{"doi":"10.1016/j.wneu.2025.124522","title":"Socioeconomic Factors Associate With Access but not Survival in Neurosurgical Brain Tumor Patients","abstract":"OBJECTIVE: Database studies have identified population-level differences in neurosurgical-oncological outcomes. This study aimed to clarify these distinctions by evaluating associations between patient sociodemographics and metrics of care access, utilization, and clinical outcomes. METHODS: We retrospectively reviewed a prospectively identified database of neurosurgical-oncology patients (n = 1476) over 5 years. We conducted pathology-specific, multivariate analyses to identify sociodemographics associated with access, utilization, and outcomes, then interviewed (n = 40) with newly diagnosed patients. RESULTS: Significant associations were found between sociodemographics (White n = 911; Hispanic/Latino n = 285; Asian n = 206; Black n = 74), sex (ANOVA P = 0.0043), age (P < 0.001), income (P < 0.001), primary language (P < 0.001), and insurance (P < 0.001). Emergent presentation and time from imaging to neurosurgical consultation were associated with English as an additional language (EAL) (P = 0.03, P = 0.03) and public insurance (P = 0.003, P = 0.003). Black patients had increased time from consultation to surgery (P = 0.011). White patients were less likely to undergo biopsy versus resection (P = 0.05). EAL was negatively associated with gross total resection (P = 0.009). Chemotherapy was negatively associated with EAL (P = 0.02), Black race (P = 0.005), and public insurance (P = 0.001). Radiotherapy was negatively associated with EAL (P = 0.04), public insurance (P = 0.001), and age (P = 0.04). Clinical outcomes did not vary by sociodemographics. Interviews identified health literacy, prior healthcare experiences, and patient-surgeon connection as strongest drivers of utilization. CONCLUSIONS: Demographic factors independently associate with healthcare access but not outcomes. Progression through recommended neurosurgical-oncological care is influenced by patient-neurosurgeon relationship and trust in healthcare systems.","journal":"World Neurosurgery","year":2025,"id":547430,"datarank":0.10397207708399181,"base_score":0.6931471805599453,"endowment":0.6931471805599453,"self_citation_contribution":0.10397207708399181,"citation_network_contribution":0.0,"self_endowment_contribution":0.10397207708399181,"citer_contribution":0.0,"corpus_percentile":22.178386323199504,"corpus_rank":9377,"citation_count":1,"citer_count":1,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.6397,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1439832,"name":"Amani Carson","orcid":"0000-0002-8910-5153","position":1,"is_corresponding":false},{"id":1439833,"name":"Ashna Prabhu","orcid":"0009-0008-3999-8396","position":2,"is_corresponding":false},{"id":1251354,"name":"Travis Perryman","orcid":null,"position":3,"is_corresponding":false},{"id":676386,"name":"Stuart D Harper","orcid":"0000-0001-6105-8132","position":4,"is_corresponding":false},{"id":1054360,"name":"Lindsey Dudley","orcid":null,"position":5,"is_corresponding":false},{"id":1440279,"name":"Aldo Torre Delgadillo","orcid":null,"position":6,"is_corresponding":false},{"id":1440280,"name":"Eliana Oduro","orcid":null,"position":7,"is_corresponding":false},{"id":1440281,"name":"Aidan Gor","orcid":null,"position":8,"is_corresponding":false},{"id":396761,"name":"Richard G. Everson","orcid":"0000-0003-2809-3061","position":9,"is_corresponding":false},{"id":582227,"name":"Won Kim","orcid":"0000-0003-3423-3825","position":10,"is_corresponding":false},{"id":435921,"name":"Isaac Yang","orcid":"0000-0002-5176-5615","position":11,"is_corresponding":false},{"id":498559,"name":"Marvin Bergsneider","orcid":null,"position":12,"is_corresponding":false},{"id":87673,"name":"Linda M. Liau","orcid":"0000-0002-4053-0052","position":13,"is_corresponding":false},{"id":864309,"name":"Arturo Vargas Bustamante","orcid":"0000-0003-0414-5015","position":14,"is_corresponding":false},{"id":396760,"name":"Kunal Patel","orcid":"0000-0002-9854-9178","position":0,"is_corresponding":true}],"reference_count":22,"raw_metadata":null,"created_at":"2026-07-19T02:53:41.314800Z","pmid":"41046101","pmcid":"PMC13313568","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}