Featured Research

from universities, journals, and other organizations

Worrying Survival Gap Between Rich And Poor After Heart Surgery Revealed

Date:
April 2, 2009
Source:
BMJ-British Medical Journal
Summary:
People from the most deprived areas of England have a far higher risk of death after cardiac surgery than people from the least deprived areas, finds a large study.

People from the most deprived areas of England have a far higher risk of death after cardiac surgery than people from the least deprived areas, finds a large study published on the British Medical Journal website.

Cardiovascular disease is the commonest cause of early death in the Western world and is closely related to social and economic deprivation. Cardiac surgery has significant benefits, but it is not clear whether they apply equally to all patients, irrespective of their social and economic circumstances.

So a team of researchers set out to assess the effects of social deprivation on survival following a range of cardiac surgical procedures.

They analysed data on 44,902 patients, with an average age of 65 years, who underwent cardiac surgery between 1997 and 2007 at five hospitals in Birmingham and North West England. Social deprivation was calculated for all patients based on their postcode at the 2001 census for England and Wales.

A total of 1,461 patients (3.25%) died in hospital following their surgery and 5,563 patients (12.4%) died during five year follow-up.

Social deprivation was a strong independent predictor of death.

Smoking, obesity and diabetes were all associated with social deprivation, and were each responsible for a significant reduction in survival following surgery. For example, diabetes carried a 31% increased risk and smoking a 29% increased risk of death.

Adjusting for these factors did reduce the impact, but deprivation remained a strong predictor of increased mortality risk, suggesting that some other factors related to deprivation are having this negative effect on survival.

In summary, people from deprived socioeconomic groups not only have a shorter life expectancy but also spend a greater proportion of their lives affected by disability or illness, say the authors. This study raises the concern that the effect of proven healthcare interventions, like cardiac surgery, may not be equally distributed across socioeconomic boundaries.

But the real challenge lies in developing a coherent health conscious approach to education and to the environment. This is essential to maximise the benefits of expensive and complex healthcare interventions such as cardiac surgery, they conclude.

The fact that socially deprived people are more likely to be obese, smoke, and have diabetes highlights the need to target rehabilitation processes at these patients after cardiac surgery, say two cardiac specialists at Edinburgh Royal Infirmary in an accompanying editorial.

They point out that, under the quality and outcomes framework (QOF) – a system where general practitioners receive financial benefits on achieving specific targets - use of statins in socially deprived areas has increased significantly, and they suggest that this may help to narrow the health gap between rich and poor for coronary heart disease and other conditions.

But ultimately, decent education, adequate housing, and adequate employment opportunities are what are needed to narrow the gap between the health of the rich and the poor, they conclude.


Story Source:

The above story is based on materials provided by BMJ-British Medical Journal. Note: Materials may be edited for content and length.


Cite This Page:

BMJ-British Medical Journal. "Worrying Survival Gap Between Rich And Poor After Heart Surgery Revealed." ScienceDaily. ScienceDaily, 2 April 2009. <www.sciencedaily.com/releases/2009/04/090402194449.htm>.
BMJ-British Medical Journal. (2009, April 2). Worrying Survival Gap Between Rich And Poor After Heart Surgery Revealed. ScienceDaily. Retrieved August 21, 2014 from www.sciencedaily.com/releases/2009/04/090402194449.htm
BMJ-British Medical Journal. "Worrying Survival Gap Between Rich And Poor After Heart Surgery Revealed." ScienceDaily. www.sciencedaily.com/releases/2009/04/090402194449.htm (accessed August 21, 2014).

Share This




More Health & Medicine News

Thursday, August 21, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Newsy (Aug. 21, 2014) An experimental drug used to treat Marburg virus in rhesus monkeys could give new insight into a similar treatment for Ebola. Video provided by Newsy
Powered by NewsLook.com
Cadavers, a Teen, and a Medical School Dream

Cadavers, a Teen, and a Medical School Dream

AP (Aug. 21, 2014) Contains graphic content. He's only 17. But Johntrell Bowles has wanted to be a doctor from a young age, despite the odds against him. He was recently the youngest participant in a cadaver program at the Indiana University NW medical school. (Aug. 21) Video provided by AP
Powered by NewsLook.com
Ramen Health Risks: The Dark Side of the Noodle

Ramen Health Risks: The Dark Side of the Noodle

AP (Aug. 21, 2014) South Koreans eat more instant ramen noodles per capita than anywhere else in the world. But American researchers say eating too much may increase the risk of diabetes, heart disease and stroke. (Aug. 21) Video provided by AP
Powered by NewsLook.com
Possible Ebola Patient in Isolation at California Hospital

Possible Ebola Patient in Isolation at California Hospital

Reuters - US Online Video (Aug. 20, 2014) A patient who may have been exposed to the Ebola virus is in isolation at the Kaiser Permanente South Sacramento Medical Center. Linda So reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins