{"id":"https://openalex.org/W3134924905","doi":"https://doi.org/10.1093/neuros/nyab030","title":"Social Determinants of Health and Neurosurgical Outcomes: Current State and Future Directions","display_name":"Social Determinants of Health and Neurosurgical Outcomes: Current State and Future Directions","publication_year":2021,"publication_date":"2021-02-26","ids":{"openalex":"https://openalex.org/W3134924905","doi":"https://doi.org/10.1093/neuros/nyab030","mag":"3134924905","pmid":"https://pubmed.ncbi.nlm.nih.gov/33677591"},"language":"en","primary_location":{"id":"doi:10.1093/neuros/nyab030","doi":"https://doi.org/10.1093/neuros/nyab030","is_oa":false,"landing_page_url":"https://doi.org/10.1093/neuros/nyab030","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5003887841","display_name":"Gregory Glauser","orcid":"https://orcid.org/0000-0002-1384-1429","observed_orcids":["https://orcid.org/0000-0002-1384-1429"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gregory Glauser","raw_affiliation_strings":["Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053607840","display_name":"Donald K. E. D. Detchou","orcid":"https://orcid.org/0000-0001-5763-1389","observed_orcids":["https://orcid.org/0000-0001-5763-1389"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Donald K Detchou","raw_affiliation_strings":["Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074703300","display_name":"Ryan Dimentberg","orcid":"https://orcid.org/0000-0001-5580-0468","observed_orcids":["https://orcid.org/0000-0001-5580-0468"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ryan Dimentberg","raw_affiliation_strings":["Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087648695","display_name":"Ashwin G. Ramayya","orcid":"https://orcid.org/0000-0002-4444-0433","observed_orcids":["https://orcid.org/0000-0002-4444-0433"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ashwin G Ramayya","raw_affiliation_strings":["Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5005243568","display_name":"Neil R. Malhotra","orcid":"https://orcid.org/0000-0002-0754-6423","observed_orcids":["https://orcid.org/0000-0002-0754-6423","https://orcid.org/0000-0001-8839-9682"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Neil R Malhotra","raw_affiliation_strings":["Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5005243568"],"corresponding_institution_ids":["https://openalex.org/I79576946"],"apc_list":{"value":4269,"currency":"USD","value_usd":4269},"apc_paid":null,"fwci":0.5937,"has_fulltext":false,"cited_by_count":35,"citation_normalized_percentile":{"value":0.60538642,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"88","issue":"5","first_page":"E383","last_page":"E390"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.8169000148773193,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.8169000148773193,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10129","display_name":"Glioma Diagnosis and Treatment","score":0.0925000011920929,"subfield":{"id":"https://openalex.org/subfields/2716","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.035999998450279236,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":1.0},{"id":"https://openalex.org/keywords/neurosurgical-outcomes","display_name":"neurosurgical outcomes","score":0.9919999837875366},{"id":"https://openalex.org/keywords/brain-tumor-resection","display_name":"brain tumor resection","score":0.9330000281333923},{"id":"https://openalex.org/keywords/gender-disparities","display_name":"gender disparities","score":0.8109999895095825},{"id":"https://openalex.org/keywords/racial-disparities","display_name":"racial disparities","score":0.9959999918937683},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"socioeconomic status","score":0.9990000128746033},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.6759999990463257},{"id":"https://openalex.org/keywords/postoperative-mortality","display_name":"postoperative mortality","score":0.8199999928474426},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.8029999732971191},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.8339999914169312}],"concepts":[{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.8123866319656372},{"id":"https://openalex.org/C76509639","wikidata":"https://www.wikidata.org/wiki/Q918036","display_name":"Race (biology)","level":2,"score":0.636195957660675},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5881334543228149},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.5693473815917969},{"id":"https://openalex.org/C12770488","wikidata":"https://www.wikidata.org/wiki/Q188449","display_name":"Neurosurgery","level":2,"score":0.5164651870727539},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4744616150856018},{"id":"https://openalex.org/C110888244","wikidata":"https://www.wikidata.org/wiki/Q187588","display_name":"Social class","level":2,"score":0.41671156883239746},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.39244574308395386},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.33259105682373047},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.16954129934310913},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.16500991582870483},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.1575234830379486},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.15502074360847473},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.14631688594818115},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.11793652176856995},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.10682213306427002},{"id":"https://openalex.org/C107993555","wikidata":"https://www.wikidata.org/wiki/Q1662673","display_name":"Gender