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Background: Previous studies have demonstrated that females have more severe pain in more locations in the body than males but tend to wait longer to seek help which leads to worse postoperative outcomes. Also, physicians may have an unconscious bias in recommending surgery more often for men than women. Methods: We analyzed 798 medical charts with chief complaints of shoulder or knee pain from 2007-2015. We categorized patients based on acute or chronic injury and then looked at time from referral to first orthopedic appointment, delay of time to surgery, and duration of recovery. Results: Women were observed to have chronic injuries more often than men (61.2% vs. 54.1%) a difference that was statistically significant (χ2 = 4.08, df = 1, p = 0.043). Men required longer recovery time after surgical cases (p = 0.0024). Conclusions: Additional data from more broad geographic locations is essential to educate physicians on gender and ethnic differences in order to help eliminate healthcare bias.

Gender and Ethnic Differences in Seeking Healthcare Plus Time of Recovery from Procedures for Shoulder and Knee Conditions