Disparities in access to pediatric neurooncological surgery in the United States

Debraj Mukherjee, Thomas Kosztowski, Hasan A. Zaidi, George Jallo, Benjamin Solomon, David C. Chang, Alfredo Quiñones-Hinojosa

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: The objective of this study was to investigate whether disparities in access to high-volume centers for neurooncological care existed in the United States in 1988-2005. METHODS: A retrospective analysis of the Nationwide Inpatient Sample (1988-2005) was performed, with additional factors incorporated from the Area Resource File (2006). International Classification of Diseases, Ninth Revision, diagnosis/procedure coding was used to identify patients. High-volume centers were defined as those with ≥50 neurosurgical cases per year. Patients >18 years of age were excluded. Covariates included age, gender, race, Charlson Index score, insurance, and county-level characteristics (including median home value, proportion of foreign born residents, and county neurosurgeon density). Multivariate analysis was performed by using multiple logistic regression models. P values of

Original languageEnglish (US)
JournalPediatrics
Volume124
Issue number4
DOIs
StatePublished - 2009

Fingerprint

Logistic Models
Pediatrics
International Classification of Diseases
Insurance
Inpatients
Multivariate Analysis
Neurosurgeons

Keywords

  • Access
  • Brain tumors
  • Disparities
  • Neurooncology
  • Pediatric

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Disparities in access to pediatric neurooncological surgery in the United States. / Mukherjee, Debraj; Kosztowski, Thomas; Zaidi, Hasan A.; Jallo, George; Solomon, Benjamin; Chang, David C.; Quiñones-Hinojosa, Alfredo.

In: Pediatrics, Vol. 124, No. 4, 2009.

Research output: Contribution to journalArticle

Mukherjee, Debraj ; Kosztowski, Thomas ; Zaidi, Hasan A. ; Jallo, George ; Solomon, Benjamin ; Chang, David C. ; Quiñones-Hinojosa, Alfredo. / Disparities in access to pediatric neurooncological surgery in the United States. In: Pediatrics. 2009 ; Vol. 124, No. 4.
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