ArticleHeart (British Cardiac Society)2007
Inequalities in the primary care of patients with coronary heart disease and serious mental health problems: a cross-sectional study.
Article in Heart (British Cardiac Society), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.
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Who cites it
44 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Pooled it
- Colorectal cancer treatment in people with severe mental illness: a systematic review and meta-analysis.Epidemiology and psychiatric sciences · 2022Pooled it
- The equity dimension in evaluations of the quality and outcomes framework: a systematic review.BMC health services research · 2011Pooled it
- Do deficits in cardiac care influence high mortality rates in schizophrenia? A systematic review and pooled analysis.Journal of psychopharmacology (Oxford, England) · 2010Pooled it
- Facilitating access to mental healthcare for patients with long-term conditions in general practice: a qualitative collective case study.Scandinavian journal of primary health care · 2026Article
- Cardiovascular risk management in patients using antipsychotics: a qualitative feasibility study.BJGP open · 2026Article
- COPD and Schizophrenia.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2025Article
- The Impact of Mental Health Comorbidities on Unplanned Admissions for Physical Conditions: A Retrospective Observational Analysis.Healthcare (Basel, Switzerland) · 2025Article
- All cause and cause specific mortality in obsessive-compulsive disorder: nationwide matched cohort and sibling cohort study.BMJ (Clinical research ed.) · 2024Article
- Evaluation of Brain-Body Health in Individuals With Common Neuropsychiatric Disorders.JAMA psychiatry · 2023Article
- Management of dyslipidaemia in individuals with severe mental illness: a population-based study in the Greater Copenhagen Area.Therapeutic advances in psychopharmacology · 2023Article
- The Potential Impact of a Public Health Approach to Improving the Physical Health of People Living with Mental Illness.International journal of environmental research and public health · 2022Article
- Effects of Chronic Diseases on All-Cause Mortality in People with Mental Illness: A Retrospective Cohort Study Using the Korean National Health Insurance Service-Health Screening.International journal of environmental research and public health · 2022Article
- Disparities in oral anticoagulation initiation in patients with schizophrenia and atrial fibrillation: A nationwide cohort study.British journal of clinical pharmacology · 2022Article
- NHS Health Checks for people with mental ill-health 2013-2017: an observational study.Epidemiology and psychiatric sciences · 2020 · on this mapObservational
- Call to action regarding the vascular-bipolar link: A report from the Vascular Task Force of the International Society for Bipolar Disorders.Bipolar disorders · 2020Review
- Diagnostic tests and treatment procedures performed prior to cardiovascular death in individuals with severe mental illness.Acta psychiatrica Scandinavica · 2020Article
- A Systematic Review of Psychosocial Barriers and Facilitators to Smoking Cessation in People Living With Schizophrenia.Frontiers in psychiatry · 2018Article
- The Association of Pre-stroke Psychosis and Post-stroke Levels of Health, Resource Utilization, and Care Process: A Register-Based Study.Frontiers in neurology · 2018Article
- Severe mental illness and chronic kidney disease: a cross-sectional study in the United Kingdom.Clinical epidemiology · 2018Article
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 UK patients with coronary heart disease (CHD) who also have schizophrenia or bipolar disorder are less likely to receive primary care in accordance with the agreed national standards of the UK than patients without these mental health problems.
designCross-sectional study.
setting485 UK general practices contributing anonymised medical records of over 3.26 million patients to the QRESEARCH database.
participants127,932 patients with CHD of whom 701 had a diagnosis of schizophrenia or bipolar disorder.
main outcome measuresThe relative risks of receiving statin medication and each of the CHD care indicators defined in the UK General Medical Services contract, for patients with schizophrenia or bipolar disorder compared with patients with neither condition. The results were adjusted for age, sex, deprivation, diabetes, stroke and smoking status, and allowed for clustering by practice.
resultsPatients with schizophrenia were 15% less likely to have a recent prescription for a statin (95% CI 8% to 20%) and 7% less likely to have a recent record of cholesterol level (95% CI 3% to 11%). There were no significant differences in the adjusted analyses between mental health groups on recording smoking status, advising on smoking cessation, recording blood pressure, achieving target blood pressure or cholesterol values, or prescribing aspirin, antiplatelets, anticoagulants or beta blockers.
conclusionsAlthough the majority of CHD care indicators are achieved equally for patients who also have a serious mental health problem, there is a shortfall in identifying and treating raised cholesterol among patients with schizophrenia, despite their higher level of risk factors.
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