ArticlePloS one2019
Sex differences in the treatment and outcome of emergency general surgery.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 46 citations in OpenAlex.
- Video Versus Face-To-Face Preoperative Anaesthetic Assessment: The VIDFACE Trial-A Statistical Analysis Plan.Acta anaesthesiologica Scandinavica · 2025Trial
- Racial and Sex Differences in Postoperative Mortality Between Patients With Versus Without Dementia.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
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- Causal assessments of multilevel social determinant factors on meningioma disparities in the United States.Neuro-oncology practice · 2025Article
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- Identifying those at risk: predicting patient factors associated with worse EGS outcomes.Trauma surgery & acute care open · 2025Article
- The lifetime risk of surgery in England: a nationwide observational cohort study.British journal of anaesthesia · 2024Observational
- Trends and Disparities in the Utilization of Thymectomy for Myasthenia Gravis in the United States.Neurology. Clinical practice · 2024Article
- Exploration of wound-related complications post-kidney transplantation.International wound journal · 2024Observational
- Effect of emergency general surgery on postoperative performance status in patients aged over 90 years.Surgery open science · 2024Article
- Sex-related immunity: could Toll-like receptors be the answer in acute inflammatory response?Frontiers in immunology · 2024Review
- Sex-Based Differences in Survival Among Patients with Acute Abdomen Undergoing Surgery in Malawi: A Propensity Weighted Analysis.World journal of surgery · 2023Article
- Inequities in surgical outcomes by race and sex in the United States: retrospective cohort study.BMJ (Clinical research ed.) · 2023Article
- Sex-Related Differences in Acuity and Postoperative Complications, Mortality and Failure to Rescue.The Journal of surgical research · 2023Article
- Article
- Impact of gender on outcomes following single-level anterior lumbar interbody fusion.Journal of clinical orthopaedics and trauma · 2022Article
- Patient reported outcomes measures (PROMs) trajectories after elective hip arthroplasty: a latent class and growth mixture analysis.Journal of patient-reported outcomes · 2022Article
- Gender Distribution in Deep Brain Stimulation for Parkinson's Disease: The Effect of Awake versus Asleep Surgery.Journal of Parkinson's disease · 2022Article
- Observational
- Medical student exposure to women's health concepts and practices: a content analysis of curriculum at Canadian medical schools.BMC medical education · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSociodemographic characteristics, such as sex, have been shown to influence health care delivery. Acute care surgery models are effective in decreasing mortality and morbidity after emergency surgeries, but sex-based differences in delivery and outcomes have not been explored. Our objective was to explore sex associated differences in the patient characteristics and clinical outcomes of those admitted to emergency general surgery.
methodsA post-hoc analysis of 512 emergency general surgical patients admitted consecutively to two tertiary care hospitals in Alberta Canada, between April 1, 2014 and July 31, 2015. We measured associations between sex and patient demographics, pre-, intra- and post-operative delivery of care, as well as post-operative outcomes.
findingsOf those excluded from the analysis, older females were more likely to undergo conservative management compared to older men (41% vs 34%, p = 0.03). Overall, there were no differences between sexes for time from admission to surgery, time spent in surgery, overall complication rate, mortality, hospital length of stay, or discharge disposition. Women were more likely to have a cancer diagnosis [OR 4.12 (95% CI: 1.61-10.5), p = 0.003, adjusted for age], while men were more likely to receive hernia surgery [OR 2.33 (95% CI 1.35-4.02), p = 0.002, adjusted for age and Charlson Comorbidity Index]. Finally, men were more likely to have a major respiratory complication [OR 2.73 (95% CI: 1.19-6.24), p = 0.02, adjusted for age].
conclusionsOnly two differences in peri and post-operative complications between sexes were noted, which suggests sex-based disparity in quality of care is limited once a decision has been made to operate. Future studies with larger databases are needed to corroborate our findings and investigate potential sex biases in surgical versus conservative management.
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