Evidence map›Paper›PMID 42337843›Full record

ArticleHand (New York, N.Y.)2026

Quality Measures Addressing Disparities to Improve Outcomes in Hand Surgery.

Emily A Schultz, Eli M Snyder, Marc J Richard, David S Ruch, David Ring, Sanjeev Kakar, Christopher Got, Edward Akelman, Philip E Blazar, Jeffrey Yao and 4 more

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In one paragraph

Article in Hand (New York, N.Y.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Emily A SchultzStanford University, Redwood City, CA, USA.ORCID 0000-0003-2064-8392
Eli M SnyderUniversity of Hawaii, Honolulu, USA.
Marc J RichardDuke University, Durham, NC, USA.
David S RuchDuke University, Durham, NC, USA.
David RingThe University of Texas at Austin, USA.ORCID 0000-0002-6506-4879
Sanjeev KakarMayo Clinic, Rochester, MN, USA.ORCID 0000-0002-2886-1510
Christopher GotBrown University, Providence, RI, USA.
Edward AkelmanUniversity Orthopedics, East Providence, RI, USA.
Philip E BlazarBrigham and Women's Hospital, Boston, MA, USA.
Jeffrey YaoStanford University, Redwood City, CA, USA.
Amy L LaddStanford University, Redwood City, CA, USA.
Erika D SearsUniversity of Michigan, Ann Arbor, USA.ORCID 0000-0002-2124-2274
Robin N KamalStanford University, Redwood City, CA, USA.ORCID 0000-0002-3011-6712
Lauren M ShapiroUniversity of California, San Francisco, USA.ORCID 0000-0001-5396-5488

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is growing evidence that social determinants of health (SDOH) are associated with disparities in access to care and hand and upper extremity health. Quality measures represent an opportunity to evaluate disparities in access and outcomes that can inform improvement interventions. We performed a systematic review of evidence regarding health disparities within hand surgery and aimed to develop suitable quality measures that are clinically important, feasible, usable, and scientifically acceptable.

methodsWe performed a systematic review including common hand surgery terms to identify health disparities in hand surgery related to SDOH. Candidate quality measures were constructed based upon evidence from the systematic review. A consortium of 11 US-based hand and upper extremity surgeons completed a modified RAND/UCLA Delphi Appropriateness process to evaluate the importance, feasibility, usability, and scientific acceptability of the candidate quality measures. Panelists rated each measure on a scale of 1 (

resultsFourteen candidate quality measures addressing health disparities were identified based on evidence from the systematic review, including time to surgery and emergency department use after hand surgery based on insurance type, clinical outcomes based on social deprivation, among others. All 14 measures were accepted.

conclusionsFourteen candidate quality measures were identified and accepted based upon consensus to address health disparities in hand surgery, although future investigation will be needed to evaluate their effectiveness.

Indexed as

disparitieshand surgeryorthopedic surgeryquality measuresocial determinants of health

Identifiers

PMID42337843
PMCPMC13294116

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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.