Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Journal of General Internal Medicine
Erschienen in: Journal of General Internal Medicine 2/2014

01.02.2014 | Review Article

A Systematic Review of the Extent and Measurement of Healthcare Provider Racism

verfasst von: Yin Paradies, PhD, Mandy Truong, MPH, Naomi Priest, PhD

Erschienen in: Journal of General Internal Medicine | Ausgabe 2/2014

Einloggen, um Zugang zu erhalten

ABSTRACT

BACKGROUND

Although considered a key driver of racial disparities in healthcare, relatively little is known about the extent of interpersonal racism perpetrated by healthcare providers, nor is there a good understanding of how best to measure such racism.

OBJECTIVES

This paper reviews worldwide evidence (from 1995 onwards) for racism among healthcare providers; as well as comparing existing measurement approaches to emerging best practice, it focuses on the assessment of interpersonal racism, rather than internalized or systemic/institutional racism.

METHODS

The following databases and electronic journal collections were searched for articles published between 1995 and 2012: Medline, CINAHL, PsycInfo, Sociological Abstracts. Included studies were published empirical studies of any design measuring and/or reporting on healthcare provider racism in the English language. Data on study design and objectives; method of measurement, constructs measured, type of tool; study population and healthcare setting; country and language of study; and study outcomes were extracted from each study.

RESULTS

The 37 studies included in this review were almost solely conducted in the U.S. and with physicians. Statistically significant evidence of racist beliefs, emotions or practices among healthcare providers in relation to minority groups was evident in 26 of these studies. Although a number of measurement approaches were utilized, a limited range of constructs was assessed.

