Social determinants of health in patients undergoing hemiarthroplasty: are they associated with medical complications, healthcare utilization, and payments for care?

Baidya, Joydeep; Gordon, Adam M.; Nian, Patrick P.; Schwartz, Jake; Golub, Ivan J.; Abdelgawad, Amr A.; Kang, Kevin K.

doi:10.1007/s00402-023-05045-z

Cited by 4 publications

(1 citation statement)

References 44 publications

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“…The rapid increase of incorporating patientreported outcome measures as a regular part of patient care shows an acknowledgment of their usefulness in better understanding patient recovery and proving the value of care [25]. We must build on this example and start collecting information on social determinants of health (SDoH) for individuals to aid in decision-making, and we should continue to include metrics describing SDoH of communities, such as the Area Deprivation Index or the Social Vulnerability Index, in research studies [6]. The focus must remain on what is best for the patient, not who is the best risk for the surgeon or hospital.…”

Section: How Do We Get There?mentioning

confidence: 99%

CORR Insights®: Is Operative Time Associated With Obesity-related Outcomes in TKA?

Novicoff

2023

Clin Orthop Relat Res

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The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research ® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR ® or The Association of Bone and Joint Surgeons ® .

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Section: How Do We Get There?mentioning

confidence: 99%

CORR Insights®: Is Operative Time Associated With Obesity-related Outcomes in TKA?

Novicoff

2023

Clin Orthop Relat Res

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Trends and predictors of reporting social determinants of health in shoulder surgery

Joshi,

Tornberg,

Derector

et al. 2024

JSES International

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On the development and validation of large language model-based classifiers for identifying social determinants of health

Gabriel,

Litake,

Simpson

et al. 2024

Proc. Natl. Acad. Sci. U.S.A.

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The assessment of social determinants of health (SDoH) within healthcare systems is crucial for comprehensive patient care and addressing health disparities. Current challenges arise from the limited inclusion of structured SDoH information within electronic health record (EHR) systems, often due to the lack of standardized diagnosis codes. This study delves into the transformative potential of large language models (LLM) to overcome these challenges. LLM-based classifiers—using Bidirectional Encoder Representations from Transformers (BERT) and A Robustly Optimized BERT Pretraining Approach (RoBERTa)—were developed for SDoH concepts, including homelessness, food insecurity, and domestic violence, using synthetic training datasets generated by generative pre-trained transformers combined with authentic clinical notes. Models were then validated on separate datasets: Medical Information Mart for Intensive Care-III and our institutional EHR data. When training the model with a combination of synthetic and authentic notes, validation on our institutional dataset yielded an area under the receiver operating characteristics curve of 0.78 for detecting homelessness, 0.72 for detecting food insecurity, and 0.83 for detecting domestic violence. This study underscores the potential of LLMs in extracting SDoH information from clinical text. Automated detection of SDoH may be instrumental for healthcare providers in identifying at-risk patients, guiding targeted interventions, and contributing to population health initiatives aimed at mitigating disparities.

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Social determinants of health in patients undergoing hemiarthroplasty: are they associated with medical complications, healthcare utilization, and payments for care?

Cited by 4 publications

References 44 publications

CORR Insights®: Is Operative Time Associated With Obesity-related Outcomes in TKA?

CORR Insights®: Is Operative Time Associated With Obesity-related Outcomes in TKA?

Trends and predictors of reporting social determinants of health in shoulder surgery

On the development and validation of large language model-based classifiers for identifying social determinants of health

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