{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T19:15:05Z","timestamp":1773774905269,"version":"3.50.1"},"reference-count":44,"publisher":"National Athletic Trainers' Association","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,1]]},"abstract":"<jats:sec>\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>There are significant disparities in access to health care, but there are limited data about the impact of race and socioeconomic status on postoperative outcomes following anterior cruciate ligament reconstruction (ACLR) surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To identify associations between the Area Deprivation Index (ADI), strength measures, and patient-reported outcomes following ACLR and examine differences in outcomes between race, sex, and socioeconomic status.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Case-control study in a single hospital setting.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Database secondary analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Patients or Other Participants<\/jats:title>\n                  <jats:p>Data were collected from 340 patients who underwent primary, isolated, unilateral ACLR.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measure(s)<\/jats:title>\n                  <jats:p>Strength measures and patient-reported outcomes were obtained at patients\u2019 postoperative assessments at approximately 6 months postsurgery. Area Deprivation Index values were calculated on each patient\u2019s census tract, as determined through medical records review. Correlations were conducted to determine the relationship between the ADI and Knee Injury and Osteoarthritis Outcome Score measures, International Knee Documentation Committee, and limb symmetry on strength measurements. The racial composition of the sample was heavily skewed and was excluded from statistical analyses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The ADI was weakly correlated with International Knee Documentation Committee (\u03c1 = 0.11, P = .04) outcomes, with more disadvantaged patients reporting better quality of life and knee function. The ADI was not correlated with other outcomes of interest. The median ADI value of the sample was 32 (range, 1\u201386 [interquartile range, 19\u201347]).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Our study revealed a weak correlation between higher levels of socioeconomic disadvantage as measured by the ADI and improved subjective assessment of knee function and quality of life as measured by International Knee Documentation Committee. These findings are contrary to what other studies on this subject have found and highlight the importance of further research into the impact of socioeconomic status and other social determinants of health on post-ACLR outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4085\/1062-6050-0617.23","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T07:47:07Z","timestamp":1718783227000},"page":"1171-1177","source":"Crossref","is-referenced-by-count":2,"title":["Associations Between Race and Socioeconomic Status, Lower Extremity Strength, and Patient-Reported Outcomes Following Anterior Cruciate Ligament Reconstruction"],"prefix":"10.4085","volume":"59","author":[{"given":"Nick W.","family":"Prinz","sequence":"first","affiliation":[{"name":"* University of South Florida Morsani College of Medicine, Tampa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier D.","family":"Thompson","sequence":"additional","affiliation":[{"name":"\u2020 Department of Kinesiology, University of Virginia, Charlottesville"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amelia S. Bruce","family":"Leicht","sequence":"additional","affiliation":[{"name":"\u2021 Department of Athletic Training and Clinical Nutrition, University of Kentucky, Lexington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Kuenze","sequence":"additional","affiliation":[{"name":"\u2020 Department of Kinesiology, University of Virginia, Charlottesville"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joe M.","family":"Hart","sequence":"additional","affiliation":[{"name":"\u00a7 School of Medicine Department of Orthopaedics, University of North Carolina Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","published-online":{"date-parts":[[2024,12,26]]},"reference":[{"issue":"2","key":"2024122616105780100_i1938-162X-59-12-1171-b01","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1302\/2046-3758.32.2000241","article-title":"Basic science of anterior cruciate ligament injury and repair","volume":"3","author":"Kiapour","year":"2014","journal-title":"Bone Joint Res"},{"issue":"1","key":"2024122616105780100_i1938-162X-59-12-1171-b02","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.berh.2019.01.018","article-title":"Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture","volume":"33","author":"Filbay","year":"2019","journal-title":"Best Pract Res Clin Rheumatol"},{"issue":"13","key":"2024122616105780100_i1938-162X-59-12-1171-b03","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1136\/bjsports-2016-096031","article-title":"Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study","volume":"50","author":"Grindem","year":"2016","journal-title":"Br J Sports Med"},{"issue":"Suppl 2","key":"2024122616105780100_i1938-162X-59-12-1171-b04","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1177\/00333549141291S206","article-title":"The social determinants of health: it\u2019s time to consider the causes of the causes","volume":"129","author":"Braveman","year":"2014","journal-title":"Public Health Rep"},{"issue":"7","key":"2024122616105780100_i1938-162X-59-12-1171-b05","doi-asserted-by":"crossref","first-page":"494","DOI":"10.3109\/01612840.2012.662581","article-title":"Social determinants of health status","volume":"33","author":"Flaskerud","year":"2012","journal-title":"Issues Ment Health Nurs"},{"key":"2024122616105780100_i1938-162X-59-12-1171-b06","volume-title":"Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care","author":"Smedley","year":"2003"},{"key":"2024122616105780100_i1938-162X-59-12-1171-b07","unstructured":"Ndugga\n              N,\n            \n            \n              Hill\n              L,\n            \n            \n              Artiga\n              S.\n            \n          \n          Key data on health and health care by race and ethnicity. KFF. Published June 11, 2024. 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