ArticleJournal of epidemiology and community health2000
Social and gender variation in the prevalence, presentation and general practitioner provisional diagnosis of chest pain.
Article in Journal of epidemiology and community health, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01164371 (Gender Differences in the Development and Prognosis of Coronary Disease Where Initial Disease Manifestation is Stable Angina, Myocardial Infarction or Unheralded Coronary Death), which is not on this map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Gender Differences in the Development and Prognosis of Coronary Disease Where Initial Disease Manifestation is Stable Angina, Myocardial Infarction or Unheralded Coronary Death: A CALIBER Study Using Linked GPRD-MINAP Data
Who cites it
15 citing papers in PubMed, 66 citations in OpenAlex.
- Opioid prescribing prevalence and initiation rates in Victoria, Australia: insights from primary care data during a period of opioid policy changes (2017-2022).International journal of clinical pharmacy · 2025Article
- Economic inequalities in burden of illness, diagnosis and treatment of five long-term conditions in England: panel study.BMJ open · 2014Article
- Are men difficult to find? Identifying male-specific studies in MEDLINE and Embase.Systematic reviews · 2014Article
- Do men consult less than women? An analysis of routinely collected UK general practice data.BMJ open · 2013Article
- The conundrum of detecting stable angina pectoris in the community setting.Nature reviews. Cardiology · 2010Review
- Gender sensitivity among general practitioners: results of a training programme.BMC medical education · 2008Article
- Chest pain and subsequent consultation for coronary heart disease: a prospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
- A population study of the long-term consequences of Rose angina: 20-year follow-up of the Renfrew-Paisley study.Heart (British Cardiac Society) · 2006Article
- Socioeconomic gradients in the prevalence of cardiovascular disease in Scotland: the roles of composition and context.Journal of epidemiology and community health · 2005Article
- Valuable insights from morbidity coding in primary care.BMJ (Clinical research ed.) · 2004Article
- Prognosis of angina with and without a diagnosis: 11 year follow up in the Whitehall II prospective cohort study.BMJ (Clinical research ed.) · 2003Article
- Increased mortality among women with Rose angina who have not presented with ischaemic heart disease.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Article
- Unmet health needs in patients with coronary heart disease: implications and potential for improvement in caring services.Health and quality of life outcomes · 2003Article
- Socioeconomic variations in responses to chest pain: qualitative study.BMJ (Clinical research ed.) · 2002Article
- Rose Angina Questionnaire: validation with cardiologists' diagnoses to detect coronary heart disease in Bangladesh.Indian heart journalArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe the prevalence of Rose angina and non-exertional chest pain in men and women in socioeconomically contrasting areas; to describe the proportions of men and women who present with the symptom of chest pain and who receive a provisional general practitioner diagnosis of coronary heart disease; to assess the effects of gender and deprivation.
designTwo random general population samples in socially contrasting areas were surveyed using the Rose angina questionnaire: the case notes of people identified with chest pain were reviewed.
settingGlasgow conurbation.
participants1107 men and women, aged 45-64, with chest pain. OUTCOME MEASURES: Prevalence of Rose angina and non-exertional chest pain; the proportions who had presented with chest pain and received a general practitioner's provisional diagnosis of coronary heart disease.
resultsThere was no difference between social groups in the prevalence of all chest pain but a greater proportion of those in deprived groups had Rose angina and a greater proportion of these had the more severe grade. The proportion of people who had presented with chest pain was higher among socioeconomically deprived groups but there was no difference in the proportions receiving a general practitioner provisional diagnosis of coronary heart disease. Men were more likely to present with chest pain than women and were more likely to receive a provisional general practitioner diagnosis of coronary heart disease.
conclusionsNo evidence was found of social differences in patient presentation or general practitioner diagnosis that might explain reported variations in uptake of cardiology services. In contrast, gender variation may originate in part from differences in patient presentation and general practitioner diagnosis. Further investigation of socioeconomic variations in uptake of cardiology services should focus later in the care pathway, on general practitioner referral patterns and clinical decisions taken in secondary care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.