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Heart Disease (Expert Forum)
Re: Has study on gender bias influenced you, Doc?
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Re: Has study on gender bias influenced you, Doc?
by CCF CARDIO MD DLB, Jan 01, 1995 12:00AM
Posted By CCF CARDIO MD - DLB on March 01, 1999 at 17:44:52:
In Reply to: Has study on gender bias influenced you, Doc? posted by Netterz on March 01, 1999 at 17:12:33:
I could only nod knowingly last week when the results of a gender bias study on heart attack symptoms was released. White men were referred to the cath lab 40 percent more than black men, and white women. Black women were referred 40 percent less than that! The presenting symptoms were identical. Have the results of that study made a difference in how you or your group assess patients? Any discussion around the water cooler??
Thanks,
Nan <------ has the greatest cardiologist in the world!
Dear Netterz
The results of that much-publicized study have not changed the practice of myself or my colleagues, as we have always tried to make unbiased decisions. In addition, we most often use stress testing with an imaging modality before performing an invasive procedure. We rarely rely on just symptoms, either in men or women. There are several studies showing a gender bias in referral to cardiac catheterization and several studies refuting this. Furthermore, it is unclear to me if catheterization is truly underutilized in women or just overutilized in men.
I hope this has been useful. I wish you the best of luck.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
In Reply to: Has study on gender bias influenced you, Doc? posted by Netterz on March 01, 1999 at 17:12:33:
I could only nod knowingly last week when the results of a gender bias study on heart attack symptoms was released. White men were referred to the cath lab 40 percent more than black men, and white women. Black women were referred 40 percent less than that! The presenting symptoms were identical. Have the results of that study made a difference in how you or your group assess patients? Any discussion around the water cooler??
Thanks,
Nan <------ has the greatest cardiologist in the world!
Dear Netterz
The results of that much-publicized study have not changed the practice of myself or my colleagues, as we have always tried to make unbiased decisions. In addition, we most often use stress testing with an imaging modality before performing an invasive procedure. We rarely rely on just symptoms, either in men or women. There are several studies showing a gender bias in referral to cardiac catheterization and several studies refuting this. Furthermore, it is unclear to me if catheterization is truly underutilized in women or just overutilized in men.
I hope this has been useful. I wish you the best of luck.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
