[性别差异:是时候实施基于性别的临床管理]
Fabiana Lucà1, Daniela Pavan2, Michele Massimo Gulizia3
1Divisione di Cardiologia, Grande Ospedale Metropolitano Bianchi-Melacrino-Morelli, Reggio Calabria.
概括
性别显著影响心血管疾病的风险,预防和治疗. 解决这些性别和性别差异对于个性化医学和公平的患者护理至关重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医学社会学 医学社会学
背景情况:
- 心血管疾病 (CVD) 风险因素受到性别的强烈影响.
- 性别是一种社会文化构造,影响了超越生物性别的医疗保健获取和质量.
- 现有的临床方法不足以解决性别和性别差异问题,导致护理差异.
研究的目的:
- 突出性别和性别影响在心血管疾病中的关键重要性.
- 倡导提高认识和制定减少差距的战略.
- 通过检查心血管药物中的性别差异来促进更个性化的治疗方法.
主要方法:
- 关于心血管医学中性别和性别差异的现有文献的综述.
- 对当前临床指导方针和试验代表性的分析.
- 意大利医院心脏病学家协会 (ANMCO) 的立场论文.
主要成果:
- 性别和性别差异显著影响心血管疾病的预防,诊断和治疗.
- 妇女在临床试验中的代表性不足阻碍了性别和性别特异性建议的制定.
- 当前的指导方针和临床实践往往忽视了关键的性别和性别影响.
结论:
- 提高对性别和性别对心血管疾病的影响的认识至关重要.
- 需要新的策略来减少心血管保健方面的差异.
- 将女性纳入临床试验和领导角色对于公平的指导方针制定和个性化治疗至关重要.
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