Evidence map›Paper›PMID 28625585›Full record

ReviewJournal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia2017

Access disparities to Magnet hospitals for ischemic stroke patients.

Kimon Bekelis, Symeon Missios, Todd A MacKenzie

Open access · greenAbstract readReview
In one paragraph

Review in Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

3 authors at 2 institutions in 1 country.

Kimon BekelisDepartment of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, PA, United States; The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, United States; Geisel School of Medicine at Dartmouth, Hanover, NH, United States. Electronic address: kbekelis@gmail.com.
Symeon MissiosDivision of Neurosurgery, Cleveland Clinic - Akron General Hospital, Akron, OH, United States.
Todd A MacKenzieThe Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, United States; Geisel School of Medicine at Dartmouth, Hanover, NH, United States; Department of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States; Department of Community and Family Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States.
Dartmouth College · USCleveland Clinic · US

Funding

UNDERSTANDING AND IMPROVING EPISODE-BASED HOSPITAL CAREP01AG019783 · NIA · DARTMOUTH COLLEGE · PI Leila S. Agha · 2001 to 2026
$52.9M
SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
Technology Diffusion, Health Outcomes, and Healthcare ExpendituresU01AG046830 · NIA · DARTMOUTH COLLEGE · PI SKINNER, JONATHAN S · 2013 to 2017
$4.5M
NCATS NIH HHS UL1 TR001086NIA NIH HHS P01 AG019783NIA NIH HHS U01 AG046830
6 · The paper itself

Abstract

Access disparities to centers of excellence can have detrimental consequences for population health. We investigated the presence of racial disparities in the access of stroke patients to hospitals recognized by the Magnet Recognition Program of the American Nurses Credentialing Center (ANCC). We performed a cohort study of all ischemic stroke patients who were registered in the New York Statewide Planning and Research Cooperative System (SPARCS) database from 2009 to 2013. We examined the association of African-American race with Magnet status hospitalization after ischemic stroke. A mixed effects propensity adjusted multivariable regression analysis was used to control for confounding. During the study period, 176,557 patients presented with ischemic stroke, and met the inclusion criteria. Overall, 4,624 (13.7%) African-Americans, and 27,468 (19.2%) non African-Americans with ischemic stroke were admitted to Magnet hospitals. Using a multivariable logistic regression, we demonstrate that African-Americans were associated with lower admission rates to Magnet institutions (OR 0.70; 95% CI, 0.68-0.73) (Table 2). This persisted in a mixed effects logistic regression model (OR 0.75; 95% CI, 0.71-0.78) to adjust for clustering at the county level, and a propensity score adjusted logistic regression model (OR 0.87; 95% CI, 0.83-0.90). Using a comprehensive all-payer cohort of ischemic stroke patients in New York State we identified an association of African-American race with lower rates of admission to Magnet hospitals.

Indexed as

Health Services AccessibilityStrokeAgedBlack or African AmericanCohort StudiesFemaleHealthcare DisparitiesHospitalizationHumansMaleNew YorkCenter of excellenceIschemic strokeMagnet recognitionRacial disparitiesSPARCS

Identifiers

PMID28625585
PMCPMC5549788
OpenAlexW2740504669

What OpenQuestion holds

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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.