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Access to cardiac catheterisation Influenced by deprivation, not sex

BMJ 1994; 308 doi: (Published 05 February 1994) Cite this as: BMJ 1994;308:410
  1. N Findlay,
  2. D Cunningham,
  3. H J Dargie

    EDITOR, - F Kee and colleagues have added to the continuing controversy regarding fair access to cardiological services.1 They found that the rate of cardiac catheterisation was significantly lower in women than men and noted no influence of social background. This is in contrast to our findings.2 We have updated our results and continue to find a strong influence of social deprivation on the uptake of both cardiac catheterisation and coronary bypass surgery, particularly in women (submitted for publication), but no significant sex bias in cardiac catheterisation based on patients discharged from hospital with coronary heart disease.

    The following may explain the differing findings. We restricted our analysis to patients aged 35-64 since we thought …

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