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Characterizing diagnostic inertia in arterial hypertension with a gender perspective in primary care

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Characterizing diagnostic inertia in arterial hypertension with a gender perspective in primary care

dc.contributor.author	Pallarés Carratalá, Vicente J.
dc.contributor.author	Carratalá Munuera, Concepción
dc.contributor.author	López Pineda, Adriana
dc.contributor.author	Quesada Rico, Jose Antonio
dc.contributor.author	Gil Guillen, Vicente
dc.contributor.author	Orozco Beltrán, Domingo
dc.contributor.author	Alfonso Sánchez, José Luis
dc.contributor.author	Navarro Pérez, Jorge
dc.contributor.author	Martín Moreno, José María
dc.date.accessioned	2022-08-04T10:38:32Z
dc.date.available	2022-08-04T10:38:32Z
dc.date.issued	2022
dc.identifier.citation	Pallarés Carratalá, Vicente J. Carratalá Munuera, Concepción López Pineda, Adriana Quesada Rico, Jose Antonio Gil Guillen, Vicente Orozco Beltrán, Domingo Alfonso Sánchez, José Luis Navarro Pérez, Jorge Martín Moreno, José María 2022 Characterizing diagnostic inertia in arterial hypertension with a gender perspective in primary care Frontiers In Cardiovascular Medicine 9 1 9
dc.identifier.uri	https://hdl.handle.net/10550/83565
dc.description.abstract	Background and Objectives: Substantial evidence shows that diagnostic inertia leads to failure to achieve screening and diagnosis objectives for arterial hypertension (AHT). In addition, different studies suggest that the results may differ between men and women. This study aimed to evaluate the differences in diagnostic inertia in women and men attending public primary care centers, to identify potential gender biases in the clinical management of AHT. Study Design/Materials and methods: Cross-sectional descriptive and analytical estimates were obtained nested on an epidemiological ambispective cohort study of patients aged ≥30 years who attended public primary care centers in a Spanish region in the period 2008-2012, belonging to the ESCARVAL-RISK cohort. We applied a consistent operational definition of diagnostic inertia to a registry- reflected population group of 44,221 patients with diagnosed hypertension or meeting the criteria for diagnosis (51.2% women), with a mean age of 63.4 years (62.4 years in men and 64.4 years in women). Results: Of the total population, 95.5% had a diagnosis of hypertension registered in their electronic health record. Another 1,968 patients met the inclusion criteria for diagnostic inertia of hypertension, representing 4.5% of the total population (5% of men and 3.9% of women). The factors significantly associated with inertia were younger age, normal body mass index, elevated total cholesterol, coexistence of diabetes and dyslipidemia, and treatment with oral antidiabetic drugs. Lower inertia was associated with age over 50 years, higher body mass index, normal total cholesterol, no diabetes or dyslipidemia, and treatment with lipid-lowering, antiplatelet, and anticoagulant drugs. The only gender difference in the association of factors with diagnostic inertia was found in waist circumference. Conclusion: In the ESCARVAL-RISK study population presenting registered AHT or meeting the functional diag
dc.relation.ispartof	Frontiers In Cardiovascular Medicine, 2022, vol. 9, p. 1-9
dc.subject	Artèries
dc.subject	Malalties
dc.subject	Dones Malalties
dc.title	Characterizing diagnostic inertia in arterial hypertension with a gender perspective in primary care
dc.type	journal article	es_ES
dc.date.updated	2022-08-04T10:38:32Z
dc.identifier.doi	10.3389/fcvm.2022.874764
dc.identifier.idgrec	154501
dc.rights.accessRights	open access	es_ES