Influence of patients' gender on informed decision making regarding total knee arthroplasty.

Abstract:

OBJECTIVE:To investigate the effect of patient gender on patient-physician communication in the process of recommendation for total knee arthroplasty (TKA). METHODS:Seventy-one physicians (38 family physicians and 33 orthopedic surgeons) in Ontario performed blinded assessments of 2 standardized patients (1 man and 1 woman) with moderate knee osteoarthritis and otherwise identical scenarios. Four surgeons did not consent to including their data. Standardized patients and accompanying mock family members recorded elements of informed decision making (IDM) as present/absent in the patient-physician discussion and rated the physicians' interpersonal skills. RESULTS:Overall, the completeness of IDM was low, but was lower still for the woman. Only 57% (38 of 67) and 15% (10 of 67) of physicians discussed the nature of the decision and elicited the patient's preference while consulting with the man and woman, respectively. Even after adjusting for physicians' recommendations regarding TKA, when interacting with the woman, physicians included fewer IDM elements (adjusted mean difference in IDM score 1.2 [95% confidence interval (95% CI) 0.6, 1.8]; P < 0.001) and had poorer interpersonal skills (adjusted mean difference 14.1 [95% CI 9.0, 19.2]; P < 0.001) compared with their consultation with the man. CONCLUSION:Physicians provided less medical information and less encouragement to participate in the decision to undergo TKA to a woman compared with a man, irrespective of their recommendation regarding TKA. Our findings suggest that in addition to directly influencing physicians' clinical decision making, gender bias may also influence physicians' interpersonal behavior.

authors

Borkhoff CM,Hawker GA,Kreder HJ,Glazier RH,Mahomed NN,Wright JG

doi

10.1002/acr.21970

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

1281-90

issue

8

eissn

2151-464X

issn

2151-4658

journal_volume

65

pub_type

杂志文章
  • What do people with knee or hip osteoarthritis need to know? An international consensus list of essential statements for osteoarthritis.

    abstract:OBJECTIVE:To establish priority key messages for patients with osteoarthritis (OA). METHODS:A Delphi survey and priority pairwise ranking activity was conducted. Participants included 51 OA experts from 13 countries and 9 patients (consumers) living with hip and/or knee OA. During 3 Delphi rounds, the panel of experts...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.22518

    authors: French SD,Bennell KL,Nicolson PJ,Hodges PW,Dobson FL,Hinman RS

    更新日期:2015-05-01 00:00:00

  • Physical Therapists' Falls Prevention Knowledge, Beliefs, and Practices in Osteoarthritis Care: A National Cross-Sectional Study.

    abstract:OBJECTIVE:To investigate physical therapists' knowledge, beliefs, and current practices around falls prevention in osteoarthritis (OA) care. METHODS:Currently registered, practicing Australian physical therapists who care for patients with hip and/or knee OA were invited to participate in this cross-sectional study. A...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.23996

    authors: Ackerman IN,Soh SE,Barker AL

    更新日期:2020-08-01 00:00:00

  • Cognitive function trajectories are associated with the depressive symptoms trajectories in systemic lupus erythematosus over time.

    abstract:BACKGROUND:Cognitive function may change over time in patients with SLE, and cognitive function trajectories have not well been studied. We aim to: 1) identify cognitive function trajectories in SLE and describe it with depressive symptoms trajectories and 2) identify baseline factors associated with class membership i...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.24349

    authors: Touma Z,Moghaddam B,Su J,Katz P

    更新日期:2020-06-11 00:00:00

  • Valgus bracing for knee osteoarthritis: a meta-analysis of randomized trials.

    abstract:OBJECTIVE:To evaluate the effects of valgus knee bracing on pain and function, and compliance and complications, in patients with medial knee osteoarthritis (OA). METHODS:A meta-analysis of randomized controlled trials that compared changes in patient-reported pain and/or function in patients with medial knee OA was p...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,meta分析

    doi:10.1002/acr.22472

    authors: Moyer RF,Birmingham TB,Bryant DM,Giffin JR,Marriott KA,Leitch KM

    更新日期:2015-04-01 00:00:00

  • Very early improvements in the wrist and hand assessed by power Doppler sonography predicting later favorable responses in tocilizumab-treated patients with rheumatoid arthritis.