studies","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001932","descriptor_name":"Brain Neoplasms","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D001932","descriptor_name":"Brain Neoplasms","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D001932","descriptor_name":"Brain Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019635","descriptor_name":"Neurosurgical Procedures","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D019635","descriptor_name":"Neurosurgical Procedures","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D019635","descriptor_name":"Neurosurgical Procedures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D064890","descriptor_name":"Social Determinants of Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1093/neuros/nyab030","doi":"https://doi.org/10.1093/neuros/nyab030","is_oa":false,"landing_page_url":"https://doi.org/10.1093/neuros/nyab030","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},{"id":"pmid:33677591","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33677591","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":1.0,"display_name":"Reduced inequalities"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":44,"referenced_works":["https://openalex.org/W1558318231","https://openalex.org/W1918881530","https://openalex.org/W1997567370","https://openalex.org/W2008902088","https://openalex.org/W2018134623","https://openalex.org/W2026500353","https://openalex.org/W2029941278","https://openalex.org/W2044700133","https://openalex.org/W2050950074","https://openalex.org/W2056351538","https://openalex.org/W2073602377","https://openalex.org/W2089908196","https://openalex.org/W2089963613","https://openalex.org/W2114942413","https://openalex.org/W2128248134","https://openalex.org/W2166325290","https://openalex.org/W2326255012","https://openalex.org/W2343785224","https://openalex.org/W2413622336","https://openalex.org/W2491831662","https://openalex.org/W2536882199","https://openalex.org/W2599868164","https://openalex.org/W2611170806","https://openalex.org/W2644357441","https://openalex.org/W2739234359","https://openalex.org/W2765463291","https://openalex.org/W2884342151","https://openalex.org/W2887579581","https://openalex.org/W2889863331","https://openalex.org/W2892601034","https://openalex.org/W2906752223","https://openalex.org/W3005626699","https://openalex.org/W3014199470","https://openalex.org/W3014475226","https://openalex.org/W3015082618","https://openalex.org/W3021334903","https://openalex.org/W3038606764","https://openalex.org/W3040867788","https://openalex.org/W3082253250","https://openalex.org/W3111918364","https://openalex.org/W3119718549","https://openalex.org/W3128448632","https://openalex.org/W3151641310","https://openalex.org/W3155892419"],"related_works":["https://openalex.org/W4220860219","https://openalex.org/W7167618300","https://openalex.org/W3175909652","https://openalex.org/W3021334903","https://openalex.org/W4385441780","https://openalex.org/W4327610727","https://openalex.org/W4384120003","https://openalex.org/W4414804612","https://openalex.org/W3034450360","https://openalex.org/W4402788193"],"abstract_inverted_index":{"The":[0,42,121],"relationship":[1],"between":[2],"social":[3,25],"determinants":[4,26],"of":[5,18,24,65,97,115,129,162,171],"health":[6],"(SDOH)":[7],"and":[8,32,49,100,131,145,148],"neurosurgical":[9,119],"outcomes":[10,54,134],"has":[11],"become":[12],"increasingly":[13],"relevant.":[14],"To":[15],"date,":[16],"results":[17],"prior":[19,66,110],"work":[20],"evaluating":[21,92,112],"the":[22,33,69,80,93,113,127],"impact":[23,96],"in":[27],"neurosurgery":[28],"have":[29],"been":[30],"mixed,":[31],"need":[34],"for":[35,89,159],"robust":[36],"data":[37,77],"on":[38,102,118,133],"this":[39,172],"subject":[40],"remains.":[41],"present":[43],"review":[44,107,122],"evaluates":[45],"how":[46],"gender,":[47,98],"race,":[48,99],"socioeconomic":[50,146],"status":[51],"(SES)":[52],"influence":[53,114],"following":[55],"various":[56],"brain":[57],"tumor":[58],"resection":[59],"procedures.":[60],"Results":[61],"from":[62,68],"a":[63,160],"number":[64,161],"studies":[67,111],"senior":[70],"author's":[71],"lab":[72],"are":[73,150,156],"summarized,":[74],"with":[75],"all":[76],"acquired":[78],"using":[79],"EpiLog":[81],"tool":[82],"(Epilog":[83],"Laser).":[84],"Separate":[85],"analyses":[86],"were":[87],"performed":[88],"each":[90],"procedure,":[91],"unique,":[94],"isolated":[95],"SES":[101,166],"outcomes.":[103,120,183],"A":[104],"comprehensive":[105],"literature":[106],"identified":[108],"any":[109],"these":[116],"SDOH":[117],"presented":[123],"herein":[124],"suggests":[125],"that":[126],"effect":[128],"gender":[130],"race":[132],"is":[135,143],"largely":[136],"mitigated":[137],"when":[138,154],"equal":[139],"access":[140],"to":[141,176,180],"care":[142],"attained,":[144],"factors":[147],"comorbidities":[149],"controlled":[151],"for.":[152],"Furthermore,":[153],"patients":[155],"matched":[157],"upon":[158],"clinically":[163],"relevant":[164],"covariates,":[165],"impacts":[167],"postoperative":[168],"mortality.":[169],"Elucidation":[170],"disparity":[173],"empowers":[174],"surgeons":[175],"initiate":[177],"actionable":[178],"change":[179],"equilibrate":[181],"future":[182]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":11},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":8},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2021-03-15T00:00:00"}