Journal of clinical anesthesia
September 30, 2026 · via Europe PMC
Patient satisfaction based on concordance in demographic factors between anesthesiologist and patient.
Piersa AP, Dutton RP, Glick DB, Mazeffa R, Shehadi E, Tung A.
AI summary — for doctors, generated from the abstract only
Patients rated anaesthesiologists slightly higher when matched for age or sex, but not for race/ethnicity.
What was studied
A retrospective analysis of 236,301 patient satisfaction surveys (from 655,849 returned, 18.3% response) at a large US practice.
Key findings
- Age concordance raised the odds of the top rating (OR 1.09)
- Sex concordance raised them (OR 1.05)
- Race/ethnicity concordance showed no difference
Clinical relevance
Small effects suggest demographic concordance is a minor factor in satisfaction.
Who should care
Limitations
Low survey response rate and observational design with small effect sizes.
No practice change; communication quality likely matters more.
This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.
Abstract
Background
The impact of demographic concordance between patient and anesthesiologist on patient satisfaction is unclear. The aim of this study was to investigate the relationship between satisfaction with anesthesia care and patient-anesthesiologist demographic concordance.
Methods
We conducted a retrospective study of select patient responses to the 24-question Anesthesiologist Patient Safety Questionnaire from June 2023 through December 2024 at a large U.S. anesthesia practice. We examined the relationship between age, sex, and race/ethnicity concordance and patient satisfaction. Multivariable generalized linear models with adjustment for prespecified covariates and with random effects for medical facility and anesthesiologist were used to assess the relationship between demographic concordance and the likelihood of the highest possible score on the question, "Please rate your anesthesiologist,". In a prespecified subgroup analysis, the relationship between demographic concordance and satisfaction with obstetric care was investigated in a similar fashion. A p-value below 0.05 was considered significant.
Results
A total of 655,849 patient satisfaction surveys were returned (18.3% response rate), and 236,301 surveys from solo anesthesiologist cases were analyzed. Patients were more likely to rate their anesthesiologist highly if they were age-concordant (Odds Ratio (OR) 1.09, 95% Confidence Interval (CI) 1.04 to 1.14, p = 0.001) and sex-concordant (OR 1.05, 95% CI 1.01 to 1.08, p = 0.012). Race/ethnicity concordance was not associated with differences in satisfaction. Among our 19,081-patient obstetric cohort, we found no correlation between age concordance and patient satisfaction but did find that race/ethnicity concordance correlated positively and sex concordance correlated negatively with labor epidural satisfaction.
Conclusions
We found modest differences in patient satisfaction based on patient-anesthesiologist demographic concordance. Future studies are needed to understand the causes and implications of these findings.
DOI
10.1016/j.jclinane.2026.112317
PMID
42815258
Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.
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