Pattern of technology diffusion in the adoption of stereotactic laser interstitial thermal therapy (LITT) in neuro-oncology

Johnson, Reid A.; Truong, Huy Q.; Palzer, Elise F; Cramer, Samuel W.; Hanson, Jacob; Huling, Jared D.; Hoody, Daniel G; Rice, Abigail L; Howard, Madeleine A; McGovern, Robert A.; Chen, Clark C.

doi:10.1007/s11060-021-03760-4

Cited by 14 publications

(18 citation statements)

References 37 publications

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“…Analyses were performed using SAS software version 9.4 or R version 3.5.1 using the "survey" package. 6 Estimates of admission and surgical volume based on primary insurance type are displayed per 100,000 of the United States population with that respective insurance type, whereas those in the "other" category are shown per 100,000 uninsured individuals using data from the US census bureau. 8,9 patients with PD were less likely to undergo DBS than White patients with PD (OR = 0.21, CI = 0.17-0.27).…”

Section: Methodsmentioning

confidence: 99%

“…A post hoc chi‐squared test examined the association between insurance type and year stratified by race. Analyses were performed using SAS software version 9.4 or R version 3.5.1 using the “survey” package 6 . Estimates of admission and surgical volume based on primary insurance type are displayed per 100,000 of the United States population with that respective insurance type, whereas those in the “other” category are shown per 100,000 uninsured individuals using data from the US census bureau 8,9…”

Section: Methodsmentioning

confidence: 99%

“…The Elixhauser comorbidity software, supplied by HCUP, was used to identify comorbidities among our patient sample. 6 Patients were dichotomized based on the number of comorbidities using a cutoff of ≥2 based on an accepted threshold for defining multimorbidity, 7 re-admission, and surgical complications. Patients were classified as follows: PD without DBS versus PD with DBS, and number of comorbidities (<2 vs ≥2 comorbidities).…”

Section: Patient Classificationmentioning

confidence: 99%

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

Cramer

Truong

Palzer

et al. 2022

Annals of Neurology

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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.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Patient Classificationmentioning

confidence: 99%

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

Cramer

Truong

Palzer

et al. 2022

Annals of Neurology

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show abstract

“…Analyses were performed using SAS software version 9.4 or R version 3.5.1 using the "survey" package. 6 Estimates of admission and surgical volume based on primary insurance type are displayed per 100k of the United States (US) population with that respective insurance type while those in the "Other" category are shown per 100k uninsured individuals using data from the US census bureau. 8,9 Private insurance was associated with increased odds of DBS compared to patients insured by Medicare/Medicaid (OR 1.64, CI 1.53-1.76).…”

Section: Methodsmentioning

confidence: 99%

“…The Elixhauser comorbidity software, supplied by HCUP, was used to identify comorbidities among our patient sample. 6 Patients were dichotomized based on the number of comorbidities using a cutoff of ≥ 2 based on an accepted threshold for defining multimorbidity 7 , readmission, and surgical complications. Patients were classified as follows: PD without DBS versus PD with DBS, and number of comorbidities (< 2 versus ≥ 2 comorbidities).…”

Section: Patient Classificationmentioning

confidence: 99%

Persistent racial disparities in deep brain stimulation for Parkinson’s disease

Cramer

Truong

Palzer

et al. 2022

Preprint

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We sought to determine whether racial and socio-economic 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 while White PD patients were 5 times more likely than Black patients to undergo DBS. Individuals, regardless of racial background, with two 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.

show abstract