000 02373nam a22002897a 4500
008 171212s20152015 xxu||||| |||| 00| 0 eng d
022 _a1687-8337
040 _aOvid MEDLINE(R)
099 _a25873955
245 _aSex, Prescribing Practices and Guideline Recommended, Blood Pressure, and LDL Cholesterol Targets at Baseline in the BARI 2D Trial.
251 _aInternational Journal of Endocrinology Print. 2015:610239, 2015
252 _aInt. J. Endocrinol.. 2015:610239, 2015
253 _aInternational journal of endocrinology
260 _c2015
260 _fFY2016
266 _d2017-12-12
520 _aBackground. Research has shown less aggressive treatment and poorer control of cardiovascular disease (CVD) risk factors in women than men. Methods. We analyzed sex differences in pharmacotherapy strategies and attainment of goals for hemoglobin A1c (HbA1c), blood pressure (BP), and low density lipoprotein cholesterol (LDL-C) in patients with type 2 diabetes and established coronary artery disease enrolled into the BARI 2D trial. Results. Similar numbers of drugs were prescribed in both women and men. Women were less frequent on metformin or sulfonylurea and more likely to take insulin and to be on higher doses of hydroxymethylglutaryl-CoA reductase inhibitors (statins) than men. After adjusting for baseline differences and treatment prescribed, women were less likely to achieve goals for HbA1c (OR = 0.71, 95% CI 0.57, 0.88) and LDL-C (OR = 0.64, 95% CI 0.53, 0.78). More antihypertensives were prescribed to women, and yet BP <= 130/80mmHg did not differ by sex. Conclusions. Women entering the BARI 2D trial were as aggressively treated with drugs as men. Despite equivalent treatment, women less frequently met targets for HbA1c and LDL-C. Our findings suggest that there may be sex differences in response to drug therapies used to treat diabetes, hypertension, and hyperlipidemia.
546 _aEnglish
650 _aPubMed-not-MEDLINE -- Not indexed
651 _aMedStar Washington Hospital Center
656 _aMedicine/Endocrinology
657 _aJournal Article
700 _aMagee, Michelle
790 _aBittner VA, Brooks MM, Jacobs AK, Lopes N, Lu J, Magee MF, Study Group B2, Tamis-Holland JE
856 _uhttps://dx.doi.org/10.1155/2015/610239
_zhttps://dx.doi.org/10.1155/2015/610239
942 _cART
_dArticle
999 _c2885
_d2885