Impact of heart failure on in-hospital outcomes of acute coronary syndrome patients in China — Results from the Bridging the Gap on CHD Secondary Prevention in China (BRIG) project

Wang, Na; Zhao, Dong; Liu, Jing; Lee, Jun; Yu, Cheuk‐Man; Wang, Wei; Sun, Jie; Li, Yan; Du, Fang

doi:10.1016/j.ijcard.2011.03.010

Cited by 17 publications

(13 citation statements)

References 20 publications

(23 reference statements)

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“…65 Formal reports summarize research about women with CAD/ACS in Europe and Asia experiencing substandard levels of care, more complications, and worse outcomes compared to men. 90 Comparable reports relate to women in India, 79 China, 74 and Western Asia. 91 Women much less likely to participate in or be prescribed CR after AMI.…”

Section: Resultsmentioning

confidence: 99%

“…Of these, 74% received PCI rather than CABG. 15,74,75,78 CABG not likely provided without angiographic evidence 71,72 and significantly fewer women with CAD receive coronary angiography. 79,80 Women with CAD have fewer PCI procedures than men.…”

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confidence: 99%

“…73 In China, only 8.9% of women received all 6 recommended medications. 74 Access to care may account for disparities in mortality between sexes. Canadian study of adults admitted to the hospital for ACS found women less likely than men to receive care within benchmark times for ECGs or fibrinolysis.…”

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confidence: 99%

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Because Women’s Lives Matter, We Need to Eliminate Gender Bias

2017

Critical Care Nurse

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Using written vignettes of homicides that differed only in sex of perpetrator, forensic psychiatrists and students diagnosed the defendant as legally insane significantly more often when perpetrator was a woman. 11World Health Organization 12 and US 13 research found most behavioral disorders (depression, anxiety) are diagnosed twice as often in women.Men receive more intensive treatments than women for common conditions. 14 85% of men vs 55% of women receive oral antihyperglycemics. 15 Despite the UK NICE guideline 27 13,16 (mandates "urgent referral to an oncologist" for painless macroscopic hematuria), 27% of women vs 10% of men had multiple consults before referral. Bladder cancer 5-year survival rate is 57% for men, 44% for women. 17,18 Female gender is independent risk factor for delayed referral and diagnosis of bladder and renal cancer. 19 TKA referral in patients with comparable osteoarthritis severity: physicians deny sex influences referral, but referral rate for men is 3 times that for women. Using identical standardized patients, 42% of physicians recommended TKA for the male, but not the female. Odds of primary care physicians recommending TKA for men was twice that for women; for orthopedic physicians, odds for men was 22 times that for women. 20Patients with osteoarthritis needing hip replacement, women less likely than men to receive 4 of 5 care stages: consult with general practitioner, specialist referral, orthopedic consult, wait listed. 21 Women have more disability before referral. 22Women have lower probability of referral to waiting list for kidney transplantation and longer delay between dialysis and waiting list compared to men. 23-25Women had significantly lower liver transplantation rates than men from 1997 to 2007 and greater deficit to men since. 26Women had pain years longer than men before referral to pain clinic, where women are prescribed minor tranquilizers, sedatives, or antidepressants vs analgesics and opioids for men. 27After abdominal surgery, physicians prescribed less pain medication for women compared to men; nurses gave less pain medication to women. 28After CABG, men received narcotics, women given sedatives. 29First report on gender attributes of pain: physicians minimized women's pain by attributing it to emotional causes. 30 80 physicians (44 men) and 113 nurses (103 women) more likely to treat male patients with opioids than females. Disparity greater for nurses than physicians. 31Despite ACC/AHA PAD guidelines, at discharge, women are significantly less likely than men to be prescribed 3 recommended therapies: statins, aspirin, and β-blockers. 32,33Women are offered surgical revascularization less often (36.4%) than men (53.8%) and are offered CEA less often at all ages. 34 When CEA is offered to women, it is often on a very delayed basis. Delays persist after adjusting for age, history, preoperative TIA, ABCD2 score, degree of stenosis, unilateral symptoms, and symptomatic stenosis. 34 Findings most concerning because female gender is a known, negative, independ...

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

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Because Women’s Lives Matter, We Need to Eliminate Gender Bias

2017

Critical Care Nurse

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“…care of coronary heart disease (CHD) patients and close the gap between clinical practice and guidelines 6 . Specifically, the China Cholesterol Education Program (CCEP) investigates baseline characteristics of outpatients with CHD, in order to identify the gap between guidelines and clinical practice in statin interventions 7,8 .…”

Section: Introductionmentioning

confidence: 99%

“…International experts noted the effectiveness of such programs, while a local expert emphasized the need to tailor adherence programs to the cultural context, including collecting detailed background information on the patients, and educating nurses on delivering the right messages to the patients. The BRIG 6 and CCEP 8 programs demonstrate the potential of improved adherence on improving CVD outcomes.…”

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confidence: 99%

Review of cardiovascular disease prevention and control programs: international experience and challenges in China

Tan¹,

et al. 2016

ICFJ

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Major cardiovascular risk factors in China, such as hyperlipidemia, hypertension, dietary factors, exposure to tobacco, diabetes, obesity and physical inactivity, have contributed to deteriorating trends in cardiovascular disease (CVD) deaths. In past years, a number of CVD prevention programs have been initiated in European and American countries and successfully brought down CVD related death rate by involving various parties such as physicians, patients, government agencies and payers. However, there is rare published literature that systemically reviewed such experience, which would be highly valuable for China and other countries with high CVD burden. In this article, we review the published literature on CVD prevention and control programs and report on interviews of local and foreign experts to provide recommendations for China-specific CVD prevention and control programs. In order to provide practical suggestions, we describe the type of programs as patient, physician, pharmacist, nurse, or payer-focused. Based on this evidence and identified challenges in China, programs focusing on disease management, treatment adherence, physician/health care provider education, financial incentives, and integrated healthcare are recommended for the prevention and control of CVD in China.

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Measuring and Improving the Quality of Heart Failure Care Globally

2020

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In JAMA Network Open, Gupta and coauthors 1 report their findings from a retrospective analysis of the China Patient-Centered Evaluative Assessment of Cardiac Events Retrospective Study of Heart Failure (China PEACE). Their analysis included 10 004 heart failure (HF) hospitalizations from 189 hospitals that were abstracted by 2 contracted vendors and reviewed at patient and hospital levels for adherence to 4 American Heart Association (AHA) Get With The Guidelines-Heart Failure (GWTG-HF) achievement measures: (1) assessment of left ventricular ejection fraction, (2) discharge therapy with β-blockers, (3) discharge with angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs), and (4) scheduled follow-up appointment at discharge. A hospital-level composite performance score was also calculated. Hospitals were stratified into 5 economic-geographic regions in China. The study's results showed low implementation of the 4 performance measures and an overall low score for the composite performance measure. Wide

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Impact of heart failure on in-hospital outcomes of acute coronary syndrome patients in China — Results from the Bridging the Gap on CHD Secondary Prevention in China (BRIG) project

Cited by 17 publications

References 20 publications

Because Women’s Lives Matter, We Need to Eliminate Gender Bias

Because Women’s Lives Matter, We Need to Eliminate Gender Bias

Review of cardiovascular disease prevention and control programs: international experience and challenges in China

Measuring and Improving the Quality of Heart Failure Care Globally

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