MinervaBMJ 2007; 334 doi: http://dx.doi.org/10.1136/bmj.39233.459699.BD1 (Published 07 June 2007) Cite this as: BMJ 2007;334:1228
Are men and women treated differently in US managed care plans? Apparently so, according to a study of the management of cardiovascular disease and diabetes in Women's Health Issues (2007 Apr 16 doi: 10.1016/j.whi.2007.03.001). Data from 10 commercial and nine Medicare plans show significant differences—for five of 11 measures with Medicare, with four favouring men, and for eight of 11 measures with commercial plans, with six favouring men. The largest disparity was in the control of low density lipoprotein cholesterol in people with diabetes, with women 19% less likely to achieve control in the Medicare group and 16% less likely in the commercial group.
Rashes are quite often reported among patients taking antiepileptic drugs. A study in Neurology claims that the average rate of rash associated with antiepileptic drugs is 2.8% (2007;68:1701-9 doi: 10.1212/01.wnl.0000261917.83337.db). In a multivariate analysis, the only non-drug predictor that was significant was the occurrence of another rash associated with the drugs (odds ratio 3.1, 95% confidence interval 1.8 to 5.1, P<0.0001). The rate in this group was 8.8% compared with 1.7% in patients without another such rash. …
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