ArticleHand (New York, N.Y.)2022
Does Time to Imaging and Surgery for Distal Radius Fractures Vary based on Geographic Socioeconomic Disadvantage?
Article in Hand (New York, N.Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The Impact of Socioeconomic Disadvantage and Insurance on Delays in Fixation of Distal Radius Fractures.Hand (New York, N.Y.) · 2026Article
- Association Between Insurance Status and Recommendation for Surgery for Distal Radius Fractures.Journal of hand surgery global online · 2026Article
- Novel artificial intelligence model predicts the need for reduction of distal radius fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Commentary on Mental and Physical Health Disparities in Patients With Carpal Tunnel Syndrome Living With High Levels of Social Deprivation.The Journal of hand surgery · 2025Article
- Public Insurance and Language Preferences Are Associated With a Longer Time to Surgery for Distal Radius Fractures.The Journal of the American Academy of Orthopaedic Surgeons · 2025Article
- Impact of Race and Social Determinants on Operative Management of Distal Radius Fractures in Medicare Patients.Plastic and reconstructive surgery. Global open · 2025Article
- Investigating the Relationship Between Neighborhood Social Deprivation and Time to Specialty Orthopedic Care for Pediatric Trigger Thumb.Journal of hand surgery global online · 2024Article
- Impact of Socioeconomic Factors on Time to Surgery for Distal Radius Fractures.Plastic and reconstructive surgery. Global open · 2024Article
- Are There Racial and Ethnic Disparities in Management and Outcomes of Surgically Treated Distal Radius Fractures?Hand (New York, N.Y.) · 2024Article
- Medicare Eligibility and Racial and Ethnic Disparities in Operative Fixation for Distal Radius Fracture.JAMA network open · 2023Article
- Letter to the Editor: Medicaid Payer Status Is a Predictor of Early Postoperative Pain Following Upper Extremity Procedures.Hand (New York, N.Y.) · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile disparities in aspects of distal radius fracture (DRF) management and orthopedics at large have been studied, disparities in time to DRF evaluation and treatment are unknown. We sought to determine if geographic socioeconomic disadvantage is associated with time to imaging in the emergency department (ED) and time to surgery for DRFs.
methodsWe performed a time-to-event analysis of 105 patients undergoing DRF surgery after ED triage within our hospital system between January 1, 2015, and January 1, 2020. Area Deprivation Index (ADI) national percentile was used as the metric of geographic socioeconomic disadvantage for each patient's ZIP code of residence. We performed Cox regression analysis to determine hazard ratios to undergo DRF imaging and surgery for patients in each ADI group, adjusting for potential confounders, α = 0.05.
resultsThere was no association between geographic socioeconomic disadvantage and time to DRF imaging, after adjusting for confounders. However, compared to patients from the least disadvantaged areas, patients from the most disadvantaged areas (ADI Quartiles 3 and 4) had an adjusted hazard ratio for surgery of 0.55 [0.32, 0.94] (
conclusionsOperative patients from more socioeconomically disadvantaged neighborhoods see disparities in time to surgery for DRF. Equitable access to timely surgical care is needed and may be improved with increased access to orthopedic surgeons, patient education, support in navigating the health system, and improved continuity of fracture care. LEVEL OF EVIDENCE: Level III.
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