Mavedatnia Dorsa, Yi Grace, Wener Emily, Davidson Jacob, Chan Yvonne, Graham M Elise
Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Ann Otol Rhinol Laryngol. 2023 Dec;132(12):1669-1678. doi: 10.1177/00034894231181752. Epub 2023 Jun 19.
To analyze gender differences in authorship of North American (Canadian and American) and international published otolaryngology-head and neck surgery (OHNS) clinical practice guidelines (CPG) over a 17-year period.
Clinical practice guidelines published between 2005 and 2022 were identified through the Canadian Agency for Drugs and Technology in Health (CADTH) search strategy in MEDLINE and EMBASE. Studies were included if they were original studies, published in the English language, and encompassed Canadian, American, or international OHNS clinical practice guidelines.
A total of 145 guidelines were identified, encompassing 661 female authors (27.4%) and 1756 male authors (72.7%). Among OHNS authors, women and men accounted for 21.2% and 78.8% of authors, respectively. Women who were involved in guideline authorship were 31.0% less likely to be an otolaryngologist compared to men. There were no gender differences across first or senior author and by subspeciality. Female otolaryngologist representation was the greatest in rhinology (28.3%) and pediatrics (26.7%). American guidelines had the greatest proportion of female authors per guideline (34.1%) and the greatest number of unique female authors (33.2%).
Despite the increasing representation of women in OHNS, gender gaps exist with regards to authorship within clinical practice guidelines. Greater gender diversity and transparency is required within guideline authorship to help achieve equitable gender representation and the development of balanced guidelines with a variety of viewpoints.
分析17年间北美（加拿大和美国）以及国际上发表的耳鼻咽喉-头颈外科（OHNS）临床实践指南（CPG）在作者性别方面的差异。
通过加拿大卫生药物和技术局（CADTH）在MEDLINE和EMBASE中的检索策略，确定2005年至2022年间发表的临床实践指南。纳入的研究需为原创研究、以英文发表，且涵盖加拿大、美国或国际OHNS临床实践指南。
共识别出145项指南，其中女性作者661人（27.4%），男性作者1756人（72.7%）。在OHNS作者中，女性和男性分别占作者总数的21.2%和78.8%。参与指南撰写的女性成为耳鼻咽喉科医生的可能性比男性低31.0%。第一作者或资深作者以及各亚专业之间不存在性别差异。女性耳鼻咽喉科医生在鼻科学（28.3%）和儿科学（26.7%）中的占比最高。美国指南中每个指南的女性作者比例最高（34.1%），独特女性作者数量最多（33.2%）。
尽管OHNS领域女性代表人数不断增加，但临床实践指南的作者构成方面仍存在性别差距。指南作者构成需要更大的性别多样性和透明度，以帮助实现公平的性别代表，并制定具有各种观点的平衡指南。
