Persistent Racial Disparities in Deep Brain Stimulation for Parkinson's Disease
Samuel W. Cramer, Huy Truong, Elise F. Palzer, Anant Naik, Abigail L. Rice, Savannah G. Novy, Jacob Hanson, Amber N. Piazza, Madeleine A. Howard, Jared D. Huling, Clark C. Chen, Robert A. McGovern
Abstract
We sought to determine whether racial and socioeconomic disparities in the utilization of deep brain stimulation (DBS) for Parkinson's disease (PD) have improved over time. We examined DBS utilization and analyzed factors associated with placement of DBS. The odds of DBS placement increased across the study period, whereas White patients with PD were 5 times more likely than Black patients to undergo DBS. Individuals, regardless of racial background, with 2 or more comorbidities were 14 times less likely to undergo DBS. Privately insured patients were 1.6 times more likely to undergo DBS. Despite increasing DBS utilization, significant disparities persist in access to DBS. ANN NEUROL 2022;92:246-254.