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Patient-Surgeon Gender Concordance Does Not Impact Postoperative Mortality

Medically reviewed by Carmen Pope, BPharm. Last updated on Nov 27, 2023.

By Elana Gotkine HealthDay Reporter

MONDAY, Nov. 27, 2023 -- Postoperative mortality is similar regardless of patient-surgeon gender concordance, according to a study published online Nov. 22 in The BMJ.

Christopher J.D. Wallis, M.D., Ph.D., from the University of Toronto, and colleagues conducted a retrospective observational study in acute care hospitals in the United States to examine whether patient-surgeon gender concordance is associated with mortality after surgery. Data were included for 2,902,756 patients who had one of 14 major elective or nonelective surgeries in 2016 to 2019.

Overall, 44.4 percent had operations done by surgeons of the same gender (41.4 percent male patient and male surgeon; 3.0 percent female patient and female surgeon) and 55.6 percent were by surgeons of a different gender (1.8 percent male patient and female surgeon; 53.8 percent female patient and male surgeon). The researchers found that the adjusted 30-day mortality was 2.0, 1.7, 1.5, and 1.3 percent for male patient-male surgeon dyads, male patient-female surgeon dyads, female patient-male surgeon dyads, and female patient-female surgeon dyads, respectively. Patient-surgeon gender concordance was associated with slightly lower and higher mortality for female and male patients, respectively (adjusted risk differences, −0.2 and 0.3 percentage points, respectively), but the difference was not clinically meaningful.

"We found that postoperative mortality was similar among the four types of patient-surgeon gender dyads," the authors write. "The associations were heterogeneous across different types of surgical procedures, with no significant findings observed for nonelective surgeries."

Abstract/Full Text

Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.

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Posted November 2023

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