ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2021
Association of Socioeconomic Area Deprivation Index with Hospital Readmissions After Colon and Rectal Surgery.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.
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Who cites it
48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.
- Frailty Screening Using the Risk Analysis Index: A User Guide.Joint Commission journal on quality and patient safety · 2025Pooled it
- Incidence and risk factors for unplanned readmission after colorectal surgery: A meta-analysis.PloS one · 2023Pooled it
- The Geography of Liver Resection: Travel Distance, Facility Volume, and Access to Specialized Care in an Urban Setting.Annals of surgical oncology · 2026Article
- AI Adoption in US Cancer Centers: National Cross-Sectional Study of Institutional and Policy Determinants.Journal of medical Internet research · 2026Article
- Association between area deprivation index (ADI) and initial treatment among patients with desmoid tumorsSurgical oncology insight · 2026Article
- Investigating CAR-T Treatment Access for Multiple Myeloma Patients Using Real-World Evidence.Cancers · 2026Article
- Assessing Racial Bias Within American Society of Anesthesiologists Classification.The Journal of surgical research · 2026Article
- Comparing Predictive Power of Area-Level Socioeconomic Status Indices Across Health Outcomes and Geographic Levels.Medical care · 2026Article
- The Impact of Social Determinants of Health on Severe Colorectal Complications.Clinics in colon and rectal surgery · 2026Review
- Factors Associated With Readmission to Index vs. Non-Index Hospitals After Major Cancer Surgery.Cancer medicine · 2025Article
- Socioeconomic and ethnic disparities in breast cancer-related lymphedema and quality-of-life after immediate lymphatic reconstruction.Breast cancer research and treatment · 2025Article
- Examining the Impact of Area Deprivation on Endovascular Stroke Therapy Access.Stroke (Hoboken, N.J.) · 2025Article
- One cutoff is not enough: Assessing different area deprivation index cutoffs for insurance types on surgical Desirability of Outcome Ranking (DOOR).Healthcare (Amsterdam, Netherlands) · 2025Article
- Increased Rates of Unplanned Return to the Operating Room in Socioeconomically Deprived Orthopaedic Trauma Patient Populations.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Using social risks to predict unplanned hospital readmission and emergency care among hospitalized Veterans.Health services research · 2025Article
- Neighborhood socioeconomic disadvantage does not predict need for manipulation under anesthesia or range of motion following total knee arthroplasty.Journal of orthopaedics · 2024Article
- Evaluating chronic disease approaches to ameliorate tobacco-related health disparities: Study protocol of a hybrid type 1 implementation-effectiveness trial.Contemporary clinical trials communications · 2024Article
- Article
- Impact of Social Deprivation on Cubital Tunnel Syndrome Treatment Timeline.Journal of hand surgery global online · 2024Article
- Assessing the impact of socioeconomic distress on hospital readmissions after cardiac surgery.JTCVS open · 2024Article
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundRisk adjustment for reimbursement and quality measures omits social risk factors despite adversely affecting health outcomes. Social risk factors are not usually available in electronic health records (EHR) or administrative data. Socioeconomic status can be assessed by using US Census data. Distressed Communities Index (DCI) is based upon zip codes, and the Area Deprivation Index (ADI) provides more granular estimates at the block group level. We examined the association of neighborhood disadvantage using the ADI, DCI, and patient-level insurance status on 30-day readmission risk after colorectal surgery.
methodsOur 677 patient cohort was derived from the 2013-2017 National Surgical Quality Improvement Program at a safety net hospital augmented with EHR data to determine insurance status and 30-day readmissions. Patients' home addresses were linked to the ADI and DCI.
resultsOur cohort consisted of 53.9% males and 63.8% Hispanics with a 22.9% 30-day readmission rate from the date of discharge; > 50% lived in highly deprived neighborhoods. Controlling for medical comorbidities and complications, ADI was associated with increased risk of 30 days from the date of discharge readmissions among patients living in medium (OR = 2.15, p = .02) or high (OR = 1.88, p = .03) deprived areas compared to less-deprived neighborhoods, but not insurance status or DCI.
conclusionsThe ADI identified patients living in deprived communities with increased readmission risk. Our results show that block-group level ADI can potentially be used in risk adjustment, to identify high-risk patients and to design better care pathways that improve health outcomes.
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