Evidence mapPaperPMID 39357347Full record

ArticleThe Journal of surgical research2024

Analyzing the Social Vulnerability Index With Metabolic Surgery.

Samuel K Mathai, Denise M Garofalo, Quintin W Myers, Charlotte H Heron, Victoria S Clair, India Bonner, Adam R Dyas, Catherine G Velopulos, Kweku Hazel

Abstract read
In one paragraph

Article in The Journal of surgical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Samuel K MathaiUniversity of Colorado School of Medicine, Aurora, Colorado. Electronic address: samuel.mathai@CUAnschutz.edu.
Denise M GarofaloDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Quintin W MyersDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Charlotte H HeronDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Victoria S ClairUniversity of Colorado School of Medicine, Aurora, Colorado.
India BonnerUniversity of Colorado School of Medicine, Aurora, Colorado.
Adam R DyasDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Catherine G VelopulosDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Kweku HazelDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado.

Funding

Modifiable factors in emergent presentation of potentially elective general surgical disease for patients who are insured or insurance-eligibleR01MD015122 · UNIVERSITY OF COLORADO DENVER · 2025 to 2025
$315k
NIMHD NIH HHS R01 MD015122
6 · The paper itself

Abstract

introductionThe social vulnerability index (SVI) is a census tract-level population-based measure generated from 16 socioeconomic and demographic variables on a scale from 1 (least) to 100 (most) vulnerable. This study has three objectives as follows: 1) to analyze multiple ways of utilizing SVI, 2) compare SVI as a group measure of marginalization to individual markers, and 3) to understand how SVI is associated with choice of surgery in metabolic surgery.

methodsWe retrospectively identified adults undergoing Roux-en-Y gastric bypass and gastric sleeve in 2013-2018 National Surgical Quality Improvement Program data from a single academic center. High SVI was defined as >75

resultsWe identified 436 patients undergoing metabolic surgery, with a low overall morbidity (6.1%). Complication and readmission rates were similar across comparator groups. The logistic regression models had similar area under the curve, supporting SVI as a proxy for individual measures of marginalization.

conclusionsSVI performed as well as marginalized status in predicting preoperative risk. This suggests the validity of using SVI to identify high risk patients. By providing a single, quantitative score encompassing many social determinants of health, SVI is a useful tool in identifying patients facing the greatest health disparities.

Indexed as

Vulnerable PopulationsAdultBariatric SurgeryFemaleGastric BypassHumansMaleMiddle AgedObesity, MorbidPostoperative ComplicationsRetrospective StudiesSocioeconomic FactorsBariatricsMetabolic surgerySocial vulnerability index

Identifiers

PMID39357347
PMCPMC11778274

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.