Evidence map›Paper›PMID 41954068›Full record

ArticleJournal of the American Heart Association2026

Patient-Surgeon Sex Concordance and Clinical Outcomes After Adult Cardiac Surgery.

Lamia Harik, Alexander C Gregg, Yiyuan Wu, Bjorn Redfors, Sigrid Sandner, Leonard N Girardi, Mario Gaudino

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Lamia HarikDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.
Alexander C GreggDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.ORCID 0009-0007-6524-4742
Yiyuan WuDivision of Biostatistics and Epidemiology, Department of Population Health Sciences Weill Cornell Medicine New York NY USA.ORCID 0009-0001-7478-187X
Bjorn RedforsDepartment of Population Health Sciences Weill Cornell Medicine New York NY USA.ORCID 0000-0002-4155-4451
Sigrid SandnerDepartment of Cardiac Surgery Medical University of Vienna Vienna Austria.ORCID 0000-0003-4669-9841
Leonard N GirardiDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.ORCID 0000-0003-1407-1443
Mario GaudinoDepartment of Cardiothoracic Surgery Weill Cornell Medicine New York NY USA.ORCID 0000-0003-4680-0815

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient-surgeon sex concordance influences postoperative outcomes in general surgery, but its relevance in cardiac surgery is unknown.

methodsThis was a cohort study of 223 065 Medicare beneficiaries undergoing coronary artery bypass grafting, surgical aortic valve replacement, and/or proximal aortic surgery from 2010 to 2021, stratified by surgeon and patient sex. The primary and secondary outcomes were composites of mortality and morbidity (myocardial infarction, stroke, and all-cause readmission) at 30 days and 5 years postoperatively, respectively. Multivariable regression analysis identified independent associations.

resultsThe male surgeon-male patient group comprised 59.9% (133 533/223 065), the female surgeon-male patient group comprised 8.3% (18 623/223 065), the female surgeon-female patient group comprised 3.8% (8466/223 065), and the male surgeon-female patient group comprised 28.0% (62 443/223 065) of the cohort. There was no difference in the incidence of the 30-day composite outcome between groups and no independent association of sex concordance with the 30-day composite outcome (odds ratio sex discordance, 1.00 [95% CI, 0.96-1.04];

conclusionsThere was no independent association of patient-surgeon sex concordance with 30-day or 5-year outcomes after cardiac surgery.

Indexed as

Cardiac Surgical ProceduresPostoperative ComplicationsSurgeonsAgedAged, 80 and overCoronary Artery BypassFemaleHumansMaleMedicarePatient ReadmissionRetrospective StudiesRisk FactorsSex FactorsTime FactorsTreatment Outcomecardiac surgerysex concordancesex discordancewomen in cardiac surgery

Identifiers

PMID41954068
PMCPMC13279174

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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.