ArticleJournal of epidemiology and community health2002
Socioeconomic variations in the course of stroke: unequal health outcomes, equal care?
Article in Journal of epidemiology and community health, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Tertiary prevention interventions for patients with stroke in African countries: a systematic review.BMJ open · 2025Pooled it
- Influence of Socioeconomic Status on Functional Outcomes After Stroke: A Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2024Pooled it
- Girls' Empowerment and Adolescent Pregnancy: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Robot-assisted gait training for balance and lower extremity function in patients with infratentorial stroke: a single-blinded randomized controlled trial.Journal of neuroengineering and rehabilitation · 2019Trial
- Identifying Treatment Effect Modifiers in the STarT Back Trial: A Secondary Analysis.The journal of pain · 2017Trial
- Accessibility for Rehabilitation Therapy According to Socioeconomic Status in Patients With Stroke: A Population-Based Retrospective Cohort Study.Brain & NeuroRehabilitation · 2023Article
- Life and Leisure Activities following Stroke or Transient Ischaemic Attack (TIA): An Observational, Multi-Centre, 6-Month Follow-Up Study.International journal of environmental research and public health · 2022Observational
- Association between socioeconomic status and post-stroke functional outcome in deprived rural southern China: a population-based study.BMC neurology · 2018Article
- Moving Toward an Understanding of Disability in Older U.S. Stroke Survivors.Journal of aging and health · 2018Article
- Costs of care at the end of life among elderly patients with chronic kidney disease: patterns and predictors in a nationwide cohort study.BMC nephrology · 2017Article
- Is there a correlation between socioeconomic disparity and functional outcome after acute ischemic stroke?PloS one · 2017Article
- The influence of individual socioeconomic status on the clinical outcomes in ischemic stroke patients with different neighborhood status in Shanghai, China.International journal of medical sciences · 2017Article
- Predictors of functional level and quality of life at 6 months after a first-ever stroke: the KOSCO study.Journal of neurology · 2016Article
- The association between socioeconomic status and disability after stroke: findings from the Adherence eValuation After Ischemic stroke Longitudinal (AVAIL) registry.BMC public health · 2014Article
- Implementation of telephone-based secondary preventive intervention after stroke and transient ischemic attack - participation rate, reasons for nonparticipation and one-year mortality.Cerebrovascular diseases extra · 2014Article
- Low-educated women with chronic pain were less often selected to multidisciplinary rehabilitation programs.PloS one · 2014Article
- Neighborhood income and stroke care and outcomes.Neurology · 2012Article
- Income and education as predictors of stroke mortality after the survival of a first stroke.Stroke research and treatment · 2012Article
- Article
- Ambient experience in restitutive treatment of aphasia.Frontiers in human neuroscience · 2010Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectiveThe aim of this paper is to quantify the socioeconomic gap in long term health outcomes after stroke and related health care utilisation, in order to evaluate whether those in need of care do actually receive appropriate levels of care.
designStroke patients from the lower socioeconomic group were compared with stroke patients from the higher socioeconomic group with respect to sociodemographic and clinical characteristics, health outcomes, and related health care utilisation.
settingPatients were recruited from admissions to 23 randomly selected hospitals in the Netherlands. PATIENTS: 465 patients were included who had had a stroke six months earlier and were followed up three years and five years after stroke. MAIN
resultsThe observed odds ratios suggest that patients from the lower socioeconomic group experienced more disabilities up to three years after stroke and more handicaps up to five years after stroke. After adjusting for health care needs there were no significant associations between socioeconomic status and health care utilisation. The observed figures, however, suggest that a lower socioeconomic status tended to increase admission to nursing homes and to decrease receiving care in non-institutional settings.
conclusionsOverall, inequalities in long term health outcomes were observed but solid indications for large inequalities in health care utilisation were not found. More investments in coordinated stroke services are needed to alleviate the unfavourable health situation of disadvantaged groups and to ensure that health care services respond appropriately to the health care needs of different socioeconomic groups.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.