A new study reveals that patients undergoing esophagectomy at private equity-acquired health centers face a higher risk of mortality, complications, and failure to rescue compared to those treated at non-acquired centers. This disparity highlights concerns about the potential impact of private equity investments on healthcare quality.
A recent retrospective cohort study has revealed a concerning trend in postoperative outcomes for patients undergoing esophagectomy at health centers acquired by private equity firms. The study, focused on Medicare beneficiaries aged 65-99 years who underwent esophagectomy between October 2023 and March 2024, compared outcomes between private equity -acquired and non-acquired health centers.
The analysis included 2878 patients, of whom 337 underwent resection at private equity-acquired health centers.Key findings demonstrated that patients treated at private equity-acquired health centers experienced higher odds of 30-day mortality, as well as increased rates of complications and failure to rescue compared to those treated at non-acquired centers. This disparity persisted even after controlling for factors such as hospital volume. Notably, private equity-acquired health centers performed significantly fewer esophagectomy procedures annually (median, 2 vs 7 per year) compared to their non-acquired counterparts. The authors posit that these poorer outcomes may be attributed to structural differences inherent in private equity-owned hospitals, emphasizing the need for continued scrutiny of esophagectomy outcomes across various hospital types.They call for increased investment in quality databases, expanded staffing, and enhanced staff education on perioperative care within private equity-acquired hospitals. Alternatively, they urge these hospitals to acknowledge the inequities they may be perpetuating for complex cases. The study acknowledges its limitations, including reliance on Medicare data, potential biases from using claims data, and the lack of comprehensive temporal and institutional data. Despite these limitations, the findings raise important ethical and clinical concerns regarding the impact of private equity acquisitions on healthcare quality, particularly for complex surgical procedures like esophagectomy.
Private Equity Healthcare Esophagectomy Mortality Surgical Complications Hospital Acquisitions
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