Burns : journal of the International Society for Burn Injuries · 2026
Association between neighborhood disadvantage and surgical outcomes in hidradenitis suppurativa.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zhu Lily, Biswas Arushi, Cooney Carisa M, Caffrey Julie A
Аннотация
BACKGROUND: Hidradenitis suppurativa (HS) is a chronic inflammatory disease associated with significant morbidity. Although neighborhood disadvantage has been associated with delayed or missed HS diagnoses, its relationship with surgical outcomes remains unknown.
OBJECTIVE: To evaluate the association between neighborhood socioeconomic disadvantage and surgical outcomes among HS patients undergoing wide local excision.
METHODS: We conducted a retrospective cohort study of patients who underwent wide local excision for HS at a tertiary medical center. Neighborhood socioeconomic disadvantage was measured using the Area Deprivation Index (ADI). Demographics, surgical details, and postoperative outcomes were collected. Multivariable regression assessed whether ADI was independently associated with complications, adjusting for clinical covariates.
RESULTS: 232 patients were included (mean age 37 years; 74% female; 77% Black). Patients from high-deprivation neighborhoods (ADI 6-10, n = 146) required longer operative times and more frequent skin grafting compared with low-deprivation areas (ADI 1-5, n = 86) (p < 0.05). Complication rates were similar between groups (p = 0.88). In multivariable analysis, ADI was not independently associated with complications (p = 0.12).
CONCLUSIONS: Neighborhood disadvantage is associated with greater surgical complexity but does not predict postoperative complications, suggesting surgical outcomes may be comparable across socioeconomic contexts once patients access specialized surgical care.
OBJECTIVE: To evaluate the association between neighborhood socioeconomic disadvantage and surgical outcomes among HS patients undergoing wide local excision.
METHODS: We conducted a retrospective cohort study of patients who underwent wide local excision for HS at a tertiary medical center. Neighborhood socioeconomic disadvantage was measured using the Area Deprivation Index (ADI). Demographics, surgical details, and postoperative outcomes were collected. Multivariable regression assessed whether ADI was independently associated with complications, adjusting for clinical covariates.
RESULTS: 232 patients were included (mean age 37 years; 74% female; 77% Black). Patients from high-deprivation neighborhoods (ADI 6-10, n = 146) required longer operative times and more frequent skin grafting compared with low-deprivation areas (ADI 1-5, n = 86) (p < 0.05). Complication rates were similar between groups (p = 0.88). In multivariable analysis, ADI was not independently associated with complications (p = 0.12).
CONCLUSIONS: Neighborhood disadvantage is associated with greater surgical complexity but does not predict postoperative complications, suggesting surgical outcomes may be comparable across socioeconomic contexts once patients access specialized surgical care.