Provider Volume Impacts Neurosurgical Procedure Selection in Older Patients With High-Grade Glioma.

ABSTRACT:

Background

We examined the association between academic center status and neurosurgical resection volume with surgical procedures performed and subsequent survival.

Methods

In a population-based study using the Surveillance, Epidemiology, and End Results (SEER)-Medicare-linked databases, we identified patients > 65 years diagnosed with primary WHO grade III-IV glioma from 2008 to 2017. Surgical procedures were identified through Medicare claims from 2007 to 2019. Associations between center type (academic vs. not) and center volume (top 10% of distribution of resections during the study period vs. the bottom 90%) were estimated with upfront surgery procedure (resection vs. biopsy vs. none) and survival by estimating hazard ratios (HRs) and 95% confidence intervals (CIs) from

SUBMITTER: Reiner AS 

PROVIDER: S-EPMC12007465 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature