women are more likely to die in surgery, experience severe complications, and be re-hospitalized if the surgeon operating on them is a man, according to a new study of ontario surgical patients. men’s outcomes, meanwhile, stay similar, regardless of their surgeon’s gender.
the study, performed in part by researchers at the university of toronto,
was published in jama surgery
.
researchers looked at 1.3 million adult patients who had one of 21 common surgeries in ontario from 2007 to 2019. the surgeries included both emergency and elective procedures, among them appendix removal, hip and knee replacements, weight loss procedures and brain surgery. the procedures were performed by a total of 2,937 doctors.
they found that women were 32 per cent more likely to die if their surgeon was male than female. female patients with male surgeons were also 20 per cent more likely to have a longer hospital stay, 16 per cent more likely to have complications from the surgery, and 11 per cent more likely to be re-admitted to the hospital.
the results are troubling, one of the study’s co-authors, clinical epidemiologist and u of t professor dr. angela jerath,
told the guardian
.
“this result has real-world medical consequences for female patients,” she said. “we have demonstrated in our paper that we are failing some female patients and that some are unnecessarily falling through the cracks with adverse, and sometimes fatal, consequences.”