Observational studyPloS one2020
Quantifying the collective influence of social determinants of health using conditional and cluster modeling.
Observational study in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 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
15 citing papers in PubMed, 27 citations in OpenAlex.
- Predictive Analysis of Social Determinants of Health in Posterior Cervical Spine Surgery.Journal of clinical medicine · 2026Article
- Cluster analysis identifies high-risk phenotypic groups for revision following 1-3 level lumbar fusion in a disadvantaged inner-city population.North American Spine Society journal · 2026Article
- The Association Between Social Determinants of Health and HIV Risk Behaviors and HIV Testing Among Sexual and Gender Minority Individuals: A National Survey Study.AIDS and behavior · 2026Article
- A Bayesian mixture model approach to examining neighbourhood social determinants of health in endometrial cancer care in Massachusetts.Journal of the Royal Statistical Society. Series A, (Statistics in Society) · 2026Article
- The association between total social exposure and incident multimorbidity: A population-based cohort study.SSM - population health · 2025Article
- Social Determinants of Health Phenotypes and Cardiometabolic Condition Prevalence Among Patients in a Large Academic Health System: Latent Class Analysis.JMIR public health and surveillance · 2024Article
- Development and Validation of Machine Learning-Based Predictive Model for Prolonged Hospital Stay after Decompression Surgery for Lumbar Spinal Canal Stenosis.Spine surgery and related research · 2024Article
- The impact of social determinants of health on early outcomes after adult Chiari surgery.GeroScience · 2024Article
- Analyzing Multiple Social Determinants of Health Using Different Clustering Methods.International journal of environmental research and public health · 2024Article
- Social Risk Factors Are Associated With Disability Prevalence - Results From 17 States in the 2017 Behavioral Risk Factor Surveillance System.American journal of health promotion : AJHP · 2023Article
- Engagement and Utilization of a Complete Remote Digital Care Program for Musculoskeletal Pain Management in Urban and Rural Areas Across the United States: Longitudinal Cohort Study.JMIR mHealth and uHealth · 2023Article
- Patient Satisfaction with Surgery for Tarsal- and Carpal- Tunnel Syndrome - Comparative Study.Neurologia medico-chirurgica · 2023Article
- Association of Burden and Prevalence of Arthritis With Disparities in Social Risk Factors, Findings From 17 US States.Preventing chronic disease · 2022Article
- Social Determinants of Health Influence Early Outcomes Following Lumbar Spine Surgery.Ochsner journal · 2022Article
- Clustering of Social Determinants of Health Among Patients.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesOur objective was to analyze the collective effect of social determinants of health (SDoH) on lumbar spine surgery outcomes utilizing two different statistical methods of combining variables.
methodsThis observational study analyzed data from the Quality Outcomes Database, a nationwide United States spine registry. Race/ethnicity, educational attainment, employment status, insurance payer, and gender were predictors of interest. We built two models to assess the collective influence of SDoH on outcomes following lumbar spine surgery-a stepwise model using each number of SDoH conditions present (0 of 5, 1 of 5, 2 of 5, etc) and a clustered subgroup model. Logistic regression analyses adjusted for age, multimorbidity, surgical indication, type of lumbar spine surgery, and surgical approach were performed to identify the odds of failing to demonstrate clinically meaningful improvements in disability, back pain, leg pain, quality of life, and patient satisfaction at 3- and 12-months following lumbar spine surgery.
resultsStepwise modeling outperformed individual SDoH when 4 of 5 SDoH were present. Cluster modeling revealed 4 distinct subgroups. Disparities between the younger, minority, lower socioeconomic status and the younger, white, higher socioeconomic status subgroups were substantially wider compared to individual SDoH. DISCUSSION: Collective and cluster modeling of SDoH better predicted failure to demonstrate clinically meaningful improvements than individual SDoH in this cohort. Viewing social factors in aggregate rather than individually may offer more precise estimates of the impact of SDoH on outcomes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.