CONCLUSION

Despite burgeoning interest in racism as a contributor to racial disparities in healthcare, we still know little about the extent of healthcare provider racism or how best to measure it. Studies using more sophisticated approaches to assess healthcare provider racism are required to inform interventions aimed at reducing racial disparities in health.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Bhopal R. Chronic diseases in Europe’s migrant and ethnic minorities: challenges, solutions and a vision. Eur J of Public Health. 2009;19(2):140–143.CrossRef
2.
Frohlich KL, Ross N, Richmond C. Health disparities in Canada today: some evidence and a theoretical framework. Health Policy. 2006;79:132–143.PubMedCrossRef
3.
Nazroo JY, Karlsen S. Ethnic inequalities in health: social class, racism and identity. In Research Findings from the Health Variations Program. 2001 September.
4.
Takeuchi DT, WIlliams DR. Past insights, future promises: race and health in the twenty-first century. Du Bois Rev. 2011;8(1):1–3.CrossRef
5.
6.
Smedley BD, Stith AY, Nelson AR. Unequal treatment: Confronting racial and ethnic disparities in health care. Report of the Committee on Understanding Racial and Ethnic Disparities in Health Care. Washington, DC: National Academy Press; 2002.
7.
Klonoff EA. Disparities in the provision of medical care: an outcome in search of an explanation. J Behav Med. 2009;32(1):48–63.PubMedCrossRef
8.
Kressin NR, Raymond KL, Manze M. Perceptions of race/ethnicity-based discrimination: a review of measures and evaluation of their usefulness for the health care setting. J Health Poor U. 2008;19(3):697–730.CrossRef
9.
Shavers VL, Fagan P, Jones D, al. E. The state of research on racial/ethnic discrimination in the receipt of health care. Am J Public Health. 2012;102(5):953–66.
10.
Berman G, Paradies Y. Racism, disadvantage and multiculturalism: towards effective anti-racist praxis. Ethn Racial Stud. 2010;33(2):214–232.CrossRef
11.
Blank RM, Dabady M, Citro CF. Measuring racial discrimination. Washington, DC: The National Academies Press; 2004.
12.
Van Ryn M. Research on the provider contribution to race/ethnicity disparities in medical care. Med Care. 2002;40(1):140–150.
13.
Van Ryn M, Fu SS. Paved with good intentions: do public health and human service providers contribute to racial/ethnic disparities in health? Am J Public Health. 2003;93(2):248–255.PubMedCrossRef
14.
Gee GC, Ford CL. Structural racism and health inequities, old issues, new directions. Du Bois Rev. 2011;8(1):115–132.CrossRef
15.
Paradies Y. A systematic review of empirical research on self-reported racism and health. Int J Epidemiol. 2006;35(4):888–901.PubMedCrossRef
16.
17.
Monrouxe LV. Identity, identification and medical education: why should we care? Med Educ. 2010;44:40–49.PubMedCrossRef
18.
Kavanagh J, Oliver S, Lorenc T. Reflections on developing and using PROGRESS-PLUS. Equity Update. 2008:1–3.
19.
20.
De Houwer J, Moors A. Implicit measures: Similarities and differences. In: Gawronski B, Payne BK, eds. Handbook of implicit social cognition: measurement, theory, and applications. New York: The Guilford Press; 2010.
21.
Strack F, Deutsch R. Reflective and impulsive determinants of social behavior. Pers Soc Psychol Rev. 2004;8(3):220–247.PubMedCrossRef
22.
Ranganath KA, Smith CT, Nosek BA. Distinguising automatic and controlled components of attitudes from direct and indirect measurement methods. J Exp Soc Psychol. 2008;44(2):386–396.PubMedCentralPubMedCrossRef
*23.
Van Ryn M, Burke J. The effect of patient race and socio-economic status on physicians’ perceptions of patients. Soc Sci Med. 2000;50(6):813–828.PubMedCrossRef
*24.
*25.
Michaelsen J, Krasnik A, Nielsen A, Norredam M, Torres AM. Health professionals’ knowledge, attitudes, and experiences in relation to immigrant patients: a questionnaire study at a Danish hospital. Scand J Public Health. 2004;32(4):287–295.PubMedCrossRef
*26.
Middleton RA, Stadler HA, Simpson C, et al. Mental health practitioners: the relationship between white racial identity attitudes and self-reported multicultural counseling competencies. J Couns Dev. 2005;83:444–456.CrossRef
*27.
Constantine MG, Juby HL, Liang JJ. Examining multicultural counseling competence and race-related attitudes among white marital and family therapists. J MaritalFam Ther. 2001;27(3):353–388.CrossRef
*28.
*29.
Mitchell AA, Sedlacek WE. Ethnically sensitive messengers: an exploration of racial attitudes of health-care workers and organ procurement officers. J Natl Med Assoc. 1996;88(6):349–352.PubMed
*30.
Noble A, Engelhardt K, Newsome-Wicks M, Woloski-Wruble AC. Cultural competence and ethnic attitudes of midwives concerning jewish couples. J Obstet Gynecol Neonatal Nurs. 2009;38(5):544–555.
*31.
Joseph HJ. Attitudes of army nurses toward African American and Hispanic patients. Mil Med. 1997;162(2):96–100.PubMed
*32.
Green RG, Kiernan-Stern M, Baskind FR. White social workers’ attitudes about people of color. J Ethn Cultural Divers Soc Work. 2005;14(1–2):47–68.CrossRef
*33.
Pagotto L, Voci A, Maculan V. The effectiveness of intergroup contact at work: mediators and moderators of hospital workers’ prejudice towards immigrants. J Community Soc Psychol. 2010;20:317–330.CrossRef
*34.
Moskowitz D, Thom DH, Guzman D, Penko J, Miaskowski C, Kushel M. Is primary care providers’ trust in socially marginalized patients affected by race? J Genl Intern Med. 2011;26(8):846–851.CrossRef
*35.
Sabin JA, Rivara FP, Greenwald AG. Physician implicit attitudes and steretypes about race and quality of medical care. Med Care. 2008;46(7):678–685.PubMedCrossRef
*36.
Green AR, Carney DR, Pallin DJ, et al. Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. J Gen Intern Med. 2007;22(9):1231–1238.PubMedCentralPubMedCrossRef
*37.
Sabin JA, Nosek BA, Greenwald AG, Rivara FP. Physicians’ implicit and explicit attitudes about race by md race, ethnicity, and gender. J Health Poor U. 2009;20:896–913.CrossRef
38.
Ponterotto JG, Potere JC, Johansen SA. The quick discrimination index: normative data and user guidelines for counseling researchers. J Multicultural Couns D. 2002;30:192–207.CrossRef
39.
Sedlacek W, Brooks G Jr. Measuring racial attitudes in a situational context. Psychol Rep. 1970;27:971–980.PubMedCrossRef
40.
Bonaparte B. Ego defensiveness, open-closed mindedness, and nurses’ attitudes toward culturally different patients. Nurs Res. 1979;28(3):166–172.PubMed
41.
Rooda LA. Knowledge an attitudes of nurses towards culturally diverse patients. [Dissertation]. West Layfayette: Purdue University; 1990.
42.
Jacobson CK. Resistance to affirmative action: self-interest or racism? J Confl Resolut. 1985;29(2):306–329.CrossRef
43.
Ponterotto JG, Gretchen D, Utsey SO, Rieger BP, Austin R. A revision of the Multicultural Counseling Awareness Scale. J Multicult Couns D. 2002;30:153–180.
44.
Jetten PJ, Ellemers N. Minority hostility and resistance: The interplay between majority rejection and minority goals. The University of Queensland 2010–2012.
45.
Hornsey MJ, Wohl MJ. Promoting intergroup forgiveness: The benefits and pitfalls of apologies and invocations of shared humanity. The University of Queensland 2010–2012.
46.
Brigham J. College students’ racial attitudes. J App Psychol. 1993;23:1933–1967.CrossRef
47.
McConahay AR. Modern racism, ambivalence, and the modern racism scale. In: Dovidio JF, Gaertner SL, eds. Prejudice, discrimination, and racism. Orlando: Academic Press; 1986:91–125.
*48.
Todd KH, Deaton C, D’Adamo AP, Goe L. Ethnicity and analgesic practice. Ann Emerg Med. 2000;35(1):11–16.PubMedCrossRef
*49.
Hirsh AT, Jensen MP, Robinson ME. Evaluation of nurses’ self-insight into their pain assessment treatment decisions. J Pain. 2010;11(5):454–461.PubMedCentralPubMedCrossRef
*50.
Kales HC, Neighbors HW, Valenstein M, et al. Effect of race and sex on primary care physicians’ diagnosis and treatment of late-life depression. J Am Geriar Soc. 2005;53(5):777–784.CrossRef
*51.
Kales HC, Neighbors HW, Blow FC, et al. Race, gender, and psychiatrists’ diagnosis and treatment of major depression among elderly patients. Psychiatr Serv. 2005;56(6):721–728.PubMedCrossRef
