There are striking inequalities in the provision of major (aortic) heart valve replacement surgery across England, with women, Black and Asian people, and those living in areas of deprivation much less likely to receive the life-saving procedure, suggests a large data analysis, published in the open access journal Open Heart.
Public health initiatives to understand and tackle these inequalities should be prioritized, say the researchers.
Not much is known about how inclusive AVR provision is across the NHS in England, however. To find out, the researchers analyzed data from Hospital Episode Statistics for England spanning the period April 2016 to end of March 2019.Women with aortic stenosis were 30% less likely to undergo AVR than men, while people of Black and South Asian ethnicities were, respectively, 26% and 22% less likely to do so than people of White ethnicities.
Related StoriesTimely intervention was regarded as that performed during a scheduled admission and without evidence of heart failure on or before AVR; intervention was regarded as delayed if performed during unscheduled/urgent admission or with evidence of heart failure on or before AVR.Timely AVR occurred in around two-thirds of those of White ethnicities compared with just over half of those of Black and South Asian ethnicities.
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