ArticleJournal of neuro-oncology2020
Socioeconomic factors affect treatment delivery for patients with low grade glioma: a Swedish population-based study.
Article in Journal of neuro-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 27 citations in OpenAlex.
- Gaps in Diagnosis, Treatment, and Outcomes Among Patients with Brain Tumors in the United States: A State-of-the-Art Review.Cancers · 2025Review
- The Association of Waiting Time with Postoperative Health Care Use and Sickness Absences: A Register Study in Finland.Journal of occupational rehabilitation · 2025Article
- Causal assessments of multilevel social determinant factors on meningioma disparities in the United States.Neuro-oncology practice · 2025Article
- The impact of socioeconomic status on glioma survival: a retrospective analysis.Cancer causes & control : CCC · 2025Article
- Exploring microRNA targeting as a promising approach for solid tumor treatment.Frontiers in oncology · 2025Review
- Impact of patient ethnicity, socioeconomic deprivation, and comorbidities on length of stay after cranial meningioma resections: A public healthcare perspective.Surgical neurology international · 2025Article
- Barriers to cancer treatment for people experiencing socioeconomic disadvantage in high-income countries: a scoping review.BMC health services research · 2024Article
- Age is a major determinant for poor prognosis in patients with pilocytic astrocytoma: a SEER population study.Clinical and experimental medicine · 2023Article
- Intracranial ependymoma in an adult patient with multiple primary malignancies.BMJ case reports · 2023Article
- Do the indices of deprivation or smoking affect post-operative 1-year mortality in patients undergoing a craniotomy for a brain tumour in a public healthcare system?Acta neurochirurgica · 2023Article
- Barriers to cancer treatment and care for people experiencing structural vulnerability: a secondary analysis of ethnographic data.International journal for equity in health · 2023Article
- Leber's hereditary optic neuropathy with diffuse white matter changes mimicking gliomatosis cerebri: illustrative case.Journal of neurosurgery. Case lessons · 2021Article
- Sex-specific aspects of epidemiology, molecular genetics and outcome: primary brain tumours.ESMO open · 2020Review
- Review
- Evaluating short-term survivors of glioblastoma: A proposal based on SEER registry data.Neuro-oncology advancesArticle
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundDespite aspirations to achieve equality in healthcare we know that socioeconomic differences exist and may affect treatment and patient outcome, also in serious diseases such as cancer. We investigated disparities in neurosurgical care and outcome for patients with low-grade glioma (LGG).
methodsIn this nationwide registry-based study, patients who had undergone surgery for LGG during 2005-2015 were identified (n = 547) through the Swedish Brain Tumor Registry. We linked data to multiple national registries with individual level data on income, education and comorbidity and analyzed the association of disease characteristics, surgical management and outcome, with levels of income, education and sex.
resultsPatients with either low income, low education or female gender showed worse pre-operative performance status. Patients with low income or education also had more comorbidities and those with low education endured longer waiting times for surgery. Median time from radiological imaging to surgery was 51 days (Q1-3 27-191) for patients with low education, compared to 32 days (Q1-3 20-80) for patients with high education (p = 0.006). Differences in waiting time over educational levels remained significant after stratification for age, comorbidity, preoperative performance status, and tumor size. Overall survival was better for patients with high income or high education, but income- and education-related survival differences were not significant after adjustment for age and comorbidity. The type of surgical procedure or complications did not differ over socioeconomic groups or sex.
conclusionThe neurosurgical care for LGG in Sweden, a society with universal healthcare, displays differences that can be related to socioeconomic factors.
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