Evidence map›Paper›PMID 38282544›Full record

ArticleWomen's health (London, England)

Gender-based differential management of acute low back pain in the emergency department: A survey based on a clinical vignette.

Léa V Schilter, Joana Ae Le Boudec, Olivier Hugli, Isabella Locatelli, Phillippe Staeger, Vincent Della Santa, Vincent Frochaux, Olivier Rutschmann, Sandra Bieler, Vincent Ribordy and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

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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

13 authors at 8 institutions in 1 country.

Léa V SchilterFaculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.
Joana Ae Le BoudecDepartment of Ambulatory Care, Center for Primary Care and Public Health (UNISANTE), University of Lausanne, Lausanne, Switzerland.ORCID 0000-0001-7363-1821
Olivier HugliEmergency Department, Lausanne University Hospital & Lausanne University (CHUV), Lausanne, Switzerland.
Isabella LocatelliDepartment of Epidemiology and Health Systems, Center for Primary Care and Public Health (UNISANTE), University of Lausanne, Lausanne, Switzerland.
Phillippe StaegerDepartment of Ambulatory Care, Center for Primary Care and Public Health (UNISANTE), University of Lausanne, Lausanne, Switzerland.
Vincent Della SantaEmergency Department, Réseau Hospitalier Neuchâtelois (HNE), Neuchâtel, Switzerland.
Vincent FrochauxEmergency Department, Hôpital du Valais (HSV), Sion, Switzerland.
Olivier RutschmannEmergency Department, Hôpitaux Universitaires de Genève (HUG), Geneva, Switzerland.
Sandra BielerEmergency Department, Hôpital de Nyon (GHOL), Nyon, Switzerland.
Vincent RibordyEmergency Department, Hôpital de Fribourg (HFR), Fribourg, Switzerland.
Yvan FournierEmergency Department, Hôpital de Payerne (HIB), Payerne, Switzerland.
Dumeng DecosterdIntensive Care Unit, Réseau Hospitalier Neuchâtelois, Site de Pourtalès, Neuchâtel, Switzerland.
Carole ClairDepartment of Ambulatory Care, Center for Primary Care and Public Health (UNISANTE), University of Lausanne, Lausanne, Switzerland.
University of Lausanne · CHHospital Neuchâtel · CHCentre universitaire de médecine générale et santé publique, Lausanne · CHFribourg Development Agency · CHGymnase de Nyon · CHHôpital Beau-Séjour · CHHôpital du Valais · CHHôpital intercantonal de la Broye · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen may receive suboptimal pain management compared with men, and this disparity might be related to gender stereotypes.

objectivesTo assess the influence of patient gender on the management of acute low back pain.

designWe assessed pain management by 231 physicians using an online clinical vignette describing a consultation for acute low back pain in a female or male patient. The vignette was followed by a questionnaire that assessed physicians' management decisions and their gender stereotypes.

methodsWe created an online clinical vignette presenting a patient with acute low back pain and assessed the influence of a patient's gender on pain management. We investigated gender-related stereotyping regarding pain care by emergency physicians using the Gender Role Expectation of Pain questionnaire.

resultsBoth male and female physicians tended to consider that a typical man was more sensitive to pain, had less pain endurance, and was more willing to report pain than a typical woman. These stereotypes did not translate into significant differences in pain management between men and women. However, women tended to be referred less often for imaging examinations than men and were also prescribed lower doses of ibuprofen and opioids. The physician's gender had a modest influence on management decisions, female physicians being more likely to prescribe ancillary examinations.

conclusionWe observed gender stereotypes among physicians. Our findings support the hypothesis that social characteristics attributed to men and women influence pain management. Prospective clinical studies are needed to provide a deeper understanding of gender stereotypes and their impact on clinical management.

Indexed as

Low Back PainEmergency Service, HospitalFemaleHumansMalePain ManagementProspective StudiesSurveys and Questionnairesgender biasgender managementgender stereotypeslow back painpain

Identifiers

PMID38282544
PMCPMC10826390
OpenAlexW4391325466

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.