{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T04:03:50Z","timestamp":1788926630968,"version":"build-2803163510"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T00:00:00Z","timestamp":1702425600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["75D30119C06056\/Amendment 0003"],"award-info":[{"award-number":["75D30119C06056\/Amendment 0003"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001453","name":"American Brain Tumor Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001453","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Musella Foundation for Brain Tumor Research & Information, Inc."},{"DOI":"10.13039\/100001512","name":"National Brain Tumor Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001512","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001794","name":"Pediatric Brain Tumor Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001794","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006064","name":"The Sontag Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006064","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100019451","name":"Uncle Kory Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019451","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Neuro-Oncology Branch","award":["75N91022P00827"],"award-info":[{"award-number":["75N91022P00827"]}]},{"name":"Zelda Dorin Tetenbaum Memorial Fund"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Prior literature suggests that individual socioeconomic status (SES) may influence incidence, treatments, and survival of brain tumor cases. We aim to conduct the first national study to evaluate the association between US county-level SES and incidence, treatment, and survival in meningioma.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The Central Brain Tumor Registry of the United States analytic dataset, which combines data from CDC\u2019s National Program of Cancer Registries (NPCR) and National Cancer Institute's Surveillance, Epidemiology, and End Results Program, was used to identify meningioma cases from 2006 to 2019. SES quintiles were created using American Community Survey data. Logistic regression models were used to evaluate associations between SES and meningioma. Cox proportional hazard models were constructed to assess the effect of SES on survival using the NPCR analytic dataset.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 409 681 meningioma cases were identified. Meningioma incidence increased with higher county-level SES with Q5 (highest quintile) having a 12% higher incidence than Q1 (incidence rate ratios (IRR)\u2005=\u20051.12, 95%CI: 1.10\u20131.14; P\u2005&amp;lt;\u2005.0001). The Hispanic group was the only racial\u2013ethnic group that had lower SES associated with increased meningioma incidence (Q5: age-adjusted incidence ratio (AAIR)\u2005=\u20059.02, 95%CI: 8.87\u20139.17 vs. Q1: AAIR\u2005=\u20059.33, 95%CI: 9.08\u20139.59; IRR\u2005=\u20050.97, 95%CI: 0.94\u20131.00; P\u2005=\u2005.0409). Increased likelihood of surgical treatment was associated with Asian or Pacific Islander non-Hispanic individuals (compared to White non-Hispanic (WNH)) (OR\u2005=\u20051.28, 95%CI: 1.23\u20131.33, P\u2005&amp;lt;\u2005.001) and males (OR\u2005=\u20051.31, 95%CI: 1.29\u20131.33, P\u2005&amp;lt;\u2005.001). Black non-Hispanic individuals (OR\u2005=\u20050.90, 95%CI: 0.88\u20130.92, P\u2005&amp;lt;\u2005.001) and those residing in metropolitan areas (OR\u2005=\u20050.96, 95%CI: 0.96\u20130.96, P\u2005&amp;lt;\u2005.001) were less likely to receive surgical treatment compared to WNH individuals. Overall median survival was 137 months, and survival was higher in higher SES counties (Q5 median survival\u2005=\u2005142 months).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Higher county-level SES was associated with increased meningioma incidence, surgical treatment, and overall survival. Racial\u2013ethnic stratification identified potential disparities within the meningioma population. Further work is needed to understand the underpinnings of socioeconomic and racial disparities for meningioma patients.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/neuonc\/noad223","type":"journal-article","created":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T15:03:54Z","timestamp":1702479834000},"page":"749-763","source":"Crossref","is-referenced-by-count":12,"title":["Association of county-level socioeconomic status with meningioma incidence and outcomes"],"prefix":"10.1093","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5179-5232","authenticated-orcid":false,"given":"Sangami","family":"Pugazenthi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine , St. Louis, Missouri , 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3186-8510","authenticated-orcid":false,"given":"Kristin A","family":"Waite","sequence":"additional","affiliation":[{"name":"Central Brain Tumor Registry of the United States , Hinsdale, Illinois , USA"},{"name":"Trans-Divisional Research Program (TDRP), Division of Cancer Epidemiology and Genetics (DCEG), National Cancer Institute , Bethesda, Maryland , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6190-9304","authenticated-orcid":false,"given":"Jill S","family":"Barnholtz-Sloan","sequence":"additional","affiliation":[{"name":"Trans-Divisional Research Program (TDRP), Division of Cancer Epidemiology and Genetics (DCEG), National Cancer Institute , Bethesda, Maryland , USA"},{"name":"Center for Biomedical Informatics & Information Technology (CBIIT), National Cancer Institute , Bethesda, Maryland , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle M","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Duke University School of Medicine , Durham, North Carolina , USA"},{"name":"The Preston Robert Tisch Brain Tumor Center, Duke University School of Medicine , Durham, North Carolina , USA"},{"name":"Duke Cancer Institute, Duke University Medical Center , Durham, North Carolina , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert H","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine , St. Louis, Missouri , USA"},{"name":"The Brain Tumor Center, Siteman Cancer Center, Washington University School of Medicine , St. Louis, Missouri , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quinn T","family":"Ostrom","sequence":"additional","affiliation":[{"name":"Central Brain Tumor Registry of the United 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