Neighborhood-Level Socioeconomic Status Predicts Extended Length of Stay After Elective Anterior Cervical Spine Surgery

Influence of socioeconomic factors on discharge disposition following traumatic cervicothoracic spinal cord injury at level I and II trauma centers in the United States

“…Furthermore, we show that patients with severe ISS [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] were significantly associated with higher odds of non-home discharge compared to patients with minor ISS scores. In a single-institutional cohort study, Claridge et al.…”

“…Disparate utilization of healthcare resources based on sociodemographic characteristics have been observed across other specialties as well [15] , [16] , [17] , [18] . However, there remains a paucity of literature on how discharge dispositions and rehabilitation resources may be utilized following traumatic SCI with respect to these variables.…”

Patients from Socioeconomically Distressed Communities Experience Similar Clinical Improvements Following Anterior Cervical Discectomy and Fusion

“…[5][6][7] The Area of Deprivation Index (ADI), a metric similar to DCI, found an association between SES and length of stay. 13,14 ADI focuses on measuring neighborhood resource deprivation whereas DCI quantifies economic wellbeing, which may better estimate the effects of income and neighborhood wealth than ADI. 17 We compared our results to Lieber et al 13 who found income was correlated with complications following cervical spine surgery.…”

“…Due to Medicaid expansion following the Affordable Care Act, more patients with Medicaid, who generally represent communities with low SES, have been undergoing elective spine surgery due to improved access to care 12. In cervical spine surgery, patients from low SES backgrounds have increased risk for complications and prolonged length of hospital stay 13,14. Although patient-reported outcome measures (PROMs) are increasingly prevalent in clinical research to quantify the quality of treatment, there is limited research examining the impact of SES on PROMs in spine surgery 15…”

Commentary: Association Between Neighborhood-Level Socioeconomic Disadvantage and Patient-Reported Outcomes in Lumbar Spine Surgery

“…The use of ADI is relatively new in assessing outcomes in neurosurgery, but studies have shown that it is associated with recovery after surgery for subdural hematoma 2 and after ACDF. 3 The paper by Zhang et al 1 adds to this literature, showing, like the 2 aforementioned studies, that outcomes after lumbar spine surgery also correlate with a patient's ADI. It is important to note that, despite having worse Patient-Reported Outcomes Measurement Information System after surgery, lower ADI patients still improved when compared with their preoperative scores.…”