Evidence map›Paper›PMID 40495036›Full record

SynthesisNeurosurgical review2025

Socioeconomic status as a determinant of survival in glioblastoma: a systematic review and meta-analysis.

Jeremiah Hilkiah Wijaya, Saad Hulou, Brandon Lucke-Wold, Wiley Braxton Gillam V, Chris B Lamprecht, Fnu Ruchika, Bryce Schneider, Devon Foster, Pouria Abolfazli, Miguel David Quintero-Consuegra and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Neurosurgical review, 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. 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

12 authors.

Jeremiah Hilkiah WijayaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia. Jeremiah.hansum6@gmail.com.
Saad HulouDepartment of Neurosurgery, College of Medicine, University of Kentucky, Lexington, KY, USA.
Brandon Lucke-WoldDepartment of Neurosurgery, College of Medicine, University of Florida, Gainesville, FL, USA.
Wiley Braxton Gillam VDepartment of Neurosurgery, College of Medicine, University of Florida, Gainesville, FL, USA.
Chris B LamprechtDepartment of Neurosurgery, College of Medicine, University of Florida, Gainesville, FL, USA.
Fnu RuchikaDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Bryce SchneiderDepartment of Neurosurgery, College of Medicine, University of Florida, Gainesville, FL, USA.
Devon FosterDepartment of Neurosurgery, College of Medicine, University of Florida, Gainesville, FL, USA.
Pouria AbolfazliCollege of Medicine, Xi'an Jiaotong University, Xi'an, China.
Miguel David Quintero-ConsuegraDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Zahraa F Al-SharshahiDepartment of Neurosurgery, College of Medicine, University of Kentucky, Lexington, KY, USA.
Julius JulyDepartment of Neurosurgery, Universitas Pelita Harapan, Tangerang, Banten, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Studies highlight the importance of social factors, such as race and socioeconomic status (SES), in disease management. Integrating these factors helps improve understanding of disease outcomes and the development of effective treatments. Thus, we aimed to systematically identify and review relevant studies exploring the relationship between SES and survival outcomes in GBM patients. An extensive exploration of academic databases, including Scopus, EMBASE, and PubMed, was undertaken, covering records from their inception until December 14, 2024. This search targeted specific keywords and their synonymous terms: glioblastoma, survival, and socioeconomic. We included 230,601 patients, with many individuals being diagnosed between the ages of 46 and 65. Notably, Female exhibited a higher risk (HR = 1.07, 95% CI: 1.05-1.09) of death compared to male, while African Americans demonstrated a higher risk than Caucasians (HR = 0.92, 95% CI: 0.88-0.97), alongside Hispanics (HR = 0.85, 95% CI: 0.72-0.99) and other races (HR = 0.78, 95% CI: 0.73-0.85). Similarly, unmarried individuals faced a higher risk (HR = 1.14, 95% CI: 1.09-1.20) compared to married counterparts. Noteworthy trends were observed in insurance, where private payers (HR = 1.11, 95% CI: 1.06-1.15) and government-based insurance (HR = 1.09, 95% CI: 1.00-1.19) showed increased risks compared to private insurance. However, associations in widowhood (HR = 2.45, 95% CI: 0.34-17.40), comorbidities (HR = 1.05, 95% CI: 0.93-1.18), median household income (MHI) (HR = 0.94, 95% CI: 0.85-1.05), and rural living (HR = 1.06, 95% CI: 0.98-1.16) were non-significant or inconclusive. These findings emphasize the complex interplay between socioeconomic factors and health risks, highlighting the necessity for tailored interventions to address health disparities across diverse demographic groups.

Indexed as

Brain NeoplasmsGlioblastomaSocial ClassFemaleHumansMaleSocioeconomic FactorsDisparitiesGlioblastomaSocioeconomic statusSurvival

Identifiers

PMID40495036
PMCPMC12152019

What OpenQuestion holds

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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.