Systematic Review of Gender Based Studies of Diagnosis and Treatment of Cardiovascular Disease in Last 20 Years

Panahiazar, Maryam; Alizadehsani, Roohallah; Bishara, Andrew; Chern, Yorick; Hadley, Dexter; Baygui, Ramin E

doi:10.32474/acr.2019.02.000143

Cited by 3 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Gender-based variations in the pathophysiology, symptomatology, presentation, efficacy of diagnostic tests, and response to pharmacological interventions exist. Our systematic review of gender-based studies of diagnosis and treatment of CVD in the last 20 years shows discrepancies in outcomes of CAD between men and women ( 7 , 9 – 15 ). Studies suggest that knowledge and awareness of bias reduce discrimination and therefore our publication will aid in decreasing physician bias.…”

Section: Introductionmentioning

confidence: 94%

Gender-based time discrepancy in diagnosis of coronary artery disease based on data analytics of electronic medical records

Panahiazar

Bishara

Chern

et al. 2022

Front. Cardiovasc. Med.

Self Cite

View full text Add to dashboard Cite

BackgroundWomen continue to have worse Coronary Artery Disease (CAD) outcomes than men. The causes of this discrepancy have yet to be fully elucidated. The main objective of this study is to detect gender discrepancies in the diagnosis and treatment of CAD.MethodsWe used data analytics to risk stratify ~32,000 patients with CAD of the total 960,129 patients treated at the UCSF Medical Center over an 8 year period. We implemented a multidimensional data analytics framework to trace patients from admission through treatment to create a path of events. Events are any medications or noninvasive and invasive procedures. The time between events for a similar set of paths was calculated. Then, the average waiting time for each step of the treatment was calculated. Finally, we applied statistical analysis to determine differences in time between diagnosis and treatment steps for men and women.ResultsThere is a significant time difference from the first time of admission to diagnostic Cardiac Catheterization between genders (p-value = 0.000119), while the time difference from diagnostic Cardiac Catheterization to CABG is not statistically significant.ConclusionWomen had a significantly longer interval between their first physician encounter indicative of CAD and their first diagnostic cardiac catheterization compared to men. Avoiding this delay in diagnosis may provide more timely treatment and a better outcome for patients at risk. Finally, we conclude by discussing the impact of the study on improving patient care with early detection and managing individual patients at risk of rapid progression of CAD.

show abstract

Section: Introductionmentioning

confidence: 94%

Gender-based time discrepancy in diagnosis of coronary artery disease based on data analytics of electronic medical records

Panahiazar

Bishara

Chern

et al. 2022

Front. Cardiovasc. Med.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Underlying risk factors for cardiovascular disease (CVD) in general have different physiological effects on the two genders. Our systematic review of gender-based studies of diagnosis and treatments of CAD over the last 20 years [ 3 ] demonstrated multiple significant studies exist in targeting gender-based discrepancies. The complete causes of these discrepancies and the effect age hold treatment delay in age groups have yet to be fully elucidated and require further analysis to design interventions and structures to combat bias.…”

Section: Introductionmentioning

confidence: 99%

Data Analytics of Electronic Health Records to Enhance Care of Coronary Artery Disease in Younger Women with Avoiding Possible Delay in Treatment

Panahiazar

Bishara

Chern

et al. 2022

MEDINFO 2021: One World, One Health – Global Partnership for Digital Innovation

Self Cite

View full text Add to dashboard Cite

Early detection plays a key role to enhance the outcome for Coronary Artery Disease. We utilized a big data analytics platform on ∼32,000 patients to trace patients from the first encounter to CAD treatment. There are significant gender-based differences in patients younger than 60 from the time of the first encounter to Coronary Artery Bypass Grafting with a p-value=0.03. This recognition makes significant changes in outcome by avoiding delay in treatment.

show abstract

How big data analytics is changing the face of precision medicine in women’s health

Panahiazar

Karimzadehgan

Alizadehsani

et al. 2021

Big Data in Psychiatry #X0026; Neurology

View full text Add to dashboard Cite

Systematic Review of Gender Based Studies of Diagnosis and Treatment of Cardiovascular Disease in Last 20 Years

Abstract: In a study conducted by Kwok Leung Ong et al. [6], they suggested that sex hormones could be responsible for gender differences in coordination with blood pressure. Even though there

Cited by 3 publications

References 10 publications

Gender-based time discrepancy in diagnosis of coronary artery disease based on data analytics of electronic medical records

Gender-based time discrepancy in diagnosis of coronary artery disease based on data analytics of electronic medical records

Data Analytics of Electronic Health Records to Enhance Care of Coronary Artery Disease in Younger Women with Avoiding Possible Delay in Treatment

How big data analytics is changing the face of precision medicine in women’s health

Contact Info

Product

Resources

About