[ { "phenotype_id": "PH479", "phenotype_version_id": 958, "name": "Angina", "definition": "This was a cross-sectional observational analysis of nationally representative primary and secondary care data from the United Kingdom. Data on treatments for all myocardial infarction patients in 2003 and 2007 were derived from the Myocardial Ischemia National Audit Project (n=51 755). Data on treatments for patients with chronic angina (n=33 211) or requiring secondary prevention (n=32 976) in 1999 and 2007 were extracted from the General Practice Research Database. Socioeconomic circumstances were defined using a weighted composite of 7 area-level deprivation domains. Treatment estimates were age-standardized. Use of all therapies increased in all patient groups, both men and women. Improvements were most marked in primary care, where use of β-blockers, statins, and angiotensinconverting enzyme inhibitors or angiotensin receptor blockers for secondary prevention and treatment of angina doubled, from ≈30% to >60%. Small age gradients persisted for some therapies. No consistent socioeconomic gradients or sex differences were observed for myocardial infarction and postrevascularization (hard diagnoses). However, some sex inequality was apparent in the treatment of younger women with angina.\n\n\n\n\n\n\n\n\n", "implementation": "", "publications": [ { "doi": null, "details": "Nathaniel M Hawkins, Shaun Scholes, Madhavi Bajekal, Hande Love, Martin O'Flaherty, Rosalind Raine, Simon Capewell, The UK National Health Service Delivering Equitable Treatment Across the Spectrum of Coronary Disease. Circulation Cardiovascular Quality and Outcomes, 6:2, 2013." } ], "validation": "", "citation_requirements": "", "created": "2021-10-06T16:21:15.829187Z", "author": "Nathaniel M Hawkins, Shaun Scholes, Madhavi Bajekal, Hande Love, Martin O'Flaherty, Rosalind Raine, Simon Capewell", "collections": [ { "name": "ClinicalCodes Repository", "value": 25 }, { "name": "Phenotype Library", "value": 18 } ], "tags": null, "organisation": null, "world_access": 1, "updated": "2021-10-06T16:21:15.829216Z", "sex": [ { "name": "Both", "value": "3" } ], "type": [ { "name": "Disease or syndrome", "value": "2" } ], "ontology": null, "phenoflowid": "", "data_sources": [ { "name": "CPRD GOLD", "value": 5, "uid": "a29feafa-7bdd-44e9-b977-c9d26425e67f", "url": "https://healthdatagateway.org/en/dataset/694", "datasource_id": 694 } ], "coding_system": [ { "name": "Read codes v2", "value": 5 }, { "name": "OXMIS codes", "value": 15 } ], "event_date_range": "1999 and 2007", "concept_information": [ { "concept_id": 1838, "concept_version_id": 4814, "concept_name": "Angina - Primary Care", "coding_system": { "id": 5, "name": "Read codes v2", "description": "Read codes v2" }, "phenotype_id": "PH479", "phenotype_version_id": 958, "phenotype_name": "Angina", "code_attribute_header": [ "Entity type", "Coding System (OXMIS Read)", "Category" ], "codes": [ { "code": "14A5.00", "description": "H/O: angina pectoris", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "14AJ.00", "description": "H/O: Angina in last year", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G311.00", "description": "Preinfarction syndrome", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G311100", "description": "Unstable angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G311.11", "description": "Crescendo angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G311.12", "description": "Impending infarction", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G311.13", "description": "Unstable angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G311.14", "description": "Angina at rest", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G311200", "description": "Angina at rest", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G311300", "description": "Refractory angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G311400", "description": "Worsening angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G311500", "description": "Acute coronary syndrome", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G311z00", "description": "Preinfarction syndrome NOS", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G312.00", "description": "Coronary thrombosis not resulting in MI", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G31y000", "description": "Acute coronary insufficiency", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G31y200", "description": "Subendocardial ischaemia", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G31y300", "description": "Transient myocardial ischaemia", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G33..00", "description": "Angina pectoris", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G330.00", "description": "Angina decubitus", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G330000", "description": "Nocturnal angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G330z00", "description": "Angina decubitus NOS", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G331.00", "description": "Prinzmetal's angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G331.11", "description": "Variant angina pectoris", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "g332.00", "description": "Coronary artery spasm", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G332.00", "description": "Coronary artery spasm", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G33z.00", "description": "Angina pectoris NOS", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G33z000", "description": "Status anginosus", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G33z100", "description": "Stenocardia", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G33z200", "description": "Syncope anginosa", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G33z300", "description": "Angina on effort", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G33z600", "description": "New onset angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G33z700", "description": "Stable angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G33zz00", "description": "Angina pectoris NOS", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G34y000", "description": "Chronic coronary insufficiency", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "G34y100", "description": "Chronic myocardial ischaemia", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } }, { "code": "Gyu3000", "description": "[X]Other forms of angina pectoris", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "Read", "Category": "diagnostic" } } ] }, { "concept_id": 1839, "concept_version_id": 4816, "concept_name": "Angina - Primary Care", "coding_system": { "id": 15, "name": "OXMIS codes", "description": "OXMIS codes" }, "phenotype_id": "PH479", "phenotype_version_id": 958, "phenotype_name": "Angina", "code_attribute_header": [ "Entity type", "Coding System (OXMIS Read)", "Category" ], "codes": [ { "code": "4119P", "description": "Syndrome preinfarction myocardia", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4129RE", "description": "Sclerosis endocardial", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4130", "description": "Angina pectoris with hypertension", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4130E", "description": "Angina effort with hypertension", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4139", "description": "Angina pectoris", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4139AA", "description": "Angina attack", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4139AT", "description": "Angina atypical", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4139C", "description": "Cardiac angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4139CO", "description": "Angina crescendo", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4139E", "description": "Angina effort", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4139M", "description": "Syndrome anginal", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4139N", "description": "Angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4139PA", "description": "Angina inversa", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4139PB", "description": "Prinzmetal's angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4139PC", "description": "Variant angina pectoris", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } }, { "code": "4139U", "description": "Unstable angina", "attributes": { "Entity type": "res15: Angina", "Coding System (OXMIS Read)": "OXMIS", "Category": "diagnostic" } } ] } ], "status": 2, "doi": "https://doi.org/10.48533/64dp-kk72", "is_deleted": null, "publish_status": 2, "owner": "ieuan.scanlon", "template": { "id": 1, "name": "Clinical-Coded Phenotype", "description": "Phenotype definitions that are based on lists of clinical codes, or algorithms using clinical codes.", "version_id": 1 }, "versions": [ { "version_id": 958, "version_name": "Angina", "version_date": "2021-10-06T16:21:15.856843Z", "is_published": true, "is_latest": true } ] } ]