    abstract:OBJECTIVE:To investigate the response of tocilizumab (TCZ) in patients with rheumatoid arthritis (RA) by ultrasonographic evaluation of changes in the wrist and hand, and to determine whether such assessments during early TCZ treatment predict later clinical outcome. METHODS:Thirty-two RA patients about to receive TCZ...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.20537

    authors: Kume K,Amano K,Yamada S,Hatta K,Kuwaba N,Ohta H

    更新日期:2011-10-01 00:00:00

  • Assessment of chronic postsurgical pain after knee replacement: a systematic review.

    abstract:OBJECTIVE:Approximately 20% of patients experience chronic pain after total knee replacement (TKR), yet there is no consensus about how best to assess such pain. This systematic review aimed to identify measures used to characterize chronic pain after TKR.Methods. MEDLINE, Embase, PsycINFO, Cochrane Library, and CINAHL...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,评审

    doi:10.1002/acr.22050

    authors: Wylde V,Bruce J,Beswick A,Elvers K,Gooberman-Hill R

    更新日期:2013-11-01 00:00:00

  • Low-dose aspirin in the primary prevention of rheumatoid arthritis: the Women's Health Study.

    abstract:OBJECTIVE:Low-dose aspirin may reduce the risk of developing rheumatoid arthritis (RA) through its effect on cyclooxygenase activity and its antioxidant pathways. Previous randomized trial data have demonstrated a beneficial effect of low-dose aspirin in reducing other inflammatory diseases, such as asthma and colorect...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.20042

    authors: Shadick NA,Karlson EW,Cook NR,Maher NE,Buring JE,Lee IM

    更新日期:2010-04-01 00:00:00

  • Effects of Muscle Strength Training on Muscle Mass Gain and Hypertrophy in Older Adults With Osteoarthritis: A Systematic Review and Meta-Analysis.

    abstract:OBJECTIVE:To investigate the effect of muscle strength exercise training (MSET) on lean mass (LM) gain and muscle hypertrophy in older patients with lower extremity osteoarthritis (OA). METHODS:A comprehensive search of online databases was performed on April 20, 2019. Randomized controlled trials (RCTs) that reported...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,meta分析

    doi:10.1002/acr.24097

    authors: Liao CD,Chen HC,Kuo YC,Tsauo JY,Huang SW,Liou TH

    更新日期:2020-12-01 00:00:00

  • "Official View" on Glucocorticoids in Rheumatoid Arthritis: A Systematic Review of International Guidelines and Consensus Statements.

    abstract:OBJECTIVE:To describe the perception of the current role of systemic glucocorticoids in the management of rheumatoid arthritis (RA) by examining their importance and the current level of evidence in recent guidelines, and to identify open questions to be addressed in future guidelines and research projects. METHODS:We...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,评审

    doi:10.1002/acr.23185

    authors: Palmowski Y,Buttgereit T,Dejaco C,Bijlsma JW,Matteson EL,Voshaar M,Boers M,Buttgereit F

    更新日期:2017-08-01 00:00:00

  • Association of peptic ulcer disease and pulmonary disease with risk of periprosthetic fracture after primary total knee arthroplasty.

    abstract:OBJECTIVE:To assess the association of specific comorbidities with periprosthetic fractures after primary total knee replacement (TKR). METHODS:We used the prospectively collected data in the Mayo Clinic total joint registry from 1989-2008 on all patients who had undergone primary TKR. The outcome of interest was post...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.20548

    authors: Singh JA,Lewallen DG

    更新日期:2011-10-01 00:00:00

  • Using Optimal Test Assembly Methods for Shortening Patient-Reported Outcome Measures: Development and Validation of the Cochin Hand Function Scale-6: A Scleroderma Patient-Centered Intervention Network Cohort Study.

    abstract:OBJECTIVE:To develop and validate a short form of the Cochin Hand Function Scale (CHFS), which measures hand disability, for use in systemic sclerosis, using objective criteria and reproducible techniques. METHODS:Responses on the 18-item CHFS were obtained from English-speaking patients enrolled in the Scleroderma Pa...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.22893

    authors: Levis AW,Harel D,Kwakkenbos L,Carrier ME,Mouthon L,Poiraudeau S,Bartlett SJ,Khanna D,Malcarne VL,Sauve M,van den Ende CH,Poole JL,Schouffoer AA,Welling J,Thombs BD,the Scleroderma Patient-Centered Intervention Network Inves

