{"id":"https://openalex.org/W7204012111","doi":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108735","title":"Socioeconomic and sociodemographic factors and utilization of revascularization surgery in moyamoya disease: a systematic review and meta-analysis","display_name":"Socioeconomic and sociodemographic factors and utilization of revascularization surgery in moyamoya disease: a systematic review and meta-analysis","publication_year":2026,"publication_date":"2026-08-22","ids":{"openalex":"https://openalex.org/W7204012111","doi":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108735","pmid":"https://pubmed.ncbi.nlm.nih.gov/42628819"},"language":"en","primary_location":{"id":"doi:10.1016/j.jstrokecerebrovasdis.2026.108735","doi":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108735","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108735","pdf_url":null,"source":{"id":"https://openalex.org/S4210174059","display_name":"Journal of Stroke and Cerebrovascular Diseases","issn_l":"1052-3057","issn":["1052-3057","1532-8511"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Stroke and Cerebrovascular Diseases","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108735","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041366504","display_name":"Jeremiah Hilkiah Wijaya","orcid":"https://orcid.org/0000-0001-8771-2163","observed_orcids":["https://orcid.org/0000-0001-8771-2163"]},"institutions":[{"id":"https://openalex.org/I56590836","display_name":"Monash University","ror":"https://ror.org/02bfwt286","country_code":"AU","type":"education","lineage":["https://openalex.org/I56590836"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Jeremiah Hilkiah Wijaya","raw_affiliation_strings":["School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: jwij0023@student.monash.edu"],"raw_orcid":"https://orcid.org/0000-0001-8771-2163","affiliations":[{"raw_affiliation_string":"School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: jwij0023@student.monash.edu","institution_ids":["https://openalex.org/I56590836"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042038113","display_name":"Miguel David Quintero Consuegra","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1282927834","display_name":"Cedars-Sinai Medical Center","ror":"https://ror.org/02pammg90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282927834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Miguel David Quintero Consuegra","raw_affiliation_strings":["Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA","institution_ids":["https://openalex.org/I1282927834"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067078694","display_name":"Daniela Alejandra Perez-Chadid","orcid":"https://orcid.org/0000-0001-8074-6694","observed_orcids":["https://orcid.org/0000-0001-8074-6694"]},"institutions":[{"id":"https://openalex.org/I102322142","display_name":"Rutgers, The State University of New Jersey","ror":"https://ror.org/05vt9qd57","country_code":"US","type":"education","lineage":["https://openalex.org/I102322142"]},{"id":"https://openalex.org/I4402554120","display_name":"Rutgers New Jersey Medical School","ror":"https://ror.org/014ye1258","country_code":"US","type":"education","lineage":["https://openalex.org/I102322142","https://openalex.org/I4390039302","https://openalex.org/I4402554120"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniela A Perez-Chadid","raw_affiliation_strings":["Department of Neurosurgery, Rutgers New Jersey Medical School, Rutgers University, NJ, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Rutgers New Jersey Medical School, Rutgers University, NJ, USA","institution_ids":["https://openalex.org/I102322142","https://openalex.org/I4402554120"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028877036","display_name":"Aafreen Azmi","orcid":"https://orcid.org/0009-0000-4248-2122","observed_orcids":["https://orcid.org/0009-0000-4248-2122"]},"institutions":[{"id":"https://openalex.org/I102322142","display_name":"Rutgers, The State University of New Jersey","ror":"https://ror.org/05vt9qd57","country_code":"US","type":"education","lineage":["https://openalex.org/I102322142"]},{"id":"https://openalex.org/I1297760795","display_name":"Robert Wood Johnson University Hospital","ror":"https://ror.org/00eekd641","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1297760795"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Aafreen Azmi","raw_affiliation_strings":["Department of Neurosurgery, Robert Wood Johnson University Hospital, Robert Wood Johnson Medical School, Rutgers University, NJ, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Robert Wood Johnson University Hospital, Robert Wood Johnson Medical School, Rutgers University, NJ, USA","institution_ids":["https://openalex.org/I102322142","https://openalex.org/I1297760795"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029902105","display_name":"Juan Pablo \u00c1vila Madrigal","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I90803817","display_name":"Universidad del Rosario","ror":"https://ror.org/0108mwc04","country_code":"CO","type":"education","lineage":["https://openalex.org/I90803817"]}],"countries":["CO"],"is_corresponding":false,"raw_author_name":"Juan