Research Article
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Gender differences in disease distribution in patients who prefer a woman surgeon

Year 2022, Volume: 7 Issue: 3, 84 - 89, 01.12.2022

Abstract

ABSTRACT
Introduction: This study aims to reflect people's point of view regarding a female surgeon in the Central Anatolia Region by analyzing the disease distribution, gender, and one-year surgery data of patients who admitted to the outpatient clinic of one of the four women surgeons.
Methods: Patients who applied to the outpatient clinic of a female surgeon, in a 3-month period, in Kayseri City Training and Research Hospital General Surgery Clinic were analyzed from the electronic medical report system retrospectively. The information of 785 female and 56 male patients were included in the study between January 2020 and March 2020. The International Classification of Diseases (ICD) diagnosis codes of the patients and their demographic data were evaluated.
Results: The mean age of the female patients was 43± 13.9 (range, 18-93), and the mean age of male patients was 43.1± 14.1 (range, 8-71). Of the patients, 93.3% were female. In total, 78.6% of women had breast and anorectal diseases, and these were the most common reasons for gender-specific doctor selection due to the feeling of embarrassment. Despite that, the second most common complaint of men (26.8%) was anorectal diseases, which was statistically significantly higher than that of women (14,3%, p=0,000).
Conclusion: In our country, there are not enough studies about the patients' perspectives on the gender of the surgeons. In this study, almost all of the patients in the three months were women, and most of them had breast diseases. It was attempted to emphasize that this can influence the career orientation of a surgeon.
ÖZ
Giriş: Bu çalışma, dört kadın cerrahtan birinin polikliniğine başvuran hastaların hastalık dağılımı, cinsiyet ve bir yıllık cerrahi verileri analiz edilerek, İç Anadolu Bölgesi'ndeki kadın cerraha bakış açısını yansıtmayı amaçlamaktadır.
Yöntemler: Kayseri Şehir Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniği'nde 3 aylık bir süre içinde bir kadın cerrahın polikliniğine başvuran hastalar geriye dönük olarak hastane bilgi işletim sisteminden incelendi. Ocak 2020-Mart 2020 tarihleri arasında 785 kadın ve 56 erkek hastanın bilgileri çalışmaya dahil edilerek, Uluslararası Hastalık sınıflaması (ICD) tanı kodları ve demografik veriler değerlendirmeye alınmıştır.
Bulgular: Kadın hastaların yaş ortalaması 43± 13.9 (dağılım, 18-93), erkek hastaların yaş ortalaması 43,1± 14.1 (dağılım, 8-71) idi. Hastaların %93,3'ü kadındı. Toplamda kadınların %78,6'sında meme ve anorektal hastalık nedeniyle başvurduğu görüldü ve bunlar utanma duygusu nedeniyle cinsiyete özgü doktor seçiminin en yaygın nedenleriydi. Buna rağmen erkeklerde ikinci en sık başvuru yakınması %26.8 ile anorektal hastalıklar olup, kadınlara göre istatistiksel olarak anlamlı derecede yüksekti (%14,3).
Sonuç: Cerrahların cinsiyetine yönelik hastaların bakış açısıyla ilgili ülkemizde yeterli çalışma bulunmamaktadır. Bu çalışmada, üç aylık süreç içerisinde değerlendirilen hastaların çoğunluğu kadındı ve en sık başvuru nedeni meme hastalıkları idi. Bu durumun cerrahların kariyer yönelimini etkileyebileceği vurgulanmaya çalışılmıştır.
Anahtar Kelimeler: Genel Cerrahi, hasta tercihi, cerrah, kadın

References

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  • 14. Sharoky CE, Sellers MM, Keele LJ, Wirtalla CJ, Karakousis GC, Morris JB, et al. Does surgeon sex matter?: practice patterns and outcomes of female and male surgeons. Ann Surg. 2018;267:1069-76.
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  • 17. Tulunay-Ugur OE, Sinclair CF, Chen AY. Assessment of gender differences in perceptions of work-life integration among head and neck surgeons. JAMA Otolaryngol Head Neck Surg. 2019;145;453-58..
  • 18. Rad EH, Ehsani-Chimeh E, Gharebehlagh MN, Kokabisaghi F, Rezaei S, Yaghoubi M. Higher income for male physicians: findings about salary differences between male and female Iranian physicians. Balkan Med J. 2019;36:162-68.
  • 19. Liang R. Dornan T. Nestel D. Why do women leave surgical training? A qualitative and feminist study. Lancet. 2019;393:541-49.
  • 20. Roubaud MS. The Pregnant Surgeon: What We Are Doing Right. Plast Reconstr Surg Glob Open. 2019;7:e2104.
  • 21. Dusch MN, O'Sullivan PS, Ascher NL. Patient perceptions of female surgeons: how surgeon demeanor and type of surgery affect patient preference. J Surg Res 2014;187:59-64.
  • 22. Yahanda AT, Lafaro KJ, Spolverato G, Pawlik TM. A systematic review of the factors that patients use to choose their surgeon. World J Surg. 2016;40:45-55.
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  • 24. Sun-Ouck K, Kang TW, Kwon D. Gender preferences for urologists: women prefer female urologists. Urol J. 2017;14:3018-22.
  • 25. Groutz A, Amir H, Caspi R, Sharon E, Levy YA, Shimonov M. Do women prefer a female breast surgeon?. Isr J Health Policy Res. 2016;5:35.
  • 26. Huis in’t Veld EA, Canales FL, Furnas HJ. The impact of a plastic surgeon’s gender on patient choice. Aesthet Surg J. 2017;37;466-71.
  • 27. Abghari MS, Takemoto R, Sadiq A, Karia R, Phillips D, Egol KA. Patient perceptions and preferences when choosing an orthopaedic surgeon. Iowa Orthop J. 2014;34:204.
  • 28. Reid I. Patients' preference for male or female breast surgeons: questionnaire study. BMJ. 1998;317;1051-60.
  • 29. Cevrioglu AS, Ogur P, Ellidokuz H, Bayram F, Ozyurek P, Yucebilgin, A. Does gender affect patient’s physician choice during the antenatal follow-up? The Medical Journal of Kocatepe. 2004;5;35-40.
  • 30. Turla A, Canbaz S, Turla F, Canbaz MA. The role of physician gender for outpatients when they are choosing on obstetrician and gynecologist. Gynecology Obstetrics Journal. 2006;5:1027-30.
  • 31. Cull WL, O’canner KG, Sharp S, Tang SFS. Response rates and response bias for 50 surveys of pediatricians. Health Serv Res. 2005;40:213-226.
  • 32. Tolonen H, Helakorpi S, Talala K, Helasoja V, Martelin T, Prattala R. 25-year trends and socio-demographic differences in response rates: Finnish adult health behaviour survey. Eur J Epidemiol. 2006;21:409-415.
  • 33. Martikainen P, Laaksonen M, Piha K, Lallukka T. Does survey non-response bias the association between occupational social class and health?. Scand Journal Public Health. 2007;35:212-15.
  • 34. Turkish Surgical Association Residents Commission. Turkish Surgical Association Resident Committe Report on Surgical education. Ankara. 2010; s.7. ISBN:978-975-97830-7-5.
  • 35. Pories SE, Turner PL, Greenberg CC, Babu MA, Parangi S. Leadership in American surgery: women are rising to the top. Ann Surg. 2019;269:199-205.
  • 36. Peel JK, Schlachta CM, Alkhamesi NA. A systematic review of the factors affecting choice of surgery as a career. Can J Surg. 2018;61:58.
  • 37. Cochran A, Hauschild T, Elder WB, Neumayer LA, Brasel KJ, Crandall ML. Perceived gender-based barriers to careers in academic surgery. Am J Surg. 2013;206:263-68.
Year 2022, Volume: 7 Issue: 3, 84 - 89, 01.12.2022

