Bryan Darren S, Debarros Mia, Wang Sue X, Xie Yue, Mazzola Emanuele, Bueno Raphael, Marshall M Blair
Section of Thoracic Surgery, University of Chicago, Chicago, Ill.
Department of Thoracic Surgery, Madigan Army Medical Center, Tacoma, Wash.
J Thorac Cardiovasc Surg. 2023 Nov;166(5):1375-1384. doi: 10.1016/j.jtcvs.2022.12.024. Epub 2023 Feb 3.
In recent years, the historically low proportion of women cardiothoracic surgeons and trainees has been a subject of intense focus. Publications remain a key metric of academic success and career advancement. We sought to identify trends in the gender of first and last author publications in cardiothoracic surgery.
We searched for publications between 2011 and 2020 in 2 US cardiothoracic surgery journals, identifying those with Medical Subject Heading publication types of clinical trials, observational studies, meta-analyses, commentary, reviews, and case reports. A commercially available, validated software (Gender-API) was used to associate gender with author names. Association of American Medical Colleges Physician Specialty Data Reports were used to identify concurrent changes in the proportion of active women in cardiothoracic surgery.
We identified 6934 (57.1%) pieces of commentary; 3694 (30.4%) case reports; 1030 (8.5%) reviews, systematic analyses, meta-analyses, or observational studies; and 484 (4%) clinical trials. In total, 15,189 total names were included in analysis. Over the 10-year study period, first authorship by women rose from 8.5% to 16% (0.42% per year, on average), whereas the percentage of active US women cardiothoracic physicians rose from 4.6% to 8% (0.42% per year). Last authorship was generally flat over the decade, going from 8.9% in 2011% to 7.8% in 2020 and on average, increased at just 0.06% per year (P = .79).
Over the past decade, authorship by women has steadily increased, more so at the first author position. Author-volunteered gender identification at the time of manuscript acceptance may be useful to more accurately follow trends in publication.
近年来，心胸外科女外科医生及实习生比例一直处于历史低位，这一情况备受关注。发表论文仍然是学术成就和职业发展的关键指标。我们试图确定心胸外科领域第一作者和最后作者发表论文的性别趋势。
我们检索了2011年至2020年间美国两份心胸外科期刊上的论文，筛选出医学主题词发表类型为临床试验、观察性研究、荟萃分析、评论、综述和病例报告的文章。使用一款经过验证的商业软件（Gender-API）将性别与作者姓名关联起来。利用美国医学院协会医师专业数据报告来确定同期心胸外科活跃女性比例的变化。
我们共筛选出6934篇（57.1%）评论；3694篇（30.4%）病例报告；1030篇（8.5%）综述、系统分析、荟萃分析或观察性研究；以及484篇（4%）临床试验。总计15189个姓名纳入分析。在为期10年的研究期间，女性第一作者的比例从8.5%升至16%（平均每年增长0.42%），而同期美国活跃的心胸外科女医生比例从4.6%升至8%（平均每年增长0.42%）。最后作者的比例在这十年间总体持平，从2011年的8.9%降至2020年的7.8%，平均每年仅增长0.06%（P = 0.79）。
在过去十年中，女性作者的比例稳步上升，在第一作者位置上的增长更为明显。稿件接受时作者自愿提供的性别信息可能有助于更准确地跟踪发表趋势。
