Evidence map›Paper›PMID 40525327›Full record

ArticleHead & neck2025

Social Determinants of Health in Patients Undergoing Osteocutaneous Free Flap Reconstruction for Malignant Disease of the Mandible.

Rohith M Bhethanabotla, Nina Patel, Reta Behnam, W John Boscardin, Mary J Xu, Chase Heaton, Katherine C Wai, Andrea M Park, P Daniel Knott

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Head & neck, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rohith M BhethanabotlaDepartment of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, California, USA.ORCID 0000-0002-7096-7343
Nina PatelDepartment of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, California, USA.ORCID 0009-0001-1143-1290
Reta BehnamUniversity of California-San Francisco School of Medicine, San Francisco, California, USA.
W John BoscardinDepartment of Medicine and Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, California, USA.
Mary J XuDepartment of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, California, USA.
Chase HeatonDepartment of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, California, USA.
Katherine C WaiDepartment of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, California, USA.
Andrea M ParkDepartment of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, California, USA.
P Daniel KnottDepartment of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocial determinants of health (SDH), such as race, language, and insurance status, may impact access to surgical care and postoperative outcomes. This study investigates the role of SDH in patients undergoing osteocutaneous free flap reconstruction for mandibular defects due to oral cavity malignancy.

methodsA retrospective cohort study of 131 patients at a single tertiary academic center was conducted. Demographic variables and clinical outcomes were extracted from records. The CDC Social Vulnerability Index (SVI) assessed county-level SDH. Outcomes included readmission, reoperation, flap failure, tracheostomy outcomes, and complications.

resultsNo significant differences were observed in clinical outcomes based on race, language, or insurance status. The only significant difference was travel distance, with non-minoritized patients traveling farther (84.7 vs. 44.2 miles, p = 0.013). SDH metrics did not influence surgical timing or complications.

conclusionsIn a well-supported care setting, equitable access to complex reconstructive surgery may reduce disparities associated with SDH.

Indexed as

Free Tissue FlapsMandibular NeoplasmsMandibular ReconstructionMouth NeoplasmsPlastic Surgery ProceduresSocial Determinants of HealthAdultAgedCohort StudiesFemaleHealth Services AccessibilityHumansMaleMiddle AgedPostoperative ComplicationsRetrospective Studieshealth equitymandibular reconstructionosteocutaneous free flapsocial determinants of healthsurgical outcomes

Identifiers

PMID40525327
PMCPMC12541689

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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.