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01), and unemployment (p 0.01) were highest in the OH group while job growth (p = 0.02) and median income ratio (p .01) were highest in the RH group. The LH group had a greater proportion of privately insured patients than Medicaid/ uninsured patients (43.4% vs 15.9%, p 0.01). The most important variables identified by our RF model were job growth (forRH), insurance type (forLH), and no high school diploma (forOH). Insurance type, job growth, and educational attainment may influence operative approach and can contribute to the existing dispar
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