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Association Between the COVID-19 Pandemic and Insurance-Based Disparities in Mortality After Major Surgery Among US Adults

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Key Points Question Was the COVID-19 pandemic associated with greater changes in mortality after major surgery among patients with Medicaid insurance or without insurance compared with patients with commercial insurance?… Click to show full abstract

Key Points Question Was the COVID-19 pandemic associated with greater changes in mortality after major surgery among patients with Medicaid insurance or without insurance compared with patients with commercial insurance? Findings In this cross-sectional study of 2 950 147 adults undergoing major surgery, mortality rates among patients with Medicaid insurance and patients without insurance did not increase more than the rate among patients with commercial insurance in hospitals with a high COVID-19 burden compared with hospitals with a low COVID-19 burden. Meaning These findings suggest that the early phase of the pandemic was not associated with increases in insurance-based disparities in mortality after major surgery.

Keywords: mortality major; insurance; covid pandemic; major surgery

Journal Title: JAMA Network Open
Year Published: 2022

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