*52.
McKinlay JB, Burns RB, Durante R, et al. Patient, physician and presentational influences on clinical decision making for breast cancer: results from a factorial experiment. J Eval Clin Pract. 1997;3(1):23–57.PubMedCrossRef
*53.
Stepanikova I. Inequality in quality: toward a better understanding of micro-mechanisms underlying racial/ethnic dispartiies in American health care [Dissertation]. Standford University 2006.
*54.
Burgess DJ, Crowley-Matoka M, Phelan S, et al. Patient race and physicians’ decisions to prescribe opioids for chronic lower back pain. Soc Sci Med. 2008;67:1852–1860.PubMedCrossRef
*55.
*56.
Schulman KA, Berlin JA, Harless W, et al. The effect of race and sex on physicians’ recommendations for cardiac catherization. New Engl J Med. 1999;340(8):618–626.PubMedCrossRef
*57.
Thamer M, Hwang W, Fink NE, et al. U.S. Nephrologists’ attitudes towards renal transplantation: results from a national survey. Transplantation. 2001;71(2):281–288.PubMedCrossRef
*58.
Di Caccavo A, Fazal-Short N, Moss TP. Primary care decision making in response to psychological complaints: The influence of patient race. J Community Appl Psychol. 2000;10(1):63–67.CrossRef
*59.
Bogart LM, Catz SL, Kelly JA, Benotsch EG. Factors influencing physicians’ judgments of adherence and treatment decisions for patients with HIV disease. Med Decis Mak. 2001;21:28–36.CrossRef
*60.
Al-Khatib SM, Sanders GD, O’Brien SM, et al. Do physicians’ attitudes toward implantable cardioverter defibrillator therapy vary by patient age, gender, or race? Ann Noninvasive Electrocardiol. 2011;16(1):77–84.PubMedCrossRef
*61.
Cabral ED, Caldas AF Jr, Cabral HAM. Influence of the patient’s race on the dentist’s decision to extract or retain a decayed tooth. Community Dent Oral Epidemiol. 2005;33:461–466.PubMedCrossRef
*62.
Barnhart JM, Wassertheil-Smoller S. The effect of race/ethnicity, sex, and social circumstances on coronary revascularization preferences. A vignette comparison. Cardiol Rev. 2006;14(5):215–222.PubMedCrossRef
*63.
Weisse CS, Sorum PC, Dominguez RE. The influence of gender and race on physicians’ pain management decisions. J Pain. 2003;4(9):505–510.PubMedCrossRef
*64.
McKinlay J, Lin T, Freund K, Moskowitz M. The unexpected influence of physician attributes on clinical decisions: results of an experiment. J Health Soc Behav. 2002;43:92–106.PubMedCrossRef
*65.
Drwecki B. An experimental investigation of the causes of and solutions to racial pain treatment bias [dissertation]. University of Wisconsin-Madison; 2011.
66.
Greenwald AG, McGhee DE, Schwartz JLK. Measuring individual differences in implicit cognition: The Implicit Association Test. J Pers Soc Psychol. 1998;74:1464–1480.PubMedCrossRef
67.
Gawronski B, Deutsch R, Banse R. Response interference tasks as indirect measures of automatic associations. In: Klauer KC, Voss A, Stahl C, eds. Cognitive methods in social psychology. New York: Guilford Press; 2011.
68.
Degner J, Wentura D. Automatic prejudice in childhood and early adolescence. J Pers Soc Psychol. 2010;98(3):356–374.PubMedCrossRef
*69.
Cooper LA, Roter D, Carson K, Beach M, Sabin J, Greenwald AG. The associations of clinicians’ implicit attitudes about race with medical visit communication and patient ratings of interpersonal care. Am J Public Health. 2012;Online:e1-e9.
*70.
Moskowitz GB, Stone J, Childs A. Implicit stereotyping and medical decisions: unconscious stereotype activation in practitioners’ thoughts about African Americans. Am J Public Health. 2012;Online:e1-e6.
*71.
Abreu JM. Conscious and nonconscious African American stereotypes: impact on first impression and diagnostic ratings by therapists. J Consult Clin Psychol. 1999;67(3):387–393.PubMedCrossRef
*72.
Balsa AI, McGuire TG. Testing for statistical discrimination in health care. Health Serv Res. 2005;40(1):227–252.PubMedCrossRef
73.
Paradies Y, Chandrakumar L, Klocker N, et al. Building on our strengths: a framework to reduce race-based discrimination and support diversity in Victoria. Melbourne: Victorian Health Promotion Foundation; 2009.
