Evidence map›Paper›PMID 38774047›Full record

Observational studyFrontiers in public health2024

The impact of historical redlining on neurosurgeon distribution and reimbursement in modern neighborhoods.

Jean-Luc K Kabangu, John E Dugan, Benson Joseph, Amanda Hernandez, Takara Newsome-Cuby, Danny Fowler, Momodou G Bah, Lane Fry, Sonia V Eden

Abstract readObservational Study
In one paragraph

Observational study in Frontiers in public health, 2024. 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
–field-weighted citation impact
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.

  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

9 authors.

Jean-Luc K KabanguDepartment of Neurological Surgery, University of Kansas Medical Center, Kansas City, KS, United States.
John E DuganUniversity of Tennessee Health Science Center College of Medicine, Memphis, TN, United States.
Benson JosephDepartment of Surgery, University of Tennessee Health Science Center, Memphis, TN, United States.
Amanda HernandezUniversity of Michigan Medical School, Ann Arbor, MI, United States.
Takara Newsome-CubyKansas City University College of Osteopathic Medicine, Kansas City, MO, United States.
Danny FowlerNew York Institute of Technology College of Osteopathic Medicine at Arkansas State University, Jonesboro, AR, United States.
Momodou G BahMichigan State University College of Human Medicine, East Lansing, MI, United States.
Lane FryUniversity of Kansas School of Medicine, Kansas City, KS, United States.
Sonia V EdenDepartment of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study examines the lasting impact of historical redlining on contemporary neurosurgical care access, highlighting the need for equitable healthcare in historically marginalized communities. Objective: To investigate how redlining affects neurosurgeon distribution and reimbursement in U.S. neighborhoods, analyzing implications for healthcare access. Methods: An observational study was conducted using data from the Center for Medicare and Medicaid Services (CMS) National File, Home Owner's Loan Corporation (HOLC) neighborhood grades, and demographic data to evaluate neurosurgical representation across 91 U.S. cities, categorized by HOLC Grades (A, B, C, D) and gentrification status. Results: Of the 257 neighborhoods, Grade A, B, C, and D neighborhoods comprised 5.40%, 18.80%, 45.8%, and 30.0% of the sample, respectively. Grade A, B, and C neighborhoods had more White and Asian residents and less Black residents compared to Grade D neighborhoods ( Conclusion: Historical redlining continues to shape access to highly specialized healthcare such as neurosurgery. Efforts to address these disparities must consider historical context and strive to achieve more equitable access to specialized care.

Indexed as

NeurosurgeonsHealthcare DisparitiesHealth Services AccessibilityHumansNeighborhood CharacteristicsResidence CharacteristicsUnited Statesaccesshealthcareneurosurgeryredliningstructural racism

Identifiers

PMID38774047
PMCPMC11106381

What OpenQuestion holds

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LicenceCC BY
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.