    更新日期:2016-11-01 00:00:00

  • Trends in office visits during which opioids were prescribed for adults with arthritis: United States, 2006-2015.

    abstract:OBJECTIVE:To analyze trends in opioid prescriptions during visits to office-based physicians made by adults with arthritis in the US from 2006 to 2015. METHODS:We analyzed nationally representative data on patient visits to office-based physicians from the National Ambulatory Medical Care Survey (NAMCS) 2006-2015. Vis...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.24447

    authors: Santo L,Schappert SM,Hootman JM,Helmick CG

    更新日期:2020-09-16 00:00:00

  • Long-term physical functioning and its association with somatic comorbidity and comorbid depression in patients with established rheumatoid arthritis: a longitudinal study.

    abstract:OBJECTIVE:To describe long-term physical functioning and its association with somatic comorbidity and comorbid depression in patients with established rheumatoid arthritis (RA). METHODS:Longitudinal data over a period of 11 years were collected from 882 patients with RA at study inclusion. Patient-reported outcomes we...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.21950

    authors: van den Hoek J,Roorda LD,Boshuizen HC,van Hees J,Rupp I,Tijhuis GJ,Dekker J,van den Bos GA

    更新日期:2013-07-01 00:00:00

  • Epidemiology of Polymyalgia Rheumatica 2000-2014 and Examination of Incidence and Survival Trends Over 45 Years: A Population-Based Study.

    abstract:OBJECTIVE:To determine time trends in the incidence and survival of polymyalgia rheumatica (PMR) over a 15-year period in Olmsted County, Minnesota, and to examine trends in incidence of PMR in the population by comparing this time period to a previous incidence cohort from the same population base. METHODS:All cases ...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.23132

    authors: Raheel S,Shbeeb I,Crowson CS,Matteson EL

    更新日期:2017-08-01 00:00:00

  • Associations of foot posture and function to lower extremity pain: results from a population-based foot study.

    abstract:OBJECTIVE:Studies have implicated foot posture and foot function as risk factors for lower extremity pain. Empirical population-based evidence for this assertion is lacking; therefore, the purpose of this study was to evaluate cross-sectional associations of foot posture and foot function to lower extremity joint pain ...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.22049

    authors: Riskowski JL,Dufour AB,Hagedorn TJ,Hillstrom HJ,Casey VA,Hannan MT

    更新日期:2013-11-01 00:00:00

  • Association of Comorbidities in Spondyloarthritis With Poor Function, Work Disability, and Quality of Life: Results From the Assessment of SpondyloArthritis International Society Comorbidities in Spondyloarthritis Study.

    abstract:OBJECTIVE:Comorbidities add to the burden of disease and its complexity, and may prevent the achievement of treat-to-target goals. The objective of this study was to study the relationship between comorbidities and key disease outcomes in spondyloarthritis (SpA), namely function, work ability, and quality of life. MET...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,多中心研究

    doi:10.1002/acr.23468

    authors: Nikiphorou E,Ramiro S,van der Heijde D,Norton S,Moltó A,Dougados M,van den Bosch F,Landewé R,Assessment of SpondyloArthritis International Society Comorbidities in Spondyloarthritis Study Task Force.

    更新日期:2018-08-01 00:00:00

  • The Incidence, Prevalence, and Burden of Gout in the Veterans Health Administration.

    abstract:OBJECTIVE:To determine the prevalence, incidence, and burden of gout in the Veterans Health Administration (VHA) from 2005-2014. METHODS:We used national VHA data from 1/1999-12/2014 to determine the annual incidence and prevalence of gout in the VHA. Gout burden to the VHA was determined by the proportion of patients...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.24339

    authors: Helget LN,England BR,Roul P,Sayles H,Petro AD,Michaud K,Mikuls TR

    更新日期:2020-05-31 00:00:00

  • Coping Strategies, Psychological Impact, and Support Preferences of Men With Rheumatoid Arthritis: A Multicenter Survey.

    abstract:OBJECTIVE:To investigate the existence and distribution of 2 typologies (termed "factors") of men with rheumatoid arthritis (RA) identified through our previous Q-methodology study (n = 30) in a larger sample of men with RA, and whether differences in psychosocial impact or support preferences exist between the 2 facto...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,多中心研究

    doi:10.1002/acr.23422

    authors: Flurey CA,Hewlett S,Rodham K,White A,Noddings R,Kirwan JR

    更新日期:2018-06-01 00:00:00

  • American College of Rheumatology classification criteria for Sjögren's syndrome: a data-driven, expert consensus approach in the Sjögren's International Collaborative Clinical Alliance cohort.

