[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-415018-105":59,"doc-detail-415018-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","how-social-determinants-of-health-affect-outcomes-following-rotator-cuff-repair-research-article","How Social Determinants of Health Affect Outcomes Following Rotator Cuff Repair - Research Article","","The study examines how socioeconomic status (SES), measured via geocoding and Social Deprivation Index (SDI) by zip code, influences postoperative results after full-thickness rotator cuff tear repair. Retrospective review of 322 patients from 2014–2021 stratified outcomes by median household income and SDI, with PROMs assessed at 12 months. Extremely/very low-income and high-SDI patients showed lower ASES, SANE, and satisfaction, and the highest SDI quartile, BMI, female sex, and current smoking correlated negatively with PROMs. Findings indicate multifactorial effects and support risk-adjusted compensation and preoperative counseling.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/how-social-determinants-of-health-affect-outcomes-following-rotator-cuff-repair-research-article/415018/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/how-social-determinants-of-health-affect-outcomes-following-rotator-cuff-repair-research-article/415018.png","ImageObject",300,407,{"name":92,"@type":93},"\tJames","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-03","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the study’s primary goal regarding rotator cuff repair outcomes?","Question",{"text":112,"@type":113},"To determine how socioeconomic status (SES), assessed via geocoding, affects postoperative outcomes following rotator cuff tear repair.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were patients categorized in the analysis?",{"text":117,"@type":113},"Patients were stratified by median household income and Social Deprivation Index (SDI) based on zip code.",{"name":119,"@type":110,"acceptedAnswer":120},"Which factors were associated with lower patient-reported outcomes at 12 months?",{"text":121,"@type":113},"Patients from the lowest income areas and highest SDI quartiles had decreased ASES, SANE, and satisfaction, and the highest SDI quartile, higher BMI, female sex, and current smoking showed negative correlations with PROMs.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},415018,1790794554,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},2336474466412,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Research Article  \nHow Social Determinants of HealthAffect Outcomes Following Rotator Cuff Repair  \nBranden Wright, MD Jaynie X. Criscione, BS Vineeth Romiyo, MD Nicholas Pohl, MD Michael Curry, MD  \nKrystal Hunter, PhD Pietro M. Gentile, BS Lawrence S. Miller, MD Matthew T. Kleiner, MD Mark Pollard, MD Catherine J. Fedorka, MD   \nFrom the Department of Orthopaedic Surgery, Cooper University Health Care, Camden, New Jersey (Dr. Wright, Ms. Criscione, Dr. Pohl, Dr. Curry, Mr. Gentile, Dr. Miller, Dr. Kleiner, Dr. Pollard, and Dr. Fedorka), and the Cooper Medical School of Rowan University, Camden, New Jersey (Dr. Romiyo, Dr. Hunter, Dr. Miller, Dr. Kleiner, Dr. Pollard, and Dr. Fedorka) .  \nCorrespondence to Dr. Fedorka: Fedorka[catherine@cooperhealth.edu](catherine@cooperhealth.edu)  \nThis project was presented as a poster at the Pennsylvania Orthopaedic Society, October 2022 and AAOS March 2023.  \nThis study was approved by the Cooper University Hospital Institutional Review Board (IRB 21-285) .  \nJAAOS Glob Res Rev 2026;10: e25 .00399 DOI: 10.5435/JAAOSGlobal-D-25-00399  \nCopyright 2026 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. This is an open access article distributed under the Creative Commons Attribution License 4.  \n0 (CCBY) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nABSTRACT  \nBackground: There has been an increased interest within orthopaedics investigating disparities in outcomes among populations of low socioeconomic status (SES) . This study aims to investigate how SES, investigated by proxy through geocoding, affects postoperative outcomes following repair of rotator cuff tears.  \nMethods: A total of 322 patients undergoing full-thickness rotator cuff tear repair (RCR) at a single institution from 2014 to 2021 were retrospectively reviewed and stratified by median household income and Social Deprivation Index (SDI) per zip code. Primary outcomes included patient-reported outcome measures (PROMs) at 12 months postoperatively. Multiple linear regression examined which variables correlated with American Shoulder and Elbow Surgeons (ASES) and Single Assessment Numeric Evaluation (SANE) scores.  \nResults: The extremely/very low-income and high SDI patients had significantly decreased ASES, SANE, and satisfaction scores at  \n12 months postoperatively based on one-way analysis of variance (ANOVA) analysis. Multiple linear regression revealed that low-and medium-income groups had notable positive correlations with ASES and SANE scores. Highest SDI quartile, body mass index, female sex, and current smoking status had notable negative correlations with PROMs.  \nConclusion: Based on ANOVA, patients from areas of lowest income and highest SDI had lower PROMs following RCR, although multiple regression demonstrates that PROMs are multifactorial. The results should be interpreted in the context of current literature and used to raise awareness among orthopaedic surgeons of risk factors affecting PROMs following RCR. As health care trends toward patient satisfaction-driven financial models, we stress the importance of riskadjusted compensation and performance models for orthopaedic surgeons performing RCRs and preoperative expectation counseling.  \nSocial Factors and Rotator Cuff Outcomes  \nResearch into disparities within the field of  \northopaedics is garnering substantial interest.1  \nFor example, utilization rates of total joint arthroplasties have been considerably lower for minority populations since the 1990s.2 Although other surgical specialties have decreased the gap in utilization of their respective procedures in minority populations, the gap for major orthopaedic procedures has widened during the 21st century.3 This is complicated by the persistently low awareness of disparities among orthopaedic surgeons.4 In recent years, research efforts on disparities in ortho","cbCaivDg6wPquBuZ","https://ap.wps.com/l/cbCaivDg6wPquBuZ","pdf",722012,"English","# Abstract\n## Background\n## Methods\n## Results\n## Conclusion\n# Social Factors and Rotator Cuff Outcomes","[{\"question\":\"What is the study’s primary goal regarding rotator cuff repair outcomes?\",\"answer\":\"To determine how socioeconomic status (SES), assessed via geocoding, affects postoperative outcomes following rotator cuff tear repair.\"},{\"question\":\"How were patients categorized in the analysis?\",\"answer\":\"Patients were stratified by median household income and Social Deprivation Index (SDI) based on zip code.\"},{\"question\":\"Which factors were associated with lower patient-reported outcomes at 12 months?\",\"answer\":\"Patients from the lowest income areas and highest SDI quartiles had decreased ASES, SANE, and satisfaction, and the highest SDI quartile, higher BMI, female sex, and current smoking showed negative correlations with PROMs.\"}]","How Social Determinants of Health Affect Outcomes Following Rotator Cuff Repair - Research Article | PDF",1790599712,25]