To assess sex-related differences in coronary revascularization practices in a Canadian setting.
Prospective analytic cohort study.
Regional referral office in Toronto.
A selected but consecutive group of 131 women and 440 men referred by cardiologists for revascularization procedures between Jan. 3, 1989, and June 30, 1991.
Coronary artery bypass grafting (CABG) or percutaneous transluminal coronary angioplasty (PTCA). Nurse-coordinators placed the referral with a surgeon or interventional cardiologist at one of three hospitals, who then communicated directly with the referring cardiologist.
Symptom status at referral, procedures requested and performed, and time from referral to procedure.
Although the women were more likely than the men to have unstable angina at the time of referral (odds ratio [OR] 2.28, 95% confidence interval [CI] 1.38 to 3.79, p = 0.0006), more women than men (16.8% v. 12.1%) were turned down for a procedure. Significant sex-related differences in practice patterns (p
Notes
Cites: Am Heart J. 1989 Jan;117(1):71-812643286
Cites: CMAJ. 1993 Feb 15;148(4):569-758431818
Cites: Ann Intern Med. 1992 May 15;116(10):791-71567093
Cites: Ann Intern Med. 1992 May 15;116(10):785-901567092
Cites: CMAJ. 1992 Mar 15;146(6):851-91544075
Cites: Health Aff (Millwood). 1991 Fall;10(3):110-281748371
Cites: N Engl J Med. 1991 Jul 25;325(4):274-62057027
Cites: N Engl J Med. 1991 Jul 25;325(4):226-302057023
Cites: N Engl J Med. 1991 Jul 25;325(4):221-52057022
Cites: Lancet. 1990 Jun 2;335(8701):1317-201971385
Cites: Lancet. 1990 May 5;335(8697):1070-31970377
Cites: Ann Intern Med. 1990 Apr 15;112(8):561-72327676
Cites: Ann Intern Med. 1990 Apr 15;112(8):557-82327674
Cites: JAMA. 1988 Jul 22-29;260(4):505-92968469
Cites: Ann Intern Med. 1988 Jan;108(1):149-503337497
Cites: Ann Intern Med. 1987 Jul;107(1):19-253496029