{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:39:05Z","timestamp":1792809545693,"version":"4.5.0"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The goal of this study was to assess the social determinants that influence access and outcomes for pediatric neurosurgical care for patients with Chiari malformation type I (CM-I) and syringomyelia (SM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The authors used retro- and prospective components of the Park-Reeves Syringomyelia Research Consortium database to identify pediatric patients with CM-I and SM who received surgical treatment and had at least 1 year of follow-up data. Race, ethnicity, and insurance status were used as comparators for preoperative, treatment, and postoperative characteristics and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 637 patients met inclusion criteria, and race or ethnicity data were available for 603 (94.7%) patients. A total of 463 (76.8%) were non-Hispanic White (NHW) and 140 (23.2%) were non-White. The non-White patients were older at diagnosis (p = 0.002) and were more likely to have an individualized education plan (p &lt; 0.01). More non-White than NHW patients presented with cerebellar and cranial nerve deficits (i.e., gait ataxia [p = 0.028], nystagmus [p = 0.002], dysconjugate gaze [p = 0.03], hearing loss [p = 0.003], gait instability [p = 0.003], tremor [p = 0.021], or dysmetria [p &lt; 0.001]). Non-White patients had higher rates of skull malformation (p = 0.004), platybasia (p = 0.002), and basilar invagination (p = 0.036). Non-White patients were more likely to be treated at low-volume centers than at high-volume centers (38.7% vs 15.2%; p &lt; 0.01). Non-White patients were older at the time of surgery (p = 0.001) and had longer operative times (p &lt; 0.001), higher estimated blood loss (p &lt; 0.001), and a longer hospital stay (p = 0.04). There were no major group differences in terms of treatments performed or complications. The majority of subjects used private insurance (440, 71.5%), whereas 175 (28.5%) were using Medicaid or self-pay. Private insurance was used in 42.2% of non-White patients compared to 79.8% of NHW patients (p &lt; 0.01). There were no major differences in presentation, treatment, or outcome between insurance groups. In multivariate modeling, non-White patients were more likely to present at an older age after controlling for sex and insurance status (p &lt; 0.01). Non-White and male patients had a longer duration of symptoms before reaching diagnosis (p = 0.033 and 0.004, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Socioeconomic and demographic factors appear to influence the presentation and management of patients with CM-I and SM. Race is associated with age and timing of diagnosis as well as operating room time, estimated blood loss, and length of hospital stay. This exploration of socioeconomic and demographic barriers to care will be useful in understanding how to improve access to pediatric neurosurgical care for patients with CM-I and SM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2021.9.peds2185","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T02:15:15Z","timestamp":1638497715000},"page":"288-297","source":"Crossref","is-referenced-by-count":6,"title":["Socioeconomic and demographic factors in the diagnosis and treatment of Chiari malformation type I and syringomyelia"],"prefix":"10.3171","volume":"29","author":[{"given":"Syed Hassan A.","family":"Akbari","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asad A.","family":"Rizvi","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis S.","family":"CreveCoeur","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rowland H.","family":"Han","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob K.","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Torner","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Iowa, Iowa City, Iowa;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas L.","family":"Brockmeyer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Neurosurgery, University of Utah School of Medicine, Salt Lake City, Utah;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Wellons","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey R.","family":"Leonard","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, The Ohio State University College of Medicine, Columbus, Ohio;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco T.","family":"Mangano","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurosurgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M.","family":"Johnston","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, University of Alabama School of Medicine, Birmingham, Alabama;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish N.