dell’affidabilità del chirurgo donna e del chirurgo ‘anziano’

Siamo tutti soggetti, chi più chi meno, a pregiudizi: ricorderete, forse, questo spiacevole caso di cronaca, di cui fu vittima una collega specialista.

To investigate whether patients’ mortality differs
according to the age and sex of surgeons.

included. Patients’ mortality was lower
for older surgeons than for younger surgeons: the
adjusted operative mortality rates were 6.6% (95%
confidence interval 6.5% to 6.7%), 6.5% (6.4% to
6.6%), 6.4% (6.3% to 6.5%), and 6.3% (6.2% to
6.5%) for surgeons aged under 40 years, 40-49 years,
50-59 years, and 60 years or over, respectively (P for
trend=0.001). There was no evidence that adjusted
operative mortality differed between patients treated
by female versus male surgeons (adjusted mortality
6.3% for female surgeons versus 6.5% for male
surgeons; adjusted odds ratio 0.97, 95% confidence
interval 0.93 to 1.01). After stratification by sex of
surgeon, patients’ mortality declined with age of

surgeon for both male and female surgeons (except for
female surgeons aged 60 or older); female surgeons
in their 50s had the lowest operative mortality.
CONCLUSION
Using national data on Medicare beneficiaries in the
US, this study found that patients treated by older
surgeons had lower mortality than patients treated
by younger surgeons. There was no evidence that
operative mortality differed between male and female
surgeons.

Yusuke Tsugawa  et al
Age and sex of surgeons and mortality of older surgical patients: observational study
BMJ 2018;361:k1343 http://dx.doi.org/10.1136/bmj.k1343

 

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