MedPage Today January 2, 2025
Charles Bankhead

— Structural elements of private equity ownership linked to higher mortality, complication rates

Esophagectomy outcomes trended in the wrong direction at hospitals owned by private-equity companies, a review of more than 9,000 cases showed.

Statistically significant differences existed for 30-day mortality, any complication, serious complications, and failure to rescue, all favoring non-equity hospitals. Private-equity ownership was associated with lower procedural volume, although only 5.5% of all cases came from private-equity hospitals.

Additional studies are required to identify drivers of the outcome disparities, improve performance, and inform policy decisions involving allocation of care for select surgical procedures, reported Jonathan Williams, MD, of the University of Michigan in Ann Arbor, and co-authors in JAMA Surgery.

“These findings suggest that poorer postoperative outcomes...

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