A Case of a Micronesian Woman in Hawai'i with Lymphoma and the Role of Implicit Bias in Medicine Affecting Her Care.

Kory M Johnson, Emma Fixsen, David J Elpern, Douglas W Johnson

Open access · greenAbstract readCase Reports

In one paragraph

Article in Hawai'i journal of health & social welfare, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact, top 90% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Kory M JohnsonMount Sinai Health System, New York, NY (KMJ).

Emma FixsenJohn A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (EF, DWJ).

David J ElpernDavid Elpern MD: The Skin Clinic, Williamstown, MA (DJE).

Douglas W JohnsonJohn A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (EF, DWJ).

University of Hawaiʻi at Mānoa · USMount Sinai Health System · USWilliams College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medically indigent patients, patients of color, those with insufficient health insurance, or patients with severe diseases have a high rate of poor health care quality caused by unconscious implicit and explicit biases. Awareness of the relationship between unconscious implicit bias and negative health care outcomes is increasing in the health care community. The objective of this case study was to examine implicit biases that negatively affected the patient care of a young Micronesian woman with a severe cutaneous disease in Hawai'i. Her medical care and death may have been affected by a combination of implicit biases, including bias based on her race, type of health insurance, and underlying disease. Implicit biases and their role in health care disparities are often unintentional and not obvious. Increased awareness by health care providers may help to avoid inequities in clinical decision-making and improve outcomes.

Indexed as

Bias, ImplicitLymphomaAttitude of Health PersonnelFemaleHawaiiHumansPacific Island Peopleexplicit biashealth careimplicit biasindigentlymphomapsoriasis

Identifiers

PMID37153116

PMCPMC10161400

OpenAlexW4375855557

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.