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Impact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review

OBJECTIVES: This systematic review aimed to assess the role of physician’s sex and gender in relation to processes of care and/or clinical outcomes within the context of cardiac operative care. DESIGN: A systematic review. DATA SOURCES: Searches were conducted in PsycINFO, Embase and Medline from in...

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Autores principales: Etherington, Cole, Deng, Mimi, Boet, Sylvain, Johnston, Amy, Mansour, Fadi, Said, Hussein, Zheng, Katina, Sun, Louise Y
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526284/
https://www.ncbi.nlm.nih.gov/pubmed/32994237
http://dx.doi.org/10.1136/bmjopen-2020-037139
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author Etherington, Cole
Deng, Mimi
Boet, Sylvain
Johnston, Amy
Mansour, Fadi
Said, Hussein
Zheng, Katina
Sun, Louise Y
author_facet Etherington, Cole
Deng, Mimi
Boet, Sylvain
Johnston, Amy
Mansour, Fadi
Said, Hussein
Zheng, Katina
Sun, Louise Y
author_sort Etherington, Cole
collection PubMed
description OBJECTIVES: This systematic review aimed to assess the role of physician’s sex and gender in relation to processes of care and/or clinical outcomes within the context of cardiac operative care. DESIGN: A systematic review. DATA SOURCES: Searches were conducted in PsycINFO, Embase and Medline from inception to 6 September 2018. The reference lists of relevant systematic reviews and included studies were also searched. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Quantitative studies of any design were included if they were published in English or French, involved patients of any age undergoing a cardiac surgical procedure and specifically assessed differences in processes of care or clinical patient outcomes by physician’s sex or gender. Studies were screened in duplicate by two pairs of independent reviewers. OUTCOME MEASURES: Processes of care, patient morbidity and patient mortality. RESULTS: The search yielded 2095 publications after duplicate removal, of which two were ultimately included. These studies involved various types of surgery, including cardiac. One study found that patients treated by female surgeons compared with male surgeons had a lower 30-day mortality. The other study, however, found no differences in patient outcomes by surgeon’s sex. There were no studies that investigated anaesthesiologist’s sex/gender. There were also no studies investing physician’s sex or gender exclusively in the cardiac operating room. CONCLUSIONS: The limited data surrounding the impact of physician’s sex/gender on the outcomes of cardiac surgery inhibits drawing a robust conclusion at this time. Results highlight the need for primary research to determine how these factors may influence cardiac operative practice, in order to optimise provider’s performance and improve outcomes in this high-risk patient group.
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spelling pubmed-75262842020-10-19 Impact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review Etherington, Cole Deng, Mimi Boet, Sylvain Johnston, Amy Mansour, Fadi Said, Hussein Zheng, Katina Sun, Louise Y BMJ Open Cardiovascular Medicine OBJECTIVES: This systematic review aimed to assess the role of physician’s sex and gender in relation to processes of care and/or clinical outcomes within the context of cardiac operative care. DESIGN: A systematic review. DATA SOURCES: Searches were conducted in PsycINFO, Embase and Medline from inception to 6 September 2018. The reference lists of relevant systematic reviews and included studies were also searched. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Quantitative studies of any design were included if they were published in English or French, involved patients of any age undergoing a cardiac surgical procedure and specifically assessed differences in processes of care or clinical patient outcomes by physician’s sex or gender. Studies were screened in duplicate by two pairs of independent reviewers. OUTCOME MEASURES: Processes of care, patient morbidity and patient mortality. RESULTS: The search yielded 2095 publications after duplicate removal, of which two were ultimately included. These studies involved various types of surgery, including cardiac. One study found that patients treated by female surgeons compared with male surgeons had a lower 30-day mortality. The other study, however, found no differences in patient outcomes by surgeon’s sex. There were no studies that investigated anaesthesiologist’s sex/gender. There were also no studies investing physician’s sex or gender exclusively in the cardiac operating room. CONCLUSIONS: The limited data surrounding the impact of physician’s sex/gender on the outcomes of cardiac surgery inhibits drawing a robust conclusion at this time. Results highlight the need for primary research to determine how these factors may influence cardiac operative practice, in order to optimise provider’s performance and improve outcomes in this high-risk patient group. BMJ Publishing Group 2020-09-29 /pmc/articles/PMC7526284/ /pubmed/32994237 http://dx.doi.org/10.1136/bmjopen-2020-037139 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Cardiovascular Medicine
Etherington, Cole
Deng, Mimi
Boet, Sylvain
Johnston, Amy
Mansour, Fadi
Said, Hussein
Zheng, Katina
Sun, Louise Y
Impact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review
title Impact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review
title_full Impact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review
title_fullStr Impact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review
title_full_unstemmed Impact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review
title_short Impact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review
title_sort impact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526284/
https://www.ncbi.nlm.nih.gov/pubmed/32994237
http://dx.doi.org/10.1136/bmjopen-2020-037139
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