Does Quality of Care for Cardiovascular Disease and Diabetes Differ by Gender for Enrollees in Managed Care Plans?

Bird, Chloe E.; Fremont, Allen; Bierman, Arlene S.; Wickstrom, Steven L.; Shah, Mona; Rector, Thomas S.; Horstman, Thomas; Escarce, José J.

doi:10.1016/j.whi.2007.03.001

Cited by 63 publications

(47 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous studies have also shown that women are less likely to achieve optimum blood pressure control. 21,22 In our study men had lower HDL levels, a finding typical from studies in South Asian population which show a consistent high-tobacco, and low HDL pattern. 23 Proportion of women with low HDL was small, probably related to fewer tobaccoelipid interactions.…”

Section: Discussionsupporting

confidence: 83%

Prevalence of cardiovascular risk factors among rural population of elderly in Wardha district

Joshi

Taksande

Kalantri

et al. 2013

Journal of Cardiovascular Disease Research

View full text Add to dashboard Cite

a b s t r a c tBackground: Cardiovascular diseases (CVD) are a leading cause of mortality among adults in India, and their risk factors (tobacco, hypertension, diabetes, overweight, and obesity) are common. Most risk-factor surveys have focused on young and middle aged adults. We measured the prevalence of risk factors for CVD among elderly (age 60 years or more) in rural India. Methods and results: In a door-to-door cross-sectional survey we did a non-laboratory based assessment of risk factors (smoking or tobacco use in any form, diabetes mellitus, either known or newly detected hypertension, abnormal waist-hip-ratio, or a high body mass index) among elderly living in 23 villages in rural central India. Laboratory based assessment of risk factors was done in those who had two or more of the five measured conventional risk factors. We compared the distribution of risk factors between men and women. Among 2424 elderly included in the study (51% women, mean age 67), the prevalence of smokeless tobacco use was 50.8% (95% CI 48.1e52.8; smoking 10.5% (95% CI 9.3e11.8); and hypertension46.3% (95% CI 44.3e48.4). Only 10.2% participants were previously known to have had hypertension, and remaining 36.1% were detected to be hypertensive during the survey. A total of 8.2%(95% CI 7.0e9.5) participants were overweight and 4.1% (95% CI 3.3e4.9) had central obesity. The prevalence of dyslipidemia in those who underwent blood based tests was 40.6% (95% CI 36.5e44.9); and hyperglycemia 4.9% (95% CI 3.2e7.1). Conclusions: Strategies to reduce the risk of cardiovascular disorders among elderly should be focused on reducing tobacco use and early detection and optimal control of hypertension.

show abstract

Section: Discussionsupporting

confidence: 83%

Prevalence of cardiovascular risk factors among rural population of elderly in Wardha district

Joshi

Taksande

Kalantri

et al. 2013

Journal of Cardiovascular Disease Research

View full text Add to dashboard Cite

show abstract

“…However, the quality of care remains suboptimal. 16 The few studies that have reported on the healthcare experience of women with diabetes are restricted to specific subpopulations, [17][18][19][20] enrollees in managed care organizations, [21][22][23][24][25] or screening for sex-specific cancers. Yet none of these studies examined differences in quality of care across the life stages.…”

Section: Introductionmentioning

confidence: 99%

Women with Diagnosed Diabetes across the Life Stages: Underuse of Recommended Preventive Care Services

Owens

Beckles

et al. 2008

Journal of Women's Health

View full text Add to dashboard Cite

Diabetes is a common and costly disease. In 2007, an estimated 24 million people in the United States had diabetes, with almost half of these being women. Diabetes increases the risk of morbidity and mortality from several conditions, including cardiovascular disease, several types of cancers, influenza and pneumococcal infection, and kidney, eye, and periodontal diseases. The aim of this study was to examine the quality of care that women with diabetes receive and to assess how receipt of some clinical preventive services and screening for common conditions associated with diabetes vary according to socioeconomic factors. Our findings indicate that use of diabetes-specific preventive care among women is low, with the youngest women (< or =45 years) and those with low educational levels being the least likely to receive the recommended services. Women with diabetes were less likely than women without diabetes to receive a Pap smear, with the oldest women (> or =65 years) being the most vulnerable. Women with diabetes who were poor and nonwhite were less likely than more affluent and white women to receive a pneumococcal vaccination. This study's findings suggest that having a chronic disease may serve as a barrier to the receipt of recommended preventive care among women. Effective interventions should be designed to meet the needs of the most vulnerable women with diabetes, in particular, those who are at the extremes of the life cycle, are poor, and have low levels of education. Programs should use a life stage approach to address the unique needs of women with diabetes.

show abstract

“…Also, sex/gender disparities in performance indicators among persons enrolled in Medicare-managed care have been observed for dyslipidemia management in diabetes population [46]; poor cholesterol control in women suggests the possibility of less intensive cholesterol treatment in women. Another study concluded that sex/gender differences in the quality of cardiovascular and diabetic care were common and sometimes substantial among enrollees in Medicare and commercial health plans [47]. The largest disparity was for control of LDL-C among diabetics, where women were 19% less likely to achieve control among Medicare enrollees (relative risk …”

Section: Sex/gender Disparities In Statin Utilization From Access To mentioning

confidence: 99%

Sex/Gender -Based Pharmacology and Statin Utilization Amongst Elderly Patients with Diabetes

Farahani

Johnson²,

Whitehead³

et al. 2015

CIM

View full text Add to dashboard Cite

Purpose: The purpose of this study was to explore the ten-year trends in utilization of bioequivalent doses of statin amongst elderly patients with diabetes according to sex/ gender in Ontario, Canada. Methods:A cohort of patients with diabetes (>65 years) was constructed using the Ontario Diabetes Database Statin utilization data (2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012) was obtained from the Ontario Drug Benefit Program for both women and men. Bioequivalent doses for statins were calculated according to the dosing conversion factor in therapeutic interchange programs in clinical practice. Utilization pattern of high potency (Atorvastatin and Rosuvastatin) vs. low potency statins (Simvastatin, Lovastatin, Fluvastatin, Pravastatin) were also analyzed. Results:The average bioequivalent Simvastatin utilization in 2003 was 29.22 mg/day for women and 30.35 mg/day for men. By 2008, this gap in dosing was higher for both women and men and by 2013 it had increased to 47.75 mg/day for women and 52.98 mg/day for men. For average number of day supply per year, there was no significant trend of changes over the 10-year period, although the use of high potency statins increased significantly (P<0.001) for both women and men. No differences were seen for sex/gender; either for the 10-year period or for each year.Conclusions: There has been significant increase in bioequivalent statin utilization amongst elderly patients with diabetes in Ontario; for both men and women. In a publiclyfunded healthcare system such as Ontario, there were no sex/gender differences in the utilization of high potency statin (Atorvastatin and Rosuvastatin) amongst elderly patient with diabetes.

show abstract

Does Quality of Care for Cardiovascular Disease and Diabetes Differ by Gender for Enrollees in Managed Care Plans?

Cited by 63 publications

References 16 publications

Prevalence of cardiovascular risk factors among rural population of elderly in Wardha district

Prevalence of cardiovascular risk factors among rural population of elderly in Wardha district

Women with Diagnosed Diabetes across the Life Stages: Underuse of Recommended Preventive Care Services

Sex/Gender -Based Pharmacology and Statin Utilization Amongst Elderly Patients with Diabetes

Contact Info

Product

Resources

About