ReviewJournal of racial and ethnic health disparities2025
Healthcare Disparities in Spine Oncology: A Systematic Review.
Review in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
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Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMetastatic spine tumors are the most common site of skeletal metastasis, leading to substantial morbidity from pain, fractures, and spinal cord compression. Despite advancements in surgical techniques and multidisciplinary care, disparities in treatment access and outcomes remain. This systematic review synthesizes the literature on disparities in surgical management of metastatic spine tumors.
methodsFollowing PRISMA guidelines, we searched PubMed, Science Direct, and Web of Science for English-language studies published between May 2000 and May 2024. Studies included adult patients with metastatic spine tumors and evaluated disparities by race/ethnicity, insurance status, socioeconomic status (SES), or hospital-related factors. Study quality was assessed using the MINORS tool.
resultsTen studies (n = 227,592) were included. Six studies identified racial disparities: Black patients were less likely to undergo surgery (OR 0.71, 95% CI 0.62-0.82, p < 0.001, vs. White) and had higher odds of complications and non-home discharge. Five studies showed insurance-related disparities, with Medicaid or uninsured patients experiencing increased in-hospital mortality (up to OR 2.66, 95% CI 1.20-5.89, vs. Medicare/private). Lower SES and treatment at low-volume hospitals were associated with poorer outcomes. Notably, patients from neighborhoods with higher educational attainment had shorter hospital stays (median 9.3 vs. 12.2 days, p = 0.0058). Safety-net institutions reported minimal disparities, suggesting that equitable care models can mitigate these gaps.
conclusionPersistent disparities in metastatic spine tumor care are driven by systemic and structural factors. Policy reform and equity-focused care pathways are necessary to reduce inequities and improve outcomes in spine oncology.
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Identifiers
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Registered trials
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.