Articles producció científica> Infermeria

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)

  • Identification data

    Identifier: imarina:9230403
    Authors:
    Dalmau Llorca, Ma RosaAguilar Martin, CarinaCarrasco-Querol, NoeliaHernandez Rojas, ZojainaForcadell Drago, EmmaRodriguez Cumplido, DoloresCastro Blanco, ElisabetPepio Vilaubi, Josep MaQueiroga Goncalves, AlessandraFernandez-Saez, Jose
    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.
  • Others:

    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
  • Keywords:

    Environmental Sciences,Health, Toxicology and Mutagenesis,Pollution,Public Health, Environmental and Occupational Health,Public, Environmental & Occupational Health
    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
    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
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