Is there a clinically significant gender bias in post-myocardial infarctionpharmacological management in the older (>60) population of a primary carepractice?

被引：21
作者：
Di Cecco R. [1 ]
Patel U. [1 ]
Upshur R.E.G. [2 ]
机构：
[1] Dept. of Fam. and Community Medicine, S./Women's Coll. Hlth. Sci. Ctr., University of Toronto, Toronto, Ont.
[2] S./Women's Coll. Hlth. Sci. Ctr., Department of Family, University of Toronto, Toronto, Ont. M4N 3M5
来源：
BMC Family Practice | / 3卷 / 1期
关键词：
Coronary Artery Bypass Graft Surgery; Post Myocardial Infarction; Chart Audit; Billing Code; Academic Primary Care;
D O I：
10.1186/1471-2296-3-8
中图分类号：
学科分类号：
摘要：
Background: Differences in the management of coronary artery disease between men and women have been reported in the literature. There are few studies of potential inequalities of treatment that arise from a primary care context. This study investigated the existence of such inequalities in the medical management of post myocardial infarction in older patients. Methods: A comprehensive chart audit was conducted of 142 men and 81 women in an academic primary care practice. Variables were extracted on demographic variables, cardiovascular risk factors, medical and non-medical management of myocardial infarction. Results: Women were older than men. The groups were comparable in terms of cardiac risk factors. A statistically significant difference (14.6%: 95% CI 0.048-28.7 p = 0.047) was found between men and women for the prescription of lipid lowering medications. 25.3% (p = 0.0005, CI 11.45, 39.65) more men than women had undergone angiography, and 14.4% (p = 0.029, CI 2.2, 26.6) more men than women had undergone coronary artery bypass graft surgery. Conclusion: Women are less likely than men to receive lipid-lowering medication which may indicate less aggressive secondary prevention in the primary care setting.
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页码：1 / 5
页数：4
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