Applying the Gender Lens to Emergency Care: From Bench to Bedside

Safdar, Basmah; Greenberg, Marna Rayl

doi:10.1111/acem.12521

Cited by 6 publications

(6 citation statements)

References 28 publications

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“…After screening for titles and abstracts, we assessed 115 full texts for eligibility. Fifty-four articles [ 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 ] were then excluded because of different reasons such as a mismatch with inclusion criteria and unavailability of the full text (see Figure 1 and ...…”

Section: Resultsmentioning

confidence: 99%

Is Empowerment of Female Radiologists Still Needed? Findings of a Systematic Review

Fichera

Busch

Rimondini

et al. 2021

IJERPH

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Considering that radiology is still a male-dominated specialty in which men make up more than two thirds of the workforce, this systematic review aimed to provide a comprehensive overview of the current role of women in radiological imaging, focusing on the main aspects such as career progression, leadership, academic practice, and perceived discrimination. Three electronic databases were searched up to 21 October 2020. To identify additional records, weekly automatic email alerts were set up on PubMed until December 2020 and reference lists of key studies and included papers were screened. Two reviewers independently performed the search, study selection, quality appraisal, data extraction, and formal narrative synthesis. In case of disagreement, a third reviewer was involved. Across the 61 included articles, women worked more often part-time and held fewer positions of power in hospitals, on editorial boards, and at the academic level (associate and full professors). Women were less often in relevant positions in scientific articles, had fewer publications, and had a lower H-index. Discrimination and sexual harassment were experienced by up to 40% and 47% of female radiologists, respectively. Our study highlights that women in radiology are still underrepresented and play a marginal role in the field, struggling to reach top and leading positions.

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Section: Resultsmentioning

confidence: 99%

Is Empowerment of Female Radiologists Still Needed? Findings of a Systematic Review

Fichera

Busch

Rimondini

et al. 2021

IJERPH

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“…These trends should be interpreted in light of recent data that show the importance of including sex and gender in EM research for both practicing emergency physicians and for growth of our specialty in general . Time and again, emergency physicians have observed examples where sex and gender influences diagnosis, management, prognosis, and safety for almost every disease process ranging from acute cardiac conditions to public health crises such as the opioid epidemic . For instance, sex‐specific differences in the threshold for troponin in the diagnosis of acute ischemia have been observed, influencing the care and prognosis of women patients.…”

Section: Discussionmentioning

confidence: 99%

Inclusion of Sex and Gender in Emergency Medicine Research—A 2018 Update

Safdar

Ayala

Ali

et al. 2019

Academic Emergency Medicine

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Objectives: The objectives were to 1) evaluate the inclusion of sex and gender in publications by emergency medicine (EM) researchers following the 2014 federal mandate and an Academic Emergency Medicine consensus conference on sex-and gender-based research and 2) assess trends compared with 2011 status report that showed 29% studies used sex and gender in the study design and 2% reported it as a primary outcome.Methods: Using MEDLINE, the term "emergency" was used to identify all English-language studies of adult humans published between 2014 and 2017 as EM affiliated (i.e., the first, second, or last author belonged to an EM section, division, center, or institution functioning as emergency department). Four trained abstractors reviewed the data using a standardized data abstraction form.Results: The search revealed 6,442 articles using the selected "emergency" terms, and 2,628 original studies coded as EM-affiliated publications were reviewed, 2,340 met inclusion criteria, and 2,336 were analyzed. This compared to 750 articles reviewed in 2011 using similar search strategy. The adjusted inter-rater reliability for data abstraction was 97% (95% confidence interval [CI] = 95.4%-98.6%]. The leading study areas contributing the most articles were cardiovascular (17.5%), administration/crowding (15.8%), infectious diseases (9.2%), trauma/injury (9.2%), emergency medical services (6.1%), and pulmonary (6.1%). Eighty-six percent (n = 1,921) reported the sex/gender composition of the sample and 0.4% (n = 8) reported transgender identity. Thirty-four percent used sex/gender in the study design, with 27% (n = 609) reporting it as a control variable, 24% (n = 543) as an independent variable, and 2% using sex/gender as primary outcome. Studies funded by federal sources were significantly more likely to include sex/gender in the study design than other sources of funding (odds ratio = 1.77; 95% CI = 1.4-2.2).Conclusions: Compared to 2011, we noted an increase in the number of EM scholarship and use of sex and gender in study design, yet the proportion evaluating it as a primary outcome remained unchanged.

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“…The majority of patients with traumatic health effects due to the storm who came to the emergency service were males. Gender analysis is rich in research literature with reference to the role of emergency physicians to lead gender-specific clinical studies (Safdar & Greenberg, 2014) or to the role of gender within policy and practice (Morgan et al, 2018). The most affected age group of the patients received at the emergency service with traumatisms due to the storm was 50-60 years.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Health Effects Due to a Storm: An Observational Case-Study on Patients Received at the County Emergency Clinical Hospital From Timisoara

Petrescu

Grecu

Barbu³

et al. 2019

CBUP

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Objective: The aim of the performed study was to investigate the traumatic health effects in patients received at the emergency service due to a storm event that happened on the 17th of September 2017 in Timisoara. Material of study consisted of a sample of 75 patients (62.67% males, 37.33% females) who came to the emergency service of the County Hospital with traumatic health effects. The method was an observational case-study with an investigation of traumatic health effects. Results: Traumatic health effects due to the storm were caused by patients falling (51.78% of diagnostics: fractures, contusions, sprains) and by being hit by flying objects (42.85% of diagnostics: craniocerebral traumatisms and contusive wounds). The patients were either sent home (54.66%), admitted (25.34%) and hospitalized (13.33% more than 10 days) or transferred (12%). Conclusion: Traumatic health effects due to the storm were severe and involved substantial recovery time and considerable expense of resources.

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Applying the Gender Lens to Emergency Care: From Bench to Bedside

Cited by 6 publications

References 28 publications

Is Empowerment of Female Radiologists Still Needed? Findings of a Systematic Review

Is Empowerment of Female Radiologists Still Needed? Findings of a Systematic Review

Inclusion of Sex and Gender in Emergency Medicine Research—A 2018 Update

Traumatic Health Effects Due to a Storm: An Observational Case-Study on Patients Received at the County Emergency Clinical Hospital From Timisoara

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