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 incepti...

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Autores principales:	Louise Y Sun, Sylvain Boet, Amy Johnston, Katina Zheng, Mimi Deng, Fadi Mansour, Hussein Said, Cole Etherington
Formato:	article
Lenguaje:	EN
Publicado:	BMJ Publishing Group 2020
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/981bf3df316d45c180cf8d9533444f9f
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spelling	oai:doaj.org-article:981bf3df316d45c180cf8d9533444f9f2021-11-15T00:00:07ZImpact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review10.1136/bmjopen-2020-0371392044-6055https://doaj.org/article/981bf3df316d45c180cf8d9533444f9f2020-09-01T00:00:00Zhttps://bmjopen.bmj.com/content/10/9/e037139.fullhttps://doaj.org/toc/2044-6055Objectives 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.Louise Y SunSylvain BoetAmy JohnstonKatina ZhengMimi DengFadi MansourHussein SaidCole EtheringtonBMJ Publishing GrouparticleMedicineRENBMJ Open, Vol 10, Iss 9 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Louise Y Sun Sylvain Boet Amy Johnston Katina Zheng Mimi Deng Fadi Mansour Hussein Said Cole Etherington Impact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review
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.
format	article
author	Louise Y Sun Sylvain Boet Amy Johnston Katina Zheng Mimi Deng Fadi Mansour Hussein Said Cole Etherington
author_facet	Louise Y Sun Sylvain Boet Amy Johnston Katina Zheng Mimi Deng Fadi Mansour Hussein Said Cole Etherington
author_sort	Louise Y Sun
title	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_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_sort	impact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review
publisher	BMJ Publishing Group
publishDate	2020
url	https://doaj.org/article/981bf3df316d45c180cf8d9533444f9f
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Impact of physician’s sex/gender on processes of care, and clinical outcomes in cardiac operative care: a systematic review

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