ArticleBritish journal of clinical pharmacology2003
Evidence for an age and gender bias in the secondary prevention of ischaemic heart disease in primary care.
Article in British journal of clinical pharmacology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 101 citations in OpenAlex.
- Service organisation for the secondary prevention of ischaemic heart disease in primary care.The Cochrane database of systematic reviews · 2010Pooled it
- Impact of briefly-assessed depression on secondary prevention outcomes after acute coronary syndrome: a one-year longitudinal survey.BMC health services research · 2006Trial
- Inequity, workload, and external factors: a descriptive study on high-intensity statin prescriptions for patients with clinical cardiovascular disease and at high risk for cardiovascular disease.BMC cardiovascular disorders · 2025Article
- Sex Differences in Patients Undergoing Left Main Stem Percutaneous Coronary Intervention for Stable Angina: Data From a National Registry.Journal of the American Heart Association · 2024Article
- Inconsistency in UK Biobank Event Definitions From Different Data Sources and Its Impact on Bias and Generalizability: A Case Study of Venous Thromboembolism.American journal of epidemiology · 2024Article
- Ageism directed to older adults in health services: A scoping review.Revista latino-americana de enfermagem · 2023Article
- Statin Eligibility according to 2013 ACC/AHA and USPSTF Guidelines among Jordanian Patients with Acute Myocardial Infarction: The Impact of Gender.Cardiovascular therapeutics · 2023Observational
- Shexiang Baoxin Pill (MUSKARDIA) reduces major adverse cardiovascular events in women with stable coronary artery disease: A subgroup analysis of a phase IV randomized clinical trial.Frontiers in cardiovascular medicine · 2022Article
- Racial and Gender Disparity in Achieving Optimal Medical Therapy for Inpatients with Peripheral Artery Disease.Annals of vascular medicine and research · 2020Article
- Patients' complaints regarding healthcare encounters and communication.Nursing open · 2018Article
- The great ESCAPE - a clinical pharmacologist's journey in stroke research.British journal of clinical pharmacology · 2016Review
- Sex differences in the risk of receiving potentially inappropriate prescriptions among older adults.Age and ageing · 2016Article
- Article
- Use of medications for secondary prevention in stroke patients at hospital discharge in Australia.International journal of clinical pharmacy · 2014Article
- Gender disparities in the pharmacological treatment of cardiovascular disease and diabetes mellitus in the very old: an epidemiological, cross-sectional survey.Drugs & aging · 2011Article
- Age equity in different models of primary care practice in Ontario.Canadian family physician Medecin de famille canadien · 2011Article
- The comparative efficacy of ezetimibe added to atorvastatin 10 mg versus uptitration to atorvastatin 40 mg in subgroups of patients aged 65 to 74 years or greater than or equal to 75 years.Journal of geriatric cardiology : JGC · 2011Article
- Statin prescribing in the elderly in the Netherlands: a pharmacy database time trend study.Drugs & aging · 2010Article
- Article
- An evaluation of gender equity in different models of primary care practices in Ontario.BMC public health · 2010Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo determine if a gender or age bias exists in the prescription of important secondary preventive therapies for ischaemic heart disease in primary care.
methodsWe identified 15 590 patients with ischaemic heart disease on the basis that they received a prescription for nitrate therapy over a 1-year period (September 1999 to August 2000) from the Eastern Region of the General Medical Services scheme in Ireland (population of 334 031), which provides free health service to those eligible patients in primary care. Odds ratios (OR) for the prescription of aspirin, beta-blockers, statins, calcium channel antagonists and ACE inhibitors in women and in those aged> 65 years were determined.
resultsFemale patients were less likely to receive a prescription for a beta-blocker [OR = 0.84, 95% confidence interval (CI) = 0.79, 0.89, P < 0.001], aspirin (OR = 0.72, 95% CI = 0.67, 0.78, P < 0.001), and ACE inhibitors (OR = 0.83, 95% CI = 0.78, 0.89, P < 0.001) compared with their male counterparts. However, women were more likely to receive anxiolytic benzodiazepines (OR = 1.71, 95% CI = 1.59, 1.85, P < 0.001) compared with their male counterparts. Elderly patients (aged> 65 years) were less likely to receive aspirin (OR = 0.92, 95% CI = 0.85, 0.99, P < 0.001), beta-blocker (OR = 0.66, 95% CI = 0.62, 0.71, P < 0.001) and a statin (OR = 0.5, 95% CI = 0.46, 0.53, P < 0.001).
conclusionsAn age and gender bias exists in the prescription of important secondary preventive therapies in primary care that may lead to increased mortality from ischaemic heart disease in these groups.
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