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Gender Differences in the Diagnosis of Dyslipidemia: ESCARVAL-GENERO

Author

Listed:
  • Cristina Soriano-Maldonado

    (Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain)

  • Adriana Lopez-Pineda

    (Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain)

  • Domingo Orozco-Beltran

    (Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain)

  • Jose A. Quesada

    (Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain)

  • Jose L. Alfonso-Sanchez

    (Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, 46010 Valencia, Spain
    Preventive Medicine Service, General University Hospital Consortium, 46014 Valencia, Spain)

  • Vicente Pallarés-Carratalá

    (Health Surveillance Unit, Castellon Mutual Insurance Union, 12004 Castellon, Spain
    Department of Medicine, Jaume I University, 12071 Castellon, Spain)

  • Jorge Navarro-Perez

    (Biomedical Research Institute INCLIVA, Hospital Clinico Universitario de Valencia, University of Valencia, 46010 Valencia, Spain
    Ciber of Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, 28029 Madrid, Spain)

  • Vicente F. Gil-Guillen

    (Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain)

  • Jose M. Martin-Moreno

    (Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, 46010 Valencia, Spain
    Biomedical Research Institute INCLIVA, Hospital Clinico Universitario de Valencia, University of Valencia, 46010 Valencia, Spain)

  • Concepción Carratala-Munuera

    (Clinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Spain)

Abstract

Evidence shows that objectives for detecting and controlling dyslipidemia are not being effectively met, and outcomes differ between men and women. This study aimed to assess gender-related differences in diagnostic inertia around dyslipidemia. This ambispective, epidemiological, cohort registry study included adults who presented to public primary health care centers in a Spanish region from 2008 to 2012, with dyslipidemia and without cardiovascular disease. Diagnostic inertia was defined as the registry of abnormal diagnostic parameters—but no diagnosis—on the person’s health record in a window of six months from inclusion. A total of 58,970 patients were included (53.7% women) with a mean age of 58.4 years in women and 57.9 years in men. The 6358 (20.1%) women and 4312 (15.8%) men presenting diagnostic inertia had a similar profile, although in women the magnitude of the association with younger age was larger. Hypertension showed a larger association with diagnostic inertia in women than in men (prevalence ratio 1.81 vs. 1.56). The overall prevalence of diagnostic inertia in dyslipidemia is high, especially in women. Both men and women have a higher risk of cardiovascular morbidity and mortality.

Suggested Citation

  • Cristina Soriano-Maldonado & Adriana Lopez-Pineda & Domingo Orozco-Beltran & Jose A. Quesada & Jose L. Alfonso-Sanchez & Vicente Pallarés-Carratalá & Jorge Navarro-Perez & Vicente F. Gil-Guillen & Jos, 2021. "Gender Differences in the Diagnosis of Dyslipidemia: ESCARVAL-GENERO," IJERPH, MDPI, vol. 18(23), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12419-:d:688090
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    References listed on IDEAS

    as
    1. Concepción Carratala-Munuera & Adriana Lopez-Pineda & Domingo Orozco-Beltran & Jose A. Quesada & Jose L. Alfonso-Sanchez & Vicente Pallarés-Carratalá & Cristina Soriano-Maldonado & Jorge Navarro-Perez, 2021. "Gender Inequalities in Diagnostic Inertia around the Three Most Prevalent Cardiovascular Risk Studies: Protocol for a Population-Based Cohort Study," IJERPH, MDPI, vol. 18(8), pages 1-7, April.
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    Cited by:

    1. Chengcheng Liu & Yao Li & Jing Li & Chenggang Jin & Deping Zhong, 2022. "The Effect of Psychological Burden on Dyslipidemia Moderated by Greenness: A Nationwide Study from China," IJERPH, MDPI, vol. 19(21), pages 1-16, November.
    2. Vicente Pallarés-Carratalá & Vivencio Barrios & David Fierro-González & Jose Polo-García & Sergio Cinza-Sanjurjo, 2023. "Cardiovascular Risk in Patients with Dyslipidemia and Their Degree of Control as Perceived by Primary Care Physicians in a Survey—TERESA-Opinion Study," IJERPH, MDPI, vol. 20(3), pages 1-11, January.

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