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    A Scoping Review of the Literature on the Relationship Between Social and Structural Determinants of Health and Neurosurgical Outcomes

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    Genre
    Thesis/Dissertation
    Date
    2021
    Author
    Glauser, Gregory
    Advisor
    Cabey, Vielka Whitney
    Jones, Nora L.
    Committee member
    Jones, Nora L.
    Department
    Urban Bioethics
    Subject
    Ethics
    Neurosurgery
    Social determinants of health
    Structural determinants of health
    Urban bioethics
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/6518
    
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    DOI
    http://dx.doi.org/10.34944/dspace/6500
    Abstract
    This thesis discloses findings from a scoping review of Social and Structural Determinant of Health (SSDOH)-related academic and grey literature from neurosurgery and fields with neurosurgical overlap. The purpose of this thesis is to identify which social determinants have been assessed, for which surgical procedures they were evaluated, and what disparities were found. To identify studies to include or consider for this systematic review, the review team worked with a medical librarian to develop detailed search strategies for each database. Studies were screened by title and abstract independently by two reviewers. Disagreements between reviewers were resolved by a third reviewer, blinded to the decisions of the primary reviewers. The scoping review of the SSDOH in neurosurgical outcomes identified 99 studies from the year 1990 to 2020. Identified studies were targeted predominantly toward spine surgery patients, evenly distributed in analyses of gender, race and economic stability. The relatively low volume of neurosurgical papers focused on the SSDOH and emphasis on one subspecialty demonstrates the need for an expanded interest in the SSDOH in neurosurgery.
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