Key result
Private payer status linked to ~21% lower in-hospital mortality vs NHS after cardiac surgery.
Why the study?
There is little known about how payer status impacts clinical outcomes in a universal single-payer system such as the UK National Health Service (NHS).
Does private payer status improve in-hospital mortality in patients undergoing adult cardiac surgery compared to public (NHS) payer status?
Cohort (n=280,209)
Yes
Does private payer status improve in-hospital mortality in patients undergoing adult cardiac surgery compared to public (NHS) payer status?
Odds Ratio: 0.79 (95% CI 0.65–0.97)
p-value: p=0.026
Private payer status is associated with significantly lower in-hospital mortality and complications following cardiac surgery in England's NHS hospitals, independent of socioeconomic factors.
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Association between private payer status and lower post-cardiac surgery mortality should not change practice; leaves open unmeasured confounders or systemic factors.
Benedetto et al. (2021) conducted a cohort in Adult cardiac surgery (n=280,209). Private payer status vs. Public (NHS) payer status was evaluated on In-hospital mortality (OR 0.79, 95% CI 0.65 - 0.97, p=0.026). Private payer status was associated with a lower risk of in-hospital mortality compared to NHS payer status following adult cardiac surgery (OR 0.79; 95% CI 0.65-0.97; P=0.026).
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