Document Detail


Gender-related differences in the management of hypertension by cardiologists: The PARITE study.
MedLine Citation:
PMID:  22709468     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Several studies have shown gender differences in the management of cardiovascular risk factors and diseases. Whether the management of hypertension by cardiologists in France differs according to patient gender has not been fully investigated.
AIMS: The main objective of this cross-sectional, multicentre study was to examine the management according to gender of hypertensive patients by office-based cardiologists in France.
METHODS: Cardiologists were asked to include consecutively two men and two women attending a routine consultation for essential hypertension. Therapeutic management was evaluated by comparing cardiovascular investigations in the preceding 6 months and hypertension control according to gender and the patients' global cardiovascular risk.
RESULTS: Overall, data from 3440 adult patients (53% men) referred to 654 cardiologists were analysed. Hypertension was uncontrolled in 76% of both men and women and 69% were at high global cardiovascular risk (75% of men, 62% of women; P<0.001). Significantly fewer cardiovascular investigations had been performed in the preceding 6 months in women (22.6% vs 44.2% in men; P<0.001). The treatment regimen was changed by the cardiologist in approximately 50% of patients regardless of gender or global cardiovascular risk.
CONCLUSIONS: The PARITE study shows that in French office-based cardiology practice, the antihypertensive regimen is adjusted as often in female as in male patients. However, the results suggest that there is room for improvement in the investigation of cardiovascular disease in women. Healthcare providers could be encouraged to implement established guidelines on the prevention of cardiovascular disease in women.
Authors:
Claire Mounier-Vehier; Tabassome Simon; Dominique Guedj-Meynier; Marc Ferrini; Emmanuel Ghannad; Jean-Pierre Hubermann; Gérard Jullien; Pascal Poncelet; Assya Achouba; Stéphane Quéré; Maxime Guenoun
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Publication Detail:
Type:  Journal Article     Date:  2012-05-23
Journal Detail:
Title:  Archives of cardiovascular diseases     Volume:  105     ISSN:  1875-2128     ISO Abbreviation:  Arch Cardiovasc Dis     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-06-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101465655     Medline TA:  Arch Cardiovasc Dis     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  271-80     Citation Subset:  IM    
Copyright Information:
Copyright © 2012. Published by Elsevier Masson SAS.
Affiliation:
Pôle cardiovasculaire et pulmonaire, médecine vasculaire et hypertension artérielle, faculté Henri-Warembourg, université de Lille-2, CHRU de Lille, avenue Oscar-Lambret, 59037 Lille cedex, France.
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