Table 2 Distribution of choices for “next step” among correctly and incorrectly identified diagnoses for case vignettes with race and gender jointly randomized.

From: Influence of race and gender on variability in clinical decision-making in neurology

Disease Case

Correct Diagnosis

Incorrect Diagnosis

Race and Gender

Race and Gender

Next Step a

Black Female

Black Male

White Female

White Male

Black Female

Black Male

White Female

White Male

Stroke

Diagnostic, No. (%)

97 (82)

113 (75)

120 (82)

128 (82)

9 (90)

13 (100)

10 (71)

10 (83)

Therapeutic, No. (%)

21 (18)

37 (25)

27 (18)

29 (18)

1 (10)

0 (0)

4 (29)

2 (17)

RRMS

Diagnostic, No. (%)

45 (35)

46 (39)

56 (42)

41 (31)

21 (72)

24 (86)

13 (81)

25 (78)

Therapeutic, No. (%)

85 (65)

73 (61)

78 (58)

92 (69)

8 (28)

4 (14)

3 (19)

7 (22)

Parkinson Disease

Diagnostic, No. (%)

27 (20)

24 (16)

24 (17)

27 (20)

8 (67)

7 (78)

12 (57)

8 (62)

Therapeutic, No. (%)

111 (80)

122 (84)

121 (83)

110 (80)

4 (33)

2 (22)

9 (43)

5 (38)

Epilepsy

Diagnostic, No. (%)

75 (59)

74 (52)

78 (52)

71 (52)

10 (43)

8 (57)

7 (58)

9 (53)

Therapeutic, No. (%)

52 (41)

67 (48)

72 (48)

66 (48)

13 (57)

6 (43)

5 (42)

8 (47)

PPMS

Diagnostic, No. (%)

71 (68)

80 (75)

84 (64)

91 (73)

27 (79)

39 (85)

25 (81)

33 (79)

Therapeutic, No. (%)

34 (32)

27 (25)

47 (36)

34 (27)

7 (21)

7 (15)

6 (19)

9 (21)

  1. Abbreviations: RRMS, relapsing-remitting multiple sclerosis; PPMS, primary progressive multiple sclerosis.
  2. aThe percentage indicated for “next step” is the percent choosing either “diagnostic” or “therapeutic” among correct diagnoses or incorrect diagnoses within each race/gender group.