Evidence map›Paper›PMID 40135727›Full record

ArticleThe Laryngoscope2025

Social Vulnerability Index as a Tool to Evaluate the Distribution of Head and Neck Oncology Surgeons.

Asher C Park, Milan P Fehrenbach, Ryan J Davis, Oluwatobiloba Ayo-Ajibola, James C Wang, Urjeet A Patel, Sandeep Samant, Katelyn O Stepan

Abstract read
In one paragraph

Article in The Laryngoscope, 2025. 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. Associations Between Neighborhood Social Vulnerability and the Distribution of Rhinologists in the United States.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    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

8 authors.

Asher C ParkNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-3631-463X
Milan P FehrenbachCollege of Medicine, University of Kentucky, Lexington, Kentucky, USA.ORCID 0009-0005-1324-5618
Ryan J DavisKeck School of Medicine of the University of Southern California, Los Angeles, California, USA.
Oluwatobiloba Ayo-AjibolaKeck School of Medicine of the University of Southern California, Los Angeles, California, USA.ORCID 0009-0002-4824-7160
James C WangDepartment of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Urjeet A PatelDepartment of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Sandeep SamantDepartment of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-4755-8082
Katelyn O StepanDepartment of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the geographic distribution of head and neck oncology surgeons (HNS) in the U.S. and to evaluate the association of this distribution with neighborhood-level social determinants of health as measured by the Social Vulnerability Index (SVI).

methodsU.S.-based HNSs and their practice addresses were obtained from publicly available sources. The geographic distribution of HNSs was analyzed at the state, county, and metropolitan statistical area levels. U.S. census tracts were scored on a continuous scale of increasing social vulnerability (0-1) across Overall SVI and four subthemes: Socioeconomic Status, Household Composition-Disability Status, Racial-Ethnic Minority Status, and Housing-Transportation Status. The distance from each census tract to the nearest HNS was calculated, and univariable linear regression analyses assessed associations between SVI scores and distances.

resultsThis study included 609 HNSs that were disproportionately distributed at the state, county, and MSA levels. Higher vulnerability scores in Overall SVI (β = 12.9 [95% CI: 11.05, 14.69]), Socioeconomic Status (β = 11.5 [95% CI: 9.67, 13.32]), Household Composition-Disability Status (β = 10.4 [95% CI: 8.61, 12.27]), and Housing-Transportation Status (β = 18.2 [95% CI: 16.42, 20.06]) were associated with significantly increased distance to the nearest HNS, while higher vulnerability scores among Racial-Ethnic Minority Status were associated with significantly decreased distance to the nearest HNS (β = -25.8 [95% CI: -27.64, -24.01]).

conclusionInequities in the distribution of HNSs highlight the need for targeted strategies to improve access to head and neck cancer care. SVI may help identify especially vulnerable areas lacking access to this care.

Indexed as

Head and Neck NeoplasmsSocial Determinants of HealthSocial VulnerabilitySurgeonsFemaleHealthcare DisparitiesHumansMaleUnited Stateshead and neck oncologyhead and neck surgerysocial determinants of healthSocial Vulnerability Index

Identifiers

PMID40135727
PMCPMC12371783

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LicenceCC BY-NC-ND
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Registered trials

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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.