Education level and the use of coronary computed tomography, functional testing, coronary angiography, revascularization, and outcomes—a 10-year Danish, nationwide, registry-based follow-up study
Authors' conclusion
Despite tax-financed healthcare in Denmark, individuals of lowest education level were less likely to undergo CCTA and functional testing than persons of higher education level.
Study context
- Population
- All Danish residents aged 50–80 without coronary artery disease (CAD), 2008–201850,234 examined with coronary computed tomography angiography (CCTA)
- Participants
- 1,469,724 residents
- Exposure
- Education level
- Outcome
- CCTA, functional testing, invasive coronary angiography, revascularization and MACCE
Methodological detailsregister-based
- Register-based
Main finding
As reported in the abstract
Use of CCTA (absolute risk), by age band ≥50-59 / ≥60-69 / ≥70-80
Age ≥50-59
Age ≥60-69
Age ≥70-80
Observational data: associations, not effects.
Further findings
Functional testing
- Similar differences (less often with lowest education level)
Invasive coronary angiography (ICA), revascularization, major adverse cardiovascular and cerebrovascular events (MACCE)
- More common among lowest education level
Among CCTA-examined patients (n = 50 234)
- Lowest education level less often underwent functional testing and more likely initiated preventive medication, underwent ICA, revascularization and experienced MACCE
Original publication
Education level and the use of coronary computed tomography, functional testing, coronary angiography, revascularization, and outcomes—a 10-year Danish, nationwide, registry-based follow-up study. Eur Heart J Qual Care Clin Outcomes. Published 22 September 2023. doi:10.
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