This article is of interest since the appropriate prescription of pain medicine is such an important part of the treatment process. All factors which influence doctors' decision making would be critical to the overall pain management regimen.

PAIN MANAGEMENT: Pain treatment decisions may be influenced by physician gender

February 9, 2004

Study disputes previous evidence that physicians treat women and minorities less aggressively for their pain.
According to recent research from the United States, "This study set out to examine whether gender or race influences physicians' pain management decisions in a national sample of 712 (414 men, 272 women) practicing physicians.

"Medical vignettes were used to vary patient gender and race experimentally while holding symptom presentation constant. Treatment decisions were assessed by calculating maximum permitted doses of narcotic analgesic (hydrocodone) prescribed for initial pain treatment and for follow-up care," wrote C.S. Weisse and colleagues, Union College, Department of Psychology.
"No overall differences by patient gender or race were found in decisions to treat or in maximum permitted doses. However, for persistent back pain, female physicians prescribed lower doses of hydrococlone, especially to male patients," the researchers wrote.

"For renal colic, lower doses were prescribed to black versus white patients when the patient was female, whereas the reverse was true when patients were male. These findings challenge a fairly extensive literature suggesting that physicians treat women and minorities less aggressively for their pain, and results offer further evidence that pain treatment decisions are influenced by physician gender," the researchers concluded.

Weisse and colleagues published their study in the Journal of Pain (The influence of gender and race on physicians' pain management decisions. J Pain, 2003;4(9):505-510)

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