Evidence map›Paper›PMID 37440095›Full record

SynthesisJournal of neuro-oncology2023

Associations of race and socioeconomic status with outcomes after intracranial meningioma resection: a systematic review and meta-analysis.

Haoyi Lei, Joanna K Tabor, Joseph O'Brien, Ruihan Qin, Alexandros F Pappajohn, Miguel A Millares Chavez, Saul F Morales-Valero, Jennifer Moliterno

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Haoyi LeiDepartment of Neurosurgery, Yale School of Medicine, New Haven, CT, USA.
Joanna K TaborDepartment of Neurosurgery, Yale School of Medicine, New Haven, CT, USA.
Joseph O'BrienDepartment of Neurosurgery, Yale School of Medicine, New Haven, CT, USA.
Ruihan QinDepartment of Neurosurgery, Yale School of Medicine, New Haven, CT, USA.
Alexandros F PappajohnDepartment of Neurosurgery, Yale School of Medicine, New Haven, CT, USA.
Miguel A Millares ChavezDepartment of Neurosurgery, Yale School of Medicine, New Haven, CT, USA.
Saul F Morales-ValeroDepartment of Neurosurgery, Yale School of Medicine, New Haven, CT, USA.
Jennifer MoliternoDepartment of Neurosurgery, Yale School of Medicine, New Haven, CT, USA. jennifer.moliternogunel@yale.edu.
Yale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSocial determinants of health broadly affect healthcare access and outcomes. Studies report that minorities and low socioeconomic status (SES) patients undergoing intracranial meningioma resection demonstrate worse outcomes and higher mortality rates. This systematic review and meta-analysis summarizes the available research reporting racial and SES disparities in intracranial meningioma resection outcomes.

methodsA systematic review was conducted using PRISMA guidelines and included peer-reviewed, English-language articles from the United States between 2000 and 2022 that reported racial and SES disparities in meningioma outcomes. Outcomes included overall survival (OS), extent of resection (EOR), hospitalization costs, length of stay (LOS), 30-day readmission, recurrence, and receipt of surgery and adjuvant radiotherapy. A quantitative meta-analysis was performed only on survival outcomes by race. All other variables were summarized as a systematic review.

results633 articles were identified; 19 studies met inclusion criteria. Black or low SES patients were more likely to have increased hospitalization costs, rates of 30-day readmission, LOS, recurrence and less likely to undergo surgery, gross total resection, and adjuvant radiotherapy for their tumors. Six studies were used for the quantitative meta-analysis of race and OS. Compared to White patients, Black patients had significantly worse survival outcomes, and Asian patients had significantly better survival outcomes.

conclusionDisparities in outcomes exist for patients who undergo surgery for meningioma, such that Black and low SES patients have worse outcomes. The literature is quite sparse and contains confounding relationships not often accounted for appropriately. Further studies are needed to help understand these disparities to improve outcomes.

Indexed as

Meningeal NeoplasmsMeningiomaHealthcare DisparitiesHospitalizationHumansLength of StaySocial ClassUnited StatesHealthcare disparitiesMeningiomaOutcomesRacial disparitiesSocioeconomic status

Identifiers

PMID37440095
OpenAlexW4384120003

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.