Evidence map›Paper›PMID 41046101›Full record

ArticleWorld neurosurgery2025

Socioeconomic Factors Associate With Access but not Survival in Neurosurgical Brain Tumor Patients.

Kunal S Patel, Amani Carson, Ashna Prabhu, Travis Perryman, Stuart Harper, Lindsey Dudley, Alondra Delgadillo, Eliana Oduro, Aidan Gor, Richard Everson and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

15 authors.

Kunal S PatelDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California; Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, California. Electronic address: kunalpatel@mednet.ucla.edu.
Amani CarsonDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Ashna PrabhuDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Travis PerrymanDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Stuart HarperDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Lindsey DudleyThe Intellectual and Developmental Disabilities Research Center and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Alondra DelgadilloDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Eliana OduroDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Aidan GorDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Richard EversonDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Won KimDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Isaac YangDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Marvin BergsneiderDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Linda M LiauDepartment of Neurosurgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Arturo BustamanteDepartment of Health Policy and Management, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California.

Funding

Characterizing and therapeutically targeting pH-regulatory mechanisms in the perivascular and infiltrating niches of glioblastoma using amine CEST-EPI and a novel treatment platformR01CA309193 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Benjamin M. Ellingson, Kunal S Patel · 2026 to 2026
$641k
NCI NIH HHS R01 CA309193
6 · The paper itself

Abstract

objectiveDatabase studies have identified population-level differences in neurosurgical-oncological outcomes. This study aimed to clarify these distinctions by evaluating associations between patient sociodemographics and metrics of care access, utilization, and clinical outcomes.

methodsWe retrospectively reviewed a prospectively identified database of neurosurgical-oncology patients (n = 1476) over 5 years. We conducted pathology-specific, multivariate analyses to identify sociodemographics associated with access, utilization, and outcomes, then interviewed (n = 40) with newly diagnosed patients.

resultsSignificant associations were found between sociodemographics (White n = 911; Hispanic/Latino n = 285; Asian n = 206; Black n = 74), sex (ANOVA P = 0.0043), age (P < 0.001), income (P < 0.001), primary language (P < 0.001), and insurance (P < 0.001). Emergent presentation and time from imaging to neurosurgical consultation were associated with English as an additional language (EAL) (P = 0.03, P = 0.03) and public insurance (P = 0.003, P = 0.003). Black patients had increased time from consultation to surgery (P = 0.011). White patients were less likely to undergo biopsy versus resection (P = 0.05). EAL was negatively associated with gross total resection (P = 0.009). Chemotherapy was negatively associated with EAL (P = 0.02), Black race (P = 0.005), and public insurance (P = 0.001). Radiotherapy was negatively associated with EAL (P = 0.04), public insurance (P = 0.001), and age (P = 0.04). Clinical outcomes did not vary by sociodemographics. Interviews identified health literacy, prior healthcare experiences, and patient-surgeon connection as strongest drivers of utilization.

conclusionsDemographic factors independently associate with healthcare access but not outcomes. Progression through recommended neurosurgical-oncological care is influenced by patient-neurosurgeon relationship and trust in healthcare systems.

Indexed as

Brain NeoplasmsHealth Services AccessibilityNeurosurgical ProceduresAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesSocioeconomic FactorsYoung AdultHealthcare accessHealthcare utilizationMixed MethodsNeurosurgical oncologyPatient-physician communicationSociodemographic factors

Identifiers

PMID41046101
PMCPMC13313568

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.