Evidence map›Paper›PMID 27668134›Full record

ArticleJournal of health disparities research and practice2016

Sex Disparities in Access to Acute Stroke Care: Can Telemedicine Mitigate this Effect?

Catherine Wolff, Amelia K Boehme, Karen C Albright, Tzu-Ching Wu, Michael T Mullen, Charles C Branas, James C Grotta, Sean I Savitz, Brendan G Carr

Open access · greenAbstract read
In one paragraph

Article in Journal of health disparities research and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Catherine WolffUniversity of Pennsylvania and Duke University.
Amelia K BoehmeColumbia University.
Karen C AlbrightUniversity of Alabama at Birmingham.
Tzu-Ching WuUniversity of Texas-Houston Memorial Herman Medical Center.
Michael T MullenUniversity of Pennsylvania.
Charles C BranasUniversity of Pennsylvania.
James C GrottaUniversity of Texas-Houston Memorial Herman Medical Center.
Sean I SavitzUniversity of Texas-Houston Memorial Herman Medical Center.
Brendan G CarrUniversity of Pennsylvania.
California University of Pennsylvania · USColumbia University · USDuke University · USUniversity of Alabama at Birmingham · US

Funding

NEUROEPIDEMIOLOGY TRAINING PROGRAMT32NS007153 · NINDS · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI GU, YIAN, WILLEY, JOSHUA ZEBADIAH · 1987 to 2023
$6.2M
NINDS NIH HHS T32 NS007153
6 · The paper itself

Abstract

backgroundWomen have more frequent and severe ischemic strokes than men, and are less likely to receive treatment for acute stroke. Primary stroke centers (PSCs) have been shown to utilize treatment more frequently. Further, as telemedicine (TM) has expanded access to acute stroke care we sought to investigate the association between PSC, TM and access to acute stroke care in the state of Texas.

methodsTexas hospitals and resources were identified from the 2009 American Hospital Association Annual Survey. Hospitals were categorized as: (1) stand-alone PSCs not using telemedicine for acute stroke care, (2) PSCs using telemedicine for acute stroke care (PSC-TM), (3) non-PSC hospitals using telemedicine for acute stroke care, or (4) non-PSC hospitals not using telemedicine for acute stroke care. The proportion of the population who could reach a PSC within 60 minutes was determined for stand-alone PSCs, PSC-TM, and non-PSCs using TM for stroke care.

resultsOverall, women were as likely to have 60-minute access to a PSC or PSC-TM as their male counterparts (POR 1.02, 95% CI 1.02-1.03). Women were also just as likely to have access to acute stroke care via PSC or PSC-TM or TM as men (POR 1.03, 95% CI 1.02-1.04). DISCUSSION: Our study found no sex disparities in access to stand alone PSCs or to hospitals using TM in the state of Texas. The results of this study suggest that telemedicine can be used as part of an inclusive strategy to improve access to care equally for men and women.

Indexed as

acute stroke carehealth disparitiesstroketelemedicine

Identifiers

PMID27668134
PMCPMC5032905
OpenAlexW2334245145

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.