Pablo Avila Madrigal","raw_affiliation_strings":["Medical Education Department, School of Medicine and Health Sciences, Universidad del Rosario, Colombia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Education Department, School of Medicine and Health Sciences, Universidad del Rosario, Colombia","institution_ids":["https://openalex.org/I90803817"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120935515","display_name":"Abdelrahman Ramadan Elashry","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I29891158","display_name":"University of Sharjah","ror":"https://ror.org/00engpz63","country_code":"AE","type":"education","lineage":["https://openalex.org/I29891158"]}],"countries":["AE"],"is_corresponding":false,"raw_author_name":"Abdelrahman Ramadan Elashry","raw_affiliation_strings":["College of Medicine, University of Sharjah, Sharjah, United Arab Emirates"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Medicine, University of Sharjah, Sharjah, United Arab Emirates","institution_ids":["https://openalex.org/I29891158"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102546598","display_name":"Mohamed Lemine SIDI","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I29891158","display_name":"University of Sharjah","ror":"https://ror.org/00engpz63","country_code":"AE","type":"education","lineage":["https://openalex.org/I29891158"]}],"countries":["AE"],"is_corresponding":false,"raw_author_name":"Mohamed Lemine Sidi","raw_affiliation_strings":["College of Medicine, University of Sharjah, Sharjah, United Arab Emirates"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Medicine, University of Sharjah, Sharjah, United Arab Emirates","institution_ids":["https://openalex.org/I29891158"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030562085","display_name":"Kerry A. Vaughan","orcid":"https://orcid.org/0000-0002-5467-3097","observed_orcids":["https://orcid.org/0000-0002-5467-3097"]},"institutions":[{"id":"https://openalex.org/I1324766304","display_name":"Barrow Neurological Institute","ror":"https://ror.org/01fwrsq33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1324766304","https://openalex.org/I1325481341","https://openalex.org/I2802827176"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kerry A. Vaughan","raw_affiliation_strings":["Barrow Global, Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barrow Global, Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA","institution_ids":["https://openalex.org/I1324766304"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048709528","display_name":"Shane Shahrestani","orcid":"https://orcid.org/0000-0001-7561-4590","observed_orcids":["https://orcid.org/0000-0001-7561-4590"]},"institutions":[{"id":"https://openalex.org/I1282927834","display_name":"Cedars-Sinai Medical Center","ror":"https://ror.org/02pammg90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282927834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shane Shahrestani","raw_affiliation_strings":["Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA","institution_ids":["https://openalex.org/I1282927834"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121815620","display_name":"Anil Nanda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I102322142","display_name":"Rutgers, The State University of New Jersey","ror":"https://ror.org/05vt9qd57","country_code":"US","type":"education","lineage":["https://openalex.org/I102322142"]},{"id":"https://openalex.org/I1297760795","display_name":"Robert Wood Johnson University Hospital","ror":"https://ror.org/00eekd641","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1297760795"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anil Nanda","raw_affiliation_strings":["Department of Neurosurgery, Robert Wood Johnson University Hospital, Robert Wood Johnson Medical School, Rutgers University, NJ, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Robert Wood Johnson University Hospital, Robert Wood Johnson Medical School, Rutgers University, NJ, USA","institution_ids":["https://openalex.org/I102322142","https://openalex.org/I1297760795"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015643270","display_name":"Nestor R. Gonzalez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1282927834","display_name":"Cedars-Sinai Medical Center","ror":"https://ror.org/02pammg90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282927834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nestor Gonzalez","raw_affiliation_strings":["Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA","institution_ids":["https://openalex.org/I1282927834"]}]}],"institutions":[],"countries_distinct_count":4,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5041366504"],"corresponding_institution_ids":["https://openalex.org/I56590836"],"apc_list":{"value":2170,"currency":"USD","value_usd":2170},"apc_paid":{"value":2170,"currency":"USD","value_usd":2170},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.60555005,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"35","issue":"10","first_page":"108735","last_page":"108735"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12747","display_name":"Moyamoya