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Related Concept Videos

Psychosurgery01:30

Psychosurgery

24
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
24

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Exploring Rates of Functional Neurosurgery Procedures in the Hispanic Population: A Single-Institution Analysis From

Derek D George1, Manlin Shao2, Jerry M Brown3

  • 1Department of Neurosurgery, University of Rochester, Rochester, NY, USA.

Neuromodulation : Journal of the International Neuromodulation Society
|May 1, 2025
PubMed
Summary

Hispanic patients are underrepresented in functional neurosurgery utilization in Southern Arizona. Disparities in access to these procedures are linked to age, income, and treatment center distance.

Keywords:
Deep brain stimulationdisparitiesepilepsyneuromodulationsocioeconomic

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Area of Science:

  • Neurosurgery
  • Health Disparities
  • Health Services Research

Background:

  • Racial and ethnic disparities in functional neurosurgery utilization are well-documented.
  • Few studies have specifically examined Hispanic vs. non-Hispanic White populations in regions with significant representation of both groups.
  • This study addresses this gap by comparing functional neurosurgery utilization in a region with a large Hispanic population.

Purpose of the Study:

  • To compare the utilization of functional neurosurgery procedures between Hispanic and non-Hispanic White populations.
  • To identify factors associated with disparities in access to functional neurosurgery.
  • To inform strategies for reducing healthcare inequities in neurosurgical care.

Main Methods:

  • Retrospective review of 750 functional neurosurgery procedures performed between 2017 and 2024 at the University of Arizona, Tucson.
  • Comparison of procedure rates by ethnicity (Hispanic vs. non-Hispanic White).
  • Analysis of correlations with demographic and clinical factors including age, income, insurance, and distance to treatment center.

Main Results:

  • Hispanic patients were significantly underrepresented in functional neurosurgery compared to regional demographics (p < 0.0001).
  • This disparity was consistent across all procedure types (epilepsy, pain, movement disorders).
  • Significant differences in income and correlations with age and distance to the treatment center were observed.

Conclusions:

  • Functional neurosurgery procedures are underutilized among Hispanic patients in Southern Arizona.
  • Disparities are associated with socioeconomic factors such as income and geographic factors like distance to the treatment center.
  • Addressing these disparities is crucial for equitable healthcare delivery in neurosurgery.