Representation of patients with a migration background in studies on antithrombotic treatment. An analysis of recruitment data from a cluster randomized controlled trial

Autor: Juliana J. Petersen, Andrea Siebenhofer, Lisa-R. Ulrich, Karola Mergenthal, Corina Guethlin, Ferdinand M. Gerlach
Přispěvatelé: Nagler, Michael
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Anticoagulant Therapy
Social Sciences
Geographical locations
law.invention
Phenprocoumon
0302 clinical medicine
Randomized controlled trial
law
Germany
Antithrombotic
Medicine and Health Sciences
Psychology
030212 general & internal medicine
Language
education.field_of_study
Multidisciplinary
Pharmaceutics
030503 health policy & services
Anticoagulant
Drugs
Europe
Cardiovascular Therapy
Health Education and Awareness
Neurology
Medicine
Female
0305 other medical science
Research Article
medicine.drug
medicine.medical_specialty
Patients
medicine.drug_class
Science
Human Migration
Population
Disease cluster
03 medical and health sciences
Fibrinolytic Agents
Drug Therapy
Internal medicine
Mental Health and Psychiatry
medicine
Humans
European Union
ddc:610
education
Primary Care
Aged
Demography
Pharmacology
business.industry
Patient Selection
Cognitive Psychology
Warfarin
Anticoagulants
Biology and Life Sciences
Health Care
Sample size determination
Cognitive Science
Dementia
People and places
business
Neuroscience
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 3, p e0230297 (2020)
Popis: Background: The health status, health awareness and health behavior of persons with a migration background often differ from the autochthonous population. Little is known about the proportion of patients with a migration background (PMB) that participate in primary care studies on oral antithrombotic treatment (OAT) in Germany, and whether the quality of their antithrombotic care differs from patients without a migration background. The aim of this paper was to use the results of a cluster-randomized controlled trial (PICANT) to determine the proportion of PMB at different stages of recruitment, and to compare the results in terms of sociodemographic characteristics and antithrombotic treatment. Methods: This study used screening and baseline data from the PICANT trial on oral anticoagulation management in GP practices. For this analysis, we determined the proportion of PMB during the recruitment period at stage 1 (screening of potentially eligible patients), stage 2 (eligible patients invited to participate in the trial), and stage 3 (assessment of baseline characteristics of patients participating in the PICANT trial). In addition, we compared patients in terms of sociodemographic characteristics and quality of anticoagulant treatment. Statistical analysis comprised descriptive and bivariate analyses. Results: The proportion of PMB at each recruitment stage declined from 9.1% at stage 1 to 7.9% at stage 2 and 7.3% at stage 3). A lack of German language skills led to the exclusion of half the otherwise eligible PMB. At stages 1 and 3, PMB were younger (stage 1: 70.7 vs. 75.0 years, p
Databáze: OpenAIRE