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Gomez D, Feng JJ, Cheok S, Shah I, Dicharry H, Cote DJ, Briggs RG, Guerra GA, Peterson R, Salhia B, Neman J, Attenello F, Chow F, Musabelliu EK, Zada G. Incidence of brain metastasis according to patient race and primary cancer origin: a systematic review. J Neurooncol 2024:10.1007/s11060-024-04748-6. [PMID: 38896356 DOI: 10.1007/s11060-024-04748-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2024] [Accepted: 06/11/2024] [Indexed: 06/21/2024]
Abstract
PURPOSE A systematic review was conducted to investigate differences in incidence and primary origin of synchronous brain metastasis (sBM) in varying racial groups with different primary cancers. METHODS Adhering to PRISMA 2020 guidelines a search was conducted using PubMed and Ovid databases for publications from January 2000 to January 2023, with search terms including combinations of "brain metastasis," "race," "ethnicity," and "incidence." Three independent reviewers screened for inclusion criteria encompassing studies clearly reporting primary cancer sites, patient demographics including race, and synchronous BM (sBM) incidence. RESULTS Of 806 articles, 10 studies comprised of mainly adult patients from the United States met final inclusion for data analysis. Higher sBM incidence proportions were observed in American Indian/Alaska native patients for primary breast (p < 0.001), colorectal (p = 0.015), and esophageal cancers (p = 0.024) as well as in Asian or Pacific islanders for primary stomach (p < 0.001), thyroid (p = 0.006), and lung/bronchus cancers (p < 0.001) yet higher proportions in White patients for malignant melanoma (p < 0.001). Compared to White patients, Black patients had higher sBM incidence likelihood in breast cancer (OR = 1.27, p = 0.01) but lower likelihood in renal (OR = 0.46, p < 0.001) and esophageal cancers (OR = 0.31, p = 0.005). American Indian/Alaska native patients had a higher sBM likelihood (OR = 3.78, p = 0.004) relative to White patients in esophageal cancer. CONCLUSIONS These findings reveal several comparative racial differences in sBM incidence arising from different primary cancer origins, underscoring a need for further research to explain these variations. Identifying the factors contributing to these disparities holds the potential to promote greater equity in oncological care according to cancer type.
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Affiliation(s)
- David Gomez
- Department of Neurosurgery Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA.
| | - Jeffrey J Feng
- Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA
| | - Stephanie Cheok
- Department of Neurological Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Ishan Shah
- Department of Neurosurgery Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA
| | - Holly Dicharry
- LSU Health Shreveport School of Medicine, Louisiana State University, Shreveport, LA, 71103, USA
| | - David J Cote
- Department of Neurosurgery Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA
| | - Robert G Briggs
- Department of Neurosurgery Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA
| | - Gage A Guerra
- Department of Neurosurgery Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA
| | - Racheal Peterson
- Department of Neurosurgery Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA
| | - Bodour Salhia
- Department of Neurosurgery Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA
- Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, 90033, USA
| | - Josh Neman
- Department of Neurosurgery Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA
- Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, 90033, USA
| | - Frank Attenello
- Department of Neurosurgery Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA
| | - Frances Chow
- Department of Neurosurgery Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA
- Department of Neurology, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - Erion K Musabelliu
- Krembil Research Institute, University Health Network, and University of Toronto, Toronto, ON, Canada
| | - Gabriel Zada
- Department of Neurosurgery Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA
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Mathew DM, Koff BM, Khusid E, Lui B, Bustillo MA, White RS. Enhanced recovery after neurosurgery: gaps in literature regarding social determinants of health. Neurosurg Rev 2024; 47:67. [PMID: 38267658 DOI: 10.1007/s10143-024-02299-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2024] [Revised: 01/04/2024] [Accepted: 01/15/2024] [Indexed: 01/26/2024]
Affiliation(s)
| | - Benjamin M Koff
- Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA
| | - Elizabeth Khusid
- Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA
| | - Briana Lui
- Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA
| | - Maria A Bustillo
- Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA
| | - Robert S White
- Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA.
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Michaelson NM, Watsula A, Bakare-Okpala A, Mohamadpour M, Chukwueke UN, Budhu JA. Disparities in Neuro-Oncology. Curr Neurol Neurosci Rep 2023; 23:815-825. [PMID: 37889427 DOI: 10.1007/s11910-023-01314-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/16/2023] [Indexed: 10/28/2023]
Abstract
PURPOSEOF REVIEW Health disparities are preventable differences in the diagnosis, treatment, and outcomes of many diseases, including central nervous system (CNS) tumors. This review will summarize and compile the existing literature on health disparities in neuro-oncology and provide directions for future research and interventions. RECENT FINDINGS Patients from historically marginalized groups are more likely to receive inadequate treatment, develop complications, and experience a shorter life expectancy. Financial toxicity can be particularly severe for patients with CNS tumors due to the high costs of treatment. Additionally, CNS clinical trials and research lack diverse representation.
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Affiliation(s)
| | - Amanda Watsula
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | | | - Maliheh Mohamadpour
- Department of Neurology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, C719, USA
| | - Ugonma N Chukwueke
- Center for Neuro-Oncology, Dana-Farber Cancer Institute, Boston, MA, USA
| | - Joshua A Budhu
- Department of Neurology, Weill Cornell Medicine, New York, NY, USA.
- Department of Neurology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, C719, USA.
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