ArticlePLOS global public health2025
The influence of social determinants of health on orthopedic trauma outcomes in the United States: A scoping review.
Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Orthopedic trauma disproportionately affects vulnerable populations in the United States, yet the influence of social determinants of health (SDOH) on patient outcomes remains underexplored. This scoping review aims to map and evaluate existing literature on the relationship between SDOH and adult orthopedic trauma outcomes in the U.S., with the goal of identifying research trends, gaps, and priorities for future investigation. Following the JBI methodology for scoping reviews and reported according to PRISMA-ScR guidelines, seven databases were systematically searched. Eligible studies included adult patients (≥18 years) treated for orthopedic trauma in U.S. trauma centers and examined outcomes in relation to SDOH domains. From 8,105 initial records, 40 studies met inclusion criteria. The majority employed retrospective designs (70%) and were conducted at single institutions (52.5%). Social and community context (80%) and healthcare access (57.5%) were the most frequently studied SDOH domains, whereas education access and quality was rarely addressed (7.5%). Lower extremity (35%) and hip (22.5%) injuries were most studied, with surgical management predominating (70%). Reported outcomes varied widely, with mortality (32.5%), length of stay (30%), infection (22.5%), and re-operation (22.5%) being most common. This review highlights both the breadth and fragmentation of current evidence, revealing significant gaps in the study of underrepresented SDOH domains and non-surgical trauma care. Future research should prioritize standardized SDOH data collection and increased investigation of non-surgical trauma outcomes in order to inform equitable clinical practice and guide policy in US orthopedic trauma care.
Identifiers
What OpenQuestion holds
Registered trials
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.