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June 1, 2011Internal Medicine Journal

Management of heart conditions in older rural and urban Australian women

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Key result

Older women with heart conditions from regional or remote Australian areas had greater odds of never having seen a cardiologist compared to those from major cities (OR 3.88; 95% CI 1.72-8.72).

Why the study?

Does regional/remote residence affect the management of heart conditions in older Australian women compared to urban residence?

Population

944 older urban and rural Australian women aged 77-83 years with self-reported ischaemic heart disease…

Comparison

Regional/remote area of residence vs Major city area of residence

Design

Cross-sectional

Authors

SJSusan J. JordanThe University of QueenslandAWAndrew WilsonUniversity of Technology SydneyADAmy Shields DobsonThe University of Queensland

Discussion

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Implication

Rural residence may limit cardiologist access for older women with heart disease; hypothesis-generating for equity interventions.

Study Design

Type

Cross-Sectional (n=944)

Multicenter

Yes

Structured PICO

Does regional/remote residence affect the management of heart conditions in older Australian women compared to urban residence?

P
Population
944 Australian women aged 77-83 years with self-reported ischaemic heart disease, heart failure, or atrial fibrillation.
E
Exposure
Regional/remote area of residence
C
Comparator
Major city area of residence
O
Outcome
Management of heart conditions (use of echocardiogram, medications, and cardiologist visits)

Main Result

Odds Ratio: 3.88 (95% CI 1.72–8.72)

Older Australian women with heart conditions receive suboptimal guideline-directed management, with rural women experiencing significantly less access to cardiologists and echocardiography than urban women.

Cite This Study

Jordan et al. (2011) conducted a cross-sectional in Ischaemic heart disease, heart failure or atrial fibrillation (n=944). Regional/remote area of residence vs. Major cities was evaluated on Never having seen a cardiologist (OR 3.88, 95% CI 1.72-8.72). Older women with heart conditions from regional or remote Australian areas had greater odds of never having seen a cardiologist compared to those from major cities (OR 3.88; 95% CI 1.72-8.72).

synapsesocial.com/papers/6a8ac837de5ec4e001e3a1d3https://doi.org/10.1111/j.1445-5994.2011.02536.x

Topics

EchocardiographyWomen and heart disease
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