Gender based differences in drug eluting stent implantation - data from the German ALKK registry suggest underuse of DES in elderly women.
BMC Cardiovasc Disord
; 17(1): 68, 2017 02 27.
Article
en En
| MEDLINE
| ID: mdl-28241861
ABSTRACT
BACKGROUND:
Observational studies suggest there are gender based differences in the treatment of coronary artery disease, with women receiving evidence based therapy less frequently than suggested by current guidelines. The aim of our study was to evaluate gender based differences in the use of DES.METHODS:
We analysed prospectively collected data from 100704 stent implantations in the PCI registry of the ALKK between 2005 and 2009.RESULTS:
The usage of DES increased from 16.0 to 43.9%. Although women had smaller vessel sizes, they received DES less often compared to men (28.2 vs. 31.3%), with an adjusted odds ratio of 0.93 (95% confidence interval 0.89-0.97) at the age of 75, and an adjusted odds ratio of 0.89 (95% confidence interval 0.84-0.94) at the age of 80.CONCLUSION:
Despite having smaller vessels than men, women were treated less often with DES. These findings apply to women above the age of 75 years. These findings support previous reports, that elderly women with coronary artery disease are treated differently to men.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
/
2_ODS3
Problema de salud:
1_acesso_equitativo_servicos
/
2_cobertura_universal
Asunto principal:
Enfermedad de la Arteria Coronaria
/
Evaluación de Procesos, Atención de Salud
/
Stents Liberadores de Fármacos
/
Disparidades en Atención de Salud
/
Intervención Coronaria Percutánea
Tipo de estudio:
Etiology_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
BMC Cardiovasc Disord
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
2017
Tipo del documento:
Article
País de afiliación:
Alemania