Persistent Racial Disparities in Deep Brain Stimulation for Parkinson's Disease

Samuel W. Cramer; Truong H. Do; Elise F. Palzer; Anant Naik; Abigail L. Rice; Savannah G. Novy; Jacob T. Hanson; Amber N. Piazza; Madeleine A. Howard; Jared D. Huling; Clark C. Chen; Robert A. McGovern

doi:10.1002/ana.26378

Persistent Racial Disparities in Deep Brain Stimulation for Parkinson's Disease

Samuel W. Cramer, Truong H. Do, Elise F. Palzer, Anant Naik, Abigail L. Rice, Savannah G. Novy, Jacob T. Hanson, Amber N. Piazza, Madeleine A. Howard, Jared D. Huling, Clark C. Chen, Robert A. McGovern

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Abstract

We sought to determine whether racial and socioeconomic disparities in the utilization of deep brain stimulation (DBS) for Parkinson's disease (PD) have improved over time. We examined DBS utilization and analyzed factors associated with placement of DBS. The odds of DBS placement increased across the study period, whereas White patients with PD were 5 times more likely than Black patients to undergo DBS. Individuals, regardless of racial background, with 2 or more comorbidities were 14 times less likely to undergo DBS. Privately insured patients were 1.6 times more likely to undergo DBS. Despite increasing DBS utilization, significant disparities persist in access to DBS. ANN NEUROL 2022;92:246–254.

Original language	English (US)
Pages (from-to)	246-254
Number of pages	9
Journal	Annals of Neurology
Volume	92
Issue number	2
DOIs	https://doi.org/10.1002/ana.26378
State	Published - Aug 2022

Bibliographical note

Funding Information:
This study was supported in part by funding from MnDRIVE, a collaboration between the University of Minnesota and the State of Minnesota.

Publisher Copyright:
© 2022 The Authors. Annals of Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association.

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10.1002/ana.26378

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title = "Persistent Racial Disparities in Deep Brain Stimulation for Parkinson's Disease",

abstract = "We sought to determine whether racial and socioeconomic disparities in the utilization of deep brain stimulation (DBS) for Parkinson's disease (PD) have improved over time. We examined DBS utilization and analyzed factors associated with placement of DBS. The odds of DBS placement increased across the study period, whereas White patients with PD were 5 times more likely than Black patients to undergo DBS. Individuals, regardless of racial background, with 2 or more comorbidities were 14 times less likely to undergo DBS. Privately insured patients were 1.6 times more likely to undergo DBS. Despite increasing DBS utilization, significant disparities persist in access to DBS. ANN NEUROL 2022;92:246–254.",

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note = "Funding Information: This study was supported in part by funding from MnDRIVE, a collaboration between the University of Minnesota and the State of Minnesota. Publisher Copyright: {\textcopyright} 2022 The Authors. Annals of Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association.",

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AU - Cramer, Samuel W.

AU - Do, Truong H.

AU - Palzer, Elise F.

AU - Naik, Anant

AU - Rice, Abigail L.

AU - Novy, Savannah G.

AU - Hanson, Jacob T.

AU - Piazza, Amber N.

AU - Howard, Madeleine A.

AU - Huling, Jared D.

AU - Chen, Clark C.

AU - McGovern, Robert A.

N1 - Funding Information: This study was supported in part by funding from MnDRIVE, a collaboration between the University of Minnesota and the State of Minnesota. Publisher Copyright: © 2022 The Authors. Annals of Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association.

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Persistent Racial Disparities in Deep Brain Stimulation for Parkinson's Disease

Abstract

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