disease diagnosis and treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12747","display_name":"Moyamoya disease diagnosis and treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"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/T10420","display_name":"Intracranial Aneurysms: Treatment and Complications","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"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/T11892","display_name":"Kawasaki Disease and Coronary Complications","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/moyamoya-disease","display_name":"moyamoya disease","score":0.9850000143051147},{"id":"https://openalex.org/keywords/surgical-revascularization","display_name":"surgical revascularization","score":0.8949999809265137},{"id":"https://openalex.org/keywords/socioeconomic-factors","display_name":"socioeconomic factors","score":0.7670000195503235},{"id":"https://openalex.org/keywords/household-income","display_name":"household income","score":0.7829999923706055},{"id":"https://openalex.org/keywords/health-insurance-type","display_name":"health insurance type","score":0.7179999947547913},{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":0.7710000276565552},{"id":"https://openalex.org/keywords/race-and-ethnicity","display_name":"race and ethnicity","score":0.7590000033378601},{"id":"https://openalex.org/keywords/hispanic-patients","display_name":"Hispanic patients","score":0.9520000219345093},{"id":"https://openalex.org/keywords/african-american-patients","display_name":"African American patients","score":0.8889999985694885},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.9169999957084656},{"id":"https://openalex.org/keywords/surgical-utilization","display_name":"surgical utilization","score":0.5040000081062317},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.6380000114440918},{"id":"https://openalex.org/keywords/stroke-prevention","display_name":"stroke prevention","score":0.7770000100135803},{"id":"https://openalex.org/keywords/cerebrovascular-disease","display_name":"cerebrovascular disease","score":0.5789999961853027},{"id":"https://openalex.org/keywords/american-patients","display_name":"United States patients","score":0.4909999966621399}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8726000189781189},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.7907000184059143},{"id":"https://openalex.org/C2779464278","wikidata":"https://www.wikidata.org/wiki/Q7317735","display_name":"Revascularization","level":3,"score":0.5142999887466431},{"id":"https://openalex.org/C2778979077","wikidata":"https://www.wikidata.org/wiki/Q330190","display_name":"Receipt","level":2,"score":0.4691999852657318},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.4580000042915344},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.4129999876022339},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.4025000035762787},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.3781999945640564},{"id":"https://openalex.org/C2780892066","wikidata":"https://www.wikidata.org/wiki/Q1591167","display_name":"Household income","level":2,"score":0.37380000948905945},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.35040000081062317},{"id":"https://openalex.org/C17923572","wikidata":"https://www.wikidata.org/wiki/Q7250160","display_name":"Propensity score matching","level":2,"score":0.34610000252723694},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3447999954223633},{"id":"https://openalex.org/C65409693","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Statistical significance","level":2,"score":0.3425999879837036},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.32499998807907104},{"id":"https://openalex.org/C2779513377","wikidata":"https://www.wikidata.org/wiki/Q964984","display_name":"Current Procedural Terminology","level":2,"score":0.3188999891281128},{"id":"https://openalex.org/C67761136","wikidata":"https://www.wikidata.org/wiki/Q2105849","display_name":"Post-hoc analysis","level":2,"score":0.3156000077724457},{"id":"https://openalex.org/C207103383","wikidata":"https://www.wikidata.org/wiki/Q3930246","display_name":"Hazard ratio","level":3,"score":0.3151000142097473},{"id":"https://openalex.org/C119423318","wikidata":"https://www.wikidata.org/wiki/Q7628405","display_name":"Study heterogeneity","level":3,"score":0.31200000643730164},{"id":"https://openalex.org/C2776548475","wikidata":"https://www.wikidata.org/wiki/Q1951267","display_name":"Moyamoya disease","level":2,"score":0.3118000030517578},{"id":"https://openalex.org/C122048520","wikidata":"https://www.wikidata.org/wiki/Q2913954","display_name":"Percentile","level":2,"score":0.3052999973297119},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.30399999022483826},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.30300000309944153},{"id":"https://openalex.org/C2777596629","wikidata":"https://www.wikidata.org/wiki/Q10858520","display_name":"Inclusion and exclusion