ArticleBMJ (Clinical research ed.)2001
Sex inequalities in ischaemic heart disease in general practice: cross sectional survey.
Article in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.
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Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Sex Differences in Cardiovascular Medication Prescription in Primary Care: A Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2020Pooled it
- Systematic review of scope and quality of electronic patient record data in primary care.BMJ (Clinical research ed.) · 2003Pooled it
- Impact of Implementing a Dyslipidemia Management Guideline on Cholesterol Control for Secondary Prevention of Ischemic Heart Disease in Primary Care.International journal of environmental research and public health · 2020Article
- Discontinuation and restarting in patients on statin treatment: prospective open cohort study using a primary care database.BMJ (Clinical research ed.) · 2016Article
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- Patients who discontinued statin treatment: a protocol for cohort study using primary care data.BMJ open · 2015Observational
- Women and men with stable coronary artery disease have similar clinical outcomes: insights from the international prospective CLARIFY registry.European heart journal · 2012Article
- Gender bias revisited: new insights on the differential management of chest pain.BMC family practice · 2011Article
- Article
- Explaining the decrease in coronary heart disease mortality in Italy between 1980 and 2000.American journal of public health · 2010Article
- Ethnic disparities in coronary heart disease management and pay for performance in the UK.Journal of general internal medicine · 2009Article
- Sex differences in the hypertensive population with chronic ischemic heart disease.Journal of clinical hypertension (Greenwich, Conn.) · 2008Article
- Universality, equity, and quality of care.BMJ (Clinical research ed.) · 2008Article
- APOE genotype predicts depression in women with Alzheimer's disease: a retrospective study.International journal of geriatric psychiatry · 2008Article
- Gender differences in the clinical management of patients with angina pectoris: a cross-sectional survey in primary care.BMC health services research · 2007Article
- Missed opportunities for secondary prevention of cerebrovascular disease in elderly British men from 1999 to 2005: a population-based study.Journal of public health (Oxford, England) · 2007Article
- 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
- Prevalence, incidence, primary care burden and medical treatment of angina in Scotland: age, sex and socioeconomic disparities: a population-based study.Heart (British Cardiac Society) · 2006Article
- Trends in the prevalence of diagnosed atrial fibrillation, its treatment with anticoagulation and predictors of such treatment in UK primary care.Heart (British Cardiac Society) · 2006Article
- Inadequate medical treatment of patients with coronary artery disease by primary care physicians in Germany.Clinical research in cardiology : official journal of the German Cardiac Society · 2006Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo study differences in treatment for men and women with ischaemic heart disease by using standards defined in England's national service framework for coronary artery disease.
designCross sectional survey using routinely collected data.
setting18 practices in 18 primary care groups in Trent Region. SUBJECTS: 5891 men and women aged over 35 years with a diagnosis of ischaemic heart disease or prescription for nitrates recorded on computer.
main outcome measureDifference in the proportion of men and women with ischaemic heart disease and taking lipid lowering treatment.
resultsWomen were less likely than men to have a recording of body mass index (79% (2197/2783) v 82% (2552/3102), P=0.002), smoking (86% (2386) v 89% (2779), P<0.0001), and blood pressure (95% (2643) v 96% (2986), P=0.04). Women were also less likely to have a recording of fasting cholesterol concentration (35% (968) v 50% (1550), P<0.0001) but were more likely to be obese (25% (558/2197) v 20% (514/2552), P<0.0001) and have their most recently recorded blood pressure value over the recommended 140/85 mm Hg (60% (1598/2643) v 52% (1553/2986), P<0.0001). Although a higher proportion of women had a raised serum cholesterol concentration (77% (749/968) v 67% (1043/1550), P<0.0001), men were more likely to take aspirin (76% (2358) v 71% (1979), P<0.0001), have a recorded diagnosis of hyperlipidaemia (13% (418) v 10% (274), P<0.0001), and be prescribed lipid lowering drugs (31% (973) v 21% (596), P<0.0001). These differences remained despite adjustments for the practice where the patient is registered, age, smoking status, obesity, diabetes, and hypertension.
conclusionThe results suggest a systematic bias towards men compared with women in terms of secondary prevention of ischaemic heart disease.
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