Abstract

References

  • 1. Pastena JA. Women in surgery: an ancient tradition. Arch Surg. 1993;128:622–26.
  • 2. Gül H, Yalçınoğlu N, Atlı ZC. The Status and Problems of Women in Working Life in Turkey. TAF Preventive Medicine Bulletin. 2014;13:169-76.
  • 3. Akkaya M. A Surgeon Family in Ottoman Üsküdar Master Surgeon Deniz, His Wife –Surgeon Kupeli Saliha and His Son –Surgeon Mehmed Çelebi. Journal of History Studies. 2014;6:1-11.
  • 4. Demirsoy N. Sayligil O. Topal M, Özden H. A Female Surgeon in The 17 th Century: Kupeli Saliha Hatun and an Evaluation of Consent Forms Related to Her Surgeries. Konuralp Medical Journal. 2019;11:3.
  • 5. Atıcı E, Erer S. Medical Training Process of Turkish Women and First Female Physicians Graduated From Istanbul Faculty of Medicine. Journal of Uludağ University Medical Faculty. 2009;35:107-11. 6. Namal A, Öncel O. MÜFİDE KÜLEY. Nobel Medicus Journal, 2009;5(3):102-07.
  • 7. Park J, Minor S, Taylor RA, Vikis E, Poenaru D. Why are women deterred from general surgery training? Am J Surg. 2005:190;141-46.
  • 8. Zandbelt LC, Smets EM, Oort FJ, Godfried MH, de Haes HC. Determinants of physicians’ patient-centred behaviour in the medical specialist encounter. Soc Sci Med. 2006;63:899.
  • 9. Taragin MI, Wilczek AP, Karns ME, Trout R, Carson JL. Physician demographics and the risk of medical malpractice. Am J Med. 1992;93:537.
  • 10. Roter DL, Hall JA, Aoki Y. Physician gender effects in medical communication: a meta-analytic review. JAMA. 2002;288:756. doi: 10.1001/jama.288.6.756.
  • 11. Roter DL, Hall JA. Physician gender and patient-centered communication: a critical review of empirical research. Annu Rev Public Health. 2004;25:497-519.
  • 12. Hall JA, Blanch-Hartigan D, Roter DL. Patients’ satisfaction with male versus female physicians: a meta-analysis. Med Care. 2011;49:611.
  • 13. Wallis CJ, Ravi B, Coburn N, Nam RK, Detsky AS, Satkunasivam R. Comparison of postoperative outcomes among patients treated by male and female surgeons: a population based matched cohort study. BMJ. 2017;359:j4366.
  • 14. Sharoky CE, Sellers MM, Keele LJ, Wirtalla CJ, Karakousis GC, Morris JB, et al. Does surgeon sex matter?: practice patterns and outcomes of female and male surgeons. Ann Surg. 2018;267:1069-76.
  • 15. Rohde RS, Wolf JM, Adams JE. Where are the women in orthopaedic surgery?. Clin Orthop Relat Res. 2016;474:1950-56.
  • 16. WINS White Paper Committee, Benzil DL, Abosch A, Germano I, Gilmer H, Maraire JN, et al. The future of neurosurgery: a white paper on the recruitment and retention of women in neurosurgery. J Neurosurg. 2008;109:378–86.
  • 17. Tulunay-Ugur OE, Sinclair CF, Chen AY. Assessment of gender differences in perceptions of work-life integration among head and neck surgeons. JAMA Otolaryngol Head Neck Surg. 2019;145;453-58..
  • 18. Rad EH, Ehsani-Chimeh E, Gharebehlagh MN, Kokabisaghi F, Rezaei S, Yaghoubi M. Higher income for male physicians: findings about salary differences between male and female Iranian physicians. Balkan Med J. 2019;36:162-68.
  • 19. Liang R. Dornan T. Nestel D. Why do women leave surgical training? A qualitative and feminist study. Lancet. 2019;393:541-49.
  • 20. Roubaud MS. The Pregnant Surgeon: What We Are Doing Right. Plast Reconstr Surg Glob Open. 2019;7:e2104.
