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May 16, 2026Orthopaedic Journal of Sports MedicineOpen Access

Influence of Area Deprivation Index and Social Vulnerability Index on PROMIS Outcomes and MCID Achievement Following ACL Reconstruction

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Authors

PCPatrick CastleOPOmkar N. PrabhavalkarMHMelissa R. Holloway

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Overview

Cohort study examines the effect of area deprivation and social vulnerability on PROMIS scores and MCID post-ACL reconstruction, suggesting significance in socio-economic factors.

Key Points

  • This research aims to understand how social determinants, particularly ADI and SVI, impact recovery outcomes after ACL reconstruction.
  • Retrospective cohort study of patients aged ≥13 years undergoing ACL reconstruction from 2015-2023
  • Patients completed preoperative and postoperative PROMIS surveys at least six months after surgery
  • Statistical analyses included ANOVA, chi-square test, and logistic regression to assess associations with PROMIS scores and MCID achievement.
  • 576 patients met inclusion criteria with significant differences in race and insurance status across ADI/SVI quartiles.
  • Postoperative PROMIS scores improved significantly (P < .05) across all quartiles, though ADI quartile 4 had worse pain interference and depression scores.
  • Lower odds of achieving MCID for pain interference noted in ADI quartile 4 (odds ratio 0.55; P = .018).

Cite This Study

Castle et al. (2026) studied this question.

synapsesocial.com/papers/6a080b4ea487c87a6a40d8bfhttps://doi.org/10.1177/23259671261438134
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