ArticleJournal of epidemiology and community health2008
The association of socioeconomic disadvantage with postoperative complications after major elective cardiovascular surgery.
Article in Journal of epidemiology and community health, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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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.
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Who cites it
15 citing papers in PubMed, 74 citations in OpenAlex.
- Impact of area deprivation index on outcomes and health care utilization following shoulder arthroplasty: a systematic review.JSES reviews, reports, and techniques · 2026Review
- Exploring socioeconomic disparities in outcomes and follow-up after endovascular treatment of abdominal aortic aneurysms among Medicare beneficiaries.Journal of vascular surgery · 2025Article
- Persistent income-based disparities in clinical outcomes of cardiac surgery across the United States: A contemporary appraisal.JTCVS open · 2024Article
- Socioeconomic disparity in transcatheter and surgical aortic valve replacement: a population study of National Inpatient Sample from 2015 to 2020.Scientific reports · 2024Article
- Article
- Socioeconomic disparities in abdominal aortic aneurysm repair rates and survival.The British journal of surgery · 2022Article
- The Influence of Household Income on Survival following Posterior Fossa Tumor Resection at a Large Academic Medical Center.Journal of neurological surgery. Part B, Skull base · 2021Article
- The Impact of Household Economics on Short-Term Outcomes in a Posterior Fossa Tumor Population.Cureus · 2020Article
- Postoperative adverse outcomes among physicians receiving major surgeries: A nationwide retrospective cohort study.Medicine · 2016Article
- Preoperative factors predicting clinical outcome following laparoscopic fundoplication.World journal of surgery · 2014Article
- Article
- Reporting of quality indicators and improvement in hospital performance: the P.Re.Val.E. Regional Outcome Evaluation Program.Health services research · 2012Article
- Postoperative adverse outcomes in surgical patients with dementia: a retrospective cohort study.World journal of surgery · 2012Article
- Income level and chronic ambulatory care sensitive conditions in adults: a multicity population-based study in Italy.BMC public health · 2009Article
- Effect of socioeconomic status on patients undergoing elective abdominal aortic aneurysm repair in a publicly funded health care system.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
12 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnderstanding the mechanism by which both patient- and hospital level factors act in generating disparities has important implications for clinicians and policy-makers.
objectiveTo measure the association between socioeconomic position (SEP) and postoperative complications after major elective cardiovascular procedures.
designMulticity hospital-based study. SUBJECTS: Using Hospital Discharge Registries (ICD-9-CM codes), 19 310 patients were identified undergoing five cardiovascular operations (coronary artery bypass grafting (CABG), valve replacement, carotid endarterectomy, major vascular bypass, repair of unruptured abdominal aorta aneurysm (AAA repair)) in four Italian cities, 1997-2000. MEASURES: For each patient, a five-level median income index by census block of residence was calculated. In-hospital 30-day mortality, cardiovascular complications (CCs) and non-cardiovascular complications (NCCs) were the outcomes. Odds ratios (ORs) were estimated with multilevel logistic regression adjusting for city of residence, gender, age and comorbidities taking into account hospital and individual dependencies. MAIN
resultsIn-hospital 30-day mortality varied by type of surgery (CABG 3.7%, valve replacement 5.7%, carotid endarterectomy 0.9%, major vascular bypass 8.8%, AAA repair 4.0%). Disadvantaged people were more likely to die after CABG (lowest vs highest income OR 1.93, p trend 0.023). For other surgeries, the relationship between SEP and mortality was less clear. For cardiac surgery, SEP differences in mortality were higher for publicly funded patients in low-volume hospitals (lowest vs highest income OR 3.90, p trend 0.039) than for privately funded patients (OR 1.46, p trend 0.444); however, the difference in the SEP gradients was not statistically significant.
conclusionsDisadvantaged people seem particularly vulnerable to mortality after cardiovascular surgery. Efforts are needed to identify structural factors that may enlarge SEP disparities within hospitals.
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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 OpenQuestion graph.