Sex concordance increased specialist evaluations, potentially addressing under-referral issues in primary hyperparathyroidism.

Investigating primary hyperparathyroidism referrals, a study analyzed 1,100 patients and found that sex concordance (matching patient and practitioner sexes) correlated with increased specialist evaluations. Patients with concordant primary care practitioners had 32% higher odds of endocrinologist evaluation, and those with concordant endocrinologists had a 48% higher rate of surgeon evaluation. Stratified analysis revealed that sex discordance reduced surgeon referral rates for female patients but not males. Sex discordance may contribute to under-referral in primary hyperparathyroidism, emphasizing the importance of patient-practitioner communication.