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Researchers from Pennsylvania State University (Penn State) College of Medicine and Milton S. Hershey Medical Center Detail Findings in Aortic Dissection [Health Insurance Payor Type as a Predictor of Clinical Presentation and Mortality in …]: Cardiovascular Diseases and Conditions – Aortic Dissection

Insurance Daily News

2026 FEB 27 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- A new study on Cardiovascular Diseases and Conditions - Aortic Dissection is now available. According to news reporting originating from Hershey, Pennsylvania, by NewsRx correspondents, research stated, “Socioeconomic disparities influence access to care and outcomes across vascular surgery. Type B aortic dissection (TBAD) frequently results from uncontrolled hypertension and may present emergently in patients with limited healthcare access.”

Our news editors obtained a quote from the research from the Pennsylvania State University (Penn State) College of Medicine and Milton S. Hershey Medical Center, “This study examines the impact of healthcare insurance payor type as a surrogate for socioeconomic status on outcomes of non-elective (urgent/emergent) TEVAR in patients with complicated Type B aortic dissection (TBAD). Given that TBAD often results from uncontrolled hypertension, patients with lower socioeconomic status may experience delayed diagnosis and suboptimal preventive care. The Society for Vascular Surgery Vascular Quality Initiative (SVS-VQI) database was explored from 2011-2021. All patients receiving non-elective TEVAR for TBAD were included. Patients were stratified into two groups: Group I included patients on federal or state-funded insurance programs (Medicare, Medicaid, or Medicare advantage) and Group II comprised of patients on commercial insurance plans. Analysis was performed to compare the disease characteristics and postoperative outcomes between the two groups. A subgroup analysis was also performed within the government-insured cohort to compare outcomes between Medicare and Medicaid recipients. A total of 1,862 patients were analyzed, of which 960 (51.6%) were in Group I and 902 (48.4%) were categorized in Group II. Patients in Group I on federal or state-funded healthcare insurance programs were presented with much higher rates of ruptured aorta (12.5% vs. 7.8%) and lower rates of symptomatic disease (85% vs. 88.6%) when compared to Group II. Group I was also seen to have higher postoperative in-hospital mortality (9.7% vs. 5.3%), 30-day (9.8% vs. 5.9%), and 1-year mortality (18% vs. 10%) when compared to Group II (all p<0.05). Group I patients were also observed to have twice the risk of postoperative spinal ischemia at discharge (5% vs. 2.4%) when compared to their counterparts. A similar trend of adverse respiratory complications (14.4% vs. 10.8%) was seen in Group I. Patients with government-funded insurance undergoing non-elective TEVAR for TBAD present with more advanced disease and experience worse outcomes compared to patients with commercial insurance coverage.”

According to the news editors, the research concluded: “These findings highlight critical healthcare disparities and underscore the need for targeted strategies to improve access, chronic disease management, and postoperative care in vulnerable populations.”

This research has been peer-reviewed.

For more information on this research see: Health Insurance Payor Type as a Predictor of Clinical Presentation and Mortality in Patients Undergoing Urgent or Emergent TEVAR for Type B Aortic Dissection: Insights from Society for Vascular Surgery Vascular Quality Initiative (SVS-VQI) Database. Annals of Vascular Surgery, 2026. Annals of Vascular Surgery can be contacted at: Elsevier Science Inc, Ste 800, 230 Park Ave, New York, NY 10169, USA. (Elsevier - www.elsevier.com; Annals of Vascular Surgery - http://www.journals.elsevier.com/annals-of-vascular-surgery/)

The news editors report that additional information may be obtained by contacting Ahsan Zil-E-Ali, Division of Vascular Surgery, Pennsylvania State University (Penn State) College of Medicine and Milton S. Hershey Medical Center, Hershey, PA 17033. Additional authors for this research include Kristine L. So, Esther S. Choi and Faisal Aziz.