Evidence map›Paper›PMID 39542745›Full record

ArticleClinical therapeutics2024

The Role of Sex and Gender in Precision Emergency Medicine: A Scoping Review and Proposed Hierarchy.

Angela F Jarman, Madeleine G Wolfe, Bryn E Mumma, Tracy E Madsen, Basmah Safdar, Marna R Greenberg, Jeannette J Wolfe, Bridget Gunn, Lauren A Walter, Brandon C Maughan and 1 more

Abstract readScoping Review
In one paragraph

Article in Clinical therapeutics, 2024. 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
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.

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

11 authors.

Angela F JarmanDepartment of Emergency Medicine, University of California-Davis, School of Medicine, Sacramento, California. Electronic address: afjarman@ucdavis.edu.
Madeleine G WolfeDepartment of Public Health Sciences, Clemson University, Clemson, South Carolina.
Bryn E MummaDepartment of Emergency Medicine, University of California-Davis, School of Medicine, Sacramento, California.
Tracy E MadsenDepartment of Emergency Medicine, Alpert Medical School of Brown University, Providence, Rhode Island; Department of Epidemiology, Brown University School of Public Health, Providence, Rhode Island.
Basmah SafdarDepartment of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut.
Marna R GreenbergDepartment of Emergency and Hospital Medicine, USF Morsani College of Medicine/Lehigh Valley Health Network Campus, Allentown, Pennsylvania.
Jeannette J WolfeDepartment of Emergency Medicine, University of Massachusetts Chan School of Medicine-Baystate, Springfield, Massachusetts.
Bridget GunnLibrary & Knowledge Services, Baystate Medical Center, Springfield, Massachusetts.
Lauren A WalterDepartment of Emergency Medicine, University of Alabama at Birmingham, Heersink School of Medicine, Birmingham, Alabama.
Brandon C MaughanDepartment of Emergency Medicine, Oregon Health & Science University, Portland, Oregon.
Alyson J McGregorDepartment of Emergency Medicine, University of South Carolina School of Medicine, Greeneville, 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
Yale-METRO Metropolitan Emergency Trial netwoRK to advance patient OutcomesU24NS129500 · NINDS · YALE UNIVERSITY · PI Gail D'Onofrio, Kevin Navin Sheth · 2023 to 2026
$1.7M
StoP STRokE: Sex-Specific Prevention of Stroke Through Reproductive Risk Factors and Sex Hormone EffectsK23HL140081 · NHLBI · RHODE ISLAND HOSPITAL · PI MADSEN, TRACY · 2018 to 2022
$945k
NHLBI NIH HHS K23 HL140081NIAMS NIH HHS K12 AR084220NICHD NIH HHS K12 HD051958NINDS NIH HHS U24 NS129500
6 · The paper itself

Abstract

backgroundPrecision medicine utilizes individual patient data to guide decision making. Sex and gender medicine is likewise focused on individual patients' biological sex or sociocultural gender as determinants of disease. How these two fields intersect with one another and with acute care medicine is unclear.

methodsWe conducted a scoping literature review utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews to evaluate the primary research in three related areas: sex & gender medicine, emergency medicine, and precision medicine. We searched six databases and screened eligible studies for inclusion. Included studies were reviewed in full, and study characteristics were compiled using a standardized data extraction form. Research questions were drafted by workgroup members and ranked by all participants of the consensus conference.

resultsA total of 401 studies were screened for inclusion. Of these, 70 met inclusion criteria and were evaluated in full text. The majority (84%, 59/70) reported evaluating sex, whereas only 16% (11/70) reported evaluating gender. The most common clinical topics were cardiovascular diseases and trauma/injury prevention, comprising 50% (35/70) of the included manuscripts. Cumulatively, 77% (54/70) of the manuscripts reviewed cited at least one funding source. The vast majority (66/70, 94%) of studies were included because their statistical analysis accounted for sex or gender, and very few studies (4/70, 6%) were included due to their use of biomarker or genomic data.

conclusionsSex- and gender-based medicine and research commonly employ precision medicine concepts to evaluate the effects of sex and gender in a variety of clinical topic areas, but much of this literature is not commonly described as precision medicine. We propose a hierarchy to categorize, label, and advance sex and gender precision medicine research. Fundamental to this advancement are implementation of guidelines regarding the correct use of sex and gender and continued research funding for sex and gender precision EM research.

Indexed as

Emergency MedicinePrecision MedicineFemaleHumansMaleSex FactorsEvidence Based DifferencesPrecision MedicineSex and GenderSex Differences

Identifiers

PMID39542745
PMCPMC11784636

What OpenQuestion holds

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Registered trials

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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.