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Why Sex and Gender Matter in Medicine

By Jayne Kendall, MD, MBA, FACEP, CPE | on June 11, 2024 | 0 Comment
Equity Equation
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  • Dr. McGregor keeps a PubMed search tool on sexandgenderhealth.org up during her shift. Here, you can see updated evidence on multiple disease processes that will help you care for your patients at the bedside.
  • A new textbook, How Sex and Gender Impact Clinical Practice, provides tables, charts, and evidenced-based information about gender differences.
  • Dr. McGregor also wrote a book, Sex and Gender in Acute Care Medicine, which is a reference for sex and gender differences in patients presenting to the emergency department.

Sex and gender medicine is not about treating men and women differently for everything. It’s about recognizing that biological and social factors influence health differently in each sex and gender identity. By embracing this knowledge, we, as emergency physicians, can provide better care for all our patients, regardless of their biology and background.

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Explore This Issue
ACEP Now: Vol 43 – No 06 – June 2024

Dr. Kendall is the chief of clinician engagement at US Acute Care Solutions and has 15 years of emergency department leadership experience. She is the chair of the USACS diversity, equity, and inclusion committee, the social issues and equity in medicine committee co-chair, and leads physician leadership development for USACS.

References

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  2. Chase S. Radicle Science: Pioneering Diversity, equity and inclusion in clinical trials. Radicle Science. 2023 Aug 15. https://radiclescience.com/blog/radicle-science-pioneering-diversity-equity-and-inclusion-in-clinical-trials/.
  3. Herzog AG, Klein P, Rand BJ. Three patterns of catamenial epilepsy. Epilepsia. 1997;38(10):1082-1088.
  4. Lip GYH, Nieuwlaat R, Pisters R, et al. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the Euro Heart Survey on Atrial Fibrillation. Chest. 2010;137(2):263-272.
  5. Loryan I, Lindqvist M, Johansson I, et al. Influence of sex on propofol metabolism, a pilot study: implications for propofol anesthesia. Eur J Clin Pharmacol. 2012;68(4):397-406. https://pubmed.ncbi.nlm.nih.gov/22006347/.
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  7. Maguire MJ, Nevitt SJ. Treatments for seizures in catamenial (menstrualrelated) epilepsy. Cochrane Database Syst Rev. 2021;9(9):CD013225.
  8. Mehta PK, Wei J, Wenger NK. Ischemic heart disease in women: A focus on risk factors. Trends Cardiovasc Med. 2015;25(2):140-151. https://doi.org/10.1016/j.tcm.2014.10.005.
  9. Nakagawa K, Kajiwara A. [Female sex as a risk factor for adverse drug reactions.] Nihon Rinsho. 2015;73(4):581-585.
  10. Nielsen PB, Skjøth F, Overvad TF, Larsen TB, Lip GY. Female sex is a risk modifier rather than a risk factor for stroke in atrial fibrillation: should we use a CHA2DS2-VA score rather than a CHA2DS2-VASc? Circulation. 2018;137(8):832-840.
  11. Ospel JM, Schaafsma JD, Leslie-Mazwi TM, et al. Toward a better understanding of sex- and gender-related differences in endovascular stroke treatment: a scientific statement from the American Heart Association/American Stroke Association. Stroke. 2022;53(8):e396-e406.
  12. Zucker I, Prendergast BJ. Sex differences in pharmacokinetics predict adverse drug reactions in women. Biol Sex Differ. 2020;11(1):32.
  13. Savic I. Sex differences in the human brain, their underpinnings and implications. Prog Brain Res. 2010;186:113-204.
  14. U.S. Department of Health and Human Services (n.d.). NIH policy on sex as a biological variable. National Institutes of Health. https://orwh.od.nih.gov/sex-gender/orwh-mission-area-sex-gender-in-research/nih-policy-on-sex-as-biological-variable.

Pages: 1 2 3 4 | Single Page

Topics: Gendersex differencessexual dimorphism

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