Analyzing cardiovascular treatment guidelines application to women and minority populations:

SAGE Open Medicine

GarthGraham¹ 

关键词: Adherence;    cardiovascular disease disparities;    patient perceptions;    racial/ethnic minorities;    treatment guidelines;   

DOI  :  10.1177/2050312117721520

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Despite nearly 30 years of treatment guidelines for cardiovascular diseases and risk factors and a parallel growth in the understanding of cardiovascular disease disparities by sex and race/ethnicity, such disparities persist. The goals of this review are to consider the possible role of three factors: the one-size-fits-all approach of most treatment guidelines, adoption of guideline-recommended treatments in clinical practice, and patient adherence to recommended practice, especially the relationship between adherence and patient perceptions. Guideline authors repeatedly call for more inclusion of women and minorities in the clinical trials that make guidelines possible, but despite challenges, guidelines are largely effective when implemented, as shown by a wealth of post hoc analyses. However, the data also suggest that one-size-fits-all treatment guidelines are not sufficiently generalizable and there is evidence of a distinct lag time between definitive clinical evidence and its widespread implementa...

【 授权许可】

CC BY