    abstract:OBJECTIVE:We propose new classification criteria for Sjögren's syndrome (SS), which are needed considering the emergence of biologic agents as potential treatments and their associated comorbidity. These criteria target individuals with signs/symptoms suggestive of SS. METHODS:Criteria are based on expert opinion elic...

    journal_title:Arthritis care & research

    pub_type: 共识发展会议,杂志文章

    doi:10.1002/acr.21591

    authors: Shiboski SC,Shiboski CH,Criswell L,Baer A,Challacombe S,Lanfranchi H,Schiødt M,Umehara H,Vivino F,Zhao Y,Dong Y,Greenspan D,Heidenreich AM,Helin P,Kirkham B,Kitagawa K,Larkin G,Li M,Lietman T,Lindegaard J,McNamara

    更新日期:2012-04-01 00:00:00

  • Cost-of-illness studies in systemic lupus erythematosus: A systematic review.

    abstract:OBJECTIVE:To summarize the state of knowledge regarding the economic burden of systemic lupus erythematosus (SLE) and to evaluate the quality of cost-of-illness (COI) studies conducted to date. METHODS:Relevant literature was retrieved from the PubMed database in April 2010. The evaluation of identified articles was b...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,评审

    doi:10.1002/acr.20410

    authors: Zhu TY,Tam LS,Li EK

    更新日期:2011-05-01 00:00:00

  • Pain, Fatigue, and Psychological Impact on Health-Related Quality of Life in Childhood-Onset Lupus.

    abstract:OBJECTIVE:To evaluate pain, fatigue, and psychological functioning of childhood-onset systemic lupus erythematosus (SLE) patients and examine how these factors impact health-related quality of life (HRQOL). METHODS:At a tertiary rheumatology clinic, 60 childhood-onset SLE patients completed the following: a visual ana...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.22650

    authors: Jones JT,Cunningham N,Kashikar-Zuck S,Brunner HI

    更新日期:2016-01-01 00:00:00

  • Abatacept improves health-related quality of life, pain, sleep quality, and daily participation in subjects with juvenile idiopathic arthritis.

    abstract:OBJECTIVE:To assess health-related quality of life (HRQOL) in abatacept-treated children/adolescents with juvenile idiopathic arthritis (JIA). METHODS:In this phase III, double-blind, placebo-controlled trial, subjects with active polyarticular course JIA and an inadequate response/intolerance to ≥1 disease-modifying ...

    journal_title:Arthritis care & research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/acr.20283

    authors: Ruperto N,Lovell DJ,Li T,Sztajnbok F,Goldenstein-Schainberg C,Scheinberg M,Penades IC,Fischbach M,Alcala JO,Hashkes PJ,Hom C,Jung L,Lepore L,Oliveira S,Wallace C,Alessio M,Quartier P,Cortis E,Eberhard A,Simonini G,

    更新日期:2010-11-01 00:00:00

  • Identifying Clinical Factors Associated With Low Disease Activity and Remission of Rheumatoid Arthritis During Pregnancy.

    abstract:OBJECTIVE:To identify a combination of clinical factors associated with low disease activity and remission in the third trimester during pregnancy in women with rheumatoid arthritis (RA). METHODS:This study is embedded in the Pregnancy-Induced Amelioration of Rheumatoid Arthritis study, a prospective cohort study. The...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.23143

    authors: Ince-Askan H,Hazes JMW,Dolhain RJEM

    更新日期:2017-09-01 00:00:00

  • Associations Between Five Important Domains of Health and the Patient Acceptable Symptom State in Rheumatoid Arthritis and Psoriatic Arthritis: A Cross-Sectional Study of 977 Patients.

    abstract:OBJECTIVE:To explore the link between a patient acceptable symptom state (PASS) and patient-perceived impact in rheumatoid arthritis (RA) and psoriatic arthritis (PsA). METHODS:This was a cross-sectional study of unselected patients with definite RA or PsA. Pain, functional capacity, fatigue, coping, and sleep disturb...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.23176

    authors: Puyraimond-Zemmour D,Etcheto A,Fautrel B,Balanescu A,de Wit M,Heiberg T,Otsa K,Kvien TK,Dougados M,Gossec L

