Research Priorities for the Influence of Gender on Diagnostic Imaging Choices in the Emergency Department Setting
Diagnostic imaging is a cornerstone of patient evaluation in the acute care setting, but little effort has been devoted to understanding the appropriate influence of sex and gender on imaging choices. This article provides background on this issue and a description of the working group and consensus...
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| Veröffentlicht in: | Academic emergency medicine 2014-12, Vol.21 (12), p.1431-1437 |
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| container_title | Academic emergency medicine |
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| creator | Ashurst, John V. Cherney, Alan R. Evans, Elizabeth M. Kennedy Hall, Michael Hess, Erik P. Kline, Jeffrey A. Mitchell, Alice M. Mills, Angela M. Weigner, Michael B. Moore, Christopher L. Miner, James |
| description | Diagnostic imaging is a cornerstone of patient evaluation in the acute care setting, but little effort has been devoted to understanding the appropriate influence of sex and gender on imaging choices. This article provides background on this issue and a description of the working group and consensus findings reached during the diagnostic imaging breakout session at the 2014 Academic Emergency Medicine consensus conference “Gender‐specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes.” Our goal was to determine research priorities for how sex and gender may (or should) affect imaging choices in the acute care setting. Prior to the conference, the working group identified five areas for discussion regarding the research agenda in sex‐ and gender‐based imaging using literature review and expert consensus. The nominal group technique was used to identify areas for discussion for common presenting complaints to the emergency department where ionizing radiation is often used for diagnosis: suspected pulmonary embolism, suspected kidney stone, lower abdominal pain with a concern for appendicitis, and chest pain concerning for coronary artery disease. The role of sex‐ and gender‐based shared decision‐making in diagnostic imaging decisions is also raised. |
| doi_str_mv | 10.1111/acem.12537 |
| format | Article |
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This article provides background on this issue and a description of the working group and consensus findings reached during the diagnostic imaging breakout session at the 2014 Academic Emergency Medicine consensus conference “Gender‐specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes.” Our goal was to determine research priorities for how sex and gender may (or should) affect imaging choices in the acute care setting. Prior to the conference, the working group identified five areas for discussion regarding the research agenda in sex‐ and gender‐based imaging using literature review and expert consensus. The nominal group technique was used to identify areas for discussion for common presenting complaints to the emergency department where ionizing radiation is often used for diagnosis: suspected pulmonary embolism, suspected kidney stone, lower abdominal pain with a concern for appendicitis, and chest pain concerning for coronary artery disease. The role of sex‐ and gender‐based shared decision‐making in diagnostic imaging decisions is also raised.</description><identifier>ISSN: 1069-6563</identifier><identifier>EISSN: 1553-2712</identifier><identifier>DOI: 10.1111/acem.12537</identifier><identifier>PMID: 25420885</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Abdominal Pain - diagnosis ; Abdominal Pain - etiology ; Acute Disease ; Age Factors ; Cardiovascular disease ; Chest Pain - diagnosis ; Chest Pain - etiology ; Clinical outcomes ; Consensus ; Decision Making ; Diagnostic Imaging - methods ; Diagnostic Imaging - statistics & numerical data ; Emergency medical care ; Emergency Medicine ; Emergency Service, Hospital - organization & administration ; Emergency Service, Hospital - statistics & numerical data ; Gender Identity ; Health Services Research ; Humans ; Male ; Risk Factors ; Sex Characteristics ; Sex Factors</subject><ispartof>Academic emergency medicine, 2014-12, Vol.21 (12), p.1431-1437</ispartof><rights>2014 by the Society for Academic Emergency Medicine</rights><rights>2014 by the Society for Academic Emergency Medicine.</rights><rights>Copyright Wiley Subscription Services, Inc. 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This article provides background on this issue and a description of the working group and consensus findings reached during the diagnostic imaging breakout session at the 2014 Academic Emergency Medicine consensus conference “Gender‐specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes.” Our goal was to determine research priorities for how sex and gender may (or should) affect imaging choices in the acute care setting. Prior to the conference, the working group identified five areas for discussion regarding the research agenda in sex‐ and gender‐based imaging using literature review and expert consensus. The nominal group technique was used to identify areas for discussion for common presenting complaints to the emergency department where ionizing radiation is often used for diagnosis: suspected pulmonary embolism, suspected kidney stone, lower abdominal pain with a concern for appendicitis, and chest pain concerning for coronary artery disease. The role of sex‐ and gender‐based shared decision‐making in diagnostic imaging decisions is also raised.