Evidence map›Paper›PMID 42777465›Full record

ArticleAtencion primaria2026

[Gender Bias in Low-Value Clinical Practices in Primary Care: A Scoping Review].

Blanca Obón-Azuara, Christian Gil Borrelli, Ana Cristina Sumelzo Liso, Isabel Gutiérrez-Cía

Abstract readScoping ReviewEnglish Abstract
In one paragraph

Article in Atencion primaria, 2026. 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

4 authors.

Blanca Obón-AzuaraGrupo de Investigación GRISSA, IIS Aragón, Instituto Aragonés de Ciencias de la Salud, Zaragoza, España; Servicio de Medicina Intensiva, Hospital Clínico Universitario Lozano Blesa, Servicio Aragonés de Salud (SALUD), Zaragoza, España. Electronic address: blankaobona@hotmail.com.
Christian Gil BorrelliServicio de Medicina Preventiva, Hospital Alto Deba, Osakidetza, Arrasate-Mondragón, España.
Ana Cristina Sumelzo LisoCentro de Salud Fuentes de Ebro, Sector II, Servicio Aragonés de Salud (SALUD), Zaragoza, España.
Isabel Gutiérrez-CíaGrupo de Investigación GRISSA, IIS Aragón, Instituto Aragonés de Ciencias de la Salud, Zaragoza, España; Servicio de Medicina Intensiva, Hospital Clínico Universitario Lozano Blesa, Servicio Aragonés de Salud (SALUD), Zaragoza, España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low-value clinical practices (LVPs) in primary care are not sex- or gender-neutral, yet the evidence on this bias remains scattered. Following a scoping review per PRISMA-ScR and JBI, with a PCC-structured question, we searched PubMed/MEDLINE, Embase, CINAHL and Web of Science (1999-2026), complemented by Spanish foundational primary-care safety studies (APEAS, EVADUR). After independent screening (agreement 81.1%) and a 2016-2026 window, 250 documents were included. Evidence concentrated in inappropriate psychotropic prescribing (n=181) and excessive diagnostic testing (n=124), with scarce representation in sex-differential screening, epidemiological reporting and referrals. No Spanish foundational study analysed sex/gender as a primary determinant. Gender operates as a determinant of which LVPs occur, for whom, and with what consequences; integrating sex-disaggregated analyses and SAGER are necessary conditions for equitable, safe primary care.

Indexed as

Practice Patterns, Physicians'Primary Health CareSexismFemaleHumansInappropriate PrescribingMaleAtención Primaria de saludEquidad en saludGender biasHealth equityInappropriate prescribingLow-value practicesPatient safetyPrácticas de bajo valorPrescripción inadecuadaPrimary health careRevisión de alcanceScoping reviewSeguridad del pacienteSesgo de género

Identifiers

PMID42777465
PMCPMC13634087

What OpenQuestion holds

Textmetadata
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.