criteria","level":3,"score":0.28859999775886536},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.2865000069141388},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.27570000290870667},{"id":"https://openalex.org/C40423286","wikidata":"https://www.wikidata.org/wiki/Q284172","display_name":"Selection bias","level":2,"score":0.26989999413490295},{"id":"https://openalex.org/C2779581417","wikidata":"https://www.wikidata.org/wiki/Q1931577","display_name":"Thrombolysis","level":3,"score":0.26919999718666077},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.2612000107765198},{"id":"https://openalex.org/C147021879","wikidata":"https://www.wikidata.org/wiki/Q3027971","display_name":"Decile","level":2,"score":0.25429999828338623},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.2506999969482422}],"mesh":[{"descriptor_ui":"D000076782","descriptor_name":"Race Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000076782","descriptor_name":"Race Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000092886","descriptor_name":"Low Socioeconomic Status","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000092886","descriptor_name":"Low Socioeconomic Status","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000093862","descriptor_name":"Socioeconomic Disparities in Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000093862","descriptor_name":"Socioeconomic Disparities in Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002548","descriptor_name":"Cerebral Revascularization","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D002548","descriptor_name":"Cerebral Revascularization","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D002548","descriptor_name":"Cerebral Revascularization","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D002548","descriptor_name":"Cerebral Revascularization","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D002548","descriptor_name":"Cerebral Revascularization","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D002548","descriptor_name":"Cerebral Revascularization","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007182","descriptor_name":"Income","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007182","descriptor_name":"Income","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009072","descriptor_name":"Moyamoya Disease","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D009072","descriptor_name":"Moyamoya Disease","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D009072","descriptor_name":"Moyamoya Disease","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D009072","descriptor_name":"Moyamoya Disease","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D009072","descriptor_name":"Moyamoya Disease","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D009072","descriptor_name":"Moyamoya Disease","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012737","descriptor_name":"Sex Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012737","descriptor_name":"Sex Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012959","descriptor_name":"Socioeconomic Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012959","descriptor_name":"Socioeconomic Factors","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":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D064890","descriptor_name":"Social Determinants of Health","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D064890","descriptor_name":"Social Determinants of Health","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.jstrokecerebrovasdis.2026.108735","doi":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108735","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108735","pdf_url":null,"source":{"id":"https://openalex.org/S4210174059","display_name":"Journal of Stroke and Cerebrovascular Diseases","issn_l":"1052-3057","issn":["1052-3057","1532-8511"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Stroke and Cerebrovascular Diseases","raw_type":"journal-article"},{"id":"pmid:42628819","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42628819","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":"Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:38cc63d6c5a64357a122270dd3152b6a","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/38cc63d6c5a64357a122270dd3152b6a","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Stroke and Cerebrovascular Diseases, Vol 35, Iss 10, Pp 108735- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.jstrokecerebrovasdis.2026.108735","doi":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108735","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108735","pdf_url":null,"source":{"id":"https://openalex.org/S4210174059","display_name":"Journal of Stroke and Cerebrovascular Diseases","issn_l":"1052-3057","issn":["1052-3057","1532-8511"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Stroke and Cerebrovascular Diseases","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.8974000215530396,"id":"https://metadata.un.org/sdg/10"}],"sustainable_development_goals_aurora":[{"display_name":"Reduced inequalities","score":0.4684481620788574,"id":"https://metadata.un.org/sdg/10"},{"display_name":"No