The association of neighborhood social vulnerability with surgical textbook outcomes among patients undergoing hepatopancreatic surgery

Background Previous studies have largely examined social determinants of health relative to individual surgery quality metrics. We sought to characterize possible differences in “textbook outcome,” a composite measure of quality, relative to social vulnerability index. Methods The Medicare Standard Analytical Files from 2013 to 2017 were used to identify beneficiaries who underwent hepatopancreatic surgery. Individuals were stratified into 3...