NSU NOVA Southeastern University, Dr. Kiran.C. Patel College of Allopathic Medicine, Fort Lauderdale, FL, USA.
Universidad Iberoamericana (UNIBE) Escuela de Medicina, Santo Domingo, Dominican Republic.
Am Surg. 2023 Jun;89(6):2665-2676. doi: 10.1177/00031348221121536. Epub 2022 Aug 17.
Authorship of surgical literature is important for the career advancement of surgeons, and gender disparities in authorship may hinder the representation and leadership of women within academic surgery. The aim of this systematic review and meta-analysis was to evaluate the gender distribution of first, senior, and overall authorship in peer-reviewed surgical journal studies across all surgical specialties to determine if disparities exist.
PubMed, EMBASE, and Google Scholar databases were searched for studies investigating the gender distribution of authorship of surgical literature published before December 10th, 2021. Meta-analysis was performed and Cohen's Q test for heterogenous effects was used to determine whether random or fixed-effects models were appropriate.
Fifteen studies investigating gender distribution of authorship met inclusion, which included a total of 136,627 pooled studies. The meta-analysis demonstrated the meta-proportion of first authorship for women to be 20.6% (95% CI: 13.9, 28.2), the meta-proportion of senior authorship for women to be 11.9% (95% CI: 6.6, 18.5), and the meta-proportion of overall authorship for women to be 23% (95% CI: 16.2, 30.7). In addition, the proportion of senior authorship for women was found to be significantly lower than the proportion of overall authorship for women (11.9% versus 23.0%, P = .0106).
There is a significantly smaller proportion of women who are first, senior, and overall authors in surgical literature compared to their colleagues who are men. Sustainable and effective solutions aimed at improving the representation of women surgeons in surgical research and research leadership are necessary.
外科文献的作者身份对于外科医生的职业发展很重要，而作者身份中的性别差异可能会阻碍女性在学术外科领域的代表性和领导力。本系统评价和荟萃分析的目的是评估所有外科专业的同行评审外科期刊研究中第一作者、资深作者和总体作者的性别分布，以确定是否存在差异。
在 PubMed、EMBASE 和 Google Scholar 数据库中检索了调查外科文献作者身份性别分布的研究，检索时间截至 2021 年 12 月 10 日。进行了荟萃分析，并使用 Cohen's Q 检验异质性效应，以确定是否适用随机或固定效应模型。
有 15 项研究调查了作者身份的性别分布符合纳入标准，共包括 136627 项汇总研究。荟萃分析表明，女性第一作者的荟萃比例为 20.6%（95%CI：13.9，28.2），女性资深作者的荟萃比例为 11.9%（95%CI：6.6，18.5），女性总体作者的荟萃比例为 23%（95%CI：16.2，30.7）。此外，女性资深作者的比例明显低于女性总体作者的比例（11.9%比 23.0%，P=0.0106）。
与男性同事相比，女性在外科文献中作为第一作者、资深作者和总体作者的比例明显较小。需要采取可持续和有效的解决方案，以改善女性外科医生在外科研究和研究领导中的代表性。
