HypertensionCohort study

Physician–patient sex dyads and management of dyslipidaemia and hypertension in primary care: findings from two population-based studies

Eur Heart J Qual Care Clin OutcomesPublished

  • two Swiss population-based studies
  • mixed-effects logistic models
  • age-stratified analyses (≥50, ≥60 years)

Authors' conclusion

In primary care, patterns of risk-factor management were associated with both patient and physician sex, with dyad-related differences that may reflect patient-sex patterns but differ in magnitude across regions and age groups.

Study context

Population
Primary care patients in two Swiss population-based studies (CoLaus and Bus Santé)54.9% females, mean age 63 years in CoLaus and 48 years in Bus Santé
Participants
8,635 patients
Exposure
dyslipidaemia and hypertension management across four physician-patient sex dyads

Main finding

As reported in the abstract

Prevalence of dyslipidaemia and hypertension
  • female participants had a lower prevalence of dyslipidaemia and hypertension than male participants across both study samples, irrespective of physician sex

Observational data: associations, not effects.

Further findings

Outcomeadjusted OR (95% CI)
Dyslipidaemia: lipid control (Bus Santé) · lower odds of lipid control0.52 (0.28–0.95)
Hypertension: antihypertensive treatment (CoLaus) · lower odds of antihypertensive treatment0.62 (0.42–0.92)

Dyslipidaemia: lipid-lowering therapy and LDL cholesterol control (CoLaus)

female participants had higher odds of lipid-lowering therapy, yet lower odds of low-density lipoprotein cholesterol control, regardless of physician sex

Hypertension: treatment and control (Bus Santé)

treatment and control did not differ significantly by dyad

Age-stratified analyses

Most differences were more pronounced in patients aged 60 years or older

Original publication

Physician–patient sex dyads and management of dyslipidaemia and hypertension in primary care: findings from two population-based studies. Eur Heart J Qual Care Clin Outcomes. Published 16 April 2026. doi:10.1093/ehjqcco/qcag058

Summarised from the published abstract; every number is checked against it