Abstract
Background and Aims: To determine the extent of gender differences in the routine clinical care of patients with angina pectoris in primary care. Methods: A cross-sectional survey of general practitioner (GP) medical records undertaken by trained data managers in 6 GP practices. 925 adults (489 men) with a clinical diagnosis of angina (prevalence = 2.4%, 95%CI 2.3-2.6). Data extracted included: level of care; risk factor recording; prescribed medication; exercise ECG and coronary revascularisation. Adjusted male-to-female odds ratios (AOR) adjusted for age, angina duration, and previous myocardial infarction, (MI). Results: Women with angina were older than men (71 v 65 years) with a lower prevalence of MI (30 v 45%), but a longer duration of angina (5 v 4years). Men were more likely to receive once daily aspirin (AOR= 2.07, 95%CI 1.56-2.74) and be prescribed triple anti-anginal therapy (1.58, 95%CI 1.03-2.42). Men were also significantly more likely to undergo exercise ECG (1-56, 95%CI 1.14-2.15) and surgical revascularisation (1,71, 95%CI 1.03-2.85). Women tended to receive GP care alone (AOR=0.64, 95%CI 0.46-0.89), whilst men received specialist cardiac care (1.47, 95%CI 1.09-2.00). Beta-blocker usefollowing MI was similar (0.99, 95%CI 0.59-1.69). Conclusion: Differences in the management of men and women are unaccounted for by differences in age, previous MI or duration of angina. Gender differences in management of CHD reported from secondary care may also exist in primary care.
| Original language | English |
|---|---|
| Pages (from-to) | 154-158 |
| Number of pages | 4 |
| Journal | Scottish Medical Journal |
| Volume | 50 |
| Issue number | 4 |
| Publication status | Published - 2005 |
Keywords
- angina pectoris
- cross-sectional survey
- gender inequalities
- primary health care
- ACUTE MYOCARDIAL-INFARCTION
- CORONARY-ARTERY DISEASE
- EVIDENCE-BASED GUIDELINE
- HEART-DISEASE
- SEX BIAS
- BYPASS-SURGERY
- STABLE ANGINA
- WOMEN
- MEN
- PREVALENCE
Cite this
Gender inequalities in the management of angina pectoris: cross sectional survey in primary care. / Crilly, Michael A; Bundred, P. E. ,.
In: Scottish Medical Journal, Vol. 50, No. 4, 2005, p. 154-158.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Gender inequalities in the management of angina pectoris: cross sectional survey in primary care
AU - Crilly, Michael A
AU - Bundred, P. E. ,.
PY - 2005
Y1 - 2005
N2 - Background and Aims: To determine the extent of gender differences in the routine clinical care of patients with angina pectoris in primary care. Methods: A cross-sectional survey of general practitioner (GP) medical records undertaken by trained data managers in 6 GP practices. 925 adults (489 men) with a clinical diagnosis of angina (prevalence = 2.4%, 95%CI 2.3-2.6). Data extracted included: level of care; risk factor recording; prescribed medication; exercise ECG and coronary revascularisation. Adjusted male-to-female odds ratios (AOR) adjusted for age, angina duration, and previous myocardial infarction, (MI). Results: Women with angina were older than men (71 v 65 years) with a lower prevalence of MI (30 v 45%), but a longer duration of angina (5 v 4years). Men were more likely to receive once daily aspirin (AOR= 2.07, 95%CI 1.56-2.74) and be prescribed triple anti-anginal therapy (1.58, 95%CI 1.03-2.42). Men were also significantly more likely to undergo exercise ECG (1-56, 95%CI 1.14-2.15) and surgical revascularisation (1,71, 95%CI 1.03-2.85). Women tended to receive GP care alone (AOR=0.64, 95%CI 0.46-0.89), whilst men received specialist cardiac care (1.47, 95%CI 1.09-2.00). Beta-blocker usefollowing MI was similar (0.99, 95%CI 0.59-1.69). Conclusion: Differences in the management of men and women are unaccounted for by differences in age, previous MI or duration of angina. Gender differences in management of CHD reported from secondary care may also exist in primary care.
AB - Background and Aims: To determine the extent of gender differences in the routine clinical care of patients with angina pectoris in primary care. Methods: A cross-sectional survey of general practitioner (GP) medical records undertaken by trained data managers in 6 GP practices. 925 adults (489 men) with a clinical diagnosis of angina (prevalence = 2.4%, 95%CI 2.3-2.6). Data extracted included: level of care; risk factor recording; prescribed medication; exercise ECG and coronary revascularisation. Adjusted male-to-female odds ratios (AOR) adjusted for age, angina duration, and previous myocardial infarction, (MI). Results: Women with angina were older than men (71 v 65 years) with a lower prevalence of MI (30 v 45%), but a longer duration of angina (5 v 4years). Men were more likely to receive once daily aspirin (AOR= 2.07, 95%CI 1.56-2.74) and be prescribed triple anti-anginal therapy (1.58, 95%CI 1.03-2.42). Men were also significantly more likely to undergo exercise ECG (1-56, 95%CI 1.14-2.15) and surgical revascularisation (1,71, 95%CI 1.03-2.85). Women tended to receive GP care alone (AOR=0.64, 95%CI 0.46-0.89), whilst men received specialist cardiac care (1.47, 95%CI 1.09-2.00). Beta-blocker usefollowing MI was similar (0.99, 95%CI 0.59-1.69). Conclusion: Differences in the management of men and women are unaccounted for by differences in age, previous MI or duration of angina. Gender differences in management of CHD reported from secondary care may also exist in primary care.
KW - angina pectoris
KW - cross-sectional survey
KW - gender inequalities
KW - primary health care
KW - ACUTE MYOCARDIAL-INFARCTION
KW - CORONARY-ARTERY DISEASE
KW - EVIDENCE-BASED GUIDELINE
KW - HEART-DISEASE
KW - SEX BIAS
KW - BYPASS-SURGERY
KW - STABLE ANGINA
KW - WOMEN
KW - MEN
KW - PREVALENCE
M3 - Article
VL - 50
SP - 154
EP - 158
JO - Scottish Medical Journal
JF - Scottish Medical Journal
SN - 0036-9330
IS - 4
ER -