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Titolo:
IS THERE DETRIMENTAL GENDER BIAS IN PREOPERATIVE CARDIAC MANAGEMENT OF PATIENTS UNDERGOING VASCULAR-SURGERY
Autore:
HUTCHINSON LA; PASTERNACK PF; BAUMANN FG; GROSSI EA; RILES TS; LAMPARELLO PJ; GIANGOLA G; ADELMAN M; IMPARATO AM;
Indirizzi:
NYU,MED CTR,FAC PRACTICE,DEPT MED,530 1ST AVE,SUITE 4C NEW YORK NY 10016 NYU,MED CTR,FAC PRACTICE,DEPT MED NEW YORK NY 10016 NYU,MED CTR,DEPT SURG NEW YORK NY 10016
Titolo Testata:
Circulation
fascicolo: 5, volume: 90, anno: 1994,
parte:, 2
pagine: 220 - 223
SICI:
0009-7322(1994)90:5<220:ITDGBI>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-BYPASS SURGERY; MYOCARDIAL-INFARCTION; ARTERY SURGERY; HEART-DISEASE; WOMEN; MORTALITY; MEN; SEX; REVASCULARIZATION;
Keywords:
VASCULAR SURGERY; CORONARY ARTERY DISEASE; GENDER BIAS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
L.A. Hutchinson et al., "IS THERE DETRIMENTAL GENDER BIAS IN PREOPERATIVE CARDIAC MANAGEMENT OF PATIENTS UNDERGOING VASCULAR-SURGERY", Circulation, 90(5), 1994, pp. 220-223

Abstract

Background To investigate the possibility of gender bias in the cardiac management of patients who undergo peripheral vascular surgery, we examined the hospital data and outcomes for 350 adult men and 128 women who underwent vascular surgery from September 1987 to December 1991. Methods and Results There were no significant differences between thetwo groups in age at operation, incidence of standard risk factors for myocardial infarction, or incidence or duration of episodes of perioperative silent ischemia. Nevertheless, a significantly lower percentage of women than men had undergone prior coronary bypass procedures (6.3% and 17.1%, respectively; P<.01), an apparent example of gender bias. However, there was no significant difference in the incidence of perioperative myocardial infarction in women (3.9%) compared with men (4.0%). Furthermore, actuarial analysis showed that at 24 months after operation a significantly higher percentage of women (77.9%) had escaped late cardiac death and cardiac complications than men (71.9%; P<.05). Conclusions These findings indicate that apparent gender bias in thepreoperative cardiac management of this group of women who underwent vascular surgery may have had no detrimental effect on short- and long-term incidence of cardiac death and complications, and may represent sound clinical judgment rather than true bias. However, the possibility that female patients might have had even better short- and longterm cardiac results if they had undergone more preoperative cardiac revascularization cannot be discounted.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/10/20 alle ore 12:52:58