PMID- 25875945
OWN - NLM
STAT- MEDLINE
DCOM- 20160223
LR  - 20181113
IS  - 1861-0692 (Electronic)
IS  - 1861-0684 (Linking)
VI  - 104
IP  - 6
DP  - 2015 Jun
TI  - Gender differences in therapeutic recommendation after diagnostic coronary 
      angiography: insights from the Coronary Angiography and PCI Registry of the 
      German Society of Cardiology.
PG  - 507-17
LID - 10.1007/s00392-015-0815-6 [doi]
AB  - BACKGROUND: There is information suggesting differences and underuse of invasive 
      coronary diagnostic and therapeutic procedures in women compared to men. METHODS: 
      Data from consecutive patients (pts) which were enrolled in the Coronary 
      Angiography and PCI Registry of the German Society of Cardiology were analyzed. 
      We compared gender-related differences in diagnosis and therapeutic 
      recommendation of pts undergoing coronary angiography (XA) for stable coronary 
      artery disease (CAD), non-ST elevation acute coronary syndromes (NSTE-ACS) and ST 
      elevation myocardial infarction (STEMI). RESULTS: From 2004 until the end of 
      2009, data of 1,060,542 invasive procedures in 1,014,996 pts were prospectively 
      registered. One-third (34.6%) of them were female. Women less often had 
      significant CAD, irrespective of the indication for XA. In pts with relevant CAD, 
      percutaneous coronary interventions (PCI) were recommended in 87.1% of women 
      versus 89.1% of men with STEMI [age-adjusted OR (aOR) 0.98, 95% CI 0.93-1.04], in 
      67.1 vs. 66.8% in NSTE-ACS (aOR 1.10, 1.07-1.12), and in 50.3 vs 49.4% in stable 
      CAD (aOR 1.07, 1.05-1.09). CONCLUSIONS: In pts with significant CAD, there was no 
      difference in recommendation for PCI between the genders in stable CAD, whereas 
      in STEMI and NSTE-ACS women were treated even more often with PCI. There were 
      only minor differences in referral for CABG between women and men. Hence, our 
      data provide strong evidence against a gender bias in use of invasive therapeutic 
      procedures once the diagnosis of significant CAD has been confirmed.
FAU - Heer, Tobias
AU  - Heer T
AD  - Department of Cardiology, Krankenhaus Agatharied, Academic Teaching Hospital, 
      University of Munich, Norbert-Kerkel-Platz, 83607, Hausham, Germany, 
      tobias.heer@khagatharied.de.
FAU - Hochadel, Matthias
AU  - Hochadel M
FAU - Schmidt, Karin
AU  - Schmidt K
FAU - Mehilli, Julinda
AU  - Mehilli J
FAU - Zahn, Ralf
AU  - Zahn R
FAU - Kuck, Karl-Heinz
AU  - Kuck KH
FAU - Hamm, Christian
AU  - Hamm C
FAU - Bohm, Michael
AU  - Bohm M
FAU - Ertl, Georg
AU  - Ertl G
FAU - Andresen, Dietrich
AU  - Andresen D
FAU - Massberg, Steffen
AU  - Massberg S
FAU - Senges, Jochen
AU  - Senges J
FAU - Pilz, Gunter
AU  - Pilz G
FAU - Gitt, Anselm K
AU  - Gitt AK
FAU - Zeymer, Uwe
AU  - Zeymer U
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150121
PL  - Germany
TA  - Clin Res Cardiol
JT  - Clinical research in cardiology : official journal of the German Cardiac Society
JID - 101264123
SB  - IM
MH  - Acute Coronary Syndrome/*diagnosis/epidemiology/surgery
MH  - Aged
MH  - Coronary Angiography/*methods
MH  - Coronary Artery Disease/*diagnosis/epidemiology/surgery
MH  - Female
MH  - Germany
MH  - Healthcare Disparities/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*diagnosis/epidemiology/surgery
MH  - Percutaneous Coronary Intervention/statistics & numerical data
MH  - Prospective Studies
MH  - Registries
MH  - Sex Factors
EDAT- 2015/04/16 06:00
MHDA- 2016/02/26 06:00
CRDT- 2015/04/16 06:00
PHST- 2014/12/15 00:00 [received]
PHST- 2015/01/13 00:00 [accepted]
PHST- 2015/04/16 06:00 [entrez]
PHST- 2015/04/16 06:00 [pubmed]
PHST- 2016/02/26 06:00 [medline]
AID - 10.1007/s00392-015-0815-6 [doi]
PST - ppublish
SO  - Clin Res Cardiol. 2015 Jun;104(6):507-17. doi: 10.1007/s00392-015-0815-6. Epub 
      2015 Jan 21.