[No SPF Record] [IMPROVEDX] Does gender matter in Dx error?

Sherrill Franklin sfranklin131 at GMAIL.COM
Wed Oct 24 16:32:14 UTC 2018


I hope this isn’t off topic...Here is a study about heart patients who were less likely to survive  when the gender of their cardiologist did not match the gender of the patient. The article did mention that  male physicians with more exposure to female patients and female physicians have more success treating female patients.


Patient–physician gender concordance and increased mortality among female heart attack patients

A large body of medical research suggests that women are less likely than men to survive traumatic health episodes like acute myocardial infarctions. In this work, we posit that these difficulties may be partially explained, or exacerbated, by the gender match between the patient and the physician. Findings suggest that gender concordance increases a patient’s probability of survival and that the effect is driven by increased mortality when male physicians treat female patients. Empirical extensions indicate that mortality rates decrease when male physicians practice with more female colleagues or have treated more female patients in the past.

Abstract
We examine patient gender disparities in survival rates following acute myocardial infarctions (i.e., heart attacks) based on the gender of the treating physician. Using a census of heart attack patients admitted to Florida hospitals between 1991 and 2010, we find higher mortality among female patients who are treated by male physicians. Male patients and female patients experience similar outcomes when treated by female physicians, suggesting that unique challenges arise when male physicians treat female patients. We further find that male physicians with more exposure to female patients and female physicians have more success treating female patients.



http://www.pnas.org/content/early/2018/07/31/1800097115 <http://www.pnas.org/content/early/2018/07/31/1800097115>



Sherrill Franklin
129 E. Harmony Road
West Grove, PA 19390
610-869-4234

> On Oct 24, 2018, at 12:11 PM, Rory Jaffe <rjaffe at CHPSO.ORG> wrote:
> 
> The comments after the article are quite perceptive. The gender question is click-bait and irrelevant to what happened. Bottom line, she was lucky enough to enroll in a research protocol that fortuitously happened, in her case, to work.  The only take-home from this story is that people should seek second opinions when faced with very serious diseases, and get that opinion from an expert in the field.
>  
> Rory
>  
> From: HM Epstein <hmepstein at GMAIL.COM <mailto:hmepstein at GMAIL.COM>> 
> Sent: Friday, October 12, 2018 1:26 PM
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
> Subject: [No SPF Record] [IMPROVEDX] Does gender matter in Dx error?
>  
> Great article by journalist Doreen Carvajal about her incurable peritoneal cancer that was cured. Her daughter asks the question if she'll ever see a male doctor again. What are the statistics on this? Do female doctors care for female patients better than male doctors do? Interestingly, my experience hasn't borne this out. Right now -- in my personal and my family's multiple dx error history -- we're about even.
>  
> "Male doctors said my ‘female’ cancer was incurable. Then a woman took command and gave me hope"
> By DOREEN CARVAJAL OCTOBER 4, 2018
> https://www.statnews.com/2018/10/04/peritoneal-cancer-women-men-doctors/ <https://urldefense.proofpoint.com/v2/url?u=https-3A__www.statnews.com_2018_10_04_peritoneal-2Dcancer-2Dwomen-2Dmen-2Ddoctors_&d=DwMFaQ&c=hx0HUg_nG-xRkKlwWZeJFCbvzzw0Ym5DwdL_1FKbReI&r=ykcs2wU25yxj5BckI49bSg&m=ihci1Rk0SX-Qv0jQUZGk2TCjHYQMnHiTrrF2FpUEA6Y&s=iBJt9dr3f7Rr2NbawVpkTP4Kd76aGrIBeyxp7dG9Uvs&e=>?
>  
> Best,
> Helene
>  
>    
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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