74.
Halanych JH, Andreae L, Prince CP. The role of ancillary staff in perceived discrimination in medical care. The Science of Research on Discrimination and Health; Washington DC 2011.
75.
Blair IV, Hayranek EP, PRice DW, et al. An assessment of biases against Latinos and African Americans among primary care providers and community members. The Science of Research on Discrimination and Health; Washington DC 2011
76.
Steenkamp J-BEM, de Jong MG, Baumgartner H. Socially desirable response tendencies in survey research. Journal of Marketing Research. 2010;XLVII:199–214.
77.
Tausch N, Hewstone M, Kenworthy JB, et al. Secondary transfer effects of intergroup contact: Alternative accounts and underlying processes. J Pers Soc Psychol. 2010;99(2):282–302.PubMedCrossRef
78.
Duckitt J, Callaghan J, Wagner C. Group identification and outgroup attitudes in four South African Ethnic Groups: A multidimensional approach. Pers Soc Psychol B. 2005;31(5):633–646.CrossRef
79.
Al Ramiah A, Hewstone M, Dovidio J, Penner LA. The social psychology of discrimination: Theory, measurement and consequences In: Bond L, McGinnity F, Russell H, editors. Making equality count: Irish and international research measuring equality and discrimination. Dublin: Liffey Press; 2010. p. 84–112.
80.
Gawronski B, LeBel EP, Peters KR. What do implicit measures tell us? Scrutinizing the validity of three common assumptions. Perspect Psychol Sci. 2007;2(2):181–193.CrossRef
81.
Rich J. Measuring discrimination: What do field experiments of markets tell us? In: Bond L, McGinnity F, Russell H, eds. Making equality count: Irish and international research measuring equality and discrimination. Dublin: LIffey Press; 2010:48–63.
82.
Cuddy AJC, Fiske ST, Glick P. Behaviors from intergroup affect and stereotypes: the BIAS Map. J Pers Soc Psychol. 2007;92(4):631–648.PubMedCrossRef
83.
Caprariello PA, Cuddy AJC, Fiske ST. Social structure shapes cultural stereotypes and emotions: A causal test of the stereotype content model. Group Process Intergr Relat. 2009;12(2):147–155.CrossRef
84.
Burgess D, Van Ryn M, Dovidio J, Saha S. Reducing racial bias among health care providers: lessons from social-cognitive psychology. J Gen Intern Med. 2007;22(6):882–887.PubMedCentralPubMedCrossRef
85.
Kowal E, Franklin H, Paradies Y. Exploring reflexive antiracism as an approach to diversity training. Ethnicities. 2013;13(3):316–336.CrossRef
86.
Lillis J, Hayes SC. Applying acceptance, mindfulness, and values to the reduction of prejudice. Behavior Modif. 2007;31(4):389–411.CrossRef
87.
Gawronski B, Brochu PM, Sritharan R, Strack F. Cognitive consistency in prejudice-related belief systems: Integrating old-fashioned, modern, aversive, and implicit forms of prejudice. In: Gawnronski B, Strack F, eds. Cognitive consistency: a fundamental principle in social cognition. New York: Guilford Press; 2012.
88.
Ecclesston CP, Kaiser CR, Kraynak LR. Shifts in justice beliefs induced by Hurricane Katrina: The impact of claims of racism. Group Processes Intergr. 2010;13(5):571–584.CrossRef
89.
Pinterits EJ, Poteat VP, Spanierman LB. The White Privilege Attitudes scale: development and initial validation. J Couns Psychol. 2009;56(3):417–429.CrossRef
90.
Plaut VC. Diversity science: Why and how difference makes a difference. Psychol Inq. 2010;21:77–99.CrossRef
91.
Keller J. In genes we trust: The biological component of psychological essentialism and its relationship to mechanisms of motivated social cognition. J Pers Soc Psychol. 2005;88(4):686–703.PubMedCrossRef
92.
Bastian B, Haslam N. Psychological essentialism and stereotype endorsement. J Exp Soc Psychol. 2009;42:228–235.CrossRef
93.
Fiske ST, Cuddy AJC, Glick P, Xu J. A model of (often mixed) stereotype content: Stereotype competence and warmth respectively follow from perceived status and competition. J Pers Soc Psych. 2002;82(6):878–902.CrossRef
94.
