UK and Ireland Audit Reveals Gender Disparity in Advanced Heart Failure Referrals
By
Becky McCall, MSc, MScPh, PhD
Summary
A national audit of advanced heart failure referrals across the UK and Ireland reveals significant gender disparity, with women accounting for only one-third of referrals despite similar disease burden between sexes. The audit also found substantial regional variation in referral rates, with some areas reporting zero referrals. This underreferral may limit women's access to life-prolonging therapies such as heart transplantation and LVADs, highlighting clinician bias and poor recognition of advanced heart failure in female patients.
Source
Key quotes
· 3 pulledWomen accounted for just one third of referrals, despite data suggesting that advanced heart failure affects men and women at similar rates.
Poor recognition of advanced heart failure by clinicians, together with low referral rates for women, may be limiting access to potentially life-prolonging therapies such as heart transplantation and left ventricular assist devices (LVADs).
The audit also found substantial regional variation in referral rates, ranging from zero to 30 referrals.
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