Age- and sex-related utilisation of cardiac procedures and interventions: a multicentric study in Italy

Boccia, Antonio; Damiani, Gianfranco; D'Errico, Marcello Maria; Farinaro, Edoardo; Gregorio, Pasquale; Nante, Nicola; Santé, P; Siliquini, Roberta; Ricciardi, Walter

doi:10.1016/j.ijcard.2004.03.032

Cited by 12 publications

(5 citation statements)

References 16 publications

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“…Along this line, US studies might as well show that women do need more resources than men, and that the Italian NHS should pay more attention to women' health care. This would be consistent with the literature finding lower utilization and quality of diagnostic [9,10] and health care services offered to women [11,12], even in high income countries, particularly, for cardiac procedures and interventions [13]. This explanation would also fit with the findings from the epidemiological literature showing that cardiovascular diseases in women are often silent and fatal [14,15], dementia incidence is higher [16], diabetes prevalence is higher, especially among old women [17], when they experience significantly higher disease counts [7].…”

Section: Sex and Age Differences In Health Expendituresupporting

confidence: 92%

Sex and age differences in health expenditure in Northern Italy

Ghislandi

Crosignani

Negri

et al. 2022

ebph

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BACKGROUND: Little is known about the health care spending distribution across the age and sex gradient in European systems. The aim of the present study is to examine gender and age differences in health care utilization in Lombardy, Italy. METHODS: We analysed administrative data for the year 2010 in Lombardy (the largest Italian region, with about 10 million inhabitant) including spending for inpatient and outpatient services and pharmaceuticals. Data were aggregated across age and sex. RESULTS: Lombardy in 2010 spent around 10.2 billion €, 51% of which for women. Age-standardized per-patient expenditure was however 5% lower for females than for males on average. Per-patient spending on elderly women (>65) was around 75% of the spending on men of the same age group. Further, health expenditure was higher for men for the treatment of chronic diseases. Importantly, the difference persisted after allowance of history chronic conditions. CONCLUSIONS: Our results are in sharp contrast with the US based literature showing that health expenditure in women is greater than in men. This may reflect inadequate attention to health care of women in Italy

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Section: Sex and Age Differences In Health Expendituresupporting

confidence: 92%

Sex and age differences in health expenditure in Northern Italy

Ghislandi

Crosignani

Negri

et al. 2022

ebph

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show abstract

“…However, an Italian study investigating the use of cardiac procedures in relation to age and sex found that there was an age bias but no gender bias in referral to cardiac catheterisation 32. Although this may not be the case for older women, a report from the Euro Heart Survey revealed that women above 60 years of age were less likely than men to be treated with coronary artery bypass grafting and more likely to be treated with PCI 33.…”

Section: Differences In Outcomes: Is Gender An Independent Prognosticmentioning

confidence: 99%

Gender differences in coronary heart disease

Khamis

Ammari

Mikhail

2016

Heart

123

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“…There is conflicting evidence in the literature regarding PPI rates between sexes [16][17][18][19][20]. Boccia et al and Chen et al described no sex difference in PPI utilization in an Italian study and a study on 7,203 PPI in China, respectively [19,20].…”

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Sex differences in rates of permanent pacemaker implantation and in-hospital complications: A statewide cohort study of over 7 million persons from 2009–2018

et al. 2022

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Background Whether a bias exists in the implantation of permanent pacemakers (PPI) and complications according to sex and age in the Australian population is unclear. Hypothesis Population rate of PPI and its complications differed between men and women. Methods We examined the prevalence of PPI from January-2009 to December-2018 from datasets held by the New South Wales (NSW) Centre-for-Health-Record-Linkage, including patient’s characteristics and in-hospital complications. All analysis was stratified by sex and age by decade. Results A total of 28,714 admissions involved PPI (40% women). The mean PPI rate (±standard-deviation) and median age (interquartile range) was 2,871±242 per-annum and 80yrs (73-86yrs), respectively. At the same time-period, the mean NSW population size was 7,487,393±315,505 persons (50% women; n = 3,773,756±334,912). The mean annual age-adjusted rate of PPI was 125.5±11.6 per-100,000-men, compared to 63.4±14.3 per-100,000-women (P<0.01). The mean annual rate of PPI increased from 2009–2017 by 0.9±3.3% in men, compared to 0.4±4.4% in women (P<0.01) suggesting a widening disparity. Total non-fatal in-hospital complications was higher in women compared to men (8.2% vs 6.6%, P<0.01), and this persisted throughout study period even after adjusting for multiple covariates. Overall, in-hospital mortality was low (0.73%) and similar between sexes. Conclusion In a statewide Australian population exceeding 7 million, PPI rates were consistently nearly two-fold higher for men compared to women over 10-years, with an apparently widening disparity, that was not explained by age. Overall complication rates were higher in women. Future studies should examine the aetiology behind this disparity in PPI rates, as well as its complications.

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Age- and sex-related utilisation of cardiac procedures and interventions: a multicentric study in Italy

Cited by 12 publications

References 16 publications

Sex and age differences in health expenditure in Northern Italy

Sex and age differences in health expenditure in Northern Italy

Gender differences in coronary heart disease

Sex differences in rates of permanent pacemaker implantation and in-hospital complications: A statewide cohort study of over 7 million persons from 2009–2018

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