{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:16:01Z","timestamp":1777662961320,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T00:00:00Z","timestamp":1776556800000},"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.)"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The purpose of this study was to identify demographic, clinical, and socioeconomic factors associated with follow-up adherence among hand trauma patients at an urban level I trauma center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted using electronic health records of adult patients presenting with hand trauma between June 2022 and March 2024. A 1:1 age- and sex-matched case-control sample of 1000 patients was created, divided by follow-up status. Variables included race, insurance type, injury category, likelihood of surgery, surgical treatment, multi-system injury, and Area Deprivation Index (ADI). Logistic regression was used to identify predictors of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Insurance status and injury type were independently associated with follow-up. Patients with Medicaid (odds ratio [OR] 0.61,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .024) or self-pay (OR 0.44,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .014) were less likely to return than those with commercial insurance. Patients with soft-tissue injuries were significantly less likely to follow up than those with closed fractures or dislocations (OR 0.09,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Race and ADI were not independently predictive. The model demonstrated strong performance with an area under the curve (AUC) of 0.863.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Insurance type and injury severity were significant predictors of follow-up adherence. Broader demographic and neighborhood-level socioeconomic measures were not independently associated. These findings may inform targeted strategies to reduce disparities in postinjury care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447261433061","type":"journal-article","created":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T12:31:02Z","timestamp":1776601862000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Determinants of Follow-Up Adherence Among Hand Trauma Patients at an Academic Medical Center"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7733-3375","authenticated-orcid":false,"given":"Esha","family":"Reddy","sequence":"first","affiliation":[{"name":"University of Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chad","family":"Archdeacon","sequence":"additional","affiliation":[{"name":"University of Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"McMillan","sequence":"additional","affiliation":[{"name":"University of Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1389-6243","authenticated-orcid":false,"given":"Onyinyechukwu","family":"Otiocha","sequence":"additional","affiliation":[{"name":"University of Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7949-7986","authenticated-orcid":false,"given":"Natasha","family":"Kejriwal","sequence":"additional","affiliation":[{"name":"University of Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Guest","sequence":"additional","affiliation":[{"name":"University of Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Logan P","family":"Lake","sequence":"additional","affiliation":[{"name":"University of Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaac","family":"Hale","sequence":"additional","affiliation":[{"name":"University of Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8863-3720","authenticated-orcid":false,"given":"Matthew M","family":"Florczynski","sequence":"additional","affiliation":[{"name":"University of Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,19]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944717735943"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.5435\/jaaosglob-d-23-00173"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201008000-00003"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.5435\/jaaosglobal-d-23-00140"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000007687"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001406"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000004299"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1802313"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-021-01222-1"},{"key":"e_1_3_2_11_2","unstructured":"University of Wisconsin School of Medicine and Public Health. Neighborhood atlas. Accessed May 9 2025. https:\/\/www.neighborhoodatlas.medicine.wisc.edu\/"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2020.09.006"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000002394"},{"key":"e_1_3_2_14_2","unstructured":"Medicaid eligibility and enrollment in Ohio. Accessed April 25 2025. https:\/\/www.healthinsurance.org\/medicaid\/ohio\/"},{"issue":"4","key":"e_1_3_2_15_2","first-page":"6","article-title":"Claims-based reporting of post-operative visits for procedures with 10- or 90-day global periods: updated results using calendar year 2018 data","volume":"9","author":"Crespin DJ","year":"2022","unstructured":"Crespin DJ, Kranz AM, Ruder T, et al. Claims-based reporting of post-operative visits for procedures with 10- or 90-day global periods: updated results using calendar year 2018 data. 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