Evidence map›Paper›PMID 37331918›Full record

ArticleThe Journal of emergency medicine2023

Achieving Equity in Emergency Medicine Quality Measures Requires a Sex and Gender Lens.

Ynhi T Thomas, Angela F Jarman, Nina G Faynshtayn, Greg B Buehler, Sara Andrabi, Alyson J McGregor

Abstract read
In one paragraph

Article in The Journal of emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Reduced left-without-being-seen rates and impact on disparities after guest services ambassadors implementation.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Observational
  4. Article
  5. Article
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

6 authors.

Ynhi T ThomasHenry J.N. Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, Texas. Electronic address: ythomas@bcm.edu.
Angela F JarmanDepartment of Emergency Medicine, University of California-Davis, Sacramento, California.
Nina G FaynshtaynUndergraduate College, Brown University, Providence, Rhode Island.
Greg B BuehlerHenry J.N. Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, Texas.
Sara AndrabiHenry J.N. Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, Texas.
Alyson J McGregorDepartment of Emergency Medicine, Prisma Health, University of South Carolina School of Medicine Greenville, Greenville, South Carolina.

Funding

Building Interdisciplinary Research Careers in Womens Health at UC Davis - Administrative SupplementK12HD051958 · NICHD · UNIVERSITY OF CALIFORNIA DAVIS · PI LANE, NANCY E · 2005 to 2023
$9.6M
Building Interdisciplinary Research Careers in Women's Health at UC DavisK12AR084220 · NIAMS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Nancy E Lane · 2023 to 2026
$3.0M
NIAMS NIH HHS K12 AR084220NICHD NIH HHS K12 HD051958
6 · The paper itself

Abstract

backgroundQuality measures within Emergency Medicine (EM) were developed to standardize and improve care. Their development has been limited by lack of consideration of sex- and gender-based differences. Research has suggested that sex and gender can impact clinical care and treatment. Inclusion of sex and gender differences is needed to create EM quality measures that are equitable to all.

objectiveThe aim of the review is to provide a brief history of EM quality measures and the value of considering sex- and gender-based evidence in their development to ensure equity, using acute myocardial infarction (AMI) as an example. DISCUSSION: Current quality measures related to AMI, such as time-to-electrocardiogram and door-to-balloon time in percutaneous coronary intervention, may have important and modifiable disparities when stratified by sex. Even when presenting with signs and symptoms of AMI, women experience delayed time to diagnosis and treatment. Few studies have considered interventions to mitigate these differences. However, the data available suggest that sex-based disparities can be minimized by implementation of strategies such as a quality control checklist.

conclusionsQuality measures were created to deliver high-quality, evidence-based, and standardized care, but without the inclusion of sex and gender metrics, they may not advance care to an equitable level.

Indexed as

Myocardial InfarctionPercutaneous Coronary InterventionFemaleHumansMaleQuality Indicators, Health CareSex Factorsacute myocardial infarctionhealth equityquality measuressex and gender medicine

Identifiers

PMID37331918
PMCPMC10505242

What OpenQuestion holds

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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.