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  4. Sex and gender disparity in pathology, disability, referral pattern, and wait time for surgery in workers with shoulder injury

Sex and gender disparity in pathology, disability, referral pattern, and wait time for surgery in workers with shoulder injury

BMC Musculoskeletal Disorders, 2016 · DOI: 10.1186/s12891-016-1257-7 · Published: September 14, 2016

OrthopedicsWomen's HealthMusculoskeletal Medicine

Simple Explanation

This study looks at whether men and women with work-related shoulder injuries are treated differently. It considers both biological sex and social gender factors. The study found that women with shoulder injuries reported more disability and took more medication than men. They also waited longer for surgery. The study suggests that there may be gender bias in the referral process for surgery, as men were more likely to be referred for surgical consultation.

Study Duration
Not specified
Participants
1000 patients in ESPA program (443 females, 557 men) and 150 patients in surgical group (44 females, 106 men)
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Women with shoulder injuries were more likely to report repetitive injuries, while men were more likely to report injuries from falls.
  • 2
    Men seen at the ESPA program had a higher prevalence of full thickness rotator cuff tears and labral pathology.
  • 3
    The timeframe from injury to surgery was longer in women in the surgical group (p = 0.01). As well, women waited longer from the date of consent to date of surgery (p = 0.04).

Research Summary

This study examined sex and gender disparity in workers with shoulder injuries, focusing on mechanisms of injury, disability, medication use, referral patterns, and wait times for surgery. The study found that women reported more disability and medication use, experienced longer wait times for surgery, and were less likely to be referred for surgical consultation compared to men. The authors concluded that sex and gender disparities exist in the management of work-related shoulder injuries, highlighting the need for customized management approaches based on the injured worker's sex.

Practical Implications

Customized Management

Clinicians should tailor treatment plans based on the sex of injured workers, considering biological and gender-related factors.

Reduce Disparities

Expedited surgical programs should focus on reducing gender-related differences in referral patterns and wait times to improve outcomes.

Further Research

More comprehensive studies are needed to explore the complex interplay of political, physical, mental, cultural, and social factors influencing gender disparity in work-related injuries.

Study Limitations

  • 1
    The study was limited to available data in a specialized academic institute.
  • 2
    The results may not be applicable to community-based hospitals.
  • 3
    There was variability in the type of subjective outcomes between two samples.

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