Evidence map›Paper›PMID 36864369›Full record

ArticleJournal of racial and ethnic health disparities2024

Racial/Ethnic and Geographic Disparities in Comorbid Traumatic Brain Injury-Renal Failure in US Veterans and Associated Veterans Affairs Resource Costs, 2000-2020.

Clara Dismuke-Greer, Aryan Esmaeili, Mukoso N Ozieh, Kritee Gujral, Carla Garcia, Ariana Del Negro, Boyd Davis, Leonard Egede

Open access · greenAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Clara Dismuke-GreerHealth Economics Resource Center (HERC), Ci2i, VA Palo Alto Healthcare System, 795 Willow Road, 152 MPD, Menlo Park, CA, 94025, USA. clara.dismuke@va.gov.ORCID 0000-0002-3645-0068
Aryan EsmaeiliHealth Economics Resource Center (HERC), Ci2i, VA Palo Alto Healthcare System, 795 Willow Road, 152 MPD, Menlo Park, CA, 94025, USA.
Mukoso N OziehCenter for Advancing Population Science (CAPS), Division of Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Kritee GujralHealth Economics Resource Center (HERC), Ci2i, VA Palo Alto Healthcare System, 795 Willow Road, 152 MPD, Menlo Park, CA, 94025, USA.
Carla GarciaHealth Economics Resource Center (HERC), Ci2i, VA Palo Alto Healthcare System, 795 Willow Road, 152 MPD, Menlo Park, CA, 94025, USA.
Ariana Del NegroPalo Alto Veterans Institute for Research, Palo Alto, CA, USA.
Boyd DavisDepartment of English Emerita, College of Liberal Arts & Sciences, The University of North Carolina at Charlotte, Charlotte, NC, USA.
Leonard EgedeCenter for Advancing Population Science (CAPS), Division of Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
VA Palo Alto Health Care System · USMedical College of Wisconsin · USPalo Alto Veterans Institute for Research · USUniversity of North Carolina at Charlotte · US

Funding

HOME DM-BAT: Home-based Diabetes-Modified Behavioral Activation Treatment for Low Income Seniors with T2DM Diversity SupplementR01DK118038 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.5M
Financial Incentives And Nurse Coaching to Enhance Diabetes Outcomes (FINANCE-DM) - Diversity SupplementR01DK120861 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.4M
Lowering the Impact of Food insecurity in African American Adults with Type 2 Diabetes Mellitus (LIFT-DM) - Diversity SupplementR01MD013826 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E., WALKER, REBEKAH J · 2019 to 2023
$3.4M
Institutional Career Development CoreKL2TR001438 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI WIDLANSKY, MICHAEL E · 2015 to 2024
$2.9M
Technology Intensified Diabetes Education Study in AA with T2DM (TIDES)K24DK093699 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI EGEDE, LEONARD E. · 2011 to 2020
$1.5M
Mixed-Methods Study of Multidimensional Adversity in Inner-City African American Adults with Chronic Kidney Disease and Type 2 Diabetes MellitusK23MD016448 · NIMHD · MEDICAL COLLEGE OF WISCONSIN · PI OZIEH, MUKOSO N · 2022 to 2025
$597k
Basic Needs Navigation Intervention to Address Multidimensional Adversity in African Americans with Diabetic Kidney DiseaseR21DK131356 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI OZIEH, MUKOSO N · 2021 to 2023
$574k
CENC - Diffusion Tensor Imaging Standardization using Novel MR Diffusion PhantomsI01RX001880 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI WILDE, ELISABETH A · 2015 to 2020
–
CENC - Novel White Matter Imaging to Improve Diagnosis of Mild TBII01RX002076 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI JAK, AMY · 2015 to 2018
–
CENC-VA TBI Brain Tissue RepositoryI01RX002170 · VA · VA BOSTON HEALTH CARE SYSTEM · PI MCKEE, ANN C. · 2016 to 2019
–
CENC - Clinical and Neuroimaging Correlates of Neurodegeneration in Military mTBII01RX002171 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI DAVENPORT, NICHOLAS DAVID · 2016 to 2019
–
CENC - Structural and Functional Neurobiology of Veterans Exposed to Primary Blast ForcesI01RX002172 · VA · W G HEFNER VA MEDICAL CENTER · PI TABER, KATHERINE H · 2016 to 2019
–
CSRD VA I01 CX001135CSRD VA I01 CX001246CSRD VA I01 CX002096CSRD VA I01 CX002097HSRD VA I01 HX003155NCATS NIH HHS KL2 TR001438NIDDK NIH HHS K24 DK093699NIDDK NIH HHS R01 DK118038NIDDK NIH HHS R01 DK120861NIDDK NIH HHS R21 DK131356NIMHD NIH HHS K23 MD016448NIMHD NIH HHS R01 MD013826RRD VA I01 RX001135RRD VA I01 RX001774RRD VA I01 RX001880RRD VA I01 RX002076RRD VA I01 RX002170RRD VA I01 RX002171RRD VA I01 RX002172RRD VA I01 RX002173RRD VA I01 RX002174RRD VA I01 RX003442RRD VA I01 RX003443RRD VA I01 RX003444
6 · The paper itself

Abstract

Studies have identified disparities by race/ethnicity and geographic status among veterans with traumatic brain injury (TBI) and renal failure (RF). We examined the association of race/ethnicity and geographic status with RF onset in veterans with and without TBI, and the impact of disparities on Veterans Health Administration resource costs.

methodsDemographics by TBI and RF status were assessed. We estimated Cox proportional hazards models for progression to RF and generalized estimating equations for inpatient, outpatient, and pharmacy cost annually and time since TBI + RF diagnosis, stratified by age.

resultsAmong 596,189 veterans, veterans with TBI progressed faster to RF than those without TBI (HR 1.96). Non-Hispanic Black veterans (HR 1.41) and those in US territories (HR 1.71) progressed faster to RF relative to non-Hispanic Whites and those in urban mainland areas. Non-Hispanic Blacks (-$5,180), Hispanic/Latinos ($-4,984), and veterans in US territories (-$3,740) received fewer annual total VA resources. This was true for all Hispanic/Latinos, while only significant for non-Hispanic Black and US territory veterans < 65 years. For veterans with TBI + RF, higher total resource costs only occurred ≥ 10 years after TBI + RF diagnosis ($32,361), independent of age. Hispanic/Latino veterans ≥ 65 years received $8,248 less than non-Hispanic Whites and veterans living in US territories < 65 years received $37,514 less relative to urban veterans.

conclusionConcerted efforts to address RF progression in veterans with TBI, especially in non-Hispanic Blacks and those in US territories, are needed. Importantly, culturally appropriate interventions to improve access to care for these groups should be a priority of the Department of Veterans Affairs priority for these groups.

Indexed as

Brain Injuries, TraumaticVeteransAgedBlack or African AmericanEthnicityHispanic or LatinoHumansMiddle AgedUnited StatesUnited States Department of Veterans AffairsWhite

Identifiers

PMID36864369
PMCPMC10474245
OpenAlexW4322765509

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.