ArticleANZ journal of surgery2022
Disparities in surgical outcomes for low socioeconomic status patients in Australia.
Article in ANZ journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 29 citations in OpenAlex.
- Article
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- Measurement of Socioeconomic Deprivation in Orthopaedic Trauma: A Scoping Review.JBJS reviews · 2025Article
- How can we promote gender and sex equality in orthopaedics and traumatology surgery? Research avenues perspectives.Journal of orthopaedic surgery and research · 2025Review
- Expanding Access to Minor Hand Surgery Procedures in Underrepresented Patient Populations: Safety and Efficacy of a Minor Procedure Clinic in an Urban Safety-Net Hospital.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Impact of major postoperative complications on employment and earnings after elective hip or knee replacement surgery: a population-based matched cohort study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Article
- Retrospective Cohort Study to Determine the Effect of Socioeconomic Status and Distance to Hospital on Negative Appendicectomy Rates in a Rural Setting.The Australian journal of rural health · 2025Article
- Influence of socioeconomic status on postoperative outcomes in acute type A aortic dissection repair.JTCVS open · 2025Article
- The contribution of household income to rectal cancer patient characteristics, treatment, and outcomes from 2010 to 2020.Heliyon · 2024Article
- Social Deprivation is Associated with Increased Pain in Patients Presenting with Neuropathic Pain.Plastic and reconstructive surgery. Global open · 2024Article
- Smoking increases risk of complication after musculoskeletal surgery: analysis of single immune parameter to predict complication risk.EXCLI journal · 2024Article
- Outcomes of Coronary Artery Bypass Graft Surgery in Africa: A Systematic Review and Meta-Analysis.Cureus · 2023Review
- Effect of race, sex, and socioeconomic factors on overall survival following the resection of intramedullary spinal cord tumors.Journal of neuro-oncology · 2023Article
- Characteristics and Complication Rates of Mandibular Fractures Caused by Violent Mechanisms Versus Nonviolent Mechanisms.Eplasty · 2023Article
- Educational Gradients Behind Medical Adverse Event Deaths in the US-A Time Series Analysis of Nationwide Mortality Data 2010-2019.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundThere are disparities in surgical outcomes for patients of low socioeconomic status globally, including in countries with universal healthcare systems. There is limited data on the impact of low socioeconomic status on surgical outcomes in Australia. This study examines surgical outcomes by both self-reported unemployment and neighbourhood level socioeconomic status in Australia.
methodsA retrospective administrative data review was conducted at a tertiary care centre over a 10-year period (2008-2018) including all adult surgical patients. Multivariable logistic regression adjusting for year, age, sex and Charlson Comorbidity Index was performed.
results106 197 patients underwent a surgical procedure in the decade examined. The overall adverse event rates were mortality (1.13%), total postoperative complications (10.9%), failure to rescue (0.75%) and return to theatre (4.31%). Following multivariable testing, unemployed and low socioeconomic patients had a higher risk of postoperative mortality (OR 2.06 (1.50-2.82), OR 1.37 (1.15-1.64)), all complications (OR 1.43 (1.31-1.56), OR 1.21 (1.14-1.28)), failure to rescue (OR 2.03 (1.39-2.95), OR 1.38 (1.11-1.72)) and return to theatre (OR 1.42 (1.27-1.59), OR 1.24 (1.14-1.36)) (P < 0.005 for all).
conclusionsDespite universal healthcare, there are disparities in surgical adverse events for patients of low socioeconomic status in Australia. Disparities in surgical outcomes can stem from three facets: a patient's access to healthcare (the severity of disease at the time of presentation), variation in perioperative care delivery, and social determinants of health. Further work is required to pinpoint why these disparities are present and to evaluate the impact of strategies that aim to reduce disparities.
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