Female patients less likely to be prescribed pain medication compared to men in emergencies - study

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In emergency departments, female patients are little apt to person symptom medication, a bias that puts them astatine higher consequence for antagonistic outcomes, a caller study has found.

Female patients are little apt to beryllium prescribed symptom medicine compared to antheral patients nether akin conditions successful emergency departments, a caller study has found.

Researchers from nan US and Israel analysed complete 21,000 diligent records successful nan 2 countries. 

They noted that women are prescribed less symptom alleviation medications for some opioids and non-opioids than antheral patients. Their findings were published successful nan diary Proceedings of nan National Academy of Sciences(PNAS).

This discrepancy spans crossed aesculapian professionals, pinch some antheral and female physicians prescribing less pain-relief medications to female patients.

“We deliberation nan consequences are dire. Pain guidance is 1 of nan astir important aesculapian interventions,” Dr Tom Gordon-Hecker, a teacher astatine Ben-Gurion University successful Israel and 1 of nan study’s authors, told Euronews Health. 

“Poor symptom guidance predicts intelligence problems, improvement of chronic symptom and return visits to nan ED. Our results propose that women are astatine higher consequence for these antagonistic outcomes, owed to inadequate symptom treatment,” he added.

They besides recovered that nurses are 10 per cent little apt to grounds female patients' symptom scores, and women walk an further 30 minutes successful nan emergency section compared to their antheral counterparts.

This quality successful curen could inhibit nan healthcare systems, according to nan authors.

“The lit suggests that women thin to acquisition greater symptom for nan aforesaid wounded aliases complaint,” Gordon-Hecker said, quoting their reactions to nan aforesaid bony fracture for example.

“If this is so nan case, past we should expect women to person much – and not little – analgesics. However, our findings show nan opposite,” he added, underlining that nan bias “might moreover beryllium greater than nan 1 observed” successful nan study.

‘Something that we collectively request to push backmost against’

“This is simply a very bully portion of activity that looked astatine real-life wellness records some successful Israel and nan US. In some instances, it recovered that women were little apt to beryllium prescribed painkillers than men, particularly for achy conditions of unclear root (e.g. backmost pain),” Dr Franziska Denk, scholar astatine nan King’s College London successful nan UK, told Euronews Health.

This study adds to a increasing assemblage of grounds regarding group aliases sex-based biases successful medicine.

“The study confirms what is often reported anecdotally: women’s symptom is often taken little earnestly by healthcare providers and nan world astatine large. This is thing that we collectively request to push backmost against,” she added. 

The inclination to underestimate and undertreat women’s symptom was already highlighted, for example, successful a 2021 study.

The International Pharmaceutical Federation (FIP) dedicated a review to this “gender symptom gap” and attributed it to “gender stereotyping”.

The FIP suggested nan improvement of gender-neutral symptom appraisal devices and dedicated policies and guidelines to reside nan gap.

“What is clear from our data, is that a patient-physician gender concordance (that is- female physicians treating female patients and antheral physicians treating antheral patients) is improbable to help, arsenic female physicians coming akin activity bias,” Gordon-Hecker said. 

“What seems to beryllium cardinal is awareness, some successful physicians’ training and successful their regular activity routine. Additionally, behavioural interventions specified arsenic nudges aliases computerised reminders mightiness besides thief successful overcoming nan bias,” he added.


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