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Neurosurgery, The University of Texas McGovern Medical School, Houston, Texas;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bermans J.","family":"Iskandar","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raheel","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald F.","family":"Tuite","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neuroscience Institute, All Children\u2019s Hospital, St. Petersburg, Florida;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce A.","family":"Kaufman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Daniels","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric M.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, Maryland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald A.","family":"Grant","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford Child Health Research Institute, Stanford, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander K.","family":"Powers","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel E.","family":"Couture","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. 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Chiari type I malformation in a pediatric population. Pediatr Neurol. 2009;40(6):449\u2013454."},{"issue":"2","key":"b2","series-title":"J Neurosurg Pediatr","first-page":"161","article-title":"Pediatric and adult Chiari malformation Type I surgical series 1965-2013: a review of demographics, operative treatment, and outcomes","volume":"15","author":"Arnautovic A","year":"2015","unstructured":"Arnautovic A, Splavski B, Boop FA, Arnautovic KI. Pediatric and adult Chiari malformation Type I surgical series 1965-2013: a review of demographics, operative treatment, and outcomes. J Neurosurg Pediatr. 2015;15(2):161\u2013177."},{"issue":"2","key":"b3","series-title":"J Neurosurg Pediatr","first-page":"205","article-title":"Chiari malformation Type I and syrinx in children undergoing magnetic resonance imaging","volume":"8","author":"Strahle J","year":"2011","unstructured":"Strahle J, Muraszko KM, Kapurch J, Bapuraj JR, Garton HJL, Maher CO. Chiari malformation Type I and syrinx in children undergoing magnetic resonance imaging. J Neurosurg Pediatr. 2011;8(2):205\u2013213."},{"issue":"6","key":"b4","series-title":"Neurology","first-page":"1271","article-title":"Pediatric Chiari I malformations: do clinical and radiologic features correlate?","volume":"53","author":"Wu YW","year":"1999","unstructured":"Wu YW, Chin CT, Chan KM, Barkovich AJ, Ferriero DM. Pediatric Chiari I malformations: do clinical and radiologic features correlate?. Neurology. 1999;53(6):1271\u20131276."},{"issue":"9","key":"b5","series-title":"Childs Nerv Syst","first-page":"1154","article-title":"Scoliosis in children with Chiari I-related syringomyelia","volume":"22","author":"Bhangoo R","year":"2006","unstructured":"Bhangoo R, Sgouros S. Scoliosis in children with Chiari I-related syringomyelia. Childs Nerv Syst. 2006;22(9):1154\u20131157."},{"issue":"13","key":"b6","series-title":"Spine (Phila Pa 1976)","first-page":"1451","article-title":"Chiari I malformation associated with syringomyelia and scoliosis: a twenty-year review of surgical and nonsurgical treatment in a pediatric population","volume":"27","author":"Eule JM","year":"2002","unstructured":"Eule JM, Erickson MA, O\u2019Brien MF, Handler M. Chiari I malformation associated with syringomyelia and scoliosis: a twenty-year review of surgical and nonsurgical treatment in a pediatric population. Spine (Phila Pa 1976).2002;27(13):1451\u20131455."},{"issue":"4","key":"b7","series-title":"Neurosurgery","first-page":"591","article-title":"Hydrosyringomyelia associated with a Chiari I malformation in children and adolescents","volume":"26","author":"Isu T","year":"1990","unstructured":"Isu T, Iwasaki Y, Akino M, Abe H. Hydrosyringomyelia associated with a Chiari I malformation in children and adolescents. Neurosurgery. 1990;26(4):591\u2013597."},{"issue":"5","key":"b8","series-title":"Neurol India","first-page":"1187","article-title":"Spontaneous resolution of syringomyelia in Chiari I malformation: a review of literature","volume":"65","author":"Jain PK","year":"2017","unstructured":"Jain PK, Sreeharsha SV, Dugani S. Spontaneous resolution of syringomyelia in Chiari I malformation: a review of literature. Neurol India. 2017;65(5):1187\u20131189."},{"issue":"6","key":"b9","series-title":"J Neurosurg Pediatr","first-page":"607","article-title":"The association between Chiari malformation Type I, spinal syrinx, and scoliosis","volume":"15","author":"Strahle J","year":"2015","unstructured":"Strahle J, Smith BW, Martinez M, Bapuraj JR, Muraszko KM, Garton HJ, Maher CO. The association between Chiari malformation Type I, spinal syrinx, and scoliosis. J Neurosurg Pediatr. 