國家衛生研究院 NHRI:Item 3990099045/13428
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/13428


    Title: Associations of physician characteristics with sex difference in ischemic heart disease incidence among patients living with type 2 diabetes in Taiwan
    Authors: Lee, YH;Chang, YH;Ku, LJE;Wu, JS;Isfandiari, MA;Chou, LP;Li, CY
    Contributors: National Institute of Cancer Research
    Abstract: (1) Background: Certain non-biological factors are suspected to explain the reduced sex difference in cardiovascular risk after diabetes. This study aimed to assess whether physician characteristics may account for such reduced sex difference. (2) Methods: Totally 10,105 type 2 diabetes patients (including 4962 men and 5143 women) were selected from Taiwan’s National Health Insurance claim data. The three-year period following the first day of clinical visit for type 2 diabetes in 2000 was set as the baseline period. The follow-up was made from the first day after baseline period to date of ischemic heart disease (IHD) incidence or censoring. Cox regression model was used to estimate hazard ratios (HRs) of IHD in relation to physician’s characteristics. (3) Results: The incidence of IHD for men and women was estimated at 17.47 and 15.96 per 1000 person-years, respectively. After controlling for socio-demographic variables and co-morbidity, male patients experienced a significantly higher HR than females for IHD (1.16, 95% Confidence Interval (CI) 1.04 to 1.29). Further adjustment for treatment adherence/continuity and physician characteristics resulted in essentially the same results. (4) Conclusions: Our study provides little support for the notation that physician characteristics may contribute to the reduced sex difference in IHD incidence in patients with type 2 diabetes.
    Date: 2021-04-08
    Relation: Healthcare. 2021 Apr 8;9(4):Article number 440.
    Link to: http://dx.doi.org/10.3390/healthcare9040440
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=2227-9032&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000643093200001
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85104590222
    Appears in Collections:[Others] Periodical Articles

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