Navigation Links
Gender bias may affect care of people with osteoarthritis, study finds
Date:3/10/2008

Toronto, ON. - Unconscious prejudices among doctors may explain why women complaining of knee pain are less likely than men to be recommended for total knee replacement surgery, a study in today's issue of the Canadian Medical Association Journal suggests.

Toronto researchers used two standardized or "mystery" patients, one male and one female, both with moderate knee osteoarthritis reporting the same symptoms of knee pain. The patients received assessments from 67 physicians in Ontario. Physicians were twice as likely to recommend total knee replacement surgery (known as arthroplasty) to a male patient compared to a female patient. Overall, 67% of physicians recommended total knee arthroplasty to the male patient compared with 33% who recommended it to the female patient.

Disparity in the use of medical or surgical interventions is an important health care issue, and this research suggests a gender bias in the treatment of patients who may need orthopedic surgery, says lead author Dr. Cornelia Borkhoff, about the article based on her doctoral thesis while in the Clinical Epidemiology Program at the University of Toronto Faculty of Medicines Department of Health Policy Management and Evaluation.

This new study, the first ever demonstration of physician bias in an actual clinical setting (i.e., with patients during actual office visits with physicians in their offices) involved 38 family physicians and 29 orthopaedic surgeons because the researchers were interested in whether barriers for women exist between the family physician and the patient in obtaining a referral to an orthopaedic surgeon or between the surgeon and the patient in the decision to offer total knee replacement. A male patient was referred to an orthopaedic surgeon 35% more often than a female patient. The study also found that a man was nine times more likely than a woman to be recommended for a total knee replacement.

Physicians may be at least partially responsible for the sex-based disparity in the rates of use of total joint arthroplasty, says Dr. Borkhoff. Physicians are susceptible to the same social stereotyping that affects all of our behavior. Decisions that stem from unconscious biases are not deliberate - physicians would be unaware of their unconscious biases affecting their decisions.

Acknowledging that a gender bias may affect physicians decision-making is the first step toward ensuring that women receive complete and equal access to care, says the principal investigator of the study, Dr. James Wright, a Professor at the University of Toronto Faculty of Medicines Department of Health Policy Management and Evaluation and the Surgeon-in-Chief at The Hospital for Sick Children. The next step is to develop creative interventions to address these disparities in health care.

More than 90% of orthopedic surgeons recommended total knee replacement to the male patient, which also suggests that surgery is the right decision and represents the best care for patients with moderate knee osteoarthritis for whom medical therapy has failed.

Our results support the need for clinician education programs to better inform physicians of the true risks of total joint arthroplasty, when and for whom to consider surgery, as well as, the potential benefits of early treatment, says Dr. Borkhoff.


'/>"/>

Contact: Christa Poole
christa.poole@utoronto.ca
University of Toronto
Source:Eurekalert

Related medicine news :

1. Gender Bias at Play in Treatment of Knee Osteoarthritis
2. Gender differences in language appear biological
3. QED International Associates Announces Changes to the HealthShares(TM) GI/Gender Health Index
4. Iowa State University researchers work on gender, temperature link in reptiles published in Nature
5. Fungus Sheds Light on Development of Human Genders
6. Climate change, gender differences, health among EurekAlert! 10 Most Popular Stories in 2007
7. Race, Gender Affect Laryngeal Cancer Survival
8. Survey shows gender differences are factor when surgeons in training choose a subspecialty
9. PA Health Department Survey Shows Impact of Income, Gender, Other Factors on Health and Access to Health Care
10. Research says doctors gender may hinder early diagnosis of heart disease in women
11. Drug use trends affect risk of marijuana in deviance prone boys, but not girls
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/22/2017)... ... ... “To Walk Away”: a captivating and romantic sequel to the romantic story ... is the creation of published author, Larry R. Sherman, a retired chemistry professor from ... religion, as well as four novels. , Though the book opens in 1947, ...
(Date:8/22/2017)... ... August 22, 2017 , ... “Without Love’s Beauty ... neglect, and the struggles faced while hoping for a better life. “Without Love’s ... Judy Von Bernewitz, who spent 13 years working with deprived/neglected adolescents and almost ...
(Date:8/22/2017)... ... August 22, 2017 , ... “Glimpses Of Light”: is a ... “Glimpses Of Light” is the creation of published author, J.M. Shepherd, a writer, teacher, ... answers to life’s perplexing mysteries. , Shepherd shares, “Love is one of the least ...
(Date:8/22/2017)... ... August 22, 2017 , ... TopConsumerReviews.com recently gave a best-in-class ... Fatigue . , As the stress of modern life continually makes more demands on ... use of artificial stimulants can trap people in vicious high/low cycles and can also ...
(Date:8/22/2017)... Indiana (PRWEB) , ... August 22, 2017 , ... Although ... Fourth of July, many communities have begun providing weekend displays, and numerous households celebrate ... most humans, they can be downright terrifying for pets. , Kris Zambo, owner ...
Breaking Medicine News(10 mins):
(Date:8/2/2017)... and BENTON, Ky. , Aug. 2, 2017   Marshall County Hospital ... environmental services (ES) team to proactively reduce the risk of hospital-acquired infections (HAIs). The new ... robot that uses UVC light energy to kill deadly pathogens such as C. diff ... Tru-D SmartUVC ... Tru-D in action in a ...
(Date:7/31/2017)... July 31, 2017  Diplomat Pharmacy, Inc. (NYSE: DPLO), has ... Michigan by Crain,s Detroit Business . ... public companies by three-year revenue growth. This year,s edition measures ... To view the complete list, visit crainsdetroit.com/awards/fast_50/2017 .  ... an incredible triumph," said Phil Hagerman , CEO and ...
(Date:7/28/2017)... July 28, 2017 EnvoyHealth, a Diplomat company, has ... program for CleverCap LITE, a technology designed to improve ... deliver innovative health technology solutions and services that help ... CleverCap LITE offers medication monitoring and ... cover: Records date ...
Breaking Medicine Technology: