2024
Mapping the Ecological Terrain of Stroke Prehospital Delay: A Nationwide Registry Study
Dhand A, Reeves M, Mu Y, Rosner B, Rothfeld-Wehrwein Z, Nieves A, Dhongade V, Jarman M, Bergmark R, Semco R, Ader J, Marshall B, Goedel W, Fonarow G, Smith E, Saver J, Schwamm L, Sheth K. Mapping the Ecological Terrain of Stroke Prehospital Delay: A Nationwide Registry Study. Stroke 2024, 55: 1507-1516. PMID: 38787926, PMCID: PMC11299104, DOI: 10.1161/strokeaha.123.045521.Peer-Reviewed Original ResearchConceptsSocial Vulnerability IndexPrehospital delayHospital arrivalZip code tabulation areasEmergency medical servicesCommunity-level social vulnerabilityGuidelines-Stroke registryCommunity socioeconomic statusCommunity-level factorsPatient-level factorsNationwide registry studyAmerican Heart AssociationSocial vulnerabilityCox proportional hazards modelsSocially vulnerable areasAssociated with delaySocial determinantsProportional hazards modelAcute stroke treatmentGeospatial mappingSocioeconomic statusMedical servicesIncreased social vulnerabilityPrimary exposureQuartile 3
2019
Facilities that service economically advantaged neighborhoods perform surgical metastasectomy more often for patients with colorectal liver metastases
Uppal A, Smieliauskas F, Sharma M, Maron S, Polite B, Posner M, Turaga K. Facilities that service economically advantaged neighborhoods perform surgical metastasectomy more often for patients with colorectal liver metastases. Cancer 2019, 126: 281-292. PMID: 31639217, DOI: 10.1002/cncr.32529.Peer-Reviewed Original ResearchConceptsColorectal liver metastasesPercentage of patientsHigh-income zip codesLiver metastasesZip codesResection of primary tumorNational Cancer Data BaseMultivariate logistic regressionHigher income ZIPIndividual patient characteristicsSurgical metastasectomyIndividual insurance statusTumor characteristicsPrimary tumorMetastasectomyQuartile 4Quartile 2Patient characteristicsQuartile 1Quartile 3Advantaged neighborhoodsFacility characteristicsTumorPatientsAdvanced cancer
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