poverty","score":0.439511775970459,"id":"https://metadata.un.org/sdg/1"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"},{"display_name":"Meta-Analysis","id":"https://openalex.org/study-designs/meta-analysis"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W3005400373","https://openalex.org/W3091025111","https://openalex.org/W3118615836","https://openalex.org/W3177736840","https://openalex.org/W3195262310","https://openalex.org/W4205223315","https://openalex.org/W4327731987","https://openalex.org/W4376104985","https://openalex.org/W4389078032","https://openalex.org/W4389396183"],"related_works":[],"abstract_inverted_index":{"INTRODUCTION:":[0],"Moyamoya":[1],"disease":[2],"(MMD)":[3],"is":[4],"a":[5,362],"rare":[6],"cerebrovascular":[7],"disorder":[8],"in":[9,92,232,353],"which":[10],"timely":[11],"surgical":[12],"revascularization":[13,48,97,266,340],"can":[14],"prevent":[15],"stroke.":[16],"Socioeconomic":[17],"and":[18,29,43,62,81,90,109,144,208,217,314,346,351,378],"sociodemographic":[19,85],"factors":[20,78,86],"may":[21],"influence":[22],"utilization":[23,218,338],"of":[24,35,47,57,96,339,365],"revascularization.":[25],"This":[26],"systematic":[27],"review":[28],"meta-analysis":[30],"aimed":[31],"to":[32,94,189,205,264,383],"quantify":[33],"associations":[34],"household":[36],"income,":[37],"insurance":[38,82],"type,":[39],"race":[40],"or":[41,84,88,196],"ethnicity,":[42],"sex":[44,315,347],"with":[45,52,103,137,153,194,302,330,336],"receipt":[46,95],"surgery":[49,98],"among":[50],"patients":[51,257,263,289,304,329],"MMD.":[53],"METHODS:":[54],"A":[55],"search":[56],"PubMed,":[58],"EMBASE,":[59],"Europe":[60],"PMC":[61],"Scopus":[63],"was":[64,115,161,203,244,334],"performed":[65],"on":[66],"11":[67],"August":[68],"2026":[69],"following":[70],"the":[71,150,154,179,183,233,237,354,358],"PRISMA":[72],"2020":[73],"statement.":[74],"Studies":[75],"reporting":[76],"socioeconomic":[77],"(household":[79],"income":[80,119,241],"type)":[83],"(race":[87],"ethnicity":[89,333],"sex)":[91],"relation":[93],"were":[99,111,125,131,258,325,349],"included.":[100],"Only":[101],"comparisons":[102,348],"directly":[104],"reported":[105,213],"stratum-specific":[106],"event":[107],"counts":[108,216],"denominators":[110,124],"pooled;":[112],"Rios-Zermeno":[113,211],"2024":[114,212],"retained":[116],"narratively":[117],"for":[118,236,286],"because":[120],"exact":[121,222],"full-cohort":[122,223],"income-quartile":[123,224],"not":[126,221,380],"reported.":[127],"Risk":[128],"ratios":[129],"(RR)":[130],"pooled":[132,162],"using":[133],"inverse-variance":[134],"random-effects":[135],"models":[136],"\u03c4\u00b2":[138],"estimated":[139],"by":[140,149],"restricted":[141],"maximum":[142],"likelihood":[143],"confidence":[145],"intervals":[146],"(CI)":[147],"derived":[148],"Hartung-Knapp-Sidik-Jonkman":[151],"method":[152],"ad":[155],"hoc":[156],"variance":[157],"correction.":[158],"Each":[159],"comparison":[160,228,281],"separately":[163],"against":[164],"its":[165],"prespecified":[166],"reference":[167],"group.":[168],"RESULTS:":[169],"Five":[170],"retrospective":[171],"observational":[172],"studies":[173,187,198],"comprising":[174],"46,792":[175],"study-reported":[176],"observations":[177],"from":[178],"United":[180,367],"States":[181,368],"met":[182],"inclusion":[184],"criteria.":[185],"Three":[186],"contributed":[188],"at":[190],"least":[191],"one":[192],"meta-analysis,":[193],"two":[195],"three":[197],"per":[199],"comparison.":[200],"Household-income":[201],"pooling":[202],"limited":[204],"Chiu":[206],"2021":[207],"Raygor":[209],"2022;":[210],"income-specific":[214],"bypass":[215],"percentages":[219],"but":[220],"denominators.":[225],"No":[226,279],"household-income":[227],"reached":[229,282],"statistical":[230,283],"significance":[231],"primary":[234,355],"analysis;":[235],"lowest":[238],"versus":[239],"highest":[240],"quartile,":[242],"RR":[243],"0.75":[245],"(95%":[246],"CI":[247,270,293,308,319],"0.34,":[248],"1.65;":[249],"P":[250,273,296,311,322],"=":[251,254,274,277,297,312,323],"0.14;":[252],"I\u00b2":[253,276],"0%).":[255,278],"Hispanic":[256,332],"less":[259],"likely":[260],"than":[261],"Caucasian":[262],"undergo":[265],"(RR":[267,290,305,316],"0.68":[268],"[95%":[269,292,307,318],"0.53,":[271],"0.89];":[272],"0.02;":[275],"other":[280,384],"significance.":[284],"Findings":[285],"African":[287,343],"American":[288],"0.58":[291],"0.26,":[294],"1.31];":[295],"0.10),":[298],"Medicaid":[299],"beneficiaries":[300],"compared":[301],"self-paying":[303],"0.60":[306],"0.07,":[309],"5.36];":[310],"0.21),":[313],"1.01":[317],"0.57,":[320],"1.77];":[321],"0.92)":[324],"inconclusive.":[326],"CONCLUSIONS:":[327],"Among":[328],"MMD,":[331],"associated":[335],"lower":[337],"surgery.":[341],"Household-income,":[342],"American,":[344],"insurance-type,":[345],"imprecise":[350],"inconclusive":[352],"analyses.":[356],"Because":[357],"evidence":[359],"base":[360],"comprises":[361],"small":[363],"number":[364],"overlapping":[366],"administrative-database":[369],"studies,":[370],"all":[371],"estimates":[372],"should":[373,379],"be":[374,381],"regarded":[375],"as":[376],"hypothesis-generating":[377],"extrapolated":[382],"health":[385],"systems.":[386]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2026-08-23T00:00:00"}
