Perioperative medicine & outcomes

Inequality in healthy lifespan after surgery: a longitudinal population study

Br J AnaesthPublished Longitudinal population study

Authors' conclusion

Surgical treatment is strongly associated with the onset of long-term disease and factors that limit healthy life expectancy.

Study context

Population
Adults (≥18 yr) in England recorded in the Clinical Practice Research Datalink, January 1, 2012 to December 31, 20218,951,145 (48.8%) underwent surgery
Participants
18,329,659 adults
Exposure
Surgery across socioeconomic deprivation levels
Outcome
Long-term disease
Methodological detailslinked primary and secondary care data
  • Linked primary and secondary care data

Main finding

As reported in the abstract

New long-term disease after surgery
IMD 1 vs IMD 10Hazard ratio (95% CI)
Elective surgery
1.45(1.43–1.46)
Emergency surgery
1.45(1.42–1.48)

Observational data: associations, not effects.

Further findings

OutcomeComparative rate ratio (95% CI)
Age-standardised surgery ratesIMD 1 vs IMD 10 · elective1.11 (1.11–1.11)
Age-standardised surgery ratesIMD 1 vs IMD 10 · emergency1.54 (1.54–1.54)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Inequality in healthy lifespan after surgery: a longitudinal population study. Br J Anaesth. Published 11 September 2026. doi:10.1016/j.bja.2026.08.009

Composed by AI from the published abstract and checked against it. How Briefs are made →

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