ArticleGlobal spine journal2020
Low Socioeconomic Status Is Associated With Increased Complication Rates: Are Risk Adjustment Models Necessary in Cervical Spine Surgery?
Article in Global spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Does pre-operative psoas muscle cross-sectional area predict post-operative outcomes following lumbar spine fusion surgery?-a systematic review and narrative synthesis.Journal of spine surgery (Hong Kong) · 2026Review
- How Social Determinants of Health Affect Outcomes Following Rotator Cuff Repair.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Neighborhood disadvantage predicts health resource utilization after lumbar spine surgery: a cohort study.Acta neurochirurgica · 2025Article
- Article
- In-hospital mortality trends after surgery for traumatic thoracolumbar injury: A national inpatient sample database study.Brain & spine · 2024Article
- Preoperative Dehydration Predicts Adverse Events Following Anterior Cervical Discectomy and Fusion.International journal of spine surgery · 2023Article
- Payor Type is Associated With Increased Rates of Reoperation and Health-care Utilization Following Unicompartmental Knee Arthroplasty: A National Database Study.Arthroplasty today · 2023Article
- Racial and Health Disparities among Cirrhosis-related Hospitalizations in the USA.Journal of clinical and translational hepatology · 2022Article
- Low socioeconomic status worsens access to care and outcomes for rotator cuff repair: a scoping review.JSES reviews, reports, and techniques · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective cohort study.
objectivesThe objective of this study was to determine whether lower socioeconomic status was associated with increased resource utilization following anterior discectomy and fusion (ACDF).
methodsThe National Inpatient Sample database was queried for patients who underwent a primary, 1- to 2-level ACDF between 2005 and 2014. Trauma, malignancy, infection, and revision surgery were excluded. The top and bottom income quartiles were compared. Demographics, medical comorbidities, length of stay, complications, and hospital cost were compared between patients of top and bottom income quartiles.
resultsA total of 69 844 cases were included. The bottom income quartile had a similar mean hospital stay (2.04 vs 1.77 days,
conclusionPatients in the lowest income group experienced more complications even after adjusting for comorbidities. Therefore, risk adjustment models, including socioeconomic status, may be necessary to avoid potential problems with access to orthopedic spine care for this patient population.
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Registered trials
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