{
  "abstract": "Introduction Timely diagnosis of coronary artery disease in patients with chest pain is essential to allow risk stratification and treatment. Computerised tomography coronary angiography (CTCA) provides quick and low-risk coronary assessment with high sensitivity and specificity and is recommended as the preferred tool for evaluating low-to-intermediate risk chest pain. Women under the age of 55 are considered to be of child bearing potential and both contrast and radiation exposure to the unborn child must be considered when ordering CTCA.Aim To determine if confirming pregnancy status at the time of CTCA order delays access to imaging for women of childbearing age.Methods We conducted a retrospective review of all CTCA orders between January and December 2023. Medical records were reviewed to determine order pathway (Out-patient (OPD) and Chest pain assessment pathway (CPP)), last menstrual period (LMP) status and wait-list time. Patients awaiting imaging at the time of data collection had their data included in the analysis. Analysis was preformed using Mann-Whitney-U and Kruskal-Wallis tests. P-value <0.05 was considered statistically significant.Results Patients (n= 752; Female 388, Male 364) were included ( figure 1). 13 female patients < 55years old referred via CPP had LMP status documented incorrectly, this group experienced longer wait times compared to and male patients (p=0.047) and females ≤55 with correctly documented LMP status (p=0.03). For patients on the OPD pathway, no gender bias was detected in vetting or waitlist time (p=0.066). However, women of child-bearing potential had poorer CTCA access than men (p=0.023) and a trend towards less access than women above childbearing age (p=0.09). There was no difference in access between men and women over 55 (p=1.0) (figure 2).Abstract 11 Figure 1Gender distribution by order category and vetting category by gender and age groupAbstract 11 Figure 2Wait duration for CTCA by gender, age and order pathwayConclusion In a large tertiary referral hospital women of child bearing age referred for CTCA via OPD have significantly inferior access than men.",
  "authors": [
    {
      "affiliations": [
        "Departments of Cardiology and Radiology, St James’s Hospital, Dublin 8, Ireland"
      ],
      "name": "M O’Dwyer"
    },
    {
      "affiliations": [
        "Departments of Cardiology and Radiology, St James’s Hospital, Dublin 8, Ireland"
      ],
      "name": "K Hewitt"
    },
    {
      "affiliations": [
        "Departments of Cardiology and Radiology, St James’s Hospital, Dublin 8, Ireland"
      ],
      "name": "N Connolly"
    },
    {
      "affiliations": [
        "Departments of Cardiology and Radiology, St James’s Hospital, Dublin 8, Ireland"
      ],
      "name": "M Al Habsi"
    },
    {
      "affiliations": [
        "Departments of Cardiology and Radiology, St James’s Hospital, Dublin 8, Ireland"
      ],
      "name": "RT Murphy"
    },
    {
      "affiliations": [
        "Departments of Cardiology and Radiology, St James’s Hospital, Dublin 8, Ireland"
      ],
      "name": "CA Daly"
    },
    {
      "affiliations": [
        "Departments of Cardiology and Radiology, St James’s Hospital, Dublin 8, Ireland"
      ],
      "name": "D Murphy"
    },
    {
      "affiliations": [
        "Departments of Cardiology and Radiology, St James’s Hospital, Dublin 8, Ireland"
      ],
      "name": "AO Maree"
    }
  ],
  "title": "11 Gender disparity in waitlist times for CTCA",
  "uid": "50d2ac6b-8062-5bbe-b89e-f3d51967cb34"
}