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Absence of Gender Disparity in Thirty-Day Morbidity and Mortality After Supratentorial Brain Tumor Resection
- Source :
- World Neurosurgery. 144:e361-e367
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Background Gender is a complex social determinant of health affected by both social and biological factors. There is a need to investigate the effect of gender on outcomes, in the absence of confounding characteristics, to mitigate disparities in care. Methods A total of 1970 consecutive patients at a university health system undergoing nonmeningioma supratentorial brain tumor resection over a 6-year period (June 9, 2013–April 26, 2019) were analyzed retrospectively. Coarsened exact matching was used to match patients on demographic factors including history of previous surgery, median household income, and race. Outcomes assessed included readmission, emergency department visit, unplanned reoperation, and mortality within 30 days of surgery. Regression analysis was performed among a prematched population and between the matched cohorts with significance set at a P value Results Within the matched population, no significant difference was observed between male and female patients in any of the recorded outcomes after nonmeningioma supratentorial brain tumor resection, including readmission, emergency department evaluation, unplanned reoperation, and mortality within 30 days of resection (P = 0.28–0.85). Similarly, no significant difference was found in any of the morbidity and mortality outcomes in the prematched regression analysis (P = 0.10–0.70). Conclusions When gender is isolated from race, household economics, and other key factors, it does not seem to independently predict morbidity or mortality in the short-term postoperative window after supratentorial brain tumor resection. Future studies should investigate the impact of gender in longer follow-up and its interrelation with other social determinants of health contributing to outcome disparity.
- Subjects :
- Adult
Male
Reoperation
Emergency Medical Services
medicine.medical_specialty
Population
Brain tumor
Supratentorial region
Patient Readmission
Neurosurgical Procedures
03 medical and health sciences
Postoperative Complications
Sex Factors
0302 clinical medicine
Internal medicine
Ethnicity
medicine
Humans
Postoperative Period
Social determinants of health
Healthcare Disparities
education
Aged
Demography
Retrospective Studies
education.field_of_study
business.industry
Confounding
Supratentorial Neoplasms
Regression analysis
Emergency department
Middle Aged
medicine.disease
Treatment Outcome
medicine.anatomical_structure
Socioeconomic Factors
030220 oncology & carcinogenesis
Income
Household income
Female
Surgery
Neurology (clinical)
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 18788750
- Volume :
- 144
- Database :
- OpenAIRE
- Journal :
- World Neurosurgery
- Accession number :
- edsair.doi.dedup.....25dba882f5ad750d86a369b2187daae4