Physician–patient sex dyads and management of dyslipidaemia and hypertension in primary care: findings from two population-based studies
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
- Outcome
- Prevalence of dyslipidaemia and hypertension
Methodological detailsmixed-effects logistic models, age-stratified analyses (≥50, ≥60 years)
- Mixed-effects logistic models
- Age-stratified analyses (≥50, ≥60 years)
Main finding
As reported in the abstract
- 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
| Outcome | Adjusted OR (95% CI) | |
|---|---|---|
| Dyslipidaemia: lipid control (Bus Santé)Male physician-female patientvs male physician-male patientLower odds of lipid control | 0.52 (0.28–0.95) | |
| Hypertension: antihypertensive treatment (CoLaus)Female physician-female patientvs male physician-male patientLower odds of antihypertensive treatment | 0.62 (0.42–0.92) | |
| 0.20.5125Adjusted odds ratio (log scale) |
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.
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