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

Tom Benzoni benzonit at GMAIL.COM
Wed Oct 24 21:06:03 UTC 2018


This is an interesting area (and minefield.)
When I try cognitive debiasing on this subject, a Fault flag comes up.

Could a study be published that stated patients did better with a male
physician?
If not (or unlikely to be published) I'm thinking publication or research
bias, reflecting prevailing norms.
I think John Iannidis and Pat Croskerry have written on these topics.

tom benzoni

On Wed, Oct 24, 2018 at 12:40 PM Sherrill Franklin <sfranklin131 at gmail.com>
wrote:

> *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
>
>
>
> 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>
> *Sent:* Friday, October 12, 2018 1:26 PM
> *To:* 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
>
>
> Website
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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