Author, as appears in the article.: Dalmau Llorca, Ma Rosa; Aguilar Martin, Carina; Carrasco-Querol, Noelia; Hernandez Rojas, Zojaina; Forcadell Drago, Emma; Rodriguez Cumplido, Dolores; Castro Blanco, Elisabet; Pepio Vilaubi, Josep Ma; Queiroga Goncalves, Alessandra; Fernandez-Saez, Jose
Department: Infermeria
URV's Author/s: Fernández Sáez, José
Keywords: atrial fibrillation sex-related differences socioeconomic inequalities vitamin k antagonists Administration, oral Anticoagulants Atrial fibrillation Cross-sectional studies Direct oral anticoagulants Female Humans Male Prescriptions Primary health care Sex Sex-related differences Socioeconomic factors Socioeconomic inequalities Spain Stroke Vitamin k antagonists
Abstract: Background: Evidence points to unequal access to direct oral anticoagulant (DOAC) therapy, to the detriment of the most socioeconomically disadvantaged patients in different geographic areas; however, few studies have focused on people with atrial fibrillation. This study aimed to assess gender-based and socioeconomic differences in the prescriptions of anticoagulants in people with non-valvular atrial fibrillation who attended Primary Care. Method: A cross-sectional study with real-world data from patients treated in Primary Care in Catalonia (Spain). Data were obtained from the SIDIAP database, covering 287 Primary Care centers in 2018. Results were presented as descriptive statistics and odds ratios estimated by multivariable logistic regression. Results: A total of 60,978 patients on anticoagulants for non-valvular atrial fibrillation were identified: 41,430 (68%) were taking vitamin K antagonists and 19,548 (32%), DOACs. Women had higher odds of treatment with DOAC (adjusted odds ratio [ORadj] 1.12), while lower DOAC prescription rates affected patients from Primary Care centers located in high-deprivation urban centers (ORadj 0.58) and rural areas (ORadj 0.34). Conclusions: DOAC prescription patterns differ by population. Women are more likely to receive it than men, while people living in rural areas and deprived urban areas are less likely to receive this therapy. Following clinical management guidelines could help to minimize the inequality.
Thematic Areas: Administração pública e de empresas, ciências contábeis e turismo Astronomia / física Biodiversidade Biotecnología Ciência da computação Ciências agrárias i Ciências ambientais Ciências biológicas i Ciências biológicas ii Ciências biológicas iii Educação Educação física Enfermagem Engenharias i Engenharias ii Ensino Environmental sciences Environmental studies Farmacia Geociências Geografía Health, toxicology and mutagenesis Interdisciplinar Materiais Medicina i Medicina ii Medicina iii Nutrição Odontología Pollution Psicología Public health, environmental and occupational health Public, environmental & occupational health Química Saúde coletiva Serviço social Zootecnia / recursos pesqueiros
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: jose.fernandezs@urv.cat jose.fernandezs@urv.cat
Author identifier: 0000-0002-6717-7674 0000-0002-6717-7674
Record's date: 2025-03-15
Paper version: info:eu-repo/semantics/publishedVersion
Paper original source: International Journal Of Environmental Research And Public Health. 18 (20): 10993-
APA: Dalmau Llorca, Ma Rosa; Aguilar Martin, Carina; Carrasco-Querol, Noelia; Hernandez Rojas, Zojaina; Forcadell Drago, Emma; Rodriguez Cumplido, Dolores; (2021). Gender and socioeconomic inequality in the prescription of direct oral anticoagulants in patients with non-valvular atrial fibrillation in primary care in catalonia (Fantas-TIC study). International Journal Of Environmental Research And Public Health, 18(20), 10993-. DOI: 10.3390/ijerph182010993
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Entity: Universitat Rovira i Virgili
Journal publication year: 2021
Publication Type: Journal Publications