Socioeconomic disparities in the use of cardioprotective medications among patients with peripheral artery disease
| Autor: | W. Schuyler Jones, Deepak L. Bhatt, Paul S. Chan, Kim G. Smolderen, Thomas T. Tsai, Fengming Tang, Sumeet Subherwal, Manesh R. Patel, John A. Spertus, Henry H. Ting |
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| Přispěvatelé: | Medical and Clinical Psychology |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Pinnacle
medicine.medical_specialty Median income Statin medicine.drug_class business.industry social sciences Disease 030204 cardiovascular system & hematology Social class 3. Good health 03 medical and health sciences 0302 clinical medicine Disease registry Internal medicine medicine Physical therapy population characteristics 030212 general & internal medicine Cardiology and Cardiovascular Medicine business Prospective cohort study Socioeconomic status |
| Zdroj: | Journal of the American College of Cardiology, 62(1), 51-57. Elsevier USA |
| ISSN: | 0735-1097 |
| Popis: | ObjectivesThe aim of this paper was to examine disparities in the use of cardioprotective medications in the treatment of peripheral artery disease (PAD) by socioeconomic status (SES).BackgroundPAD is associated with increased cardiovascular risk and is more prevalent among those of lower SES. However, the use of guideline-recommended secondary preventive measures for the treatment of PAD across diverse income subgroups and the influence of practice site on potential treatment disparities by SES are unknown.MethodsWithin the National Cardiovascular Disease Registry (NCDR) PINNACLE Registry, 62,690 patients with PAD were categorized into quintiles of SES, as defined by the median income of each patient's zip code. The association between SES and secondary preventive treatment with antiplatelet and statin medications was evaluated using sequential hierarchical modified Poison models, adjusting first for practice site and then for clinical variables.ResultsCompared with the highest SES quintile (median income: >$60,868), PAD patients in the lowest SES quintile (median income: Keywords: disparities, medications, peripheral artery disease, secondary prevention |
| Databáze: | OpenAIRE |
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