PUBLIC RELEASE DATE:

3-Mar-2014

Contact: Megan Hanks mhanks@acponline.org 215-351-2656 American College of Physicians

1. Study of highly-motivated GenX physicians shows that women spend more time than men on parenting and household labor

A survey of high-achieving young physician-researchers shows pronounced gender differences in domestic activities among those married with children, according to an article being published in Annals of Internal Medicine. It is known that female physician-researchers do not achieve career success at the same rate as men. Could differences in nonprofessional responsibilities explain some of the gap? Researchers surveyed 1,055 physician-researchers who were recipients of National Institute of Health research K08 and K28 awards (highly selective grants made to early-career researchers) and had active academic affiliation at the time of the survey to investigate the division of domestic labor and professional activities (research, teaching, and patient care) by gender. Among the physicians who were married, the men were almost four times more likely to have a spouse who either did not work or worked only part-time. Among married physicians with children, men reported working seven hours longer and spending 12 fewer hours on parenting and domestic tasks each week than women. Women in partnered relationships with children were also substantially more likely to take time off to care for children when there was a disruption in usual childcare. The study authors express concern that the medical profession may be particularly resistant to policy and cultural changes necessary to ensure the success of women. The authors of an accompanying editorial both highly-motivated physician-researchers who also care for families are neither surprised nor worried by the findings. They suggest that division of time may be more likely driven by preferences. Female physicians may choose research because of it is intellectually challenging, but it also affords flexibility. They suggest that awareness that successful academic careers do not follow a singular trajectory and may have distinct phases. "There is no need to do it all, all at once, right now," they write.

Note: The URL will go live at 5:00 p.m. on Monday, March 3 and can be included in news stories. For an embargoed PDF, please contact Megan Hanks or Angela Collom. To interview an author of the study, please contact Nicole Fawcett at nfawcett@umich.edu or 734-764-2220. Annals editor-in-chief, Dr. Christine Laine, is an author on the editorial. To speak with Dr. Laine, please contact Angela Collom.

2. Single-patient trials helpful in determining statin tolerability

Single-patient, or n-of-1, trials may be a useful method for determining which patients are experiencing true statin-related discomfort and which patients may be able to continue therapy, according to an article being published in Annals of Internal Medicine. Statins are recommended to reduce risk for heart disease, stroke, and other cardiovascular problems. Myalgia (muscle pain or discomfort) is a common complaint among patients taking statins and a common reason for discontinuation of therapy. However, it can be difficult to determine whether statins are the cause of patient discomfort. Researchers conducted a proof-of-concept study to assess the feasibility and potential value of n-of-1 trials in patients with statin-related myalgia. The investigators hypothesized that such trials would provide objective proof in some patients that their symptoms were (or were not) statin-related. Patients who had discontinued statin use due to myalgia were randomly assigned to statin therapy or placebo, up to three times each, for up to three weeks (adequate time period for myalgia to develop). Neither the physician nor the patient knew whether the statin or placebo was taken. Patient self-reporting revealed no clinically significant differences in myalgia or other pain measures in any of the n-of-1 trials or in the combined results across trials. Most patients resumed statin treatment after reviewing the results of their trial, which resulted in lower LDL-C levels 10 months later.

Note: The URL will go live at 5:00 p.m. on Monday, March 3 and can be included in news stories. For an embargoed PDF, please contact Megan Hanks or Angela Collom. To interview an author, please contact Julia Capaldi at julia.capaldi@lawsonresearch.com or 519-685-8500 ext. 75616.

3. U.S. survey reveals 2.7 million living with chronic Hep C virus

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Annals of Internal Medicine tip sheet for March 3, 2014