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Exploring the impact of surgeon-reported gender on palliative care utilization in geriatric trauma patients
Morgan J Hopp1, Paul T Kang1, Jacob J Strand2
1Department of Surgery, Creighton University School of Medicine-Phoenix Regional Campus, Phoenix, AZ, USA.
Introduction:
Geriatric trauma research increasingly supports the use of Palliative Care (PC). We surveyed trauma surgeon for perspectives on PC usage. Significant gender differences were identified, necessitating post-hoc investigation.
Methods:
A post-hoc gender comparative analysis was completed on data collected from a national survey of trauma surgeons investigating decision-making and barriers to PC consults for geriatric trauma.
Results:
Sixty-four members responded (2.8 %). Women surgeons identified reason for a PC consult as: "when trauma team does not agree with patient/family wishes" (p = 0.009), "different members of the team do not agree on the plan of care" (p = 0.023) and "additional patient/family support needed" (p = 0.023). Women respondents more commonly reported PC consultation barriers as: "Patient/family misconception of PC" (p = 0.001), "concern that patient/family will lose hope" (p = 0.014) while men more commonly responded "no barriers to PC consults in my practice" (p = 0.029).
Conclusions:
The identified gender differences in PC consultation use and barriers provides interesting data to support further studies specifically investigating these observations.
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