Sex bias in diagnostic delay in bronchiectasis

Diagnostic delay is common in most respiratory diseases, particularly in bronchiectasis. However, sex bias in diagnostic delay has not been studied to date. Objective: Assessment of diagnostic delay in bronchiectasis by sex. Methods: The Spanish Historical Registry of Bronchiectasis recruited adults...

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Detalles Bibliográficos
Autores: Girón, Rosa Ma, De Gracia, Javier|||0000-0003-2830-1991, Olveira, Casilda|||0000-0002-6912-7400, Vendrell, Montserrat|||0000-0002-6879-5757, Martínez García, Miguel Ángel|||0000-0002-7321-1891, de la Rosa Carrillo, David|||0000-0003-0753-1771, Máiz, Luis, Ancochea, Julio|||0000-0001-7451-4133, Vázquez, Liliana, Borderías, Luis|||0000-0003-3296-9644, Polverino, Eva|||0000-0002-4058-5109, Martínez-Moragón, Eva|||0000-0001-8986-9463, Rajas, Olga, Soriano, Joan B.|||0000-0001-9740-2994
Tipo de recurso: artículo
Fecha de publicación:2017
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:186203
Acceso en línea:https://ddd.uab.cat/record/186203
https://dx.doi.org/urn:doi:10.1177/1479972317702139
Access Level:acceso abierto
Palabra clave:Bronchiectasis
Diagnostic delay
Gender bias
Gender gap
Sex bias
Descripción
Sumario:Diagnostic delay is common in most respiratory diseases, particularly in bronchiectasis. However, sex bias in diagnostic delay has not been studied to date. Objective: Assessment of diagnostic delay in bronchiectasis by sex. Methods: The Spanish Historical Registry of Bronchiectasis recruited adults diagnosed with bronchiectasis from 2002 to 2011 in 36 centres in Spain. From a total of 2113 patients registered we studied 2099, of whom 1125 (53.6%) were women. Results: No differences were found for sex or age (61.0 ± 20.6, p = 0.88) or for localization of bronchiectasis (p = 0.31). Bronchiectasis of unknown aetiology and secondary to asthma, childhood infections and tuberculosis was more common in women (all p s < 0.05). More men than women were chronic obstructive pulmonary disease-related bronchiectasis and colonized by Haemophilus influenzae (p < 0.001 for both). Onset of symptoms was earlier in women. The diagnostic delay for women with bronchiectasis was 2.1 years more than for men (p = 0.001). Discussion: We recorded a substantial delay in the diagnosis of bronchiectasis. This delay was significantly longer in women than in men (.

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