{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T11:09:07Z","timestamp":1789211347075,"version":"build-2803163510"},"reference-count":21,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"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":[[2026,10]]},"abstract":"\n Background:<\/jats:title>\n Social determinants of health greatly influence medical outcomes. The Area Deprivation Index (ADI) assesses socioeconomic disparities. This study evaluates the impact of geographic socioeconomic disadvantage on the time to scaphoid open reduction and internal fixation (ORIF).<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n A retrospective chart review from 2012 to 2023 analyzed time to surgery (TTS) with 21- and 28-day cutoffs (TTS\n 21<\/jats:sub>\n and TTS\n 28<\/jats:sub>\n ). Patients were categorized into highest (ADI\n high<\/jats:sub>\n ) and lowest (ADI\n low<\/jats:sub>\n ) national ADI quartiles. Logistic regression and proportional hazards models were built to determine whether ADI status affected time to surgery. The impact of age, sex, race, ethnicity, insurance status, and medical comorbidities on TTS was also assessed.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Among 116 patients (83% male, 17% female), the average TTS was 20.8 \u00b1 27.1 days. For TTS\n 21<\/jats:sub>\n , mean TTS\n \u226421<\/jats:sub>\n was 8.9 \u00b1 5.2 days versus TTS\n >21<\/jats:sub>\n was 52.1 \u00b1 35.3 days (\n P<\/jats:italic>\n < .05). For TTS\n 28<\/jats:sub>\n , mean TTS\n \u226428<\/jats:sub>\n was 10.5 \u00b1 6.9 days versus TTS\n >28<\/jats:sub>\n was 62.7 \u00b1 36.6 days (\n P<\/jats:italic>\n < .05). ADI\n low<\/jats:sub>\n and ADI\n high<\/jats:sub>\n quartiles had 30 patients each, with average TTS of 23.1 \u00b1 34.3 and 19.3 \u00b1 25.0 days, respectively, with no significant difference (\n P<\/jats:italic>\n = .18).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Significant surgical delays occur when scaphoid ORIF is performed after 21- or 28-day post-injury. Although geographic disadvantage was not identified as a risk in this study due to small sample size, future studies could help clarify the utility in ADI integration into electronic records to identify at-risk patients for more timely surgical intervention.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/15589447251397006","type":"journal-article","created":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T13:19:31Z","timestamp":1764595171000},"page":"1509-1516","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Is Area Deprivation Index Associated With Delays in Surgical Treatment of Acute Scaphoid Fractures?"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6520-2699","authenticated-orcid":false,"given":"Tania P.","family":"Mamdouhi","sequence":"first","affiliation":[{"name":"University of Michigan, Department of Orthopaedic Surgery, Ann Arbor, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4821-4679","authenticated-orcid":false,"given":"Carol A.","family":"Janney","sequence":"additional","affiliation":[{"name":"University of Michigan, Consulting for Statistics Computing and Analytics Research (CSCAR), Ann Arbor, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elinor","family":"Stern","sequence":"additional","affiliation":[{"name":"University of Michigan, Department of Orthopaedic Surgery, Ann Arbor, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6276-6760","authenticated-orcid":false,"given":"Zhaorui","family":"Wang","sequence":"additional","affiliation":[{"name":"University of Michigan, Department of Orthopaedic Surgery, Ann Arbor, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Yang","sequence":"additional","affiliation":[{"name":"University of Michigan, Department of Orthopaedic Surgery, Ann Arbor, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6461-6830","authenticated-orcid":false,"given":"T. K. Kevin","family":"Chan","sequence":"additional","affiliation":[{"name":"University of Michigan, Department of Orthopaedic Surgery, Ann Arbor, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.06.016"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12593-015-0206-2"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-018-9619-3"},{"issue":"1","key":"e_1_3_2_5_2","first-page":"77","article-title":"Consequences of late immobilization of scaphoid fracture","volume":"13","author":"Langhoff O","year":"1988","unstructured":"Langhoff O, Andersen J. Consequences of late immobilization of scaphoid fracture. J Hand Surg Br. 1988;13(1):77-79.","journal-title":"J Hand Surg Br"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200612000-00017"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.5435\/jaaos-d-23-00188"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1639509"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1062860617753063"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231187904"},{"key":"e_1_3_2_11_2","article-title":"Area deprivation index is not associated with the severity of carpal tunnel syndrome","volume":"2023","author":"Aloi NF","unstructured":"Aloi NF, Rahman H, Fowler JR. Area deprivation index is not associated with the severity of carpal tunnel syndrome. HAND. 2023:15589447231167591.","journal-title":"HAND"},{"issue":"3","key":"e_1_3_2_12_2","first-page":"333","article-title":"The effect of social deprivation on hospital utilization following distal radius fracture treatment","volume":"6","author":"Van Boxtel ME","year":"2024","unstructured":"Van Boxtel ME, Jauregui I, Valiquette A, et al. The effect of social deprivation on hospital utilization following distal radius fracture treatment. J Hand Surg Glob Online. 2024;6(3):333-337.","journal-title":"J Hand Surg Glob Online"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199801000-00004"},{"key":"e_1_3_2_14_2","unstructured":"Health UoWSoMaP. Neighborhood atlas Area Deprivation Index. Accessed November 11 2025. https:\/\/www.neighborhoodatlas.medicine.wisc.edu\/"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/15589447221075669"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/bpo.0000000000002491"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2021.10.011"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2024.101662"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.58616\/001c.117031"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2009.03.045"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/00031348221121561"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193410381823"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447251397006","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447251397006","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447251397006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T10:59:09Z","timestamp":1789210749000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447251397006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,1]]},"references-count":21,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/15589447251397006"],"URL":"https:\/\/doi.org\/10.1177\/15589447251397006","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,1]]}}}