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Gender Disparities in Decision-Making and Outcomes in Lumbar Spine Surgery: A Retrospective Analysis

Year 2025, Volume: 7 Issue: 2, 450 - 453, 09.05.2025
https://doi.org/10.37990/medr.1636552

Abstract

Aim: The objective of this study is to explore gender differences in decision-making and outcomes in lumbar spine surgery.
Material and Method: In this retrospective analysis, 74 patients (42 women and 32 men) who had lumbar spine surgery at İstinye University's Gaziosmanpaşa Hospital between January 2023 and April 2024 were included. Sociodemographics, surgical choices, comorbidities, and medication use were among the data gathered; these were examined to find variations.
Results: Women were more likely to attend appointments with family members and to have surgery at their initial consultation. In addition, women were more likely than men to have smoked, had had previous surgery, and used antidepressants. In terms of surgical operations, stabilizing procedures were more commonly assigned to women. Additionally, compared to patients with only a primary school education, those with better educational backgrounds—especially those who have graduated from university—tended to make judgments faster. Preoperative discomfort and impairment were higher among women, according to the results.
Conclusion: Comorbidities, gender, and educational background have a big influence on lumbar spine surgical decision-making and results. By addressing these issues in therapeutic settings, it may be possible to improve patient care and lessen treatment and recovery inequities.

Ethical Statement

Institutional review board approval was obtained from İstinye University, Faculty of Medicine (Protocol No: 24-215, 22.11.2024).

References

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  • Strömqvist F, Strömqvist B, Jönsson B, Karlsson MK. Gender differences in patients scheduled for lumbar disc herniation surgery: a National Register Study including 15,631 operations. Eur Spine J. 2016;25:162-7.
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Year 2025, Volume: 7 Issue: 2, 450 - 453, 09.05.2025
https://doi.org/10.37990/medr.1636552

Abstract

References

  • Rathore SS, Chen J, Wang Y, et al. Sex differences in cardiac catheterization: the role of physician gender. JAMA. 2001;286:2849-56.
  • Spörri R, Joller N, Hilbi H, Oxenius A. A novel role for neutrophils as critical activators of NK cells. J Immunol. 2008;181:7121-30.
  • Skvortsova A, Meeuwis SH, Vos RC, et al. Implicit gender bias in the diagnosis and treatment of type 2 diabetes: a randomized online study. Diabet Med. 2023;40:e15087.
  • Sempere L, Bernabeu P, Cameo J, et al. Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Inflamm Bowel Dis. 2023;29:1886-94.
  • Claréus B, Renström EA. Physicians' gender bias in the diagnostic assessment of medically unexplained symptoms and its effect on patient-physician relations. Scand J Psychol. 2019;60:338-47.
  • Seo W, Muroi S, Akiyama K, Taniuchi I. Distinct requirement of Runx complexes for TCRβ enhancer activation at distinct developmental stages. Sci Rep. 2017;7:41351.
  • MacLean MA, Charest-Morin R, Stratton A, et al. Gender differences in spine surgery for degenerative lumbar disease: prospective cohort study. J Neurosurg Spine. 2024;42:24-32.
  • Siccoli A, Staartjes VE, de Wispelaere MP, Schröder ML. Gender differences in degenerative spine surgery: do female patients really fare worse?. Eur Spine J. 2018;27:2427-35.
  • Strömqvist F, Strömqvist B, Jönsson B, Karlsson MK. Gender differences in patients scheduled for lumbar disc herniation surgery: a National Register Study including 15,631 operations. Eur Spine J. 2016;25:162-7.
  • MacLean MA, Touchette CJ, Han JH, et al. Gender differences in the surgical management of lumbar degenerative disease: a scoping review. J Neurosurg Spine. 2020;32:799-816.
There are 10 citations in total.

Details

Primary Language English
Subjects Brain and Nerve Surgery (Neurosurgery)
Journal Section Original Articles
Authors

Bülent Bozyiğit 0000-0001-5038-2260

Mehmet Denizhan Yurtluk 0009-0004-9101-6311

Hakan Kına 0000-0002-9741-7720

Parvin Akbarov 0000-0002-0617-8972

Aydın Sinan Apaydın 0000-0002-2916-9550

Publication Date May 9, 2025
Submission Date February 10, 2025
Acceptance Date February 27, 2025
Published in Issue Year 2025 Volume: 7 Issue: 2

Cite

AMA Bozyiğit B, Yurtluk MD, Kına H, Akbarov P, Apaydın AS. Gender Disparities in Decision-Making and Outcomes in Lumbar Spine Surgery: A Retrospective Analysis. Med Records. May 2025;7(2):450-453. doi:10.37990/medr.1636552

Chief Editors
Prof. Dr. Berkant Özpolat, MD
Department of Thoracic Surgery, Ufuk University, Dr. Rıdvan Ege Hospital, Ankara, Türkiye

Editors
Prof. Dr. Sercan Okutucu, MD
Department of Cardiology, Ankara Lokman Hekim University, Ankara, Türkiye

Assoc. Prof. Dr. Süleyman Cebeci, MD
Department of Ear, Nose and Throat Diseases, Gazi University Faculty of Medicine, Ankara, Türkiye

Field Editors
Assoc. Prof. Dr. Doğan Öztürk, MD
Department of General Surgery, Manisa Özel Sarıkız Hospital, Manisa, Türkiye

Assoc. Prof. Dr. Birsen Doğanay, MD
Department of Cardiology, Ankara Bilkent City Hospital, Ankara, Türkiye

Assoc. Prof. Dr. Sonay Aydın, MD
Department of Radiology, Erzincan Binali Yıldırım University Faculty of Medicine, Erzincan, Türkiye

Language Editors
PhD, Dr. Evin Mise
Department of Work Psychology, Ankara University, Ayaş Vocational School, Ankara, Türkiye

Dt. Çise Nazım
Department of Periodontology, Dr. Burhan Nalbantoğlu State Hospital, Lefkoşa, North Cyprus

Statistics Editor
Dr. Nurbanu Bursa, PhD
Department of Statistics, Hacettepe University, Faculty of Science, Ankara, Türkiye

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