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Comparison of Postoperative outcomes Among Patients Treated by Male Versus Female Surgeons: A Systematic Review and Meta-analysis.
Saka, Natsumi; Yamamoto, Norio; Watanabe, Jun; Wallis, Christopher; Jerath, Angela; Someko, Hidehiro; Hayashi, Minoru; Kamijo, Kyosuke; Ariie, Takashi; Kuno, Toshiki; Kato, Hirotaka; Mohamud, Hodan; Chang, Ashton; Satkunasivam, Raj; Tsugawa, Yusuke.
Afiliación
  • Saka N; Department of Orthopedics, Teikyo University School of Medicine, Itabashi, Tokyo, Japan.
  • Yamamoto N; Scientific Research WorkS Peer Support Group (SRWS-PSG), Chuo, Osaka, Japan.
  • Watanabe J; Scientific Research WorkS Peer Support Group (SRWS-PSG), Chuo, Osaka, Japan.
  • Wallis C; Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences. Okayama University, Okayama, Okayama, Japan.
  • Jerath A; Scientific Research WorkS Peer Support Group (SRWS-PSG), Chuo, Osaka, Japan.
  • Someko H; Department of Surgery, Division of Gastroenterological, General and Transplant Surgery, Jichi Medical University, Yakushiji Shimotsuke, Tochigi, Japan.
  • Hayashi M; Center for Community Medicine, Jichi Medical University, Yakushiji Shimotsuke, Tochigi, Japan.
  • Kamijo K; Division of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
  • Ariie T; Division of Urology, Department of Surgery, Mount Sinai Hospital, Toronto, ON, Canada.
  • Kuno T; Department of Surgical Oncology, University Health Network, Toronto, ON, Canada.
  • Kato H; Department of Anesthesia, Sunnybrook Health Sciences Center, Toronto, ON, Canada.
  • Mohamud H; Scientific Research WorkS Peer Support Group (SRWS-PSG), Chuo, Osaka, Japan.
  • Chang A; Department of General Internal Medicine, Asahi General Hospital, Asahi, Chiba, Japan.
  • Satkunasivam R; Scientific Research WorkS Peer Support Group (SRWS-PSG), Chuo, Osaka, Japan.
  • Tsugawa Y; Department of Emergency Medicine, Fukui Prefectural Hospital, Fukui, Japan.
Ann Surg ; 2024 May 10.
Article en En | MEDLINE | ID: mdl-38726676
ABSTRACT

OBJECTIVE:

To compare clinical outcomes of patients treated by female surgeons versus those treated by male surgeons. SUMMARY BACKGROUND DATA It remains unclear as to whether surgical performance and outcomes differ between female and male surgeons.

METHODS:

We conducted a meta-analysis to compare patients' clinical outcomes-including patients' postoperative mortality, readmission, and complication rates-between female versus male surgeons. MEDLINE, Embase, CENTRAL, ICTRP, and ClinicalTrials.gov were searched from inception to September 8, 2022. The update search was conducted on July 19, 2023. We used random-effects models to synthesize data and GRADE to evaluate the certainty.

RESULTS:

A total of 15 retrospective cohort studies provided data on 5,448,121 participants. We found that patients treated by female surgeons experienced a lower post-operative mortality compared with patients treated by male surgeons (8 studies; adjusted odds ratio [aOR], 0.93; 95%CI, 0.88 - 0.97; I2=27%; moderate certainty of the evidence). We found a similar pattern for both elective and non-elective (emergent or urgent) surgeries, although the difference was larger for elective surgeries (test for subgroup difference P=0.003). We found no evidence that female and male surgeons differed for patient readmission (3 studies; aOR, 1.20; 95%CI, 0.83 - 1.74; I2=92%; very low certainty of the evidence) or complication rates (8 studies; aOR, 0.94; 95%CI, 0.88 - 1.01 I2=38%; very low certainty of the evidence).

CONCLUSIONS:

This systematic review and meta-analysis suggests that patients treated by female surgeons have a lower mortality compared with those treated by male surgeons.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ann Surg Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ann Surg Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos