Perioperative medicine & outcomes
Inequality in healthy lifespan after surgery: a 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
| Outcome | Comparative rate ratio (95% CI) | |
|---|---|---|
| Age-standardised surgery ratesIMD 1 vs IMD 10 · elective | 1.11 (1.11–1.11) | |
| Age-standardised surgery ratesIMD 1 vs IMD 10 · emergency | 1.54 (1.54–1.54) | |
| 0.512Comparative rate ratio (log scale) |
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
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