analyzed for treatment patterns of DRF in patients aged 18 to 65 years based on the presence or absence of social determinants of health disparities (SDHDs). Outcome variables included the primary mode of management of DRF, including operative versus non-operative, as well as concomitant procedures. Multivariate logistic regression was used to compare fracture management modality in patients with and without SDHDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 161\u2009704 patients identified with DRF, 38.3% had at least 1 reported SDHD. The majority of SDHDs were economic. Patients identified with 1 or more SDHDs had a higher medical comorbidity index. Patients with environmental SDHD were more likely to receive non-operative management. Within any SDHD and economic subgroups, odds of operative management were higher. No relationship was identified between SDHD and concomitant procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The presence of environmental disparities in SDH may predispose patients disproportionately to non-operative management. The presence of SDHDs may influence medical decision-making in favor of open reduction and internal fixation in patients with DRF treated operatively. In treating at-risk populations, providers should be aware of the potential for implicit bias associated with SDHDs and prioritize shared decision-making between patients and physicians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447241233369","type":"journal-article","created":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T07:13:25Z","timestamp":1709018005000},"page":"740-747","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The Impact of Social Determinants of Health on the Treatment of Distal Radius Fracture"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9599-7833","authenticated-orcid":false,"given":"Graham","family":"Grogan","sequence":"first","affiliation":[{"name":"University of Mississippi Medical Center, Jackson, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5508-4593","authenticated-orcid":false,"given":"Kristen L.","family":"Stephens","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of Virginia, Charlottesville, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of Virginia, Charlottesville, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmina","family":"Abdalla","sequence":"additional","affiliation":[{"name":"University of Virginia School of Medicine, Charlottesville, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1518-6798","authenticated-orcid":false,"given":"Ryan","family":"Wagner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kacy J.","family":"Peek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron M.","family":"Freilich","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Brent R.","family":"DeGeorge","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of Virginia, Charlottesville, USA"},{"name":"Department of Orthopaedic Surgery, University of Virginia, Charlottesville, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,2,27]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000312"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.061113"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1685205"},{"key":"e_1_3_2_5_2","unstructured":"American Academy of Orthopaedic Surgeons. Management of distal radius fractures evidence-based clinical practice guideline. www.aaos.org\/drfcpg. Published December 5 2020. 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Surgical versus conservative interventions for displaced distal radius fractures. In: Jupiter JB, Buijze GA, Chammas M, eds. Distal Radius Fractures: Evidence-Based Management. 1st ed. Amsterdam, The Netherlands: Elsevier; 2021:69-83.","edition":"1"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2022.06.012"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12018-019-09263-1"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.26502\/jesph.96120139"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2016.11.015"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.00181"},{"key":"e_1_3_2_27_2","volume-title":"Treatment of Distal Radial Fractures in Adults","author":"Nylenna M","year":"2013","unstructured":"Nylenna M, Fr\u00f8nsdal KB, Kvernmo HD, et al Treatment of Distal Radial Fractures in Adults. 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