Ethnic and Regional Differences in the Management of Angina: The Way Forward

For decades, there has been great interest in ethnic differences in the management of angina and stable cardiovascular disease. Clinical decision-making is known to be both consciously and unconsciously influenced by a patient’s demographics, and this is due to in part to differences in clinical gui...

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Main Authors: Jack C Barton, Juan Carlos Kaski
Format: Article
Language:English
Published: Radcliffe Medical Media 2022-03-01
Series:European Cardiology Review
Online Access:https://www.ecrjournal.com/articleindex/ecr.2021.60
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author Jack C Barton
Juan Carlos Kaski
author_facet Jack C Barton
Juan Carlos Kaski
author_sort Jack C Barton
collection DOAJ
description For decades, there has been great interest in ethnic differences in the management of angina and stable cardiovascular disease. Clinical decision-making is known to be both consciously and unconsciously influenced by a patient’s demographics, and this is due to in part to differences in clinical guidance and opinion. However, the evidence supporting such decision-making is sparse. Nonetheless, there is overwhelming evidence that international, national, regional, institutional, departmental and individual bias disproportionately affect subgroups of the population, resulting in adverse patient outcomes. While without doubt there will be rapid advancements in individualised therapies over the coming years and decades, the most beneficial immediate action clinicians can take is to reduce disparities in both the evidence base and care provision. Doing so will require great collaborative effort.
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spelling doaj.art-477d4ff0292e44fa9865700e6a351a572024-04-20T16:02:45ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642022-03-011710.15420/ecr.2021.60Ethnic and Regional Differences in the Management of Angina: The Way ForwardJack C Barton0Juan Carlos Kaski1Critical Care and Perioperative Medicine Research Group, Royal London Hospital, London, UKMolecular and Clinical Sciences Research Institute, St George’s University of London, London, UKFor decades, there has been great interest in ethnic differences in the management of angina and stable cardiovascular disease. Clinical decision-making is known to be both consciously and unconsciously influenced by a patient’s demographics, and this is due to in part to differences in clinical guidance and opinion. However, the evidence supporting such decision-making is sparse. Nonetheless, there is overwhelming evidence that international, national, regional, institutional, departmental and individual bias disproportionately affect subgroups of the population, resulting in adverse patient outcomes. While without doubt there will be rapid advancements in individualised therapies over the coming years and decades, the most beneficial immediate action clinicians can take is to reduce disparities in both the evidence base and care provision. Doing so will require great collaborative effort.https://www.ecrjournal.com/articleindex/ecr.2021.60
spellingShingle Jack C Barton
Juan Carlos Kaski
Ethnic and Regional Differences in the Management of Angina: The Way Forward
European Cardiology Review
title Ethnic and Regional Differences in the Management of Angina: The Way Forward
title_full Ethnic and Regional Differences in the Management of Angina: The Way Forward
title_fullStr Ethnic and Regional Differences in the Management of Angina: The Way Forward
title_full_unstemmed Ethnic and Regional Differences in the Management of Angina: The Way Forward
title_short Ethnic and Regional Differences in the Management of Angina: The Way Forward
title_sort ethnic and regional differences in the management of angina the way forward
url https://www.ecrjournal.com/articleindex/ecr.2021.60
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