Is There Sex Bias in the Management of Coronary Artery Disease?

To the Editor: The study by Ayanian and Epstein (July 25 issue) 1 suggests that sex bias affects physicians' decisions about patients with suspected or confirmed coronary artery disease. However, other possible interpretations of its results deserve further discussion. It may be that the observ...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 326; no. 8; pp. 570 - 572
Main Authors Foster, D A, Gillette, M K, McNeill, D N, Collins, A M
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 20.02.1992
Subjects
Coronary Disease - therapy
Female
Humans
Logistic Models
Male
Odds Ratio
Prejudice
Sex Factors
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Summary:To the Editor: The study by Ayanian and Epstein (July 25 issue) 1 suggests that sex bias affects physicians' decisions about patients with suspected or confirmed coronary artery disease. However, other possible interpretations of its results deserve further discussion. It may be that the observed differences between the sexes in the rates of cardiac catheterization and revascularization procedures were due to confounding bias. Although the investigators controlled for some potential confounding variables, they did not consider many seemingly important ones. They collected no information about many aspects of the severity of the patients' coronary artery disease, such as the severity of . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM199202203260813