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J Neurol Surg B Skull Base 2016; 77(03): 226-230
DOI: 10.1055/s-0035-1566122
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Factors Associated with Low Socioeconomic Status Predict Poor Postoperative Follow-up after Meningioma Resection

Arash Nayeri
1   Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States
,
Philip R. Brinson
1   Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States
,
Kyle D. Weaver
1   Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States
,
Reid C. Thompson
1   Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States
,
Lola B. Chambless
1   Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States
› Author Affiliations
Further Information

Publication History

16 May 2015

08 September 2015

Publication Date:
28 October 2015 (online)

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Abstract

Objectives To quantify the rates of loss of follow-up after meningioma resection and to identify any key demographical associations.

Design Retrospective cohort.

Setting Vanderbilt University Medical Center, 2001–2013.

Participants A total of 281 patients surgically treated for an intracranial meningioma at a single institution between 2001 and 2013.

Main Outcome Measures Patient clinical follow-up within the first postoperative year.

Results A history of tobacco use (p < 0.0001), ongoing alcohol abuse at time of presentation (p = 0.0014), Medicaid coverage (p < 0.0001), and lack of a college degree (p < 0.0001) were all found to be predictors of loss of follow-up at a statistically significant level.

Conclusions Several factors associated with low socioeconomic status are predictors of poor clinical follow-up after meningioma resection. The health risk of poor follow-up in this patient population is significant, and increased measures are needed to ensure regular appointment attendance.

Keywords

meningioma - follow-up - socioeconomic status - tobacco
 

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