Evidence map›Paper›PMID 39862622›Full record

SynthesisGeriatric nursing (New York, N.Y.)

Racial and ethnic disparities in post-acute care service utilization after stroke.

Ji Won Lee, Christine DeForge, Bridget Morse-Karzen, Patricia W Stone, Laurent G Glance, Andrew W Dick, Ashley Chastain, Denise D Quigley, Jingjing Shang

Abstract readSystematic Review
In one paragraph

Synthesis in Geriatric nursing (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Factors associated with discharge to skilled nursing despite a clinical recommendation for inpatient rehabilitation.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026
    Article
  2. Article
  3. 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

9 authors.

Ji Won LeeCenter for Health Policy, Columbia University School of Nursing, 560 West 168 Street, New York, NY 10032, USA. Electronic address: Jl6481@cumc.columbia.edu.
Christine DeForgeCenter for Health Policy, Columbia University School of Nursing, 560 West 168 Street, New York, NY 10032, USA.
Bridget Morse-KarzenCenter for Health Policy, Columbia University School of Nursing, 560 West 168 Street, New York, NY 10032, USA.
Patricia W StoneCenter for Health Policy, Columbia University School of Nursing, 560 West 168 Street, New York, NY 10032, USA.
Laurent G GlanceDepartment of Anesthesiology and Perioperative Medicine, University of Rochester School of Medicine, 601 Elmwood Avenue, Rochester, NY 14642, USA; The RAND Corporation, RAND Health, Boston, MA, USA.
Andrew W DickThe RAND Corporation, RAND Health, Boston, MA, USA.
Ashley ChastainCenter for Health Policy, Columbia University School of Nursing, 560 West 168 Street, New York, NY 10032, USA.
Denise D QuigleyThe RAND Corporation, RAND Health, Boston, MA, USA.
Jingjing ShangCenter for Health Policy, Columbia University School of Nursing, 560 West 168 Street, New York, NY 10032, USA.

Funding

Systems Science and Comparative and Cost-Effectiveness Research Training for Nurse Scientists (S2CER2)T32NR014205 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Lusine Poghosyan, Jingjing Shang · 2013 to 2026
$4.2M
ImpAct of COVID-19 on CaRe TransitOns and Health OutcomeS for Vulnerable PopulationS in Nursing Homes and Home HealthCARE Agencies (ACROSS-CARE)R01AG074492 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHANG, JINGJING, STONE, PATRICIA W. · 2021 to 2024
$3.2M
NIA NIH HHS R01 AG074492NINR NIH HHS T32 NR014205
6 · The paper itself

Abstract

Evidence examining disparities in post-acute care (PAC) utilization among various racial and ethnic groups after stroke and the influence of social determinants of health (SDOH) in these decisions is lacking. Thus, we searched the literature from January 2000 to November 2023 regarding PAC among individuals after stroke through: 1) Pubmed, 2) Scopus, 3) Web of Science, 4) Embase, and 5) CINAHL. We found 14 studies. Black individuals were more likely than White individuals to be discharged home with home health (HH) and skilled nursing facilities (SNF). Hispanic individuals were more likely than White individuals to be discharged home with HH, but less likely to be discharged to institutions. Lower socioeconomic status, Medicaid insurance, urban residence, area PAC supply and hospital characteristics were associated with increased institutional discharges among racial and ethnic minority individuals. Future policy should improve access to appropriate PAC commensurate with an individual's medical/social complexity.

Indexed as

EthnicityHealthcare DisparitiesPatient Acceptance of Health CareRacial GroupsStrokeSubacute CareAgedHome Care ServicesHumansPatient DischargeSkilled Nursing FacilitiesUnited StatesDisparitiesPost-acute careRacial and ethnic minority individualsStroke

Identifiers

PMID39862622
PMCPMC11975470

What Socratic holds

Textmetadata
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Read underepoch 390

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.