2015;15(6):607\u2013611."},{"issue":"3","key":"b10","series-title":"J Neurosurg Pediatr","first-page":"248","article-title":"Institutional experience with 500 cases of surgically treated pediatric Chiari malformation Type I","volume":"7","author":"Tubbs RS","year":"2011","unstructured":"Tubbs RS, Beckman J, Naftel RP, Chern JJ, Wellons JC III, Rozzelle CJ,  Institutional experience with 500 cases of surgically treated pediatric Chiari malformation Type I. J Neurosurg Pediatr. 2011;7(3):248\u2013256."},{"issue":"2","key":"b11","series-title":"Curr Obes Rep","first-page":"130","article-title":"Racial disparities in obesity treatment","volume":"7","author":"Byrd AS","year":"2018","unstructured":"Byrd AS, Toth AT, Stanford FC. Racial disparities in obesity treatment. 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Cancer Causes Control. 2018;29(6):551\u2013561."},{"issue":"4","key":"b14","series-title":"J Oncol Pract","first-page":"e211","article-title":"Impact of socioeconomic status on pretreatment weight loss and survival in non-small-cell lung cancer","volume":"14","author":"Lau SKM","year":"2018","unstructured":"Lau SKM, Gannavarapu BS, Carter K, Gao A, Ahn C, Meyer JJ,  Impact of socioeconomic status on pretreatment weight loss and survival in non-small-cell lung cancer. J Oncol Pract. 2018;14(4):e211\u2013e220."},{"issue":"2","key":"b15","series-title":"Spine J","first-page":"116","article-title":"Differences in treatments and outcomes for idiopathic scoliosis patients treated in the United States from 1998 to 2007: impact of socioeconomic variables and ethnicity","volume":"13","author":"Nu\u00f1o M","year":"2013","unstructured":"Nu\u00f1o M, Drazin DG, Acosta FL Jr. Differences in treatments and outcomes for idiopathic scoliosis patients treated in the United States from 1998 to 2007: impact of socioeconomic variables and ethnicity. Spine J. 2013;13(2):116\u2013123."},{"issue":"5","key":"b16","series-title":"Spine J","first-page":"939","article-title":"Disease severity and treatment in adolescent idiopathic scoliosis: the impact of race and economic status","volume":"15","author":"Zavatsky JM","year":"2015","unstructured":"Zavatsky JM, Peters AJ, Nahvi FA, Bharucha NJ, Trobisch PD, Kean KE,  Disease severity and treatment in adolescent idiopathic scoliosis: the impact of race and economic status. Spine J. 2015;15(5):939\u2013943."},{"issue":"1","key":"b17","series-title":"Pediatr Neurosurg","first-page":"31","article-title":"National trends, complications, and hospital charges in pediatric patients with Chiari malformation type I treated with posterior fossa decompression with and without duraplasty","volume":"50","author":"Shweikeh F","year":"2015","unstructured":"Shweikeh F, Sunjaya D, Nuno M, Drazin D, Adamo MA. 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Pediatr Neurol. 2020;107:71\u201376."},{"issue":"1","key":"b20","series-title":"Trauma Surg Acute Care Open","first-page":"e000358","article-title":"Racial disparities and the acute management of severe blunt traumatic brain injury","volume":"4","author":"Sharma R","year":"2019","unstructured":"Sharma R, Johnson A, Li J, DeBoard Z, Zikakis I, Grotts J, Kaminski S. Racial disparities and the acute management of severe blunt traumatic brain injury. Trauma Surg Acute Care Open. 2019;4(1):e000358."},{"issue":"9","key":"b21","series-title":"Matern Child Health J","first-page":"1550","article-title":"Trends in health insurance status of US children and their parents, 1998-2008","volume":"17","author":"Angier H","year":"2013","unstructured":"Angier H, DeVoe JE, Tillotson C, Wallace L, Gold R. Trends in health insurance status of US children and their parents, 1998-2008. Matern Child Health J. 2013;17(9):1550\u20131558."},{"key":"b22","series-title":"World Neurosurg","first-page":"431","article-title":"Racial, socioeconomic, and gender disparities in the presentation, treatment, and outcomes of adult Chiari I malformations","volume":"97","author":"Krucoff MO","year":"2017","unstructured":"Krucoff MO, Cook S, Adogwa O, Moreno J, Yang S, Xie J,  Racial, socioeconomic, and gender disparities in the presentation, treatment, and outcomes of adult Chiari I malformations. World Neurosurg. 2017;97:431\u2013437."},{"issue":"4","key":"b23","series-title":"J Neurosurg Pediatr","first-page":"434","article-title":"Geographic proximity to specialized pediatric neurosurgical care in the contiguous United States","volume":"21","author":"Ahmed AK","year":"2018","unstructured":"Ahmed AK, Duhaime AC, Smith TR. Geographic proximity to specialized pediatric neurosurgical care in the contiguous United States. 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