Evidence map›Paper›PMID 31969788›Full record

ArticleEthnicity & disease2020

Racial Differences in Mechanical Thrombectomy Utilization for Ischemic Stroke in the United States.

Charles Esenwa, Alain Lekoubou, Kinfe G Bishu, Kemar Small, Ava Liberman, Bruce Ovbiagele

Open access · bronzeAbstract read
In one paragraph

Article in Ethnicity & disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

27 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Racial and ethnic disparities in access to acute stroke capabilities in California: Association with rurality and telestroke access.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026
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  12. Black Americans have worse stroke outcome compared with non-Hispanic whites.Journal of the National Medical Association · 2023
    Article
  13. Article
  14. Article
  15. Racial and Ethnic Disparities in Stroke Reperfusion Therapy in the USA.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  16. Review
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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

6 authors at 3 institutions in 1 country.

Charles EsenwaDepartment of Neurology, Montefiore Medical Center, Bronx, NY.
Alain LekoubouDepartment of Neurology, Medical University of South Carolina, Charleston, SC.
Kinfe G BishuDepartment of Medicine, Medical University of South Carolina, Charleston, SC.
Kemar SmallDepartment of Neurology, Montefiore Medical Center, Bronx, NY.
Ava LibermanDepartment of Neurology, Montefiore Medical Center, Bronx, NY.
Bruce OvbiageleDepartment of Neurology at University of California, San Francisco.
Montefiore Medical Center · USMedical University of South Carolina · USUniversity of California, San Francisco · US

Funding

The Misdiagnosis of Cerebrovascular Disease in Emergent Headache EvaluationsK23NS107643 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI LIBERMAN, AVA L · 2018 to 2022
$997k
NINDS NIH HHS K23 NS107643
6 · The paper itself

Abstract

Background: Compared with non-Hispanic Whites (NHW), racial-ethnic minorities bear a disproportionate burden of stroke and receive fewer evidence-based stroke care processes and treatments. Since 2015, mechanical thrombectomy (MT) has become standard of care for acute ischemic stroke (AIS) patients with proximal anterior circulation large vessel occlusion (LVO). Objectives: Our objectives were to: assess recent trends in nationwide MT utilization among patients with AIS; determine if there were racial differences; and identify what factors were associated with such differences. Methods: We performed a retrospective cohort study using nationally representative data of a non-institutionalized population sample from 2006 to 2014 obtained from the Nationwide Inpatient Sample (NIS). We identified a total of 889,309 observations of AIS, of which there were 5,256 MT observations. Results: In the fully adjusted model, rate of thrombectomy utilization was significantly lower in African Americans (AA) (OR .67, CI .58-.76, P<.001) compared with NHW and Hispanics (OR .94, CI .78-1.13, P=.5). Conclusion: We found a significant disparity in MT utilization for AA compared with NHW and Hispanics. More work is needed to understand the drivers of this racial disparity in stroke treatment.

Indexed as

AgedBrain IschemiaEthnicityFemaleHealthcare DisparitiesHumansIschemic StrokeMaleMiddle AgedRetrospective StudiesThrombectomyUnited StatesLarge Vessel OcclusionMechanical ThrombectomyRaceRacial DisparitiesStroke

Identifiers

PMID31969788
PMCPMC6970517
OpenAlexW3000458917

What OpenQuestion holds

Textmetadata
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.