Racial, ethnic and socioeconomic disparities in the treatment of brain tumors

Curry, William T.; Barker, Fred G.

doi:10.1007/s11060-009-9840-5

Cited by 152Glioma Diagnosis and TreatmentHealth disparities and outcomesGlobal Cancer Incidence and Screening

Racial, ethnic and socioeconomic disparities in the treatment of brain tumors

Curry, William T., Barker, Fred G.·2009·Journal of Neuro-Oncology

DOI 10.1007/s11060-009-9840-5

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Abstract

Disparities in American health care based on socially-defined patient characteristics such as race, ethnicity, and socioeconomic position are well-documented. We review differences and disparities in incidence, pathobiology, processes and outcomes of care, and survival based on social factors for brain tumors of all histologies. In the US, black patients have lower incidences of most brain tumor types and lower-income patients have lower incidences of low grade glioma, meningioma and acoustic neuroma; ascertainment bias may contribute to these findings. Pathogenetic differences between malignant gliomas in patients of different races have been demonstrated, but their clinical significance is unclear. Patients in disadvantaged groups are less often treated by high-volume providers. Mortality and morbidity of initial treatment are higher for brain tumor patients in disadvantaged groups, and they present with markers of more severe disease. Long term survival differences between malignant glioma patients of different races have not yet been shown. Clinical trial enrollment appears to be lower among brain tumor patients from disadvantaged groups. We propose future research both to better define disparities and to alleviate them.

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Authors: Curry, W. T., & Barker, F. G.
Affiliations: Harvard University (US)
Corresponding author: Curry, William T.
ORCID: Curry, William T.
Venue: Journal of Neuro-Oncology
Publisher: Springer Science and Business Media LLC
Published: 2009-05
Volume: 93
Issue: 1
Pages: 25-39
ISSN: 0167-594X (ISSN-L)
1573-7373
DOI: 10.1007/s11060-009-9840-5
OpenAlex: W2005131672
Cited by: 152
References: 126
Citations by year: 2026: 1 · 2025: 15 · 2024: 16 · 2023: 15 · 2022: 12 · 2021: 10 · 2020: 11 · 2019: 12 · 2018: 15 · 2017: 10 · 2016: 4 · 2015: 5 · 2014: 8 · 2013: 6 · 2012: 6
FWCI: 1.88
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Neuro-Oncology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Genetics › Glioma Diagnosis and Treatment
Social Sciences › Health › Health disparities and outcomes
Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords: racial disparities, ethnic disparities, socioeconomic disparities, brain tumors, high-grade glioma, low-grade glioma, meningioma, vestibular schwannoma, cancer incidence, treatment outcomes, survival, ascertainment bias, clinical trial recruitment, health care access
MeSH terms: Brain Neoplasms, Humans, Quality of Health Care, Socioeconomic Factors, Racial Groups, Healthcare Disparities

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Racial, ethnic and socioeconomic disparities in the treatment of brain tumors

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