PMID- 29271543
OWN - NLM
STAT- MEDLINE
DCOM- 20180716
LR  - 20181202
IS  - 1742-1241 (Electronic)
IS  - 1368-5031 (Linking)
VI  - 72
IP  - 1
DP  - 2018 Jan
TI  - Sex-related inequalities in management of patients with acute coronary 
      syndrome-results from the EURHOBOP study.
LID - 10.1111/ijcp.13049 [doi]
AB  - BACKGROUND: Real-world data from different levels of hospital specialisation 
      would help to understand if differences in management between women and men with 
      acute coronary syndrome (ACS) are still a priority target. We aimed to identify 
      sex inequalities in management of patients with different types of ACS. METHODS: 
      We analysed 1757 patients with a non-ST-elevation ACS (NSTEACS) and 1184 with ST 
      elevation myocardial infarction (STEMI) or left bundle branch block 
      (non-classifiable (NC) ACS (STEMI/NC ACS group), consecutively discharged from 
      ten Portuguese hospitals with different specialisation levels, between 2008 and 
      2010. We estimated odds ratios (OR) and 95% confidence intervals (95% CI) for the 
      association between sex and the performance of coronary angiography, reperfusion 
      and revascularisation. RESULTS: Among STEMI/NC ACS, men had higher probability of 
      performing coronary angiography than women (adjusted OR = 1.64, 95% CI: 
      1.11-2.44), while among NSTEACS patients there was no significant difference by 
      sex (adjusted OR = 1.26, 95% CI: 0.99-1.62). In patients who underwent coronary 
      angiography, there was no difference in proportion of women and men submitted to 
      revascularisation, regardless of the ACS type. Although men with STEMI/NC ACS 
      were more likely to undergo reperfusion (crude OR = 2.17, 95% CI: 1.68-2.81), the 
      effect became not significant after multivariable adjustment (adjusted OR = 1.33, 
      95% CI: 0.96-1.84). CONCLUSION: Women diagnosed with STEMI/NC, but not NSTEACS, 
      had lower probability when compared with men to be submitted to coronary 
      angiography. There was no difference in performance of reperfusion and 
      revascularisation by sex.
CI  - (c) 2017 John Wiley & Sons Ltd.
FAU - Araujo, Carla
AU  - Araujo C
AUID- ORCID: 0000-0003-4279-9570
AD  - EPIUnit - Instituto de Saude Publica, Universidade do Porto, Porto, Portugal.
AD  - Servico de Cardiologia, Centro Hospitalar de Tras-os-Montes e Alto Douro, EPE, 
      Hospital de Sao Pedro, Vila Real, Portugal.
FAU - Pereira, Marta
AU  - Pereira M
AD  - EPIUnit - Instituto de Saude Publica, Universidade do Porto, Porto, Portugal.
FAU - Laszczynska, Olga
AU  - Laszczynska O
AD  - EPIUnit - Instituto de Saude Publica, Universidade do Porto, Porto, Portugal.
FAU - Dias, Paula
AU  - Dias P
AD  - Servico de Cardiologia, Centro Hospitalar Sao Joao, EPE, Porto, Portugal.
FAU - Azevedo, Ana
AU  - Azevedo A
AD  - EPIUnit - Instituto de Saude Publica, Universidade do Porto, Porto, Portugal.
AD  - Departamento de Ciencias da Saude Publica e Forenses e Educacao Medica, Faculdade 
      de Medicina da Universidade do Porto, Porto, Portugal.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20171222
PL  - India
TA  - Int J Clin Pract
JT  - International journal of clinical practice
JID - 9712381
SB  - IM
MH  - Acute Coronary Syndrome/*diagnosis/*therapy
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Coronary Angiography/statistics & numerical data
MH  - Female
MH  - Healthcare Disparities/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/diagnosis/therapy
MH  - Myocardial Revascularization/statistics & numerical data
MH  - Odds Ratio
MH  - Portugal
MH  - Practice Patterns, Physicians'/*statistics & numerical data
MH  - Retrospective Studies
MH  - Sexism/*statistics & numerical data
EDAT- 2017/12/23 06:00
MHDA- 2018/07/17 06:00
CRDT- 2017/12/23 06:00
PHST- 2017/06/10 00:00 [received]
PHST- 2017/11/29 00:00 [accepted]
PHST- 2017/12/23 06:00 [pubmed]
PHST- 2018/07/17 06:00 [medline]
PHST- 2017/12/23 06:00 [entrez]
AID - 10.1111/ijcp.13049 [doi]
PST - ppublish
SO  - Int J Clin Pract. 2018 Jan;72(1). doi: 10.1111/ijcp.13049. Epub 2017 Dec 22.