{"id":"https://openalex.org/W2010489238","doi":"https://doi.org/10.1016/j.jocn.2010.08.029","title":"Higher comorbidity rates in unemployed patients may significantly impact the cost of spine surgery","display_name":"Higher comorbidity rates in unemployed patients may significantly impact the cost of spine surgery","publication_year":2011,"publication_date":"2011-03-16","ids":{"openalex":"https://openalex.org/W2010489238","doi":"https://doi.org/10.1016/j.jocn.2010.08.029","mag":"2010489238","pmid":"https://pubmed.ncbi.nlm.nih.gov/21393000"},"language":"en","primary_location":{"id":"doi:10.1016/j.jocn.2010.08.029","doi":"https://doi.org/10.1016/j.jocn.2010.08.029","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.jocn.2010.08.029","pdf_url":null,"source":{"id":"https://openalex.org/S145023809","display_name":"Journal of Clinical Neuroscience","issn_l":"0967-5868","issn":["0967-5868","1532-2653"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Neuroscience","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103681718","display_name":"M. Sami Walid","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1285730425","display_name":"Navicent Health","ror":"https://ror.org/00qd1fk85","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285730425"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Mohammad Sami Walid","raw_affiliation_strings":["Medical Center of Central Georgia, 840 Pine Street, Suite 950, Macon, Georgia 31201, USA. mswalid@yahoo.com","Medical Center of Central Georgia, 840 Pine Street, Suite 950, Macon, Georgia 31201, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Center of Central Georgia, 840 Pine Street, Suite 950, Macon, Georgia 31201, USA. mswalid@yahoo.com","institution_ids":["https://openalex.org/I1285730425"]},{"raw_affiliation_string":"Medical Center of Central Georgia, 840 Pine Street, Suite 950, Macon, Georgia 31201, USA","institution_ids":["https://openalex.org/I1285730425"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074165571","display_name":"Edward C.M. Robinson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145423581","display_name":"Sewanee: The University of the South","ror":"https://ror.org/05r5k8873","country_code":"US","type":"education","lineage":["https://openalex.org/I145423581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Edward C.M. Robinson","raw_affiliation_strings":["School of Medicine, University of the South, Sewanee, Tennessee 37375, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, University of the South, Sewanee, Tennessee 37375, USA","institution_ids":["https://openalex.org/I145423581"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5109222569","display_name":"Joe Sam Robinson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Joe Sam Robinson","raw_affiliation_strings":["Georgia Neurosurgical Institute, 840 Pine Street, Suite 880, Macon, Georgia 31201, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Georgia Neurosurgical Institute, 840 Pine Street, Suite 880, Macon, Georgia 31201, USA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5103681718"],"corresponding_institution_ids":["https://openalex.org/I1285730425"],"apc_list":{"value":3830,"currency":"USD","value_usd":3830},"apc_paid":null,"fwci":4.1862,"has_fulltext":false,"cited_by_count":36,"citation_normalized_percentile":{"value":0.92138776,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"18","issue":"5","first_page":"640","last_page":"644"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.5961999893188477,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.5961999893188477,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.39329999685287476,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.0026000000070780516,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/unemployment","display_name":"unemployment","score":0.9169999957084656},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.6940000057220459},{"id":"https://openalex.org/keywords/spine-surgery","display_name":"spinal surgery","score":0.9480000138282776},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.7990000247955322},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9539999961853027},{"id":"https://openalex.org/keywords/hospital-charges","display_name":"hospital charges","score":0.7749999761581421},{"id":"https://openalex.org/keywords/chronic-back-pain","display_name":"chronic back pain","score":0.8840000033378601},{"id":"https://openalex.org/keywords/opioid-use","display_name":"opioid use","score":0.5920000076293945},{"id":"https://openalex.org/keywords/coronary-artery-disease","display_name":"coronary artery disease","score":0.7059999704360962},{"id":"https://openalex.org/keywords/chronic-kidney-disease","display_name":"chronic kidney disease","score":0.902999997138977},{"id":"https://openalex.org/keywords/charlson-comorbidity-index","display_name":"Charlson Comorbidity Index","score":0.8109999895095825},{"id":"https://openalex.org/keywords/lumbar-microdiscectomy","display_name":"lumbar microdiscectomy","score":0.8799999952316284},{"id":"https://openalex.org/keywords/anterior-cervical-decompression-and-fusion","display_name":"anterior cervical decompression and fusion","score":0.9319999814033508},{"id":"https://openalex.org/keywords/lumbar-decompression-and-fusion","display_name":"lumbar decompression and fusion","score":0.9150000214576721},{"id":"https://openalex.org/keywords/employment-status","display_name":"employment status","score":0.531000018119812}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9718599319458008},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.8377770185470581},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.5572173595428467},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.5513505935668945},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.46625837683677673},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.4519476890563965},{"id":"https://openalex.org/C2778213512","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary artery disease","level":2,"score":0.43603426218032837},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.43479102849960327},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.41231778264045715},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.32305407524108887},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001416","descriptor_name":"Back Pain","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D001416","descriptor_name":"Back Pain","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D002318","descriptor_name":"Cardiovascular Diseases","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D002318","descriptor_name":"Cardiovascular Diseases","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009765","descriptor_name":"Obesity","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D009765","descriptor_name":"Obesity","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D013131","descriptor_name":"Spine","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D014478","descriptor_name":"Unemployment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017722","descriptor_name":"Hospital Charges","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D018709","descriptor_name":"Statistics, Nonparametric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019637","descriptor_name":"Orthopedic Procedures","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D019637","descriptor_name":"Orthopedic Procedures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.jocn.2010.08.029","doi":"https://doi.org/10.1016/j.jocn.2010.08.029","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.jocn.2010.08.029","pdf_url":null,"source":{"id":"https://openalex.org/S145023809","display_name":"Journal of Clinical Neuroscience","issn_l":"0967-5868","issn":["0967-5868","1532-2653"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Neuroscience","raw_type":"journal-article"},{"id":"pmid:21393000","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21393000","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Decent work and economic growth","score":0.6452000141143799,"id":"https://metadata.un.org/sdg/8"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W1995215545","https://openalex.org/W2000445173","https://openalex.org/W2009365840","https://openalex.org/W2017837771","https://openalex.org/W2021193711","https://openalex.org/W2024636560","https://openalex.org/W2038172375","https://openalex.org/W2047864875","https://openalex.org/W2062819165","https://openalex.org/W2079863525","https://openalex.org/W2089507735","https://openalex.org/W2089967449","https://openalex.org/W2095334722","https://openalex.org/W2118387463","https://openalex.org/W2314403354"],"related_works":["https://openalex.org/W1844699508","https://openalex.org/W2079817473","https://openalex.org/W2057267529","https://openalex.org/W2598294010","https://openalex.org/W3107762081","https://openalex.org/W182936522","https://openalex.org/W2003843629","https://openalex.org/W2011690528","https://openalex.org/W2769708455","https://openalex.org/W1887419240"],"abstract_inverted_index":null,"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":6},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}