Department of Cardiothoracic Surgery, Weill Cornell Medicine, 525 E 68th St, New York, NY 10065, USA.
Department of Cardiology, Hirakata Kohsai Hospital, Osaka, Japan.
Eur Heart J. 2024 May 7;45(17):1505-1511. doi: 10.1093/eurheartj/ehae121.
The sex disparity in outcomes of patients with cardiovascular disease is well-described and has persisted across recent decades. While there have been several proposed mechanisms to explain this disparity, there are limited data on female patient-physician sex concordance and its association with outcomes. The authors review the existing literature on the relationship between patient-physician sex concordance and clinical outcomes in patients with cardiovascular disease, the evidence of a benefit in clinical outcomes with female patient-physician sex concordance, and the possible drivers of such a benefit and highlight directions for future study.
心血管疾病患者结局的性别差异是众所周知的,并且在最近几十年一直存在。虽然已经提出了几种解释这种差异的机制,但关于女性患者-医生性别一致性及其与结局的关系的数据有限。作者回顾了现有关于心血管疾病患者中患者-医生性别一致性与临床结局之间关系的文献,女性患者-医生性别一致性对临床结局有益的证据,以及这种益处的可能驱动因素,并强调了未来研究的方向。