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The impact of deprivation on patients awaiting planned care

Kunal Kulkarni1, Rohi Shah2, Jitendra Mangwani2

  • 1Pulvertaft Hand Centre, University Hospitals of Derby and Burton NHS Trust, Derby, UK.

Bone & Joint Open
|October 10, 2022
PubMed

Insights

Patients from the most deprived areas experience worse physical and mental health, with longer waiting lists exacerbating these issues. Prioritizing deprived populations is crucial for addressing health inequalities.

Area of Science:

  • Orthopaedic surgery
  • Health inequalities
  • Socioeconomic factors

Background:

  • Deprivation significantly contributes to societal and health disparities.
  • The COVID-19 pandemic has worsened these inequalities, particularly affecting access to planned care in deprived UK regions.
  • Growing waiting lists for planned care present a critical challenge.

Purpose of the Study:

  • To investigate the impact of socioeconomic deprivation on patients awaiting planned orthopaedic care.
  • To analyze how deprivation influences health outcomes and experiences of patients on waiting lists.

Main Methods:

  • A questionnaire-based study surveyed 888 orthopaedic waiting list patients during the UK's first COVID-19 lockdown.
  • Respondents were stratified into quintiles based on the Index of Multiple Deprivation (IMD), from most deprived (Level 1) to least deprived (Level 5).
  • Data collected included quantitative and qualitative health aspects.

Main Results:

  • The most deprived cohort reported longer symptom duration, poorer pain and mood scores, and lower quality of life (QoL).
  • Poorer QoL correlated with worse self-reported health and higher anxiety (GAD2 scores) in the most deprived.
  • Patients from deprived areas exhibited lower activity levels and higher sedentary behavior.

Conclusions:

  • Socioeconomic deprivation is linked to poorer physical and mental health outcomes among patients on waiting lists.
  • Lengthy waiting list delays disproportionately affect the health of the most deprived individuals.
  • Interventions aimed at reducing health inequalities should prioritize the most deprived patient groups.
Abstract

Keywords:
COVID-19COVID-19 pandemicDeprivationPlanned careQuality-of-lifeWaiting listanxietycancerclinicianselective orthopaedic surgerypain managementphysical therapystandard deviationvisual analogue scale (VAS)visual analogue scores

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