Persistent Racial Disparities in Deep Brain Stimulation for Parkinson's Disease

被引：25

作者：

Cramer, Samuel W. ^{[1
]}

Do, Truong H. ^{[1
]}

Palzer, Elise F. ^{[2
]}

Naik, Anant ^{[3
]}

Rice, Abigail L. ^{[4
]}

Novy, Savannah G. ^{[4
]}

Hanson, Jacob T. ^{[1
]}

Piazza, Amber N. ^{[4
]}

Howard, Madeleine A. ^{[4
]}

Huling, Jared D. ^{[2
]}

Chen, Clark C. ^{[1
]}

McGovern, Robert A. ^{[1
,5
]}

机构：

[1] Univ Minnesota, Dept Neurosurg, 420 Delaware St SE,Mayo D429,MMC 96, Minneapolis, MN 55455 USA

[2] Univ Minnesota, Sch Publ Hlth, Div Biostat, Minneapolis, MN 55455 USA

[3] Univ Illinois, Carle Illinois Coll Med, Champaign, IL USA

[4] Univ Minnesota, Sch Med, Minneapolis, MN 55455 USA

[5] Minneapolis VA Hlth Care Syst, Div Neurosurg, Minneapolis, MN USA

来源：

ANNALS OF NEUROLOGY | 2022年

关键词：

HEALTH-CARE PROVIDERS; SOCIOECONOMIC-STATUS; UNITED-STATES; ETHNIC DISPARITIES; SURGICAL OUTCOMES; SURGERY; RACE; BIAS; PREDICTORS; MORTALITY;

D O I：

10.1002/ana.26378

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We sought to determine whether racial and socioeconomic disparities in the utilization of deep brain stimulation (DBS) for Parkinson's disease (PD) have improved over time. We examined DBS utilization and analyzed factors associated with placement of DBS. The odds of DBS placement increased across the study period, whereas White patients with PD were 5 times more likely than Black patients to undergo DBS. Individuals, regardless of racial background, with 2 or more comorbidities were 14 times less likely to undergo DBS. Privately insured patients were 1.6 times more likely to undergo DBS. Despite increasing DBS utilization, significant disparities persist in access to DBS. ANN NEUROL 2022

引用

页码：246 / 254

页数：9

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