Female surgeons

Female surgeons

by | Sujit Rathod -
Number of replies: 3

From The Guardian

1. What is the study design?

2. What is the exposure? The primary outcome?

3. The researchers found evidence of effect modification. What was it?

4. The researchers hypothesized potential mediators. What were these?

5. The researchers only considered 21 different kinds of surgery, rather than kinds of surgery. Why?

When a female surgeon operates, patient outcomes are generally better, particularly for women, even after adjusting for differences in chronic health status, age and other factors, when undergoing the same procedures.

6. Explain exactly why it was necessary to adjust for chronic health status.


In reply to | Sujit Rathod

Re: Female surgeons

by | HARJINDER KAUR SUBBERWAL -
Hi
Happy New Year all!

Interesting article.....and abstract. Will have a go...

1. Retrospective cohort study
2. Exposure is whether the patient had a male or female surgeon, also looking at female patients who had female surgeons and male patients who had male surgeons perform surgery (concordance) and male surgeon:female patients, female surgeon:male patients (discordance).
Primary outcome - adverse post operative outcome (defined as death, readmission or complication within 30 days after surgery)
3. effect modification, patient sex?
4. 'Implicit sex biases', surgeons act on subconscious, ingrained biases, stereotypes and attitudes. Also, differences in mens and womens communication, interpersonal skills.
5. 21 most common elective or emergency surgical procedures. Different surgeries have different risk levels.
do female surgeons tend to work more in certain specialities?

6. Chronic health status can affect surgical outcome, confounder.

The study was done in Canada, be interesting to see if results differ in different countries.
Thankyou
In reply to | HARJINDER KAUR SUBBERWAL

Re: Female surgeons

by | JUDITH MARGARET BURCHARDT -
Hi Harjinder,

I agree with all your answers.

I just wanted to add that surgeons do two things which could affect the results of this study - one is choose which patients to operate on and the other is to actually do the operation. It would be interesting to know on which of these measures (or both) that female surgeons have the advantage.

Best wishes

Judith
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