ArticleBritish heart journal1995
Are the economically active more deserving?
Article in British heart journal, 1995. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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.
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Who cites it
4 citing papers in PubMed, 22 citations in OpenAlex.
- Risk factors differ by first manifestation of cardiovascular disease in type 1 diabetes.Diabetes research and clinical practice · 2020Article
- Ageism in cardiology.BMJ (Clinical research ed.) · 1999Review
- Is hospital care involved in inequalities in coronary heart disease mortality? Results from the French WHO-MONICA Project in men aged 30-64.Journal of epidemiology and community health · 1998Article
- Predictors for waiting time for coronary angioplasty in a high risk population.Quality in health care : QHC · 1995Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the possibility of an association between the duration of medical treatment before coronary angiography and demographic and non-clinical factors.
designA systematic review of a random sample of 500 patients undergoing their first angiographic assessment. SUBJECTS: 500 cases were selected randomly from patients investigated in 1991 at the two catheterisation centres in Northern Ireland.
main outcome measuresThe duration of medical management before angiography.
results346 had elective and 154 urgent catheterisation. The duration of medical management was adjusted for both case mix (age at onset, body mass index, angina grade, history of myocardial infarction, history of hypertension, diabetes or hyperlipidaemia, treatment intensity) and other demographic variables (sex, smoking status, an indicator of "deprivation", and distance of the patient's area of residence from the hospital). After this adjustment the mean duration of medical management before angiography was twice as long for economically inactive patients as for those who were economically active. In a multiple regression, the relevant beta coefficient was 0.44 (95% confidence interval 0.33 to 0.58, P < 0.0001).
conclusionsThese results suggest that, in making discretionary decisions about when to refer patients with angina for revascularisation assessment, doctors may be influenced by non-clinical factors unrelated to disease severity.
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