</description><subject>Abdominal Pain - diagnosis</subject><subject>Abdominal Pain - etiology</subject><subject>Acute Disease</subject><subject>Age Factors</subject><subject>Cardiovascular disease</subject><subject>Chest Pain - diagnosis</subject><subject>Chest Pain - etiology</subject><subject>Clinical outcomes</subject><subject>Consensus</subject><subject>Decision Making</subject><subject>Diagnostic Imaging - methods</subject><subject>Diagnostic Imaging - statistics & numerical data</subject><subject>Emergency medical care</subject><subject>Emergency Medicine</subject><subject>Emergency Service, Hospital - organization & administration</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Gender Identity</subject><subject>Health Services Research</subject><subject>Humans</subject><subject>Male</subject><subject>Risk Factors</subject><subject>Sex Characteristics</subject><subject>Sex Factors</subject><issn>1069-6563</issn><issn>1553-2712</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9PGzEQxa2qqKShl36AylIvFdIG_4nt9RElIY0EAkF7XjnOODHatYO9qyrfHkNoDz0wl3mH33sazUPoKyUTWubCWOgmlAmuPqARFYJXTFH2sWgidSWF5Kfoc86PhBChtPqETpmYMlLXYoSe7iGDSXaH75KPyfceMnYx4X4HeBVcO0CwgKPDSwgbSDgGPPdmG2LuvcWrzmx92OLZLnpbnD68GhcdpG0xHvAc9ib1HYQeP0DfF_YMnTjTZvjytsfo99Xi1-xndX27XM0uryvLNVeV4VoSaxkXZu2cLIoyq9h0LQjlkhgqQasNWXPGuKHcKUVkrWsQGy2mVDo-Rj-OufsUnwbIfdP5bKFtTYA45IZKLgjRsvjH6Pt_6GMcUijXFWpKNZe1koU6P1I2xZwTuGaffGfSoaGkeSmieSmieS2iwN_eIod1B5t_6N_PF4AegT--hcM7Uc3lbHFzDH0GnnyRuQ</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>Ashurst, John V.</creator><creator>Cherney, Alan R.</creator><creator>Evans, Elizabeth M.</creator><creator>Kennedy Hall, Michael</creator><creator>Hess, Erik P.</creator><creator>Kline, Jeffrey A.</creator><creator>Mitchell, Alice M.</creator><creator>Mills, Angela M.</creator><creator>Weigner, Michael B.</creator><creator>Moore, Christopher L.</creator><creator>Miner, James</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>201412</creationdate><title>Research Priorities for the Influence of Gender on Diagnostic Imaging Choices in the Emergency Department Setting</title><author>Ashurst, John V. ; Cherney, Alan R. ; Evans, Elizabeth M. ; Kennedy Hall, Michael ; Hess, Erik P. ; Kline, Jeffrey A. ; Mitchell, Alice M. ; Mills, Angela M. ; Weigner, Michael B. ; Moore, Christopher L. ; Miner, James</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3937-a3960cc235abff6cc212c724b501360a16e97d0b3223a13f7706898e5d95416f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdominal Pain - diagnosis</topic><topic>Abdominal Pain - etiology</topic><topic>Acute Disease</topic><topic>Age Factors</topic><topic>Cardiovascular disease</topic><topic>Chest Pain - diagnosis</topic><topic>Chest Pain - etiology</topic><topic>Clinical outcomes</topic><topic>Consensus</topic><topic>Decision Making</topic><topic>Diagnostic Imaging - methods</topic><topic>Diagnostic Imaging - statistics & numerical data</topic><topic>Emergency medical care</topic><topic>Emergency Medicine</topic><topic>Emergency Service, Hospital - organization & administration</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Gender Identity</topic><topic>Health Services Research</topic><topic>Humans</topic><topic>Male</topic><topic>Risk Factors</topic><topic>Sex Characteristics</topic><topic>Sex Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ashurst, John V.</creatorcontrib><creatorcontrib>Cherney, Alan R.</creatorcontrib><creatorcontrib>Evans, Elizabeth M.</creatorcontrib><creatorcontrib>Kennedy Hall, Michael</creatorcontrib><creatorcontrib>Hess, Erik P.</creatorcontrib><creatorcontrib>Kline, Jeffrey A.</creatorcontrib><creatorcontrib>Mitchell, Alice M.</creatorcontrib><creatorcontrib>Mills, Angela M.</creatorcontrib><creatorcontrib>Weigner, Michael B.</creatorcontrib><creatorcontrib>Moore, Christopher L.</creatorcontrib><creatorcontrib>Miner, James</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Academic emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ashurst, John V.</au><au>Cherney, Alan R.</au><au>Evans, Elizabeth M.</au><au>Kennedy Hall, Michael</au><au>Hess, Erik P.</au><au>Kline, Jeffrey A.</au><au>Mitchell, Alice M.</au><au>Mills, Angela M.</au><au>Weigner, Michael B.</au><au>Moore, Christopher L.</au><au>Miner, James</au><au>Miner, James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Research Priorities for the Influence of Gender on Diagnostic Imaging Choices in the Emergency Department Setting</atitle><jtitle>Academic emergency medicine</jtitle><addtitle>Acad Emerg Med</addtitle><date>2014-12</date><risdate>2014</risdate><volume>21</volume><issue>12</issue><spage>1431</spage><epage>1437</epage><pages>1431-1437</pages><issn>1069-6563</issn><eissn>1553-2712</eissn><abstract>Diagnostic imaging is a cornerstone of patient evaluation in the acute care setting, but little effort has been devoted to understanding the appropriate influence of sex and gender on imaging choices. This article provides background on this issue and a description of the working group and consensus findings reached during the diagnostic imaging breakout session at the 2014 Academic Emergency Medicine consensus conference “Gender‐specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes.” Our goal was to determine research priorities for how sex and gender may (or should) affect imaging choices in the acute care setting. Prior to the conference, the working group identified five areas for discussion regarding the research agenda in sex‐ and gender‐based imaging using literature review and expert consensus. 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| subjects | Abdominal Pain - diagnosis Abdominal Pain - etiology Acute Disease Age Factors Cardiovascular disease Chest Pain - diagnosis Chest Pain - etiology Clinical outcomes Consensus Decision Making Diagnostic Imaging - methods Diagnostic Imaging - statistics & numerical data Emergency medical care Emergency Medicine Emergency Service, Hospital - organization & administration Emergency Service, Hospital - statistics & numerical data Gender Identity Health Services Research Humans Male Risk Factors Sex Characteristics Sex Factors |
| title | Research Priorities for the Influence of Gender on Diagnostic Imaging Choices in the Emergency Department Setting |
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