Evidence map›Paper›PMID 40703251›Full record

ArticleJournal of hand and microsurgery2025

Analyzing socioeconomic characteristics in brachial plexus birth injuries: A multicenter public health analysis.

Robbins Victoria, Khabyeh-Hasbani Nathan, O'Brien Devon, Behbahani Mandana, Meisel Erin, Steven M Koehler

Abstract read
In one paragraph

Article in Journal of hand and microsurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Multidisciplinary rehabilitation network enhances outcomes after nerve transfer in brachial plexus birth injury.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
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

6 authors.

Robbins VictoriaDepartment of Orthopaedic Surgery, Montefiore Medical Center, 1250 Waters Place, Tower 1, 11th Floor, Bronx, NY, 10467, USA.
Khabyeh-Hasbani NathanDepartment of Orthopaedic Surgery, Montefiore Medical Center, 1250 Waters Place, Tower 1, 11th Floor, Bronx, NY, 10467, USA.
O'Brien DevonDepartment of Orthopaedic Surgery, Children's Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles, CA, 90027, USA.
Behbahani MandanaDepartment of Neurological Surgery, Montefiore Medical Center, 3316 Rochambeau Ave, Bronx, NY, 10467, USA.
Meisel ErinDepartment of Orthopaedic Surgery, Children's Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles, CA, 90027, USA.
Steven M KoehlerDepartment of Orthopaedic Surgery, Montefiore Medical Center, 1250 Waters Place, Tower 1, 11th Floor, Bronx, NY, 10467, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: We aimed to examine and compare socioeconomic characteristics of infants with brachial plexus birth injury (BPBI) at two high-volume, distinct healthcare systems in the United States. Methods: All patients diagnosed with non-transient BPBI presenting between November 2021-November 2023 at either institution, New York City ("NY") or Los Angeles ("LA"), were included. To stratify based on socioeconomic background, Area Deprivation Index (ADI) and Child Opportunity Index (COI) were utilized. ADIs were presented in national percentiles (1-100 %) or state-normed deciles (1-10), with higher rankings indicating greater disadvantage. COI scores and quintiles were assigned using nationally-normed ZIP code-level data, with lower COI signifying lower childhood opportunity. Continuous variables underwent two-tailed, unpaired Mann-Whitney U and t-tests. Categorical variables underwent chi-square tests. The significance level was set at Results: When comparing the LA (n = 92) and NY (n = 107) cohorts, the mean ADI scores were not significantly different: 24.5 % (SD 21.1) and 25.4 % (SD 13.5) respectively (p = 0.713). When comparing the COI scores, overall mean COI was significantly greater in LA (34.2, SD 26.9) compared to NY (17.3, SD 25.6; p < 0.001). While a significantly higher number of patients from NY than LA fell into categories of very low or low in education, social and economic, and overall COI, the distributions of these categories were more evenly spread across the LA cohort. Conclusion: Our findings underscore the importance of considering regional differences in patient populations when patients present with BPBI, as addressing such disparities may increase equitable access to treatment and optimize functional outcomes. Given the time-sensitive nature of BPBI care and implications of long-term disability if left under-treated, it is essential to allocate resources towards effectively treating BPBI in affected demographics, especially those experiencing resource deficits. By acknowledging geographic-specific differences in resource access among BPBI populations, physicians can develop targeted strategies to ensure equitable BPBI care.

Indexed as

Area deprivation indexBrachial plexus birth injuryChild opportunity indexPublic healthSocioeconomic status

Identifiers

PMID40703251
PMCPMC12280427

What OpenQuestion holds

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Registered trials

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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.