Physician-patient gender concordance may not be important in the practice of intervention


Although some studies suggest that female patients treated by physicians have better outcomes, there does not appear to be a relationship between gender and operator and patient outcome in patients undergoing coronary or stent angioplasty. These are the results of a first study of this type conducted by the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) and published in Cateterizations and Cardiovascular Interventions.

The study examined the procedures performed by 385 male interventional cardiologists and 18 female interventional cardiologists at 48 non-federal hospitals in the state of Michigan. Women interventional cardiologists remain markedly underrepresented and perform only a small percentage of cases, with women representing only 4.5% of interventional cardiologists and performing only 3% of procedures.

Although interventional cardiology remains a male-dominated specialty, in this field they stand out as excellent professionals. Coronary angioplasties performed by physicians were more often classified as appropriate compared to procedures performed by their physicians. , among the studied. Female interventional cardiologists also prescribe recommended medical therapies than male interventional cardiologists. No differences were found in death, kidney injury, major hemorrhage, or blood transfusions between patients treated by male or female interventional cardiologists.

“While the overall care processes and outcomes in Michigan were excellent and similar for operators of either sex, women physicians scored higher on fitness and post-procedural therapy. These results will benefit women interns but they are concerned about perceived barriers, ”says the study’s lead author, Prasanthi Yelavarthy, MD.

Gurm is an interventionist at the Michigan Medicine Frankel Cardiovascular Center, and Yelavarthy is a home officer at Michigan Medicine.

BMC2 is a collaborative consortium of health care providers in the state of Michigan made up of three quality improvement projects statewide:

A statewide multicenter prospective registry of consecutive percutaneous coronary interventions (BMC2 PCI).

A multicenter, longitudinal, and prospective statewide record of vascular surgeries and carotid interventions (BMC2-Vascular Surgery).

Michigan TAVR, a structural heart quality improvement initiative focused on the replacement of transcatheter aortic valves in collaboration with the Michigan Society of Thoracic and Cardiovascular Surgeons.

All projects are designed to improve the quality of care and patient outcomes. Collaboration through BMC2 overcomes traditional market barriers and academic competition. All projects collect, audit, and organize data and report on variables and procedural outcomes to individual operators and institutions.

Less than five out of every 100 interventional cardiologists in Australia and New Zealand are women

More information:
Prasanthi Yelavarthy et al, The DISCO study: does the sex of interventionists impact coronary outcomes ?, Catheterization and cardiovascular interventions (2021). DOI: 10.1002 / ccd.29774

Citation: Physician-patient gender agreement may be irrelevant in interventional practice (2021, May 25) retrieved May 25, 2021 at -concordance-interventional.html

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