What does this research mean for the field?

Patients with mental health disorders face significant inequities across the cardiac surgery pathway, experiencing lower rates of invasive procedures, higher reliance on emergency pathways, and worse postoperative outcomes including increased mortality. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The review explores the impact of mental health disorders on access to cardiac surgery and related outcomes.

May 31, 2026Medical SciencesOpen Access

Inequalities in Access to and Outcomes of Cardiac Surgery Among Patients with Mental Health Disorders

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Why the study?

Do patients with mental health disorders experience inequalities in access to and outcomes of cardiac surgery compared to the general population?

Population

Patients with mental health disorders requiring cardiac surgery or invasive coronary procedures

Comparison

Cardiac surgery and invasive coronary procedures vs General population without mental health disorders

Design

Review

Authors

VLVasileios Leivaditis SMSofoklis MitsosNational and Kapodistrian University of Athens FMFrancesk Mulita

Discussion

Member takes

Implication

Mental illness drives CV care inequities; extends calls for integrated screening and equity-focused trials in comorbid populations.

Key Points

The review explores the impact of mental health disorders on access to cardiac surgery and related outcomes.
Narrative review employing a structured approach.
Systematic search of PubMed and ScienceDirect for studies published from 2020 to 2025.
Thematic synthesis focusing on access, management, outcomes, and underlying mechanisms.
Patients with mental health disorders more often undergo cardiac surgery through emergency routes.
These individuals experience longer hospital stays and higher readmission rates compared to others.
Severe mental illness is linked to lower rates of invasive procedures and increased long-term mortality after acute coronary syndromes.

Structured PICO

Do patients with mental health disorders experience inequalities in access to and outcomes of cardiac surgery compared to the general population?

Population

Patients with mental health disorders (including severe mental illness, mood disorders, anxiety-related conditions, and mixed psychiatric cohorts) requiring cardiac surgery or invasive coronary procedures

Intervention

Cardiac surgery and invasive coronary procedures

Comparator

General population without mental health disorders

Outcome

Inequalities in access to cardiac surgery and postoperative outcomes (including mortality, morbidity, hospital stay length, and readmission rates)

Patients with mental health disorders face significant inequities in access to and outcomes of cardiac surgery, necessitating integrated multidisciplinary care models to reduce disparities.

Cite This Study

Leivaditis et al. (2026) studied this question.

synapsesocial.com/papers/6a1bd12d5783ba022b6fcd06 https://doi.org/10.3390/medsci14020277

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Inequalities in Access to and Outcomes of Cardiac Surgery Among Patients with Mental Health Disorders

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Inequalities in Access to and Outcomes of Cardiac Surgery Among Patients with Mental Health Disorders

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider