ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2000
Inequalities in access to coronary angiography and revascularisation: the association of deprivation and location of primary care services.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.
- Limitations for health research with restricted data collection from UK primary care.Pharmacoepidemiology and drug safety · 2019Pooled it
- Influences of socioeconomic deprivation on GPs' decisions to refer patients to cardiology: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Equity in healthcare for coronary heart disease, Wales (UK) 2004-2010: A population-based electronic cohort study.PloS one · 2017Article
- Article
- Emergency medical services transport delays for suspected stroke and myocardial infarction patients.BMC emergency medicine · 2015Article
- The impact of social deprivation on mortality following acute myocardial infarction, stroke or subarachnoid haemorrhage: a record linkage study.BMC cardiovascular disorders · 2015Article
- Inequities in access to healthcare: analysis of national survey data across six Asia-Pacific countries.BMC health services research · 2013Article
- Article
- Neighborhood Variation in Rate of Revascularization among Acute Myocardial Infarction Patients in New York City.Cardiology research and practice · 2011Article
- Equity in access to total joint replacement of the hip and knee in England: cross sectional study.BMJ (Clinical research ed.) · 2010Article
- Is neighborhood access to health care provision associated with individual-level utilization and satisfaction?Health services research · 2008Article
- 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
- Access to revascularization among patients with acute myocardial infarction in New York City--impact of hospital resources.Journal of urban health : bulletin of the New York Academy of Medicine · 2006Article
- Poor access to care: rural health deprivation?The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
- A comparison of methods for calculating general practice level socioeconomic deprivation.International journal of health geographics · 2006Article
- Universal access -- but when? Treating the right patient at the right time: access to electrophysiology services in Canada.The Canadian journal of cardiology · 2006Review
- Location of residence associated with the likelihood of patient visit to the preoperative assessment clinic.BMC health services research · 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
- Inequalities in coronary revascularisation during the 1990s: evidence from the British regional heart study.Heart (British Cardiac Society) · 2005Article
- Inequalities in access to care for patients with ischaemic heart disease.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCoronary artery surgery reduces re-infarction rates and mortality in patients with ischaemic heart disease. This study examines inequality in relation to primary care services.
aimTo determine the effect of primary care services on access to coronary angiography and revascularisation.
methodA cross-sectional survey of all 180 Nottinghamshire practices in the Trent region that were in existence between 1993 and 1997. The numbers of coronary bypass grafts, angioplasties, and angiographies were determined from the regional National Health Service database and linked to a database of general practice characteristics. Poisson regression analysis was used to determine the relationship between the angiography and revascularisation rates and the following practice characteristics: deprivation score, distance from nearest secondary or tertiary referral centre, medical cardiology admission rate for ischaemic heart disease, fundholding status, and partnership size. Multiple linear regression analysis was used to determine the relationship between practice characteristics and the waiting times for revascularisation and angiography.
resultsPractices with high deprivation scores had significantly lower rates of utilisation of angiography and revascularisation procedures. Their patients also waited longer for angiography. Practices that were 20 km or further from a revascularisation centre had significantly lower angiography and revascularisation rates. On average, their patients had to wait more than twice as long for an angiography compared with patients from nearer practices. Fundholding practices had higher angiography rates but similar revascularisation rates compared with non-fundholding practices.
conclusionThe results suggest that there may be some under-investigation and/or treatment of patients with ischaemic heart disease from 'deprived' practices and for those from practices far from a secondary or tertiary referral centre.
Indexed as
Identifiers
10962781PMC1313721W2129574269What OpenQuestion holds
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.