Impact of Social Determinants of Health in Spine Surgery.

Autor: Reyes SG; Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 1350, Chicago, IL, 60611, USA. samuel.reyes@northwestern.edu., Bajaj PM; Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 1350, Chicago, IL, 60611, USA., Alvandi BA; Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 1350, Chicago, IL, 60611, USA., Kurapaty SS; Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 1350, Chicago, IL, 60611, USA., Patel AA; Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 1350, Chicago, IL, 60611, USA., Divi SN; Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 1350, Chicago, IL, 60611, USA.
Jazyk: angličtina
Zdroj: Current reviews in musculoskeletal medicine [Curr Rev Musculoskelet Med] 2023 Jan; Vol. 16 (1), pp. 24-32. Date of Electronic Publication: 2022 Dec 14.
DOI: 10.1007/s12178-022-09811-1
Abstrakt: Purpose of Review: Social determinants of health (SDH) are factors that affect patient health outcomes outside the hospital. SDH are "conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks." Current literature has shown SDH affecting patient reported outcomes in various specialties; however, there is a dearth in research relating spine surgery with SDH. The aim of this review article is to identify connections between SDH and post-operative outcomes in spine surgery. These are important, yet understudied predictors that can impact health outcomes and affect health equity.
Recent Findings: Few studies have shown associations between SDH pillars (environment, race, healthcare, economic, and education) and spine surgery outcomes. The most notable relationships demonstrate increased disability, return to work time, and pain with lower income, education, environmental locations, healthcare status and/or provider. Despite these findings, there remains a significant lack of understanding between SDH and spine surgery. Our manuscript reviews the available literature comparing SDH with various spine conditions and surgeries. We organized our findings into the following narrative themes: 1) education, 2) geography, 3) race, 4) healthcare access, and 5) economics.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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