The Association Between Distressed Community Index and Clinical Outcomes Following Surgical Repair of Acute Achilles Tendon Rupture Article Swipe
James Kim
,
Justin Tsai
,
David I. Pedowitz
,
Daniel Fuchs
,
Joseph T. O’Neil
,
Rachel Shakked
,
Brian S. Winters
,
Joe Daniel
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1177/2473011423s00197
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1177/2473011423s00197
Category: Ankle; Other Introduction/Purpose: Operative management of acute Achilles tendon ruptures can be associated with a myriad of complications1,2. Demographics and comorbidities have been previously explored in relation to outcomes after operative management of Achilles tendon ruptures3,4. However, the relationship between socioeconomic factors and postoperative outcomes in these patients has not been explored. Distressed community index (DCI) is a score that represents a community’s level of well-being across the United States, with higher scores representing greater distress experienced in the community. Independent socioeconomic deprivation factors have been shown to be associated with suboptimal postoperative outcomes for patients undergoing certain orthopedic surgeries6–9. The purpose of this study is to determine if there is any association between DCI scores and short-term complication rates and functional outcomes following ruptured Achilles tendon repair. Methods: Patients who underwent surgical repair of ruptured Achilles tendon between 2015 and 2019 were identified. Patients’ residence zip codes were obtained and matched to corresponding DCI scores (0-100) based on data provided by the Economic Innovation Group for the same time period (2015-2019). Scores were divided into quintiles. Patient age, race, ethnicity, alcohol and smoking history, need for assistance with activities of daily living, ambulation status unrelated to injury, and access to transportation were also noted. Complications such as re-rupture, superficial or deep infection, wound complications, and deep vein thrombosis within 1-year since date of surgery were noted. Preoperative Foot and Ankle Ability Measure and Visual Analogy Pain scales were compared to postoperative scores at 6 months, 1 year, and 2 years. Analysis of variance (ANOVA) was used to determine the statistical significance of differences in the rate of complications and FAAM-VAS scores between quintiles. Results: Patients in the 2nd DCI quintile experienced the highest rate (9.25%) of total complications while patients in the 5th quintile experienced the lowest rate (3.33%). Difference in complication rates across DCI quintiles was not statistically significant (p=0.925). Out of the 17 patients who experienced complications, 12 (70.6%) patients belonged to the 1st and 2nd quintile while 2 patients (11.7%) belonged to the 4th and 5th quintiles. The differences in FAAM and VAS pain scores were not significantly different at preoperative and at 1-year and 2-year postoperative time points across quintiles. However, patients in the 5th and 4th quintiles experienced the greatest improvement in FAAM Overall scores at 1-year and 2-year postoperative time points, respectively. Conclusion: Patients living in more distressed communities did not experience greater postoperative complication rates or report lower patient-reported outcomes up to 2 years following operative repair of Achilles tendon rupture.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/2473011423s00197
- OA Status
- gold
- Cited By
- 1
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4390196426
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4390196426Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1177/2473011423s00197Digital Object Identifier
- Title
-
The Association Between Distressed Community Index and Clinical Outcomes Following Surgical Repair of Acute Achilles Tendon RuptureWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-10-01Full publication date if available
- Authors
-
James Kim, Justin Tsai, David I. Pedowitz, Daniel Fuchs, Joseph T. O’Neil, Rachel Shakked, Brian S. Winters, Joe DanielList of authors in order
- Landing page
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https://doi.org/10.1177/2473011423s00197Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1177/2473011423s00197Direct OA link when available
- Concepts
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Medicine, Achilles tendon, Achilles tendon rupture, Ankle, Socioeconomic status, Deep vein, Podiatry, Physical therapy, Orthopedic surgery, Surgery, Tendon, Thrombosis, Population, Alternative medicine, Environmental health, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.surgery | 225 |
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