ArticleGlobal spine journal2023
Household Income as a Predictor for Surgical Outcomes and Opioid Use After Spine Surgery in the United States.
Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Demographic and social determinants of mortality in cerebral arteriovenous malformations: identifying high-risk clusters in the U.S.Neurosurgical review · 2025Article
- Sociodemographic Variables Are Rarely Reported in Studies Investigating Ulnar Collateral Ligament Reconstruction: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2025Review
- Mental Health Consequences of Opioid Pain Medication Use Behaviors and Motives Among Adolescents and Young Adults With Cancer: Results From a National Survey.Psycho-oncology · 2025Article
- Associations Between Race and Socioeconomic Status, Lower Extremity Strength, and Patient-Reported Outcomes Following Anterior Cruciate Ligament Reconstruction.Journal of athletic training · 2024Article
- Socioeconomic status affects amputation and mortality rates in necrotizing fasciitis patients.International orthopaedics · 2024Article
- Postoperative pulmonary complications after major abdominal surgery in elderly patients and its association with patient-controlled analgesia.BMC geriatrics · 2024Article
- The effects of social determinants of health on rotator cuff repair utilization and outcomes: a systematic review.JSES reviews, reports, and techniques · 2024Review
- Does Erector Spinae Plane Block Decrease Analgesia Requirements After Minimal-Invasive Posterior Transpedicular Stabilization in Patients With Vertebral Body Fracture? A Prospective, Randomized, Double-Blind Controlled Study.Global spine journal · 2024Article
- Socioeconomic disparity in transcatheter and surgical aortic valve replacement: a population study of National Inpatient Sample from 2015 to 2020.Scientific reports · 2024Article
- Incidence and Risk Factors for Wound Revision after Surgical Treatment of Spinal Metastasis: A National Population-Based Study in South Korea.Healthcare (Basel, Switzerland) · 2023Article
- Impact of social determinants of health on perioperative opioid utilization in patients with lumbar degeneration.North American Spine Society journal · 2023Article
- Comparing Race/Ethnicity and Zip Code Socioeconomic Status for Surgical versus Nonsurgical Management of Proximal Humerus Fractures in a Medicare Population.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
Corrections and comments
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designCross-Sectional Study.
objectivesSocioeconomic status (SES) is a fundamental root of health disparities, however, its effect on surgical outcomes is often difficult to capture in clinical research, especially in spine surgery. Here, we present a large single-center study assessing whether SES is associated with cause-specific surgical outcomes.
methodsPatients undergoing spine surgery between 2015 and 2019 were assigned income in accordance with the national distribution and divided into quartiles based on the ZIP code-level median household income. We performed univariate, chi-square, and Analysis of Variance (ANOVA) analysis assessing the independent association of SES, quantified by household income, to operative outcomes, and multiple metrics of opioid consumption.
results1199 patients were enrolled, and 1138 patients were included in the analysis. Low household income was associated with the greatest rates of 3-month opioid script renewal (OR:1.65, 95% CI:1.14-2.40). In addition, low-income was associated with higher rates of perioperative opioid consumption compared to higher income including increased mean total morphine milligram equivalent (MME) 252.25 (SD 901.32) vs 131.57 (SD 197.46) (P < .046), and inpatient IV patient-controlled analgesia (PCA) MME 121.11 (SD 142.14) vs 87.60 (SD 86.33) (P < .023). In addition, household income was independently associated with length of stay (LOS), and emergency room (ER) revisits with low-income patients demonstrating significantly longer postop LOS and increasing postoperative ER visits.
conclusionsConsidering the comparable surgical management provided by the single institution, the associated differences in postoperative outcomes as defined by increased morbidities and opioid consumption can potentially be attributed to health disparities caused by SES.
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