Perioperative medicine & outcomes
Socioeconomic position and preoperative characteristics in Perioperative Quality Improvement Programme participants: a UK national observational study
Authors' conclusion
Patients presenting for major surgery from more deprived backgrounds do so in poorer overall health. They can encounter barriers to both research participation and available preoperative support. Addressing this unmet need to prevent widening perioperative health inequalities requires interventions tailored to the patient's socioeconomic context.
Study context
- Population
- Adults aged ≥18 yr undergoing major elective surgery at UK Perioperative Quality Improvement Programme sitesparticipants included
- Participants
- 55,938 adults
- Exposure
- Associations between Index of Multiple Deprivation (IMD) position and patient characteristics, health behaviours, and comorbidities
- Outcome
- Share of participants in quintile 1 (most deprived)
Main finding
As reported in the abstract
Quintile 1 (most deprived), smallest subgroup
14.2%
Observational data: associations, not effects.
Further findings
Age
- Age — Median age, all participants
- 66 yr
- Age — IMD 1 participants 5 yr younger than IMD 5
- 5 yr
Home ownership, occupation, and educational attainment
- Deprivation gradients (IMD 5 to 1)
Smoking, inactivity, and obesity
- Prevalences increased from IMD 5 to 1
Major long-term conditions including diabetes mellitus, heart failure, stroke, and ASA physical status 3-4
- Higher prevalences in more deprived quintiles
Dementia and renal impairment
- Prevalence rates similar across quintiles despite the age gradient
Frailty and disability
- Proportions increased with deprivation
Original publication
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