Search reports, ask a question, or jump to a page.
The problem
Intervention: Study examined whether neighborhood child opportunity index (COI) explains surgical outcome disparities; comparison of outcomes across race, ethnicity, and caregiver language groups
Who it was tested with: 1,568 children undergoing congenital cardiac surgery at a single center (2010-2023); 51.2% non-Hispanic White, 64.1% with public insurance, 57.4% from very low or low opportunity neighborhoods.
Children or communities are compared with a group that did not receive the intervention, or followed over years. This is the design that best separates what the intervention did from everything else that changed.
"Utilizing the Society of Thoracic Surgeons database, we conducted a single-center retrospective cohort study of patients who underwent congenital cardiac surgery from 2010 to 2023" with "Adjusted analyses were performed using generalized linear mixed models." The study quantifies disparities across groups and evaluates whether neighborhood opportunity explains them, providing evidence that structural factors beyond neighborhood disadvantage drive surgical outcome disparities.
Single-center study limits generalizability. The mechanism explaining why COI does not mediate disparities while race/ethnicity and language barriers persist is not identified. Study design cannot establish causation for observed disparities.
Across countries and designs
1 study · 1 country
