Evidence map›Paper›PMID 41490948›Full record

ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2026

How Social Determinants of Health Affect Outcomes Following Rotator Cuff Repair.

Branden Wright, Jaynie X Criscione, Vineeth Romiyo, Nicholas Pohl, Michael Curry, Krystal Hunter, Pietro M Gentile, Lawrence S Miller, Matthew T Kleiner, Mark Pollard and 1 more

Abstract read
In one paragraph

Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Branden WrightFrom the Department of Orthopaedic Surgery, Cooper University Health Care, Camden, New Jersey (Dr. Wright, Ms. Criscione, Dr. Pohl, Dr. Curry, Mr. Gentile, Dr. Miller, Dr. Kleiner, Dr. Pollard, and Dr. Fedorka), and the Cooper Medical School of Rowan University, Camden, New Jersey (Dr. Romiyo, Dr. Hunter, Dr. Miller, Dr. Kleiner, Dr. Pollard, and Dr. Fedorka).
Jaynie X Criscione
Vineeth Romiyo
Nicholas Pohl
Michael Curry
Krystal Hunter
Pietro M Gentile
Lawrence S Miller
Matthew T Kleiner
Mark Pollard
Catherine J FedorkaORCID 0000-0002-8566-912

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been an increased interest within orthopaedics investigating disparities in outcomes among populations of low socioeconomic status (SES). This study aims to investigate how SES, investigated by proxy through geocoding, affects postoperative outcomes following repair of rotator cuff tears.

methodsA total of 322 patients undergoing full-thickness rotator cuff tear repair (RCR) at a single institution from 2014 to 2021 were retrospectively reviewed and stratified by median household income and Social Deprivation Index (SDI) per zip code. Primary outcomes included patient-reported outcome measures (PROMs) at 12 months postoperatively. Multiple linear regression examined which variables correlated with American Shoulder and Elbow Surgeons (ASES) and Single Assessment Numeric Evaluation (SANE) scores.

resultsThe extremely/very low-income and high SDI patients had significantly decreased ASES, SANE, and satisfaction scores at 12 months postoperatively based on one-way analysis of variance (ANOVA) analysis. Multiple linear regression revealed that low- and medium-income groups had notable positive correlations with ASES and SANE scores. Highest SDI quartile, body mass index, female sex, and current smoking status had notable negative correlations with PROMs.

conclusionBased on ANOVA, patients from areas of lowest income and highest SDI had lower PROMs following RCR, although multiple regression demonstrates that PROMs are multifactorial. The results should be interpreted in the context of current literature and used to raise awareness among orthopaedic surgeons of risk factors affecting PROMs following RCR. As health care trends toward patient satisfaction-driven financial models, we stress the importance of risk-adjusted compensation and performance models for orthopaedic surgeons performing RCRs and preoperative expectation counseling.

Indexed as

Rotator Cuff InjuriesSocial Determinants of HealthAdultAgedFemaleHumansIncomeMaleMiddle AgedPatient Reported Outcome MeasuresPatient SatisfactionRetrospective StudiesTreatment Outcome

Identifiers

PMID41490948
PMCPMC12757189

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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.