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Gender Inequalities in Diagnostic Inertia around the Three Most Prevalent Cardiovascular Risk Studies: Protocol for a

Concepción Carratala-Munuera1, Adriana Lopez-Pineda1, Domingo Orozco-Beltran1

  • 1Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain.

International Journal of Environmental Research and Public Health
|April 30, 2021
PubMed

Insights

Gender disparities in managing cardiovascular risk factors like hypertension, dyslipidemia, and diabetes persist. This study highlights diagnostic inertia

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Cardiovascular risk factor management is suboptimal, with noted gender-based outcome differences.
  • Diagnostic inertia, the failure to diagnose despite abnormal parameters, contributes to poor cardiovascular outcomes.
  • Prevalent risk factors include dyslipidemia, arterial hypertension, and diabetes mellitus.

Purpose of the Study:

  • To investigate gender-specific differences in diagnostic inertia for hypertension, dyslipidemia, and diabetes.
  • To evaluate the impact of diagnostic inertia on cardiovascular disease incidence.
  • To inform interventions addressing healthcare inequalities in cardiovascular risk management.

Main Methods:

  • Epidemiological cohort study design.
  • Inclusion of adult patients from Spanish primary healthcare centers (2008-2011) with at least one risk factor and no prior cardiovascular disease.
  • Analysis of electronic health records for diagnostic inertia and follow-up until 2019 for cardiovascular events (ischemic heart disease, stroke, all-cause mortality).

Main Results:

  • Diagnostic inertia for hypertension, dyslipidemia, and/or diabetes was identified in the patient cohort.
  • Gender-related differences in diagnostic inertia are being assessed.
  • The study will correlate diagnostic inertia with subsequent cardiovascular event incidence.

Conclusions:

  • Addressing gender disparities in diagnostic inertia is crucial for effective cardiovascular risk management.
  • Findings may guide improvements in healthcare team structure, organization, and training.
  • Rectifying inequalities in care can lead to better cardiovascular health outcomes.

Keywords:
cardiovascular diseasesdisease managementpublic healthrisk factorssex factors

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