Socioeconomic deprivation and long-term outcomes after elective surgery: analysis of prospective data from two observational studies.

British Journal of Anaesthesia
Yize I WanS Ramani Moonesinghe

Abstract

Socioeconomic deprivation is associated with health inequalities. We explored relationships between socioeconomic group and outcomes after elective surgery in the UK National Health Service (NHS). We combined data from two observational studies in 115 NHS hospitals and determined socioeconomic group using the Index of Multiple Deprivation (IMD) quintiles based on place of residence. Postoperative complications and 3-yr survival were assessed using logistic and Cox regression. Univariate analyses were adjusted for age differences between IMD quintiles. Multivariable analyses were used to account for other baseline risk factors including sex and comorbid disease. Results are reported as n (%), hazard ratios (HR) or odds ratios (OR) with 95% confidence intervals. Postoperative complications developed in 971/9051 patients (10.7%) and 1597/9043 patients (17.7%) died within 3 yr. Complication rates increased with deprivation (reference group least-deprived IMD5): IMD1 (OR=1.44 [1.17-1.78]; P<0.001), IMD2 (OR=1.38 [1.12-1.70]; P<0.01), IMD3 (OR=1.09 [0.88-1.35]: P=0.44), IMD4 (OR=0.89 [0.71-1.11]; P=0.30). More patients from the most deprived quintile died (IMD1) (n=349, 18.8%) compared with the least deprived (IMD5) (n=297, 15.9%) wi...Continue Reading

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Citations

May 28, 2021·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Isacco MontroniTyler R Chesney
Jun 22, 2021·British Journal of Anaesthesia·T E F AbbottR M Pearse
Jun 22, 2021·British Journal of Anaesthesia·Thomas D DobbsIain S Whitaker
Jul 14, 2021·British Journal of Anaesthesia·Helen Williams, Iain Moppett
Aug 15, 2021·The Annals of Thoracic Surgery·Michael P ThompsonUNKNOWN Michigan Value Collaborative and the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative

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