Burgess DJ, Dovidio J, Phelan S, Van Ryn M. The effect of medical authoritarianism on physicians’ treatment decisions and attitudes regarding chronic pain. J Appl Soc Psychol. 2011;41:1399–1420.CrossRef
95.
Sidanius J, Pratto F. Social dominance: An intergroup theory of social hierarchy and oppression. New York: Cambridge University Press; 1999.CrossRef
96.
Roets A, Van Hiel A, Cornelis I. Does materialism predict racism? Materialism as a distinctive social attitude and a predictor of prejudice. Euro J Personality. 2006;20:155–168.CrossRef
97.
Riek BM, Mania EW, Gaertner SL. Intergroup threat and outgroup attitudes: A meta-analytic review. Pers Soc Psychol B. 2006;10(4):336–353.CrossRef
98.
Gordon HS, Street RL Jr, Sharf BF, Souchek J. Racial differences in doctors’ information-giving and patients’ participation. Cancer. 2006;107(6):1313–1320.PubMedCrossRef
99.
Johnson RL, Roter DL, Powe NR, Cooper LA. Patient race/ethnicity and quality of patient-physician communication during medical visits. Am J Public Health. 2004;94(12):2084–2090.PubMedCrossRef
100.
Hagiwara N, Penner LA, Eggly S, Albrecht TL. Perceived discrimination, implicit bias, and adherence to physician recommendations. The Science of Research on Discriminiation and Health; Washington DC 2010.
101.
Burgess DJ, Warren J, Phelan S, Dovidio J, Van Ryn M. Stereotype threat and health disparities: What medical educators and future physicians need to know. J Gen Intern Med. 2010;25(Supp 2):169–177.PubMedCentralCrossRef
102.
Shelton JN, West TV, Trail TE. Concerns about appearing prejudiced: Implications for anxiety during daily interracial interactions. Group Process Intergr. 2010;13(3):329–344.CrossRef
103.
Finchilescu G. Intergroup anxiety in interracial interaction: The role of prejudice and meta-stereotypes. J Soc Issues. 2010;66(2):334–351.CrossRef
104.
Czopp AM. When is a compliment not a compliment? Evaluating expressions of positive stereotypes. J Exp Soc Psychol. 2008;44:413–420.CrossRef
105.
Lawrence JS, Crocker J, Blanton H. Stigmatized and dominant cultural groups differentially interpret positive feedback. J Cross Cult Psychol. 2011;42(1):165–169.CrossRef
106.
107.
Dovidio JF, Brigham JC, Johnson BT, et al. Stereotyping, prejudice, and discrimination: Another look. Stereotypes and stereotyping. New York: Guilford; 1996. p. 276–319.
108.
Schutz H, Six B. How strong is the relationship between prejudice and discrimination - a meta-analytic answer. Int J Intercult Rel. 1996;20(3–4):441–462.CrossRef
109.
Wagner U, Christ O, Pettigrew TF. Prejudice and group-related behavior in Germany. J SocIssues. 2008;64(2):403–416.
*110.
Sabin JA, Greenwald AG. The influence of implicit bias on treatment recommendations for 4 common pediatric conditions: Pain, urinary tract infection, attention deficit hyperactivity disorder, and asthma. Am J Public Health. 2012;102:988–995.PubMedCrossRef
Metadaten
Titel
A Systematic Review of the Extent and Measurement of Healthcare Provider Racism
verfasst von
Yin Paradies, PhD
Mandy Truong, MPH
Naomi Priest, PhD
Publikationsdatum
01.02.2014
Verlag
Springer US
Erschienen in
Journal of General Internal Medicine / Ausgabe 2/2014
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-013-2583-1

Weitere Artikel der Ausgabe 2/2014

Journal of General Internal Medicine 2/2014 Zur Ausgabe

Original Research

Patient Activation and 30-Day Post-Discharge Hospital Utilization

Original Research

Directive Counsel and Morally Controversial Medical Decision-Making: Findings from Two National Surveys of Primary Care Physicians

Letter to the Editor

Marijuana Use and Health in Primary Care

Capsule Commentary

Capsule Commentary on Radin, Pitfalls in Hemoglobin A1c Measurement: When Results May Be Misleading

Original Research

Exercise as a Vital Sign: A Quasi-Experimental Analysis of a Health System Intervention to Collect Patient-Reported Exercise Levels

Reply Letter

Marijuana Use and Health in Primary Care

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

25.04.2024 Allergien und Intoleranzreaktionen Nachrichten

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise