Disparities and institutional variation in time to surgery for traumatic cervical spinal cord injury: a multicenter cohort study
Delays in surgical treatment for cervical SCI persist, particularly among patients categorized as frail, those who were uninsured, and Black patients. Institutional variation remains substantial and largely unexplained by case-mix or hospital-level characteristics. These findings highlight the need for equity-focused quality improvement efforts and system-level interventions to improve timely care for individuals with SCI.
Authors
- A. I. Essa
- Andrew Jack (ORCID: https://orcid.org/0000-0001-9620-4734)
- Eva Y. Yuan
- Julia Srbely
- Armaan K Malhotra
- Husain Shakil
- Jetan H Badhiwala
- Christopher D Witiw
- Christopher S Lozano
- Vishwathsen Karthikeyan
- Yingshi He
- Michael G Fehlings
- Vincent Ye
- Jefferson R Wilson
Institutions
- St. Michael's Hospital (CA)
- Sunnybrook Health Science Centre (CA)
- University of Alberta (CA)
- Tel Aviv University (IL)
- University of Toronto (CA)
- Toronto Western Hospital (CA)
- Health Sciences Centre (CA)
- Institute of Health Services and Policy Research (CA)
- Assaf Harofeh Medical Center (IL)
- St Michael's Hospital (GB)
- Krembil Research Institute
Publication Details
- Journal
- Journal of Neurosurgery Spine
- Published
- 2026-03-13
- DOI
- https://doi.org/10.3171/2025.10.spine25676
- Primary Topic
- Spinal Cord Injury Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00