Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Deprived people less likely to get treatment to prevent heart disease

26.10.2005


People living in deprived areas or working in manual occupations are less likely to receive cholesterol and blood pressure-lowering treatment than more affluent people, according to a paper published today [28 October] in the November issue of the British Journal of General Practice.



This is because the method used to assess an individual’s risk of getting heart disease underestimates the true level of coronary heart disease risk associated with elevated risk factor levels in these groups.

Dr Peter Brindle, a researcher at the University of Bristol and a Bristol GP, said of the study: “Our results suggest that 4,196 people in the study, mainly from manual social classes, might have received preventative treatment, had the scoring method been properly calibrated for this high risk population. In fact, only 585 were eligible for treatment, leaving 3,611 people untreated.”


The study was led by Dr Brindle in collaboration with colleagues from Glasgow University, led by Professor Graham Watt.

The recommended way of preventing heart disease involves using the ‘Framingham’ risk score to identify high-risk patients. Patients above an agreed threshold are prescribed preventive treatments. However, the relevance of the Framingham score to the British population is uncertain, partly because the US data, on which it is based, are over 20 years old, and partly because the original study did not include areas with high levels of socio-economic deprivation, and the elevated risks associated with these groups.

The study involved 12,304 men and women from Renfrew and Paisley in Scotland (The MIDSPAN Study), who were free from cardiovascular disease. During the next 10 years, 696 died from cardiovascular disease, when only 406 deaths were predicted by the Framingham score.

While cardiovascular disease mortality was underestimated across the study population as a whole, for people in manual occupations the risk was underestimated by 48%, compared to 31% for people in non-manual work. The same effect was observed when comparing people living in affluent and deprived areas.

The conclusion from the study is that recommended risk scoring methods underestimate risk in socio-economically deprived individuals and that national screening could be contributing to health inequalities. The likely consequence is that preventive treatments are less available to the most needy.

Professor Watt commented: “Two very practical implications arise from this study. First, will nationally agreed clinical guidelines be adjusted to take account of the higher risks in people living in deprived areas? Second, if this is done, and the number of patients requiring preventive treatment is substantially increased, will general practices get the extra resources needed to treat, monitor and review these extra patients, ensuring they get the benefit of life-saving treatments?”

Cherry Lewis | alfa
Further information:
http://www.rcgp.org.uk/webmaster/ebjgp/journallogin.asp?OrigURL=/journal/index.asp
http://www.bristol.ac.uk

More articles from Studies and Analyses:

nachricht Drone vs. truck deliveries: Which create less carbon pollution?
31.05.2017 | University of Washington

nachricht New study: How does Europe become a leading player for software and IT services?
03.04.2017 | Fraunhofer-Institut für System- und Innovationsforschung (ISI)

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Climate satellite: Tracking methane with robust laser technology

Heatwaves in the Arctic, longer periods of vegetation in Europe, severe floods in West Africa – starting in 2021, scientists want to explore the emissions of the greenhouse gas methane with the German-French satellite MERLIN. This is made possible by a new robust laser system of the Fraunhofer Institute for Laser Technology ILT in Aachen, which achieves unprecedented measurement accuracy.

Methane is primarily the result of the decomposition of organic matter. The gas has a 25 times greater warming potential than carbon dioxide, but is not as...

Im Focus: How protons move through a fuel cell

Hydrogen is regarded as the energy source of the future: It is produced with solar power and can be used to generate heat and electricity in fuel cells. Empa researchers have now succeeded in decoding the movement of hydrogen ions in crystals – a key step towards more efficient energy conversion in the hydrogen industry of tomorrow.

As charge carriers, electrons and ions play the leading role in electrochemical energy storage devices and converters such as batteries and fuel cells. Proton...

Im Focus: A unique data centre for cosmological simulations

Scientists from the Excellence Cluster Universe at the Ludwig-Maximilians-Universität Munich have establised "Cosmowebportal", a unique data centre for cosmological simulations located at the Leibniz Supercomputing Centre (LRZ) of the Bavarian Academy of Sciences. The complete results of a series of large hydrodynamical cosmological simulations are available, with data volumes typically exceeding several hundred terabytes. Scientists worldwide can interactively explore these complex simulations via a web interface and directly access the results.

With current telescopes, scientists can observe our Universe’s galaxies and galaxy clusters and their distribution along an invisible cosmic web. From the...

Im Focus: Scientists develop molecular thermometer for contactless measurement using infrared light

Temperature measurements possible even on the smallest scale / Molecular ruby for use in material sciences, biology, and medicine

Chemists at Johannes Gutenberg University Mainz (JGU) in cooperation with researchers of the German Federal Institute for Materials Research and Testing (BAM)...

Im Focus: Optoelectronic Inline Measurement – Accurate to the Nanometer

Germany counts high-precision manufacturing processes among its advantages as a location. It’s not just the aerospace and automotive industries that require almost waste-free, high-precision manufacturing to provide an efficient way of testing the shape and orientation tolerances of products. Since current inline measurement technology not yet provides the required accuracy, the Fraunhofer Institute for Laser Technology ILT is collaborating with four renowned industry partners in the INSPIRE project to develop inline sensors with a new accuracy class. Funded by the German Federal Ministry of Education and Research (BMBF), the project is scheduled to run until the end of 2019.

New Manufacturing Technologies for New Products

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Plants are networkers

19.06.2017 | Event News

Digital Survival Training for Executives

13.06.2017 | Event News

Global Learning Council Summit 2017

13.06.2017 | Event News

 
Latest News

A new technique isolates neuronal activity during memory consolidation

22.06.2017 | Life Sciences

Plant inspiration could lead to flexible electronics

22.06.2017 | Materials Sciences

A rhodium-based catalyst for making organosilicon using less precious metal

22.06.2017 | Materials Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>