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Invited Critique
March 2010

What Do We Gain and Lose From Database Studies?Comment on “Disparities in Access to Neuro-oncologic Care in the United States”

Author Affiliations

Author Affiliation: Division of Neurosurgery, The Ottawa Hospital, Ottawa, Ontario, Canada.

Arch Surg. 2010;145(3):253-254. doi:10.1001/archsurg.2009.293

This work by Mukherjee and coworkers provides valuable insight into health care disparities in the United States with regard to access for neuro-oncologic care. Such work is important in elucidating necessary policy interventions, and the authors are to be applauded for their efforts. While findings of regional neurosurgeon density, younger patient age, and higher median county income expectedly correlate with increased access to high-quality care, a surprising finding from multivariate analysis was that Hispanic race/ethnicity independently further predicted less access to such care.

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