ArticleAJNR. American journal of neuroradiology2014
Socioeconomic disparities in the utilization of mechanical thrombectomy for acute ischemic stroke in US hospitals.
Article in AJNR. American journal of neuroradiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Trial
- Areal differences in the utilization of endovascular therapy for acute ischemic stroke.European journal of public health · 2025Article
- Article
- Examining the Impact of Area Deprivation on Endovascular Stroke Therapy Access.Stroke (Hoboken, N.J.) · 2025Article
- Racial and Ethnic Diversity in Endovascular Thrombectomy Trials.Stroke (Hoboken, N.J.) · 2024Review
- Gender-Based Disparity in Acute Stroke Imaging Utilization and the Impact on Treatment and Outcomes: 2012 to 2021.Journal of the American College of Radiology : JACR · 2024Article
- Interaction of Ethnicity and Arrival Method on Thrombectomy Delay: The Society of Vascular and Interventional Neurology Collaboration.Stroke (Hoboken, N.J.) · 2022Article
- Mobile stroke care expedites intravenous thrombolysis and endovascular thrombectomy.Stroke and vascular neurology · 2022Review
- Health Equity: What the Neuroradiologist Needs to Know.AJNR. American journal of neuroradiology · 2022Article
- Striving for Socioeconomic Equity in Ischemic Stroke Care: Imaging and Acute Treatment Utilization From a Comprehensive Stroke Center.Journal of the American College of Radiology : JACR · 2022Article
- Mechanical Thrombectomy Access for All? Challenges in Increasing Endovascular Treatment for Acute Ischemic Stroke in the United States.Journal of stroke · 2022Review
- Acute Ischemic Stroke Interventions in the United States and Racial, Socioeconomic, and Geographic Disparities.Neurology · 2021Article
- The American Society of Neuroradiology: Cultivating a Diverse and Inclusive Culture to Build a Stronger Organization.AJNR. American journal of neuroradiology · 2021Article
- Racial Differences in Mechanical Thrombectomy Utilization for Ischemic Stroke in the United States.Ethnicity & disease · 2020Article
- Community and Hospital Factors Associated With Stroke Center Certification in the United States, 2009 to 2017.JAMA network open · 2019Article
- Patients with stroke and psychiatric comorbidities have lower carotid revascularization rates.Neurology · 2019Article
- Socioeconomic disparities in prehospital stroke care.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019Article
- Endovascular Therapy in Pediatric Stroke: Utilization, Patient Characteristics, and Outcomes.Pediatric neurology · 2017Article
- Racial and health insurance disparities of inpatient spine augmentation for osteoporotic vertebral fractures from 2005 to 2010.AJNR. American journal of neuroradiology · 2014Article
- Racial and gender disparities in patients undergoing mechanical thrombectomy for large vessel occlusion at a comprehensive stroke center.Brain circulationArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposePrevious studies have demonstrated that socioeconomic disparities in the treatment of cerebrovascular diseases exist. We studied a large administrative data base to study disparities in the utilization of mechanical thrombectomy for acute ischemic stroke. MATERIALS AND
methodsWith the utilization of the Perspective data base, we studied disparities in mechanical thrombectomy utilization between patient race and insurance status in 1) all patients presenting with acute ischemic stroke and 2) patients presenting with acute ischemic stroke at centers that performed mechanical thrombectomy. We examined utilization rates of mechanical thrombectomy by race/ethnicity (white, black, and Hispanic) and insurance status (Medicare, Medicaid, self-pay, and private). Multivariate logistic regression analysis adjusting for potential confounding variables was performed to study the association between race/insurance status and mechanical thrombectomy utilization.
resultsThe overall mechanical thrombectomy utilization rate was 0.15% (371/249,336); utilization rate at centers that performed mechanical thrombectomy was 1.0% (371/35,376). In the sample of all patients with acute ischemic stroke, multivariate logistic regression analysis demonstrated that uninsured patients had significantly lower odds of mechanical thrombectomy utilization compared with privately insured patients (OR = 0.52, 95% CI = 0.25-0.95, P = .03), as did Medicare patients (OR = 0.53, 95% CI = 0.41-0.70, P < .0001). Blacks had significantly lower odds of mechanical thrombectomy utilization compared with whites (OR = 0.35, 95% CI = 0.23-0.51, P < .0001). When considering only patients treated at centers performing mechanical thrombectomy, multivariate logistic regression analysis demonstrated that insurance was not associated with significant disparities in mechanical thrombectomy utilization; however, black patients had significantly lower odds of mechanical thrombectomy utilization compared with whites (OR = 0.41, 95% CI = 0.27-0.60, P < .0001).
conclusionsSignificant socioeconomic disparities exist in the utilization of mechanical thrombectomy in the United States.
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