• BMC anesthesiology · Aug 2024

    Comment Letter

    Comment on: "Operator gender differences in major mechanical complications after central line insertions: a subgroup analysis of a prospective multicentre cohort study".

    • Jose A Calvache and Markus Klimek.
    • Department of Anesthesiology, Erasmus University Medical Center Rotterdam, Dr. Molewaterplein 40 , PO Box 2040, Rotterdam, MC, 3015 GD, The Netherlands. j.calvacheespana@erasmusmc.nl.
    • BMC Anesthesiol. 2024 Aug 3; 24 (1): 267267.

    AbstractWe read with great interest the recent study by Naddi et al. in BMC Anesthesiology, which explores operator gender differences in major mechanical complications following central venous catheterization. The study identifies male operator gender as an independent risk factor for complications. However, our attempt to replicate these findings using Colombian data did not support this association. We caution against oversimplifying the influence of sex and gender on health outcomes, as numerous factors, including cultural norms, healthcare practices, and resource availability, significantly impact procedural outcomes. Differences in complication rates may reflect risk-taking behaviors and systemic healthcare disparities rather than inherent biological differences. We emphasize the need for a comprehensive approach to understand the multifaceted nature of central venous related complications. Replication studies across diverse populations are crucial for validating these findings and informing effective strategies for complication prevention and management.© 2024. The Author(s).

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