Social determinants of health and outcome disparities in spine tumor surgery. Part 1: An analysis of 6.6 million nationwide admissions
For spine tumor admissions, SDoH predicted surgical intervention, presenting severity, and perioperative outcomes. Over 2 decades, disparities improved for Medicaid patients but worsened for Black patients. Finally, SDoH significantly improve prognostic accuracy for outcomes after spine tumor surgery. Further study toward ameliorating patient disparities for this population is warranted.
Authors
- Steven A. Toms (ORCID: https://orcid.org/0000-0001-8732-0522)
- Patricia L. Zadnik Sullivan
- Rahul A. Sastry (ORCID: https://orcid.org/0000-0001-5129-2179)
- Owen P. Leary (ORCID: https://orcid.org/0000-0002-6282-828X)
- Krissia M. Rivera Perla (ORCID: https://orcid.org/0000-0003-2893-449X)
- Jared Fridley (ORCID: https://orcid.org/0000-0002-6336-5950)
- Joshua Feler (ORCID: https://orcid.org/0000-0002-9206-6394)
- Ankush Bajaj (ORCID: https://orcid.org/0000-0003-1767-1698)
- Cameron Ayala
- Oliver Y. Tang (ORCID: https://orcid.org/0000-0002-8604-2708)
- Adetokunbo A. Oyelese (ORCID: https://orcid.org/0000-0001-8625-6098)
- Deus J. Cielo
- Arjun Ganga (ORCID: https://orcid.org/0000-0002-4166-890X)
- Ziya L. Gokaslan (ORCID: https://orcid.org/0000-0003-3187-5697)
- Silas Monje (ORCID: https://orcid.org/0000-0003-1479-6196)
- Joseph Madour
Institutions
- Johns Hopkins University (US)
- Brown University (US)
- University of Pittsburgh Medical Center (US)
Publication Details
- Journal
- Journal of Neurosurgery Spine
- Published
- 2024-08-31
- DOI
- https://doi.org/10.3171/2024.5.spine231081
- Citations
- 4
- Primary Topic
- Management of metastatic bone disease
- Type
- article
- Field-Weighted Citation Impact
- 2.29