Evidence map›Paper›PMID 38799679›Full record

ArticleFrontiers in public health2024

Association of geographical disparities and segregation in regional treatment facilities for Black patients with aneurysmal subarachnoid hemorrhage in the United States.

Jean-Luc K Kabangu, Lane Fry, Adip G Bhargav, Frank A De Stefano, Momodou G Bah, Amanda Hernandez, Adam G Rouse, Jeremy Peterson, Koji Ebersole, Paul J Camarata and 1 more

Abstract read
In one paragraph

Article 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

11 authors.

Jean-Luc K KabanguDepartment of Neurological Surgery, University of Kansas Medical Center, Kansas City, KS, United States.
Lane FryUniversity of Kansas School of Medicine, Kansas City, KS, United States.
Adip G BhargavDepartment of Neurological Surgery, University of Kansas Medical Center, Kansas City, KS, United States.
Frank A De StefanoDepartment of Neurological Surgery, University of Kansas Medical Center, Kansas City, KS, United States.
Momodou G BahMichigan State University College of Human Medicine, East Lansing, MI, United States.
Amanda HernandezUniversity of Michigan Medical School, Ann Arbor, MI, United States.
Adam G RouseDepartment of Neurological Surgery, University of Kansas Medical Center, Kansas City, KS, United States.
Jeremy PetersonDepartment of Neurological Surgery, University of Kansas Medical Center, Kansas City, KS, United States.
Koji EbersoleDepartment of Neurological Surgery, University of Kansas Medical Center, Kansas City, KS, United States.
Paul J CamarataDepartment of Neurological Surgery, University of Kansas Medical Center, Kansas City, KS, United States.
Sonia V EdenDepartment of Neurosurgery, Semmes Murphey Clinic, Memphis, TN, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objectives: This study investigates geographic disparities in aneurysmal subarachnoid hemorrhage (aSAH) care for Black patients and aims to explore the association with segregation in treatment facilities. Understanding these dynamics can guide efforts to improve healthcare outcomes for marginalized populations. Methods: This cohort study evaluated regional differences in segregation for Black patients with aSAH and the association with geographic variations in disparities from 2016 to 2020. The National Inpatient Sample (NIS) database was queried for admission data on aSAH. Black patients were compared to White patients. Segregation in treatment facilities was calculated using the dissimilarity (D) index. Using multivariable logistic regression models, the regional disparities in aSAH treatment, functional outcomes, mortality, and end-of-life care between Black and White patients and the association of geographical segregation in treatment facilities was assessed. Results: 142,285 Black and White patients were diagnosed with aSAH from 2016 to 2020. The Pacific division ( Conclusion: This study demonstrates regional differences in disparities for Black patients with aSAH, particularly in end-of-life care, with varying levels of segregation in regional treatment facilities playing an associated role. The findings underscore the need for targeted interventions and policy changes to address systemic healthcare inequities, reduce segregation, and ensure equitable access to high-quality care for all patients.

Indexed as

Black or African AmericanHealthcare DisparitiesSubarachnoid HemorrhageAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedSocial SegregationUnited StatesWhite Peopleaneurysmal subarachnoid hemorrhageBlack patientsequitable carehealthcare disparitiesregional disparitiessegregation

Identifiers

PMID38799679
PMCPMC11121994

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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.