更严重的社会经济剥夺预示着骨科手术后两年的功能状况更差，但与基线变化的幅度无关

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-03-15 DOI:10.1016/j.jor.2025.03.022

Evan L. Honig, Samir Kaveeshwar, Nathan N. O'Hara, Dominic J. Ventimiglia, Isaiah Harris, Samuel Q. Li, Craig Shul, Natalie R. Danna, R. Frank Henn 3rd, Christopher G. Langhammer

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引用次数: 0

摘要

本研究的目的是分析区域剥夺指数（ADI），作为一个基于地理的社会经济地位（SES）的代理，是否与门诊骨科手术后2年患者报告结果（PROs）的差异有关。方法2015年6月至2018年11月接受门诊骨科手术的患者在基线和术后2年进行患者报告结果测量信息系统（PROMIS）和关节特异性调查。ADI是根据家庭住址计算的。使用关联检验来表征2年PROs对ADI的依赖性。这个多变量线性回归的协变量选择在其他自我报告的社会经济协变量的背景下检查了2年内ADI的PRO变化。结果共纳入2117例患者，1483例（70%）完成随访。较低的社会经济地位（以家庭住址衡量）与术后2年较低的功能和较低的基线改善有关。这一趋势在PROMIS文书中最为明显。结论：对于一部分pro患者，门诊骨科手术后2年，ADI估计的ses与pro相关。应考虑将ADI纳入使用ses敏感PRO作为结果的统计模型中，了解模型性能也可能取决于是否估计单个值或随时间变化。

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Greater socioeconomic deprivation predicts worse functional status two years after orthopaedic surgery, but not magnitude of change from baseline

Background

The purpose of this study was to analyze if Area Deprivation Index (ADI), as a geography-based proxy for socioeconomic status (SES), is associated with differences in patient-reported outcomes (PROs) 2 years after outpatient orthopaedic surgery.

Methods

Patients undergoing outpatient orthopaedic surgery from June 2015 to November 2018 were administered Patient-Reported Outcomes Measurement Information System (PROMIS) and joint-specific surveys at baseline and 2 years postoperatively. ADI was computed from home address. Tests of association were used to characterize 2-year PROs dependence on ADI. This informed covariate selection for multivariable linear regression examined PRO change over 2 years with ADI in the context of other self-reported socioeconomic covariates.

Results

Enrollment was 2117 patients, 1483 (70 %) completed follow-up. Lower SES as measured by home address was associated with lower function and less improvement from baseline at 2 years postoperatively. This trend was most apparent in PROMIS instruments.

Conclusion

SES as approximated by ADI is associated with PROs at 2 years after outpatient orthopaedic surgery for a subset of PROs. ADI should be considered for inclusion in statistical models using an SES-sensitive PRO as an outcome, understanding that model performance may also depend on if a single value or change over time is being estimated.

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.