ArticleHeart (British Cardiac Society)1999
Geographic, demographic, and socioeconomic variations in the investigation and management of coronary heart disease in Scotland.
Article in Heart (British Cardiac Society), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- The Association of Socioeconomic Status (SES) with Procedural Management and Mortality After Percutaneous Coronary Intervention (PCI): An Observational Study from the Pan-London PCI (BCIS) Registry.Journal of cardiovascular development and disease · 2025Article
- Trends of relative and absolute socioeconomic equity in access to coronary revascularisations in 1995-2010 in Finland: a register study.International journal for equity in health · 2017Article
- Article
- The impact of social deprivation on mortality following acute myocardial infarction, stroke or subarachnoid haemorrhage: a record linkage study.BMC cardiovascular disorders · 2015Article
- Pre-hospital ECG E-transmission for patients with suspected myocardial infarction in the highlands of Scotland.International journal of environmental research and public health · 2014Article
- Influence of socioeconomic and demographic status on spirometry testing in patients initiating medication targeting obstructive lung disease: a population-based cohort study.BMC public health · 2013Article
- Equity in access to total joint replacement of the hip and knee in England: cross sectional study.BMJ (Clinical research ed.) · 2010Article
- Increasing socioeconomic inequalities in first acute myocardial infarction in Scotland, 1990-92 and 2000-02.BMC public health · 2009Article
- Inequity of access to investigation and effect on clinical outcomes: prognostic study of coronary angiography for suspected stable angina pectoris.BMJ (Clinical research ed.) · 2008Article
- How equitable are GP practice prescribing rates for statins?: an ecological study in four primary care trusts in North West England.International journal for equity in health · 2007Article
- Influence of socioeconomic status on clinical outcomes and quality of life after percutaneous coronary intervention.Journal of epidemiology and community health · 2006Article
- The effects of socioeconomic status, accessibility to services and patient type on hospital use in Western Australia: a retrospective cohort study of patients with homogenous health status.BMC health services research · 2006Article
- Associations of area based deprivation status and individual educational attainment with incidence, treatment, and prognosis of first coronary event in Rome, Italy.Journal of epidemiology and community health · 2006Article
- Improving evidence based cardiac care and policy implementation over the patient journey: the potential of coronary heart disease registers.Heart (British Cardiac Society) · 2005Article
- Coronary heart disease prevention and age inequalities: the first year of the National Service Framework for CHD.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Article
- Inequalities in coronary revascularisation during the 1990s: evidence from the British regional heart study.Heart (British Cardiac Society) · 2005Article
- Exploring the equity of GP practice prescribing rates for selected coronary heart disease drugs: a multiple regression analysis with proxies of healthcare need.International journal for equity in health · 2005Article
- Does access to cardiac investigation and treatment contribute to social and ethnic differences in coronary heart disease? Whitehall II prospective cohort study.BMJ (Clinical research ed.) · 2004Article
- Influence of socioeconomic deprivation on the primary care burden and treatment of patients with a diagnosis of heart failure in general practice in Scotland: population based study.BMJ (Clinical research ed.) · 2004Article
- Are GP practice prescribing rates for coronary heart disease drugs equitable? A cross sectional analysis in four primary care trusts in England.Journal of epidemiology and community health · 2004Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether age, sex, level of deprivation, and area of residence affect the likelihood of investigation and treatment of patients with coronary heart disease. DESIGN, PATIENTS, AND
interventionsRoutine discharge data were used to identify patients admitted with acute myocardial infarction (AMI) between 1991 and 1993 inclusive. Record linkage provided the proportion undergoing angiography, percutaneous transluminal coronary angioplasty (PTCA), and coronary artery bypass grafting (CABG) over the following two years. Multiple logistic regression analysis was used to determine whether age, sex, deprivation, and area of residence were independently associated with progression to investigation and revascularisation.
settingMainland Scotland 1991 to 1995 inclusive.
main outcome measuresTwo year incidence of angiography, PTCA, and CABG. Results-36 838 patients were admitted with AMI. 4831 (13%) underwent angiography, 587 (2%) PTCA, and 1825 (5%) CABG. Women were significantly less likely to undergo angiography (p < 0.001) and CABG (p < 0.001) but more likely to undergo PTCA (p < 0.05). Older patients were less likely to undergo all three procedures (p < 0.001). Socioeconomic deprivation was associated with a reduced likelihood of both angiography and CABG (p < 0.001). There were significant geographic variations in all three modalities (p < 0.001).
conclusionVariations in investigation and management were demonstrated by age, sex, geography, and socioeconomic deprivation. These are unlikely to be accounted for by differences in need; differences in clinical practice are, therefore, likely.
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