关于冠心病的临床实践中的性别差异:系统性审查
Emily Caitlin Lily Knox1,2, Inmaculada Mateo-Rodríguez1,2,3, Antonio Daponte-Codina1,2
1Andalusian School of Public Health, 18011 Granada, Spain.
Journal of clinical medicine
|March 17, 2025
概括
这一系统性审查发现,患有冠心病 (CHD) 的女性在各种类别的治疗中面临不利因素. 需要更多的研究来了解这些基于性别的医疗保健不平等的原因.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 医学中的性别差异.
背景情况:
- 冠心病 (CHD) 影响全球数百万人,治疗差异可能会影响结果.
- 了解医疗保健中的性别差异对于公平的患者护理至关重要.
研究的目的:
- 系统地审查和分析冠心病 (CHD) 治疗中的基于性别的差异.
- 为了确定治疗措施的不平等性,提供给女性与男性患有心血管疾病的患者.
主要方法:
- 对2011年1月至2023年11月期间发表的研究进行了系统审查.
- 搜索了Web of Science数据库,包括代表超过5.6亿个数据点的80篇文章.
- 遵循PRISMA指南,并使用纽卡斯尔-太华尺度评估研究质量.
主要成果:
- 大多数选定的研究表明,女性在所有分析的冠心病治疗类别中都经历了不利影响.
- 在药理治疗,侵入性干预和康复计划方面观察到不平等.
- 数据涵盖了大量的样本,加强了关于基于性别的差异的发现.
结论:
- 证据始终表明,医疗保健不平等不利于患有心血管疾病的女性.
- 在研究探索这些治疗中确定的性别差异的潜在机制和原因的研究中存在很大的差距.
- 需要进一步调查,以解决和纠正女性心血管疾病护理中的这些差异.
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