ArticleJournal of neuro-oncology2013
The influence of regional health system characteristics on the surgical management and receipt of post operative radiation therapy for glioblastoma multiforme.
Article in Journal of neuro-oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis 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
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Value of Geographical Information Systems in Analyzing Geographic Accessibility to Inform Radiotherapy Planning: A Systematic Review.JCO global oncology · 2022Pooled it
- Sex-Related Differences in Glioblastoma: A Single-Center Retrospective Cohort Study.Biomedicines · 2025Article
- Exploring the impact of primary care utilization and health information exchange upon treatment patterns and clinical outcomes of glioblastoma patients.Journal of neuro-oncology · 2024Article
- Increased 30-day readmission rate after craniotomy for tumor resection at safety net hospitals in small metropolitan areas.Journal of neuro-oncology · 2020Article
- Identifying Disparities in Care in Treating Glioblastoma: A Retrospective Cohort Study of Patients Treated at a Safety-net Versus Private Hospital Setting.World neurosurgery · 2020Article
- Combining Nonclinical Determinants of Health and Clinical Data for Research and Evaluation: Rapid Review.JMIR public health and surveillance · 2019Review
- Management of glioblastoma at safety-net hospitals.Journal of neuro-oncology · 2018Article
- Characteristics and survival outcomes associated with the lack of radiation in the treatment of glioblastoma.Medical oncology (Northwood, London, England) · 2018Article
- Article
- Quality improvement in neurology: Neuro-Oncology Quality Measurement Set.Neuro-oncology · 2018Article
- Surgery for CNS Tumors in the Brazilian National Health Care System.Journal of global oncology · 2017Article
- Improved survival for elderly married glioblastoma patients : Better treatment delivery, less toxicity, and fewer disease complications.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2016Article
- Disparities in receipt of modern concurrent chemoradiotherapy in glioblastoma.Journal of neuro-oncology · 2016Observational
- Glioblastoma treatment patterns, survival, and healthcare resource use in real-world clinical practice in the USA.Drugs in context · 2015Article
- Epidemiologic and molecular prognostic review of glioblastoma.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014Review
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Despite a known optimal treatment protocol for the management of glioblastoma multiforme (GBM), many patients fail to receive complete surgical resection or post-operative radiation therapy (PORT). The underlying reasons behind this disparity are unclear. Our study investigates the influence of regional health system resources on the surgical management and PORT receipt in patients with GBM. Surgical intervention, PORT receipt and patient data for patients diagnosed with GBM were obtained from the years 2004 to 2008 from the NCI Surveillance, Epidemiology, and End Results database and combined with the health system data from the Area Resource File. Four logistic models were constructed to test the effect of health system characteristics on surgical treatment choice and PORT receipt among health service areas (HSAs). We found that younger, married patients in HSAs with higher median incomes were significantly more likely to receive both gross total resection (p < 0.001, p < 0.001, p = 0.002) and PORT (p < 0.001, p < 0.001, p = 0.008). The density of radiation oncology equipped hospitals was also a significant predictor of PORT receipt (p = 0.002). Our findings suggest regional variations in of neuro-oncology services and income may have impact on GBM management. Policies aimed at narrowing disparities in treatment may need to focus on addressing regional variations in oncology resources.
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