  • 21. Dusch MN, O'Sullivan PS, Ascher NL. Patient perceptions of female surgeons: how surgeon demeanor and type of surgery affect patient preference. J Surg Res 2014;187:59-64.
  • 22. Yahanda AT, Lafaro KJ, Spolverato G, Pawlik TM. A systematic review of the factors that patients use to choose their surgeon. World J Surg. 2016;40:45-55.
  • 23. Menees SB, Inadomi JM, Korsnes S, Elta GH. Women patients’ preference for women physicians is a barrier to colon cancer screening. Gastrointest Endosc. 2005;62:219-23.
  • 24. Sun-Ouck K, Kang TW, Kwon D. Gender preferences for urologists: women prefer female urologists. Urol J. 2017;14:3018-22.
  • 25. Groutz A, Amir H, Caspi R, Sharon E, Levy YA, Shimonov M. Do women prefer a female breast surgeon?. Isr J Health Policy Res. 2016;5:35.
  • 26. Huis in’t Veld EA, Canales FL, Furnas HJ. The impact of a plastic surgeon’s gender on patient choice. Aesthet Surg J. 2017;37;466-71.
  • 27. Abghari MS, Takemoto R, Sadiq A, Karia R, Phillips D, Egol KA. Patient perceptions and preferences when choosing an orthopaedic surgeon. Iowa Orthop J. 2014;34:204.
  • 28. Reid I. Patients' preference for male or female breast surgeons: questionnaire study. BMJ. 1998;317;1051-60.
  • 29. Cevrioglu AS, Ogur P, Ellidokuz H, Bayram F, Ozyurek P, Yucebilgin, A. Does gender affect patient’s physician choice during the antenatal follow-up? The Medical Journal of Kocatepe. 2004;5;35-40.
  • 30. Turla A, Canbaz S, Turla F, Canbaz MA. The role of physician gender for outpatients when they are choosing on obstetrician and gynecologist. Gynecology Obstetrics Journal. 2006;5:1027-30.
  • 31. Cull WL, O’canner KG, Sharp S, Tang SFS. Response rates and response bias for 50 surveys of pediatricians. Health Serv Res. 2005;40:213-226.
  • 32. Tolonen H, Helakorpi S, Talala K, Helasoja V, Martelin T, Prattala R. 25-year trends and socio-demographic differences in response rates: Finnish adult health behaviour survey. Eur J Epidemiol. 2006;21:409-415.
  • 33. Martikainen P, Laaksonen M, Piha K, Lallukka T. Does survey non-response bias the association between occupational social class and health?. Scand Journal Public Health. 2007;35:212-15.
  • 34. Turkish Surgical Association Residents Commission. Turkish Surgical Association Resident Committe Report on Surgical education. Ankara. 2010; s.7. ISBN:978-975-97830-7-5.
  • 35. Pories SE, Turner PL, Greenberg CC, Babu MA, Parangi S. Leadership in American surgery: women are rising to the top. Ann Surg. 2019;269:199-205.
  • 36. Peel JK, Schlachta CM, Alkhamesi NA. A systematic review of the factors affecting choice of surgery as a career. Can J Surg. 2018;61:58.
  • 37. Cochran A, Hauschild T, Elder WB, Neumayer LA, Brasel KJ, Crandall ML. Perceived gender-based barriers to careers in academic surgery. Am J Surg. 2013;206:263-68.
There are 36 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Makale
Authors

Saliha Karagöz Eren 0000-0003-4114-6578

Publication Date December 1, 2022
Acceptance Date November 17, 2022
Published in Issue Year 2022 Volume: 7 Issue: 3

Cite

Vancouver Karagöz Eren S. Gender differences in disease distribution in patients who prefer a woman surgeon. JAMER. 2022;7(3):84-9.