ArticleBMJ (Clinical research ed.)1993
Access to coronary catheterisation: fair shares for all?
Article in BMJ (Clinical research ed.), 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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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
28 citing papers in PubMed.
- Referring patients with chronic noncancer pain to pain clinics: survey of Ontario family physicians.Canadian family physician Medecin de famille canadien · 2011Article
- Equity in access to total joint replacement of the hip and knee in England: cross sectional study.BMJ (Clinical research ed.) · 2010Article
- The epidemiology of medical treatment for glaucoma and ocular hypertension in the United Kingdom: 1994 to 2003.The British journal of ophthalmology · 2006Article
- Sex inequalities in access to care for patients with diabetes in primary care: questionnaire survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
- Coronary heart disease prevention and age inequalities: the first year of the National Service Framework for CHD.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Article
- Does access to cardiac investigation and treatment contribute to social and ethnic differences in coronary heart disease? Whitehall II prospective cohort study.BMJ (Clinical research ed.) · 2004Article
- Inequalities in access to care for patients with ischaemic heart disease.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
- Evolution of statin prescribing 1994-2001: a case of agism but not of sexism?Heart (British Cardiac Society) · 2003Article
- Gender differences in the management and outcome of patients with acute coronary artery disease.Journal of epidemiology and community health · 2002Article
- Racial and geographic disparities in timing of bidirectional Glenn and Fontan stages of single-ventricle palliation.Journal of the National Medical Association · 2002Article
- Improvements in total mortality and lipid levels after acute myocardial infarction in an English health district (1995-1999).Heart (British Cardiac Society) · 2002Article
- Sex inequalities in ischaemic heart disease in general practice: cross sectional survey.BMJ (Clinical research ed.) · 2001Article
- Inequalities in access to coronary angiography and revascularisation: the association of deprivation and location of primary care services.The British journal of general practice : the journal of the Royal College of General Practitioners · 2000Article
- Geographic, demographic, and socioeconomic variations in the investigation and management of coronary heart disease in Scotland.Heart (British Cardiac Society) · 1999Article
- Super Profile analysis of socioeconomic variations in coronary investigation and revascularisation rates.Journal of epidemiology and community health · 1998Article
- Cigarette smoking in British men and selection for coronary artery bypass surgery.Heart (British Cardiac Society) · 1996Article
- Coronary artery bypass surgery in smokers.Heart (British Cardiac Society) · 1996Article
- Are the economically active more deserving?British heart journal · 1995Article
- Assessing equity in access to health care provision in the UK: does where you live affect your chances of getting a coronary artery bypass graft?Journal of epidemiology and community health · 1995Article
- Expanding access to coronary artery bypass surgery: who stands to gain?British heart journal · 1995Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the effects of patient's sex and area's material deprivation on utilisation rates of coronary catheterisation and angiography in the investigation of ischaemic heart disease.
designRetrospective analysis of routinely collected hospital statistics.
settingAcute hospitals throughout Northern Ireland. SUBJECTS: 24,179 episodes of patients discharged from hospital with a primary diagnosis of ischaemic heart disease and 1270 episodes relating to patients with an underlying diagnosis of ischaemic heart disease who had either coronary catheterisation or angiography.
main outcome measuresAge standardised admission rates for heart disease and age standardised utilisation rates for catheterisation or angiography, or both, for 566 electoral wards ranked by Townsend "deprivation" scores.
resultsCatheterisation-angiography rates in men were over fivefold those of women, ranging from 85.5/100,000 v 16/100,000 in patients from "well off" areas to 123/100,000 v 22/100,000 for patients from deprived areas. After admission rates for heart disease were controlled for, the overall rate ratio for women was 0.48 (95% confidence interval 0.38 to 0.60). After differential admission rates for heart disease and other potential clinical confounders were controlled for, the investigation rates of patients from the least and most "deprived" areas were not significantly different (rate ratio 1.04 (0.87 to 1.25)).
conclusionAlthough investigation rates were significantly lower in women than in men, further clinical data would be required before labelling this underutilisation as evidence of bias. There was no significant difference in invasive investigation rates for heart disease in areas of varying deprivation or affluence.
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