ArticleAnnals of family medicine
Differences in cardiovascular disease risk factor management in primary care by sex of physician and patient.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- KASL clinical practice guidelines: Management of nonalcoholic fatty liver disease.Clinical and molecular hepatology · 2021Guideline
- Sex Differences in Cardiovascular Medication Prescription in Primary Care: A Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2020Pooled it
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled it
- NHS health checks through general practice: randomised trial of population cardiovascular risk reduction.BMC public health · 2012Trial
- Cardiovascular risk reduction following diagnosis of diabetes by screening: 1-year results from the ADDITION-Cambridge trial cohort.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Trial
- Achievement of treatment goals for primary prevention of cardiovascular disease in clinical practice across Europe: the EURIKA study.European heart journal · 2011Trial
- Comparison of in-hospital outcomes and processes of care by patient and physician sex: a single-centre retrospective cohort study.BMJ open · 2026Article
- KASL clinical practice guidelines for the management of metabolic dysfunction-associated steatotic liver disease 2025.Clinical and molecular hepatology · 2025Article
- Antihypertensive Medication Category Prescriptions and Blood Pressure Control in African Surinamese and Ghanaian Migrants with Hypertension in Amsterdam, The Netherlands: The HELIUS Study.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2025Article
- Performance of Primary Care Physicians in the Management of Glycemia, Lipids, and Blood Pressure among People with Type 2 Diabetes: A Cross-Sectional Study.Journal of clinical medicine · 2024Article
- Article
- Differences based on patient gender in the management of hypertension: a multilevel analysis.Journal of human hypertension · 2021Article
- Does Provider Gender Affect the Quality of Primary Care?Journal of general internal medicine · 2020Article
- Physicians' preventive practices: more frequently performed for male patients and by female physicians.BMC health services research · 2020Article
- Access to women physicians and uptake of reproductive, maternal and child health services in India.EClinicalMedicine · 2020Article
- Impact of Sex on Office White Coat Effect Tail: Investigating Two Italian Residential Cohorts.Scientific reports · 2019Article
- The impact of general practitioners' gender on process indicators in Hungarian primary healthcare: a nation-wide cross-sectional study.BMJ open · 2019Article
- Lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-Saharan African family physicians and trainees.African journal of primary health care & family medicine · 2019Article
- Control of cardiovascular risk factors and its determinants in the general population- findings from the STAAB cohort study.BMC cardiovascular disorders · 2017Article
- Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
purposeThe purpose of this study was to evaluate differences in the management of cardiovascular disease (CVD) risk factors based upon the sex of the patient and physician and their interaction in primary care practice.
methodsWe evaluated CVD risk factor management in 4,195 patients cared for by 39 male and 16 female primary care physicians in 30 practices in southeastern New England.
resultsMany of the sex-based differences in CVD risk factor management on crude analysis are lost once adjusted for confounding factors found at the level of the patient, physician, and practice. In multilevel adjusted analyses, styles of CVD risk factor management differed by the sex of the physician, with more female physicians documenting diet and weight loss counseling for hypertension (odds ratio [OR] = 2.22; 95% confidence interval [CI], 1.12-4.40) and obesity (OR = 2.14; 95% CI, 1.30-3.51) and more physical activity counseling for obesity (OR = 2.03; 95% CI, 1.30-3.18) and diabetes (OR = 6.55; 95% CI, 2.01-21.33). Diabetes management differed by the sex of the patient, with fewer women receiving glucose-lowering medications (OR = 0.49; 95% CI, 0.25-0.94), angiotensin-converting enzyme inhibitor therapy (OR = 0.39; 95% CI, 0.22-0.72), and aspirin prophylaxis (OR = 0.30; 95% CI, 0.15-0.58).
conclusionQuality of care as measured by patients meeting CVD risk factors treatment goals was similar regardless of the sex of the patient or physician. Selected differences were found in the style of CVD risk factor management by sex of physician and patient.
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Registered trials
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