    更新日期:2017-10-01 00:00:00

  • Does C-reactive protein predict the long-term progression of interstitial lung disease and survival in patients with early systemic sclerosis?

    abstract:OBJECTIVE:There are no identified clinical markers that reliably predict long-term progression of interstitial lung disease (ILD) in systemic sclerosis (SSc; scleroderma). Elevated C-reactive protein (CRP) levels have been reported in SSc patients. We examined the predictive significance of CRP level for long-term ILD ...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.21968

    authors: Liu X,Mayes MD,Pedroza C,Draeger HT,Gonzalez EB,Harper BE,Reveille JD,Assassi S

    更新日期:2013-08-01 00:00:00

  • Predicting Incident Radiographic Knee Osteoarthritis in Middle-Aged Women Within Four Years: The Importance of Knee-Level Prognostic Factors.

    abstract:OBJECTIVE:To develop and internally validate risk models and a clinical risk score tool to predict incident radiographic knee osteoarthritis (RKOA) in middle-aged women. METHODS:We analyzed 649 women in the Chingford 1,000 Women study. The outcome was incident RKOA, defined as Kellgren/Lawrence grade 0-1 at baseline a...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.23932

    authors: Garriga C,Sánchez-Santos MT,Judge A,Hart D,Spector T,Cooper C,Arden NK

    更新日期:2020-01-01 00:00:00

  • Association of discoid lupus erythematosus with clinical manifestations and damage accrual in a multiethnic lupus cohort.

    abstract:OBJECTIVE:To determine the clinical manifestations and disease damage associated with discoid rash in a large multiethnic systemic lupus erythematosus (SLE) cohort. METHODS:SLE patients (per American College of Rheumatology [ACR] criteria) ages ≥16 years with a disease duration of ≤10 years at enrollment and defined e...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.21581

    authors: Santiago-Casas Y,Vilá LM,McGwin G Jr,Cantor RS,Petri M,Ramsey-Goldman R,Reveille JD,Kimberly RP,Alarcón GS,Brown EE

    更新日期:2012-05-01 00:00:00

  • 2013 American College of Rheumatology/European League against rheumatism classification criteria for systemic sclerosis outperform the 1980 criteria: data from the Canadian Scleroderma Research Group.

    abstract:OBJECTIVE:The goal of this study was to determine the sensitivity of the new 2013 classification criteria for systemic sclerosis (SSc; scleroderma) in an independent cohort of SSc subjects and to assess the contribution of individual items of the criteria to the overall sensitivity. METHODS:SSc subjects from the Canad...

    journal_title:Arthritis care & research

    pub_type: 杂志文章,多中心研究

    doi:10.1002/acr.22451

    authors: Alhajeri H,Hudson M,Fritzler M,Pope J,Tatibouet S,Markland J,Robinson D,Jones N,Khalidi N,Docherty P,Kaminska E,Masetto A,Sutton E,Mathieu JP,Ligier S,Grodzicky T,LeClercq S,Thorne C,Gyger G,Smith D,Fortin PR,La

    更新日期:2015-04-01 00:00:00

  • Scleroderma digital ulcers complicated by infection with fecal pathogens.

    abstract:OBJECTIVE:Digital ulcers represent one of the most frequent complications of systemic sclerosis (SSc; scleroderma); they are very painful, scarcely responsive to treatment, and often responsible for marked limitations on daily activities, including patient self-care. Infectious complications may severely compromise the...

    journal_title:Arthritis care & research

    pub_type: 杂志文章

    doi:10.1002/acr.20673

    authors: Giuggioli D,Manfredi A,Colaci M,Lumetti F,Ferri C

    更新日期:2012-02-01 00:00:00

  • Validation of a screening instrument for nephrogenic systemic fibrosis.

    abstract:OBJECTIVE:To develop and pilot test a screening tool to identify cases of nephrogenic systemic fibrosis (NSF) among patients exposed to gadolinium-containing contrast agents. METHODS:Sixty English-speaking subjects were enrolled: 10 subjects diagnosed as having NSF, 10 subjects with other fibrosing skin diseases, 20 s...

    journal_title:Arthritis care & research

    pub_type: 临床试验,杂志文章

    doi:10.1002/acr.21877

    authors: Lima XT,Alora-Palli MB,Kimball AB,Kay J

    更新日期:2013-04-01 00:00:00