Evidence map›Paper›PMID 40925593›Full record

ArticleEuropean journal of public health2025

Areal differences in the utilization of endovascular therapy for acute ischemic stroke.

Ulla Junttola, Siiri Hietanen, Sanna Lahtinen, Juha-Matti Isokangas, Lasse Raatiniemi, Timo Kaakinen, Merja Vakkala, Janne Liisanantti

Abstract read
In one paragraph

Article in European journal of public health, 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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0citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ulla JunttolaResearch Group of Anesthesiology, Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland.ORCID 0000-0002-2101-9582
Siiri HietanenResearch Group of Anesthesiology, Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland.
Sanna LahtinenResearch Group of Anesthesiology, Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland.
Juha-Matti IsokangasResearch Group of Anesthesiology, Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland.
Lasse RaatiniemiResearch Group of Anesthesiology, Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland.
Timo KaakinenResearch Group of Anesthesiology, Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland.
Merja VakkalaResearch Group of Anesthesiology, Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland.
Janne LiisananttiResearch Group of Anesthesiology, Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endovascular therapy (EVT) is standard care for acute ischemic stroke due to large vessel occlusion, but its availability is limited in areas with long distances. It has also been demonstrated that there are differences in the utilization of thrombectomy related to socioeconomic factors. The aim of this study is to examine regional differences in the utilization of mechanical thrombectomy and outcome within one comprehensive stroke center district in terms of distance and income. This retrospective single-center study included 352 patients with mechanical thrombectomy in Oulu University Hospital catchment area between the years 2015 and 2019. Socioeconomic status was determined according to the income of residential area. Age-adjusted rate was significantly higher in the highest income areas compared to the lowest and middle third areas; 52.29 (95% CI, 42.85-61.72)/100 000 vs. 34.33 (95% CI, 28.14-40.52) vs. 38.03 (95% CI, 31.14-44.92)/100 000 inhabitants/year. The corresponding rates in rural areas were: 73.37 (95% CI, 53.23-93.51) vs. 37.11 (95% CI, 28.66-45.57) vs. 45.44 (95% CI, 34.72-56.16)/100 000 inhabitants/year. In this study, we found significant differences in the utilization of the EVT within one comprehensive stroke center district. These differences are explained by the income and the rurality of the residential area.

Indexed as

Endovascular ProceduresIschemic StrokeThrombectomyAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesSocioeconomic Factors

Identifiers

PMID40925593
PMCPMC12707464

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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.