RT Journal Article
SR Electronic
T1 Endovascular treatment decision in acute stroke: does physician gender matter? Insights from UNMASK EVT, an international, multidisciplinary survey
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP 256
OP 259
DO 10.1136/neurintsurg-2019-015003
VO 12
IS 3
A1 Ospel, Johanna Maria
A1 Kashani, Nima
A1 Wilson, Alexis T
A1 Fischer, Urs
A1 Campbell, Bruce C V
A1 Sylaja, Pillai N
A1 Yoshimura, Shinichi
A1 Rabinstein, Alejandro A
A1 Turjman, Francis
A1 Mitchell, Peter
A1 Kim, Byung Moon
A1 Cherian, Mathew P
A1 Heo, Ji Hoe
A1 Baxter, Blaise W
A1 Podlasek, Anna
A1 Foss, Mona
A1 Menon, Bijoy K
A1 Almekhlafi, Mohammed A
A1 Demchuk, Andrew M
A1 Hill, Michael D
A1 Saposnik, Gustavo
A1 Goyal, Mayank
YR 2020
UL http://jnis.bmj.com/content/12/3/256.abstract
AB 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.