Evidence map›Paper›PMID 38851666›Full record

Trial reportBMC primary care2024

Identification of low-value practices susceptible to gender bias in primary care setting.

Virtudes Pérez-Jover, Alicia Sánchez-García, Adriana Lopez-Pineda, Irene Carrillo, José Joaquín Mira, Concepción Carratalá-Munuera

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05233852 (A Framework to Analyze Gender Bias in the Overuse Studies Conducting in Primary Care), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT05233852 unknown statusnot on this map

A Framework to Analyze Gender Bias in the Overuse Studies Conducting in Primary Care

TypeobservationalSponsorUniversidad Miguel Hernandez de ElcheRan2022 to 2024Enrolled1,538ConditionsSevere Adverse EventArms"Do not do" recommendation
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. 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.

Virtudes Pérez-Jover *Department of Health Psychology, Miguel Hernandez University of Elche, Elche, Spain.ORCID 0000-0001-9089-0497
Alicia Sánchez-García *Department of Health Psychology, Miguel Hernandez University of Elche, Elche, Spain.ORCID 0009-0001-7943-3030
Adriana Lopez-PinedaDepartment of Clinical Medicine, Miguel Hernandez University of Elche, San Juan de Alicante, Spain. adriana.lopezp@umh.es.ORCID 0000-0002-2117-0178
Irene CarrilloDepartment of Health Psychology, Miguel Hernandez University of Elche, Elche, Spain.ORCID 0000-0002-6981-7284
José Joaquín Mira *Department of Health Psychology, Miguel Hernandez University of Elche, Elche, Spain.ORCID 0000-0001-6497-083X
Concepción Carratalá-Munuera *Department of Clinical Medicine, Miguel Hernandez University of Elche, San Juan de Alicante, Spain.

Funding

Conselleria de Innovación, Universidades, Ciencia y Sociedad Digital, Generalitat Valenciana Project Prometeu 2021/061Instituto de Salud Carlos III INT22/00012Universidad Miguel Hernández 2022/PER/00002
6 · The paper itself

Abstract

backgroundData on overuse of diagnostic and therapeutic resources underline their contribution to the decline in healthcare quality. The application of "Do Not Do" recommendations, in interaction with gender biases in primary care, remains to be fully understood. Therefore, this study aims to identify which low-value practices (LVPs) causing adverse events are susceptible to be applied in primary care setting with different frequency between men and women.

methodsA consensus study was conducted between November 1, 2021, and July 4, 2022, in the primary care setting of the Valencian Community, Spain. Thirty-three of the 61 (54.1%) health professionals from clinical and research settings invited, completed the questionnaire. Participants were recruited by snowball sampling through two scientific societies, meeting specific inclusion criteria: over 10 years of professional experience and a minimum of 7 years focused on health studies from a gender perspective. An initial round using a questionnaire comprising 40 LVPs to assess consensus on their frequency in primary care, potential to cause serious adverse events, and different frequency between men and women possibly due to gender bias. A second round-questionnaire was administered to confirm the final selection of LVPs.

resultsThis study identified nineteen LVPs potentially linked to serious adverse events with varying frequencies between men and women in primary care. Among the most gender-biased and harmful LVPs were the use of benzodiazepines for insomnia, delirium, and agitation in the elderly, and the use of hypnotics without a previous etiological diagnosis.

conclusionsIdentifying specific practices with potential gender biases, mainly in mental health for the elderly, contributes to healthcare promotion and bridges the gap in gender inequalities.

trial registrationNCT05233852, registered on 10 February 2022.

Indexed as

Primary Health CareSexismAdultFemaleHumansMaleMedical OveruseMiddle AgedQuality of Health CareSpainSurveys and QuestionnairesAdverse eventsGender biasLow-value practicesPrimary care

Identifiers

PMID38851666
PMCPMC11161995

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.