Neighborhood socioeconomic disadvantage is not associated with adverse outcomes following elective spine surgery in older Veterans
Social (rurality, ADI>85) and demographic variables were not associated with complication, 30-day readmission, or 30-day mortality in older Veterans following elective spine surgery. While clinical factors (frailty, co-morbidity, class-3 obesity, and operative stress score) were associated with adverse outcomes, Veterans in this study did not experience disparities in medical outcomes due to social vulnerability. Untangling mechanisms connecting social and clinical factors may improve outcomes.
Authors
- Mary Vaughan‐Sarrazin (ORCID: https://orcid.org/0000-0001-8717-1061)
- Katherine Hadlandsmyth (ORCID: https://orcid.org/0000-0003-0513-4609)
- Heather Davila (ORCID: https://orcid.org/0000-0003-1832-7901)
- Andrea Strayer (ORCID: https://orcid.org/0000-0002-2632-8165)
- George L. Wehby (ORCID: https://orcid.org/0000-0001-7784-9908)
- Daniel E. Hall (ORCID: https://orcid.org/0000-0001-6382-0522)
- Paula K. Shireman (ORCID: https://orcid.org/0000-0002-9701-5422)
- Leslie R. M. Hausmann (ORCID: https://orcid.org/0000-0002-3909-6009)
- Michael A. Jacobs (ORCID: https://orcid.org/0000-0002-1125-1644)
- Susanne Schmidt
- Carly A. Jacobs
- Yubo Gao
Institutions
- University of Iowa (US)
- National Bureau of Economic Research (US)
- The University of Texas at San Antonio Health Science Center (US)
- University of Pittsburgh (US)
- Veterans Health Administration (US)
- Texas A&M Health Science Center (US)
- UPMC Presbyterian (US)
- Iowa City VA Health Care System (US)
- VA Pittsburgh Healthcare System (US)
- University of Pittsburgh Medical Center (US)
- Department of Veterans Affairs (AU)
Publication Details
- Journal
- North American Spine Society Journal (NASSJ)
- Published
- 2025-04-17
- DOI
- https://doi.org/10.1016/j.xnsj.2025.100611
- Citations
- 1
- Primary Topic
- Hip and Femur Fractures
- Type
- article
- Field-Weighted Citation Impact
- 2.01
Funders
- U.S. Department of Veterans Affairs
- Heinz Endowments
- Office of Research and Development
- National Institutes of Health
- Agency for Healthcare Research and Quality
- Office of Rural Health
- National Center for Advancing Translational Sciences