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Table 3 Adjusted odds ratios comparing adherence to care guidelines for female versus male patients

From: Quality of cardiovascular disease care in Ontario’s primary care practices: a cross sectional study examining differences in guideline adherence by patient sex

Care indicator

OR

95% CI

P-value

All (n = 4931)

Lipid profile not taken

1.17

[1.03-1.33]

0.01*

Waist circumference not measured

1.17

[0.93-1.47]

0.17

Dietician/weight loss program - no referral

0.87

[0.76-0.98]

0.04*

Smoking status not recorded

1.08

[0.84-1.39]

0.54

2 Blood pressure measures not taken

0.83

[0.71-0.96]

0.01*

Coronary Artery Disease (n = 1502)

Fasting blood glucose not taken

1.08

[0.82-1.42]

0.56

No medication prescribed (ACE, Angiotensin receptor blocker, beta blocker)

1.07

[0.74-1.55]

0.72

ASA not prescribed

1.13

[0.86-1.49]

0.37

Peripheral Vascular Disease (n = 311)

Fasting blood glucose not checked

1.00

[0.88-1.14]

0.98

ACE inhibitor and/or Angiotensin receptor blocker not prescribed

1.74

[1.25-2.41]

<0.01**

Lipid lowering medication not prescribed

1.95

[1.46-2.62]

<0.01**

ASA not prescribed

1.59

[1.43-1.78]

<0.01**

Stroke (n = 627)

Fasting blood glucose not checked

1.00

[0.88-1.14]

0.98

ASA not prescribed

1.56

[1.39-1.75]

<0.01**

If stroke within past year (n = 69)

Echo cardiogram not recommended

0.74

[0.29-1.91]

0.53

Carotid Doppler not recommended

0.56

[0.82-2.31]

0.42

CT head scan not recommended

1.39

[0.37-5.23]

0.63

EKG not recommended

0.59

[0.16-2.12]

0.42

Diabetes (n = 2343)

Two HbA1c tests not recommended

0.93

[0.81-1.07]

0.33

Glycemic control medication not prescribed

0.84

[0.74-0.96]

<0.01**

ACR test not recommended

0.93

[0.82-1.05]

0.22

eGFR test not recommended

1.00

[0.90-1.12]

0.96

Chronic Kidney Disease (n = 923)

ACR test not recommended

0.93

[0.82-1.04]

0.20

Dyslipidemia (n = 4207)

Lipid profile not taken

1.09

[0.94-1.27]

0.23

Lipid lowering medication not prescribed

1.54

[1.20-1.97]

<0.01**

Hypertension (n = 3857)

2 Blood pressure measured not taken

0.79

[0.66-0.94]

0.01*

Anti-Hypertensive medication not prescribed

1.09

[0.86-1.38]

0.48

Smoking (n = 1076)

Smoking cessation counselling - no referral

0.94

[0.74-1.20]

0.63

Smoking cessation program - no referral

0.94

[0.61-1.47]

0.80

Smoking cessation drug - not prescribed

0.94

[0.72-1.23]

0.68

  1. Adjusted for patient age, practice fee structure and rurality.
  2. *Significant at p = 0.05 level, **p = 0.01 level.