{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:51:46Z","timestamp":1787928706309,"version":"build-2784847793"},"reference-count":59,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,6,28]],"date-time":"2008-06-28T00:00:00Z","timestamp":1214611200000},"content-version":"vor","delay-in-days":878,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2006,2]]},"abstract":"<jats:p> <jats:italic>\n            <jats:bold>Objectives:<\/jats:bold>\n          <\/jats:italic> The goal of this study was to examine how physicians in the emergency department ask questions of patients presenting with chest pain and whether this varies by patient demographics.<\/jats:p><jats:p> <jats:italic>\n            <jats:bold>Methods:<\/jats:bold>\n          <\/jats:italic> This was a cross\u2010sectional study with convenience sampling. A survey was administered to adult emergency department patients presenting with chest pain after emergency physicians obtained the history and performed the physical examination. No identifying data were collected from the patients. In addition to demographics, patients were asked whether or not their physician asked them about factors related to coronary syndrome and myocardial infarction etiology.<\/jats:p><jats:p> <jats:italic>\n            <jats:bold>Results:<\/jats:bold>\n          <\/jats:italic> A total of 308 of 332 patients (93%) participated. Patients had a mean age of 52 years, 54% were male, and 85% spoke English; classification by race was 31% African American, 28% white, 19% Hispanic, and 13% other. History taking did not differ by gender. Patients who reported being asked about the following were statistically significantly younger than those who reported not being asked: family history, other medical problems, smoking, cocaine use, and alcohol use. Nonwhite patients reported being asked about the following more frequently than white patients: smoking (94% vs. 84%), alcohol use (81% vs. 70%), and cocaine use (64% vs. 42%). In multivariate logistic regression controlling for age, nonwhite patients were more likely than white patients to be asked about smoking (odds ratio [OR], 2.79; 95% confidence interval [CI] = 1.26 to 6.19), cocaine use (OR, 2.49; 95% CI = 1.50 to 4.12), and alcohol use (OR, 1.77; 95% CI = 1.0 to 3.09).<\/jats:p><jats:p> <jats:italic>\n            <jats:bold>Conclusions:<\/jats:bold>\n          <\/jats:italic> The variability in questions about behavioral factors associated with chest pain etiology as reported by patients may indicate a possible cultural bias by physicians. Differences in risk identification may lead to differences in treatment decisions.<\/jats:p>","DOI":"10.1197\/j.aem.2005.08.007","type":"journal-article","created":{"date-parts":[[2006,1,26]],"date-time":"2006-01-26T02:18:45Z","timestamp":1138241925000},"page":"147-152","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Physician Variability in History Taking When Evaluating Patients Presenting with Chest Pain in the Emergency Department"],"prefix":"10.1111","volume":"13","author":[{"given":"Thea L.","family":"James","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Feldman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supriya D.","family":"Mehta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,6,28]]},"reference":[{"key":"e_1_2_1_2_1","volume-title":"Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare","author":"Smedley BD","year":"2002"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200011233432106"},{"key":"e_1_2_1_4_1","doi-asserted-by":"crossref","first-page":"2142","DOI":"10.1681\/ASN.V9112142","article-title":"Race and socioeconomic factors influencing early placement on the kidney transplant waiting list.","volume":"9","author":"Kasiske B","year":"1998","journal-title":"J Am Soc Nephrol."},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.274.23.1858"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2010.0709"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.24.2305"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199902253400806"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-135-5-200109040-00009"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200004133421505"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.9.1329"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199901000-00010"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(96)00434-2"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199702133360706"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.12.2091"},{"key":"e_1_2_1_16_1","first-page":"884","article-title":"Insurance status and the treatment of myocardial infarction at academic centers [erratum to Acad Emerg Med 2004;11:343\u20138].","volume":"11","author":"Hiestand BC","year":"2004","journal-title":"Acad Emerg Med."},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2004.30131.x"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.10.1689"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200104000-00007"},{"key":"e_1_2_1_20_1","first-page":"248","article-title":"Factors associated with no surgery or radiation therapy for invasive cervical cancer in black and white women.","volume":"10","author":"Merrill RM","year":"2000","journal-title":"Ethn Dis."