Endovascular treatment decision in acute stroke: does physician gender matter? Insights from UNMASK EVT, an international, multidisciplinary survey.

Ospel, Johanna Maria; Kashani, Nima; Wilson, Alexis T; Fischer, Urs; Campbell, Bruce C V; Sylaja, Pillai N; Yoshimura, Shinichi; Rabinstein, Alejandro A; Turjman, Francis; Mitchell, Peter; Kim, Byung Moon; Cherian, Mathew P; Heo, Ji Hoe; Baxter, Blaise W; Podlasek, Anna; Foss, Mona; Menon, Bijoy K; Almekhlafi, Mohammed A; Demchuk, Andrew M; Hill, Michael D; ... (2020). Endovascular treatment decision in acute stroke: does physician gender matter? Insights from UNMASK EVT, an international, multidisciplinary survey. Journal of neurointerventional surgery, 12(3), pp. 256-259. BMJ Publishing Group 10.1136/neurintsurg-2019-015003

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BACKGROUND AND PURPOSE Differences in the treatment practice of female and male physicians have been shown in several medical subspecialties. It is currently not known whether this also applies to endovascular stroke treatment. The purpose of this study was to explore whether there are differences in endovascular treatment decisions made by female and male stroke physicians and neurointerventionalists. METHODS In an international survey, stroke physicians and neurointerventionalists were randomly assigned 10 case scenarios and asked how they would treat the patient: (A) assuming there were no external constraints and (B) given their local working conditions. Descriptive statistics were used to describe baseline demographics, and the adjusted OR for physician gender as a predictor of endovascular treatment decision was calculated using logistic regression. RESULTS 607 physicians (97 women, 508 men, 2 who did not wish to declare) participated in this survey. Physician gender was neither a significant predictor for endovascular treatment decision under assumed ideal conditions (endovascular therapy was favored by 77.0% of female and 79.3% of male physicians, adjusted OR 1.03, P=0.806) nor under current local resources (endovascular therapy was favored by 69.1% of female and 76.9% of male physicians, adjusted OR 1.03, P=0.814). CONCLUSION Endovascular therapy decision making between male and female physicians did not differ under assumed ideal conditions or under current local resources.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Fischer, Urs

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1759-8486

Publisher:

BMJ Publishing Group

Language:

English

Submitter:

Chantal Kottler

Date Deposited:

26 Nov 2019 14:57

Last Modified:

20 Feb 2020 01:31

Publisher DOI:

10.1136/neurintsurg-2019-015003

PubMed ID:

31363043

Uncontrolled Keywords:

stroke thrombectomy

BORIS DOI:

10.7892/boris.135286

URI:

https://boris.unibe.ch/id/eprint/135286

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