Social determinants of health predict increased length of stay but not complications following primary total shoulder arthroplasty in Medicaid patients
ICD-10 code diagnoses of SDOH were independently predictive of increased LOS in Medicaid patients undergoing primary TSA, but were not independently predictive of complications, readmission, mortality, or increased cost. This study focused on a population with less economic variance than previous studies. In a population economically disadvantaged, these findings provide insightful considerations for physicians and patients given the increased resource utilization associated.Level of evidence: Level III - Retrospective cohort study.
Authors
- John W. Moore (ORCID: https://orcid.org/0009-0009-3911-5386)
- Richard Joel Friedman (ORCID: https://orcid.org/0000-0002-5641-470X)
- Alexander S. Guareschi
- Anthony J Minerva
- Cody Ashy (ORCID: https://orcid.org/0000-0001-8238-9264)
- Brandon L. Rogalski (ORCID: https://orcid.org/0000-0002-1347-2950)
Institutions
- Medical University of South Carolina (US)
- Campbell Clinic (US)
- University of Tennessee at Knoxville (US)
Publication Details
- Journal
- Shoulder & Elbow
- Published
- 2025-08-03
- DOI
- https://doi.org/10.1177/17585732251362298
- Citations
- 2
- Primary Topic
- Shoulder Injury and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 4.01