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Related Experiment Videos

Gender differences in stroke care decision-making.

Moira K Kapral1, Jennifer Devon, Anne-Luise Winter

  • 1Institute for Clinical Evaluative Sciences, University Health Network, University of Toronto, Ontario, Canada. moira.kapral@uhn.on.ca

Medical Care
|December 21, 2005
PubMed
Summary
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Women show different preferences for stroke treatments compared to men. While acceptance of carotid surgery was similar, women were less likely to opt for thrombolysis due to increased risk aversion and a need for more information.

Area of Science:

  • Neurology
  • Public Health
  • Health Services Research

Background:

  • Women receive fewer stroke care interventions than men.
  • Patient preferences may explain observed gender disparities in stroke care delivery.

Purpose of the Study:

  • To investigate gender differences in patient preferences for acute ischemic stroke thrombolysis and secondary stroke prevention via carotid endarterectomy.
  • To explore how sociodemographic factors and decision-making preferences influence these choices.

Main Methods:

  • Recruited outpatients with and without cerebrovascular disease history.
  • Used self-administered surveys with hypothetical scenarios on thrombolysis and carotid endarterectomy acceptance.
  • Collected data on sociodemographics and decision-making preferences.

Related Experiment Videos

Main Results:

  • Women were less likely to accept thrombolysis (79% vs. 86%, adjusted OR 0.58).
  • No significant gender difference was observed for carotid endarterectomy acceptance (82% vs. 84%).
  • Women reported lower decision confidence, higher risk aversion, and a preference for more information.

Conclusions:

  • Gender differences exist in patient preferences for thrombolysis and stroke care decision-making attitudes.
  • No gender differences were found in preferences for carotid surgery.
  • Healthcare providers should recognize women's potential heightened concern for risks and need for more information in stroke care decisions.