},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199910143411606"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199907000-00011"},{"key":"e_1_2_1_23_1","first-page":"228","article-title":"Disaggregating the effects of race on breast cancer survival.","volume":"30","author":"Howard DL","year":"1998","journal-title":"Fam Med."},{"key":"e_1_2_1_24_1","volume-title":"Kaiser Family Foundation, American College of Cardiology Foundation. Racial\/Ethnic Differences in Cardiac Care","year":"2002"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1197\/S1069-6563(03)00490-1"},{"key":"e_1_2_1_26_1","first-page":"11","article-title":"Ethnic, gender and age\u2010related differences in treatment and control of dyslipidemia in hypertensive patients.","volume":"15","author":"Hendrix KH","year":"2005","journal-title":"Ethn Dis."},{"key":"e_1_2_1_27_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.118"},{"key":"e_1_2_1_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.hdx.0000074519.43281.fa"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199511093331907"},{"key":"e_1_2_1_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-7258(02)00329-7"},{"key":"e_1_2_1_31_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200108023450507"},{"key":"e_1_2_1_32_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.99.21.2737"},{"key":"e_1_2_1_33_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2001.117607"},{"key":"e_1_2_1_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(90)90292-9"},{"key":"e_1_2_1_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(91)90646-Q"},{"key":"e_1_2_1_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9150(92)90050-Q"},{"key":"e_1_2_1_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(92)90701-Y"},{"key":"e_1_2_1_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(98)00058-4"},{"key":"e_1_2_1_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)02336-7"},{"key":"e_1_2_1_40_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa022206"},{"key":"e_1_2_1_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(95)70342-X"},{"key":"e_1_2_1_42_1","unstructured":"The Commonwealth Fund: Health Care Quality Survey 2001. Available at:http:www.cmwf.orgsurveyssurveys.htm."},{"key":"e_1_2_1_43_1","unstructured":"Kaiser Family Foundation. National Survey of Physicians 2002. Available at:http:www.kff.orgminorityhealthloader."},{"key":"e_1_2_1_44_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.159.9.997"},{"key":"e_1_2_1_45_1","doi-asserted-by":"publisher","DOI":"10.2307\/3090205"},{"key":"e_1_2_1_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200306000-00002"},{"key":"e_1_2_1_47_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200306000-00004"},{"key":"e_1_2_1_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200306000-00006"},{"key":"e_1_2_1_49_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200306000-00014"},{"key":"e_1_2_1_50_1","doi-asserted-by":"publisher","DOI":"10.1197\/S1069-6563(03)00487-1"},{"key":"e_1_2_1_51_1","doi-asserted-by":"publisher","DOI":"10.1197\/S1069-6563(03)00489-5"},{"key":"e_1_2_1_52_1","doi-asserted-by":"publisher","DOI":"10.1197\/S1069-6563(03)00501-3"},{"key":"e_1_2_1_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2003.tb00598.x"},{"key":"e_1_2_1_54_1","doi-asserted-by":"publisher","DOI":"10.1197\/S1069-6563(03)00485-8"},{"key":"e_1_2_1_55_1","doi-asserted-by":"publisher","DOI":"10.1197\/S1069-6563(03)00488-3"},{"key":"e_1_2_1_56_1","doi-asserted-by":"publisher","DOI":"10.1197\/S1069-6563(03)00486-X"},{"key":"e_1_2_1_57_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2003.tb00596.x"},{"key":"e_1_2_1_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.04.043"},{"key":"e_1_2_1_59_1","volume-title":"Designing and Conducting Health Surveys","author":"Aday LA","year":"1996"},{"key":"e_1_2_1_60_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.1.62"}],"container-title":["Academic Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1197%2Fj.aem.2005.08.007","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1197\/j.aem.2005.08.007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T08:46:45Z","timestamp":1700038005000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1197\/j.aem.2005.08.007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,2]]},"references-count":59,"aliases":["10.1111\/j.1553-2712.2006.tb01663.x"],"journal-issue":{"issue":"2","published-print":{"date-parts":[[2006,2]]}},"alternative-id":["10.1197\/j.aem.2005.08.007"],"URL":"https:\/\/doi.org\/10.1197\/j.aem.2005.08.007","archive":["Portico"],"relation":{},"ISSN":["1069-6563","1553-2712"],"issn-type":[{"value":"1069-6563","type":"print"},{"value":"1553-2712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,2]]},"assertion":[{"value":"2008-06-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}