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Appropriateness differences by gender in heart failure care Clinical variability in diseases management could hide inequities in quality of care or access to test and treatment.There is an unresolved debate over inequities in heart diseases management.We study the differences in management of heart failure between men and women, in relation to factors other tan sex that could explain differences.We also approach whether there are differences by the doctor sex that care the patients.The PREDICE-GEN study is a multicentre university hospital prospective follow-up inpatient of newly diagnosis patient of heart failure.(HF)We study appropriateness of diagnostic work-up, coronary use and drug treatment.The best practice standard was the European Cardiology Society HF Guideline.We relate appropriateness with doctor gender in care of the patient and with 1-year mortality (1 Y-M).Comparing men versus women appropriateness diagnostic work-up was non significant (OR 1,37, p 0,567), neither appropriateness of treatment (OR: 0,93, p 0.45); for both factors the more inappropriate was aged and rural patients, and was associated to 1-Y mortality.Appropriateness of coronary use was significantly better in women (OR: 0,46, p: 0,043) and was associated to 1-Y-M..Regarding practices style by doctor gender there was a significant difference on appropriateness of coronary use, yielding underuse for men cared by men doctors Conclusions: We dont find sex differences in care o HF patients.And we explain non-adjusted differences by other factors out of sex, like age or rural setting.