From the Department of Rehabilitation Medicine, Joe R. and Teresa Lozano Long School of Medicine at UT Health San Antonio, San Antonio, Texas (MV-G); Department of Internal Medicine, Mount Auburn Hospital, Cambridge, Massachusetts (NBK); JFK Johnson Rehabilitation Institute at Hackensack Meridian Health, Edison, New Jersey (TKF); Department of Physical Medicine and Rehabilitation, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey (TKF); Department of Physical Medicine and Rehabilitation, Hackensack Meridian School of Medicine, Nutley, New Jersey (TKF); Department of Psychology, Integrative Neuroscience, University of Chicago, Chicago, Illinois (EMS); Department of Internal Medicine, Kaiser Permanente Oakland Medical Center, Oakland, California (TLH); Joslin Diabetes Center, Boston, Massachusetts (NES); Department of Medicine, Harvard Medical School, Boston, Massachusetts (NES); Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, New York (MXE); Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada (GRL); Department of Anesthesia and Pain Management, Toronto Western Hospital-University Health Network, Toronto, Ontario, Canada (GRL); The Wilson Centre, University Health Network, Toronto, Ontario, Canada (GRL); Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada (GRL); Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts (JKS); Massachusetts General Hospital, Boston, Massachusetts (JKS); Brigham and Women's Hospital, Boston, Massachusetts (JKS); and Spaulding Rehabilitation Hospital, Boston, Massachusetts (JKS).
Am J Phys Med Rehabil. 2022 May 1;101(5):493-503. doi: 10.1097/PHM.0000000000001932. Epub 2021 Nov 15.
Reports have demonstrated that women overall and women physicians, in particular, are underrepresented as authors of clinical practice guidelines. This analysis used publicly available information to explore the diversity of rehabilitation-related clinical practice guideline authors by gender, race, and ethnicity. Primary analysis identified authors' gender, race, ethnicity, and visible minority status. Two sets were analyzed: (1) clinical practice guidelines by Department of Veterans Affairs (VA) categorized as "Rehabilitation" or "Pain" (n = 7; VA clinical practice guidelines) and (2) a set (n = 10) published in the United States (US) from 2019 to 2021 that were selected because of low numbers of inclusion at less than 20% women authors. Key findings include that among physician authors, both the VA and US clinical practice guidelines underrepresented women (15 [24.2%] and 27 [16.7%], respectively) and those coded as a racial or ethnic minority were particularly underrepresented. Notably, women authors overall were equally represented (92 [50.0%]) in the VA clinical practice guidelines. The US clinical practice guidelines had women authors who were underrepresented (36 [19.0%]). Secondary analysis of the entire set of VA clinical practice guidelines (n = 21) found gaps in diversity-related content. Clinical practice guidelines have far-reaching health and economic impacts, and addressing disparities in the diversity of author teams and/or gaps in diversity-related content is of paramount importance.
报告表明，女性，尤其是女医生，作为临床实践指南的作者人数较少。本分析利用公开信息，从性别、种族和民族角度探讨了康复相关临床实践指南作者的多样性。主要分析确定了作者的性别、种族、民族和少数族裔身份。分析了两组数据：（1）美国退伍军人事务部（VA）归类为“康复”或“疼痛”的临床实践指南（n = 7；VA 临床实践指南），以及（2）2019 年至 2021 年在美国出版的一组数量较少（不到 20%的女性作者）的临床实践指南（n = 10）。主要发现包括，在医师作者中，VA 和美国的临床实践指南都较少有女性（分别为 15 名[24.2%]和 27 名[16.7%]），而被编码为少数族裔的作者则尤其缺乏。值得注意的是，VA 临床实践指南中女性作者的比例相当（92 名[50.0%]）。美国临床实践指南中的女性作者人数较少（36 名[19.0%]）。对 VA 临床实践指南的全部数据（n = 21）进行二次分析发现，多样性相关内容存在差距。临床实践指南对健康和经济有着深远的影响，解决作者团队多样性方面的差异和/或多样性相关内容方面的差距至关重要。
