Is There Gender Discrimination in Acute Renal Colic Pain Management? A Retrospective Analysis in an Emergency Department Setting

摘要: Abstract Background Pain is a widespread problem, affecting both men and women; studies have found that women in the emergency department receive analgesic medication opioids less often compared with men. Aims The aim of this study was to examine administration management analgesics by medical/paramedical staff relation patients' gender, thereby extent gender discrimination treating pain. Design This single-center retrospective cohort included 824 patients. Settings Emergency tertiary hospital Israel. Participants/Subjects patients stratified compare pain treatments waiting times between renal colic complaint. Methods As an acute model, we used nephrolithiasis diagnosis confirmed imaging. We recorded level Visual Analog Scale (VAS) scores number VAS examinations. Time intervals were calculated admissions different stations department. drugs administered, type prescribed, drug class (opioids or others). Results A total (414 410 men) participated. There no significant differences age, ethnicity, laboratory findings. assessments higher than (6.43 versus 5.90, p = .001, respectively). More received (68.8% 62.1%, p = .04, respectively) prescribed more for (48.3 35.7%, p = .001). per patient also (1.06 0.93, p = .03). difference time length from admission medical examination non-Jewish Jewish women. Conclusions genders, which could be interpreted as discrimination. Yet these attributed other factors not based on but rather differences.