ArticleClinical epidemiology2019
Socioeconomic Status And Acute Stroke Care: Has The Inequality Gap Been Closed?
Article in Clinical epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled 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.
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
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Social determinants of health and stroke care and outcomes: SEQUINS lecture 2025.Equity neuroscience · 2026Article
- Social Determinants of Health, Nursing Care Quality, and Patient Outcomes in Neurological Disorders: A Systematic Review.Risk management and healthcare policy · 2026Review
- Cost-effectiveness of endovascular treatment for acute ischemic stroke in China: evidence from Shandong Peninsula.Health economics review · 2024Article
- The relationship of income on stroke incidence in Finland and China.European journal of public health · 2023Article
- Is the socioeconomic inequality in stroke prognosis changing over time and does quality of care play a role?European stroke journal · 2023Article
- Cardiovascular Disease in China: Socioeconomic Status Variation in Prevalence.Risk management and healthcare policy · 2023Article
- Multiple Socioeconomic Circumstances and Initiation of Cardiovascular Medication among Ageing Employees.International journal of environmental research and public health · 2021Article
- Evaluation of Between-County Disparities in Premature Mortality Due to Stroke in the US.JAMA network open · 2021Article
- Possible associations between callers' degree-of-worry and their socioeconomic status when contacting out-of-hours services: a prospective cohort study.BMC emergency medicine · 2021Article
- The impact of socioeconomic status on the utilization of total hip arthroplasty during 1995-2017: 104,055 THA cases and 520,275 population controls from national databases in Denmark.Acta orthopaedica · 2021Article
- Index-Based Inequality in Quality of Care: An Empirical Comparison of Apples and Pears.Clinical epidemiology · 2021Article
- Socioeconomic Status Plays a Moderating Role in the Association Between Multimorbidity and Health-Related Quality of Life Among Cancer Patients.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSocioeconomic inequality in stroke care occurs even in countries with free access to health care. We aimed to investigate the association between socioeconomic status and guideline-recommended acute care in Denmark during the last decade.
designWe conducted a nationwide, population-based study. We used household income, employment status, and education as markers of socioeconomic status and adjusted the results for relevant clinical covariates. We used weighted linear regression models to analyse empirical log odds of performance measure fulfillment at patient level.
settingPublic hospitals in Denmark.
participantsA total of 110,848 consecutive stroke patients discharged between 2004 and 2014.
interventionsAcute stroke care according to clinical guidelines.
main outcome measuresGuideline-recommended care was defined in two ways based on clinical performance measures: the percentage of fulfilled measures used throughout the study period (m=8) (model 1) and the percentage of fulfilled measures used at the time of discharge (m=8 to 16) (model 2).
resultsCompared with high family income, low income was negatively associated with the guideline-recommended care; odds ratios (95% CI) were 0.89 (0.85-0.93) in model 1 and 0.81 (0.77-0.85) in model 2. Low family income was negatively associated with fulfillment of 14 of the 16 performance measures. In general, the percentage of performance measures fulfilled increased over time from 70% (95% CI 63-76) to 85% (95% CI 83-87).
conclusionSocioeconomic inequality in guideline-recommended stroke care remains despite overall improvements in a setting with free access to care and systematic monitoring of health care quality.
Indexed as
Identifiers
What OpenQuestion holds
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.