Association between sociodemographic variables and delayed patient presentation among surgical neuro-oncology patients in Mexico City: a single institution experience - Summary - MDSpire
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Association between sociodemographic variables and delayed patient presentation among surgical neuro-oncology patients in Mexico City: a single institution experience
To describe the demographic and clinical epidemiology of surgical neuro-oncology patients treated at INNN in 2022 and identify specific sociodemographic factors, such as education level and income, associated with more severe clinical presentation.
Key Findings:
Median patient age was 48 years, with 60.1% female.
67.8% of patients completed primary to tertiary education, indicating a potential barrier to timely presentation.
Median symptom duration prior to presentation was 37 weeks, highlighting delays in seeking care.
Median monthly income was 10,269 MXN, which may impact access to healthcare, and median travel distance to INNN was 49 km.
Interpretation:
Lower education, lower income, and greater distance to the hospital are associated with delayed presentation and more severe clinical outcomes in neuro-oncology patients, suggesting a need for targeted interventions.
Limitations:
Study conducted at a single institution, limiting generalizability to other settings.
Retrospective design may introduce bias in data collection, potentially affecting the reliability of findings.
Conclusion:
Identifying sociodemographic factors can help target interventions, such as educational programs and financial assistance, to reduce delays in clinical presentation among neuro-oncology patients in Mexico.
by Maria A. Punchak, Jose Alfonso Alvarez-Castro, Jonathan Ramos Escalante, Keren Magaly Aguilar Hidalgo, Mauricio Macias Zamarripa, Xymena Dominguez Navarrete, Fernando Castro Soto, Mackenzie Castellanos, Sergio Moreno-Jiménez, Michael T. Lawton, Alfredo Quinones-Hinojosa, Sonia Iliana Mejía Pérez
