Gender Inequalities in Diagnostic Inertia around the Three Most Prevalent Cardiovascular Risk Studies: Protocol for a Population-Based Cohort Study

Concepción Carratala-Munuera, Adriana Lopez-Pineda, Domingo Orozco-Beltran, Jose A. Quesada, Jose L. Alfonso-Sanchez, Vicente Pallarés-Carratalá, Cristina Soriano-Maldonado, Jorge Navarro-Perez, Vicente F. Gil-Guillen and Jose M. Martin-Moreno
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Concepción Carratala-Munuera: Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain
Adriana Lopez-Pineda: Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain
Domingo Orozco-Beltran: Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain
Jose A. Quesada: Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain
Jose L. Alfonso-Sanchez: Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, 46010 Valencia, Spain
Vicente Pallarés-Carratalá: Health Surveillance Unit, Castellon Mutual Insurance Union,12004 Castellon, Spain
Cristina Soriano-Maldonado: Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain
Jorge Navarro-Perez: Biomedical Research Institute INCLIVA, Hospital Clinico Universitario de Valencia, University of Valencia, 46010 Valencia, Spain
Vicente F. Gil-Guillen: Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain
Jose M. Martin-Moreno: Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, 46010 Valencia, Spain

IJERPH, 2021, vol. 18, issue 8, 1-7

Abstract: Evidence shows that objectives for detecting and controlling cardiovascular risk factors are not being effectively met, and moreover, outcomes differ between men and women. This study will assess the gender-related differences in diagnostic inertia around the three most prevalent cardiovascular risk factors: dyslipidemia, arterial hypertension, and diabetes mellitus, and to evaluate the consequences on cardiovascular disease incidence. This is an epidemiological and cohort study. Eligible patients will be adults who presented to public primary health care centers in a Spanish region from 2008 to 2011, with hypertension, dyslipidemia, or/and diabetes and without cardiovascular disease. Participants’ electronic health records will be used to collect the study variables in a window of six months from inclusion. Diagnostic inertia of hypertension, dyslipidemia, and/or diabetes is defined as the registry of abnormal diagnostic parameters—but no diagnosis—on the person’s health record. The cohort will be followed from the date of inclusion until the end of 2019. Outcomes will be cardiovascular events, defined as hospital admission due to ischemic cardiopathy, stroke, and death from any cause. The results of this study could inform actions to rectify the structure, organization and training of health care teams in order to correct the inequality.

Keywords: cardiovascular diseases; public health; risk factors; sex factors; disease management (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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