{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:03:30Z","timestamp":1777853010396,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T00:00:00Z","timestamp":1694390400000},"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":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n                    The present study analyses the relationships between deprivation and obstetric brachial plexus palsy (OBPP). A retrospective observational study was conducted of infants with OBPP seen between 2008 and 2020 (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009321). The index of multiple deprivation (IMD) was used to assign an IMD rank to patients based on birth postcode and the relationship with OBPP was analysed, including deprivation, gestational diabetes, age at referral and at first assessment. Quintile-based analysis demonstrated over-representation of patients from more deprived neighbourhoods (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009109, 39%) living in the top 20% most deprived neighbourhoods. A total of 48 (15%) mothers had diabetes and 98 (31%) infants underwent surgical brachial plexus exploration (a marker of disease severity). Neither diabetes, age at referral nor age at first assessment were associated with IMD score. This suggests that neighbourhood deprivation is associated with OBPP, though the mechanisms are unclear. Further studies in this area may enable targeted health intervention for more deprived maternal and infant groups.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    III\n                  <\/jats:p>","DOI":"10.1177\/17531934231196421","type":"journal-article","created":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T07:33:28Z","timestamp":1694417608000},"page":"570-575","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Demographics and deprivation in obstetric brachial plexus palsy: a retrospective cohort study"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1271-6159","authenticated-orcid":false,"given":"Claire Madeline","family":"Hardie","sequence":"first","affiliation":[{"name":"Leeds Institute for Medical Research, University of Leeds, Leeds, UK"},{"name":"Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0059-8543","authenticated-orcid":false,"given":"Grainne","family":"Bourke","sequence":"additional","affiliation":[{"name":"Leeds Institute for Medical Research, University of Leeds, Leeds, UK"},{"name":"Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK"},{"name":"Department of Integrative Medical Biology, Ume\u00e5 University, Sweden"},{"name":"Department of Surgical and Perioperative Science, Ume\u00e5 University, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Salt","sequence":"additional","affiliation":[{"name":"Leeds Institute for Medical Research, University of Leeds, Leeds, UK"},{"name":"Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice","family":"Fort-Schaale","sequence":"additional","affiliation":[{"name":"Leeds Institute for Medical Research, University of Leeds, Leeds, UK"},{"name":"Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Clark","sequence":"additional","affiliation":[{"name":"Consumer Data Research Centre and School of Geography, University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikael","family":"Wiberg","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK"},{"name":"Department of Integrative Medical Biology, Ume\u00e5 University, Sweden"},{"name":"Department of Surgical and Perioperative Science, Ume\u00e5 University, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Bains","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,9,11]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.1999.0351"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1054\/JHSB.2001.0722"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193417732696"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000246801.45977.c8"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13302"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2002.32965"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2018.04.037"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001089"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00800.x"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/fn.88.3.F185"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13321"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2016-311790"},{"key":"e_1_3_4_14_1","first-page":"70","article-title":"Surgical repair of the brachial plexus in obstetric paralysis","volume":"110","author":"Gilbert A","year":"1984","unstructured":"Gilbert A, Tassin J. Surgical repair of the brachial plexus in obstetric paralysis. J Chir. 1984, 110: 70\u20135.","journal-title":"J Chir"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934211027117"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193417712924"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20960"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2018.06.006"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2013.809415"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2020.08.091"},{"key":"e_1_3_4_21_1","unstructured":"Ministry of Housing Communities and Local Government. The English indices of deprivation 2019 (IMD2019). 2019. https:\/\/www.gov.uk\/government\/statistics\/english-indices-of-deprivation-2019 (accessed 24 August 2023)."},{"key":"e_1_3_4_22_1","unstructured":"Office for National Statistics. Nomis: official census and labour market statistics: Census. 2011. https:\/\/www.nomisweb.co.uk\/sources\/census_2011 (accessed 1 July 2023)."},{"key":"e_1_3_4_23_1","unstructured":"Office for National Statistics. Birth characteristics in England and Wales. 2017. https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/livebirths\/bulletins\/birthcharacteristicsinenglandandwales\/2017 (accessed 24 August 2023)."},{"key":"e_1_3_4_24_1","unstructured":"Office for National Statistics. Nomis: official census and labour market statistics: Census. 2021. https:\/\/www.nomisweb.co.uk\/sources\/census_2021 (accessed 1 July 2023)."},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/434619"},{"key":"e_1_3_4_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193420934676"},{"key":"e_1_3_4_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2020-001280"},{"key":"e_1_3_4_28_1","first-page":"37","article-title":"Early predictors of microsurgical reconstruction in brachial plexus birth palsy.","volume":"39","author":"Shah AS","year":"2019","unstructured":"Shah AS, Kalish LA, Bae DS, et\u00a0al. Early predictors of microsurgical reconstruction in brachial plexus birth palsy. Iowa Orthop J. 2019, 39: 37.","journal-title":"Iowa Orthop J"},{"key":"e_1_3_4_29_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200410000-00006"},{"key":"e_1_3_4_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/1367493518814916"},{"key":"e_1_3_4_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14381"},{"key":"e_1_3_4_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-018-1039-z"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934231196421","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934231196421","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934231196421","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:46:50Z","timestamp":1777502810000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934231196421"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,11]]},"references-count":31,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1177\/17531934231196421"],"URL":"https:\/\/doi.org\/10.1177\/17531934231196421","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,11]]}}}