Evidence map›Paper›PMID 40924323›Full record

ArticleJournal of neuro-oncology2025

Community-level social capital and postoperative outcomes following intracranial tumor surgery: an exploration of the Social Capital Atlas in neurosurgical oncology.

Sachiv Chakravarti, Atharv Oak, Linda Tang, Yuncong Mao, Jordan Vanleuven, Julian Gendreau, A Karim Ahmed, Jordina Rincon-Torroella, Christopher Jackson, Gary Gallia and 3 more

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Article in Journal of neuro-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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13 authors.

Sachiv Chakravarti *Icahn School of Medicine at Mt. Sinai, New York City, NY, USA.
Atharv Oak *Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Linda TangDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Yuncong MaoDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Jordan VanleuvenVanderbilt University School of Medicine, Nashville, TN, USA.
Julian GendreauDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
A Karim AhmedDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Jordina Rincon-TorroellaDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Christopher JacksonDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Gary GalliaDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Chetan BettegowdaDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Jon WeingartDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Debraj MukherjeeDepartment of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA. dmukher1@jhmi.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesExplore whether community social capital measures (system of resources available to individuals through community engagement) are related to surgical outcomes among intracranial tumor patients.

methodsAdults who underwent resection at a single medical center for intracranial tumor was identified and their zip codes were matched to three variables derived from the Social Capital Atlas: economic connectedness, volunteering rate, and civic organizations. The economic connectedness score quantifies the degree to which low-income and high-income community members are friends with each other, the volunteering rate is defined as the proportion of a given community engaged in community organizations and the civic organization score is defined as the number of local civic organizations within a given community. Chi-square and Mann-Whitney U tests were used to compare demographic and clinical characteristics between patients who were in the > 75 and < 25 percentiles of each social capital measure. Multivariate logistic regression was used to assess the effect of social capital measures on postoperative outcomes.

resultsA total of 2,373 patients were included in the present study. A majority were white (70.7%) and female (53%); the most common diagnosis was meningioma (24.0%). On multivariate analysis, for every additional civic organization in a patient's community per 1,000 community members, odds of extended hospital LOS, high hospital costs, and nonroutine discharge disposition was reduced by 60.3% (p = 0.006), 63.4% (p = 0.008) and 68.9% (p = 0.013) respectively. Further, for each point increase in community economic connectedness score and each percent increase in community volunteering rate, odds of extended LOS were reduced by 13.1% (p = 0.036) and 23.0% (p = 0.011), respectively.

conclusionIntracranial tumor patients with low social capital are at-risk for poor high-value care outcomes that may be amenable to case management or social work intervention.

Indexed as

Brain NeoplasmsNeurosurgical ProceduresSocial CapitalAdultAgedFemaleHumansMaleMiddle AgedResidence CharacteristicsTreatment OutcomeCivic organizationCommunity connectednessSocial capitalSurgical outcomesVolunteering rates

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PMID40924323

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