Format

Send to:

Choose Destination
See comment in PubMed Commons below
BMJ. 1993 May 1;306(6886):1164-6.

Coronary artery surgery: are women discriminated against?

Author information

  • 1Health Services Research Unit, London School of Hygiene and Tropical Medicine.

Abstract

OBJECTIVE:

To determine whether the sex differences in access to cardiac surgery observed in the United States exist in the United Kingdom.

DESIGN:

Retrospective analysis of routinely collected data.

SETTING:

South West Thames and North West Thames regional health authorities.

SUBJECTS:

8564 patients discharged from hospital with a principal diagnosis of coronary heart disease in 1987-8 in South West Thames region and 15243 discharges in North West Thames region in 1990-1.

MAIN OUTCOME MEASURES:

Performance of angiography or coronary artery bypass surgery.

RESULTS:

In all age groups and among patients with a principal diagnosis of either angina or chronic ischaemia men were significantly more likely than women to undergo revascularisation in both regions. Using multiple logistic regression to control for potential clinical and demographic confounders, the male to female odds ratio for revascularisation among all cases was 1.59 (95% confidence interval 1.25 to 2.03) in South West Thames region and 1.47 (1.32 to 1.63) in North West Thames region.

CONCLUSION:

There appears to be a systematic difference in the treatment received by men and women in the United Kingdom. The reasons for this are uncertain.

PMID:
8499817
[PubMed - indexed for MEDLINE]
PMCID:
PMC1677672
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Write to the Help Desk