{
    "abstract": "The social vulnerability index (SVI) is a neighborhood-based metric used to determine an individual's susceptibility to socioeconomic hardship, with high SVI indicating high susceptibility. SVI has previously been associated with surgical outcomes. We aimed to determine if SVI influences morbidity following robotic-assisted lung resection.\nThis was a retrospective cohort study at one academic medical center (1/1/2021-11/30/2022). Patients undergoing robotic-assisted lung resection were grouped into low (<75\nWe included 320 patients, of which 40 patients (12.5%) in the high-SVI group and 280 (87.5%) in the low-SVI group. High SVI patients were more likely to be non-Caucasian and of Hispanic ethnicity, but there were no other differences in perioperative characteristics (all P>0.05). High SVI patients were more likely to experience a post-operative complication (42.5% \nHigh SVI was associated with increased risk-adjusted odds of morbidity after robotic-assisted lung resection. Highly vulnerable patients should be allocated perioperative resources to help mitigate the increased risk of these complications.",
    "authors": [
        {
            "affiliation": "Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.\nSurgical Outcomes and Applied Research, University of Colorado School of Medicine, Aurora, CO, USA.",
            "firstname": "Christina M",
            "initials": "CM",
            "lastname": "Stuart"
        },
        {
            "affiliation": "Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.\nSurgical Outcomes and Applied Research, University of Colorado School of Medicine, Aurora, CO, USA.",
            "firstname": "Adam R",
            "initials": "AR",
            "lastname": "Dyas"
        },
        {
            "affiliation": "Surgical Outcomes and Applied Research, University of Colorado School of Medicine, Aurora, CO, USA.\nAdult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, CO, USA.",
            "firstname": "Sara",
            "initials": "S",
            "lastname": "Byers"
        },
        {
            "affiliation": "Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.",
            "firstname": "Catherine G",
            "initials": "CG",
            "lastname": "Velopulos"
        },
        {
            "affiliation": "Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.",
            "firstname": "Simran K",
            "initials": "SK",
            "lastname": "Randhawa"
        },
        {
            "affiliation": "Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.",
            "firstname": "Elizabeth A",
            "initials": "EA",
            "lastname": "David"
        },
        {
            "affiliation": "Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.",
            "firstname": "John D",
            "initials": "JD",
            "lastname": "Mitchell"
        },
        {
            "affiliation": "Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.\nSurgical Outcomes and Applied Research, University of Colorado School of Medicine, Aurora, CO, USA.\nAdult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, CO, USA.",
            "firstname": "Robert A",
            "initials": "RA",
            "lastname": "Meguid"
        }
    ],
    "conclusions": null,
    "copyrights": "2023 Journal of Thoracic Disease. All rights reserved.",
    "doi": "10.21037/jtd-23-1122\n10.1016/j.xjon.2022.07.014\n10.21037/jtd-22-518\n10.1093/ejcts/ezy301\n10.1016/j.surg.2018.08.024\n10.1016/j.athoracsur.2009.06.012\n10.1016/j.thorsurg.2015.04.003\n10.1378/chest.12-1499\n10.1136/thoraxjnl-2015-207697\n10.1055/s-0032-1304543\n10.2147/TCRM.S195010\n10.1007/s11912-022-01193-4\n10.1097/SLA.0000000000005091\n10.1016/j.thorsurg.2021.09.001\n10.1016/j.amjsurg.2022.03.010\n10.1016/j.jtcvs.2023.04.027\n10.1007/s11605-020-04768-3\n10.1001/jamasurg.2020.5554\n10.1097/SLA.0b013e3181b13ca2\n10.1186/1471-2318-14-90\n10.2147/CIA.S349836\n10.1097/SLA.0000000000004691\n10.1016/j.jamcollsurg.2020.11.024\n10.1002/jso.26588\n10.1186/s44158-022-00057-4\n10.1371/journal.pone.0020306\n10.1097/SLA.0000000000001678\n10.1097/SLA.0000000000002997\n10.1097/XCS.0000000000000187\n10.1057/s41271-022-00370-w\n10.1016/j.athoracsur.2023.04.015\n10.1186/s12871-015-0096-7\n10.1097/MD.0000000000001769\n10.1371/journal.pone.0002232\n10.2471/BLT.22.287950\n10.1097/SLA.0000000000002293\n10.1001/jamasurg.2018.1645\n10.1097/SLA.0000000000004702\n10.1177/0269215516684179\n10.1016/j.athoracsur.2020.11.022\n10.1016/j.pec.2007.03.024\n10.1371/journal.pone.0074373\n10.1186/s12893-015-0073-6",
    "journal": "Journal of thoracic disease",
    "keywords": [
        "Social vulnerability index (SVI)",
        "lung surgery",
        "pulmonary resection",
        "social determinants of health"
    ],
    "methods": null,
    "publication_date": "2023-12-13",
    "pubmed_id": "38090321\n36590738\n36071784\n30304509\n30268372\n19766786\n26210931\n23287892\n26769017\n22535670\n30787617\n35080738\n36745766\n34801195\n35337645\n37119966\n32779084\n33355639\n19638912\n25129548\n35431543\n33351455\n33508426\n34196009\n37386591\n21633506\n24055383\n26928465\n30741732\n35703812\n36253433\n37080374\n26228844\n26496304\n18493324\n36324551\n28489682\n30193337\n33443905\n28730888\n33321089\n17587533\n24023942\n26182987\n26770372",
    "results": "We included 320 patients, of which 40 patients (12.5%) in the high-SVI group and 280 (87.5%) in the low-SVI group. High SVI patients were more likely to be non-Caucasian and of Hispanic ethnicity, but there were no other differences in perioperative characteristics (all P>0.05). High SVI patients were more likely to experience a post-operative complication (42.5% ",
    "title": "Social vulnerability is associated with post-operative morbidity following robotic-assisted lung resection.",
    "xml": "<Element 'PubmedArticle' at 0x7885026d53f0>"
}