Abelleyra Lastoria Diego Agustín, Casey Laura, Beni Rebecca, Papanastasiou Alexa V, Kamyab Arya A, Devetzis Konstantinos, Scott Chloe E H, Hing Caroline B
St George's University of London, London, UK.
St George's University Hospitals NHS Foundation Trust, London, UK.
Bone Jt Open. 2024 Aug 6;5(8):637-643. doi: 10.1302/2633-1462.58.BJO-2024-0059.R1.
Our primary aim was to establish the proportion of female orthopaedic consultants who perform arthroplasty via cases submitted to the National Joint Registry (NJR), which covers England, Wales, Northern Ireland, the Isle of Man, and Guernsey. Secondary aims included comparing time since specialist registration, private practice participation, and number of hospitals worked in between male and female surgeons.
Publicly available data from the NJR was extracted on the types of arthroplasty performed by each surgeon, and the number of procedures of each type undertaken. Each surgeon was cross-referenced with the General Medical Council (GMC) website, using GMC number to extract surgeon demographic data. These included sex, region of practice, and dates of full and specialist registration.
Of 2,895 surgeons contributing to the NJR in 2023, 102 (4%) were female. The highest proportions of female surgeons were among those who performed elbow (n = 25; 5%), shoulder (n = 24; 4%), and ankle (n = 8; 4%) arthroplasty. Hip (n = 66; 3%) and knee arthroplasty (n = 39; 2%) had the lowest female representation. Female surgeons had been practising for a median of 10.4 years since specialist registration compared to 13.7 years for males (p < 0.001). Northern Ireland was the region with the highest proportion of female arthroplasty surgeons (8%). A greater proportion of male surgeons worked in private practice (63% vs 24%; p < 0.001) and in multiple hospitals (74% vs 40%; p < 0.001).
Only 4% of surgeons currently contributing cases to the NJR are female, with the highest proportion performing elbow arthroplasty (5%). Female orthopaedic surgeons in the NJR are earlier in their careers than male surgeons, and are less involved in private practice. There is a wide geographical variation in the proportion of female arthroplasty surgeons.
我们的主要目的是通过提交给国家关节注册中心（NJR）的病例，确定进行关节置换术的女性骨科顾问的比例，该注册中心覆盖英格兰、威尔士、北爱尔兰、马恩岛和根西岛。次要目的包括比较男性和女性外科医生自专科注册以来的工作时间、参与私人执业的情况以及工作过的医院数量。
从NJR提取公开可用的数据，内容包括每位外科医生进行的关节置换术类型以及每种类型的手术数量。使用通用医疗委员会（GMC）编号，将每位外科医生与GMC网站进行交叉核对，以提取外科医生的人口统计学数据。这些数据包括性别、执业地区以及完全注册和专科注册日期。
在2023年向NJR提供病例的2895名外科医生中，有102名（4%）为女性。女性外科医生比例最高的是那些进行肘部（n = 25；5%）、肩部（n = 24；4%）和踝关节置换术（n = 8；4%）的医生。髋关节（n = 66；3%）和膝关节置换术（n = 39；2%）中女性代表比例最低。女性外科医生自专科注册以来的执业时间中位数为10.4年，而男性为13.7年（p < 0.001）。北爱尔兰是女性关节置换外科医生比例最高的地区（8%）。从事私人执业的男性外科医生比例更高（63%对24%；p < 0.001），且在多家医院工作的比例也更高（74%对40%；p < 0.001）。
目前向NJR提供病例的外科医生中只有4%是女性，其中进行肘关节置换术的比例最高（5%）。NJR中的女性骨科外科医生职业生涯比男性外科医生起步更早，且较少参与私人执业。女性关节置换外科医生的比例在地域上存在很大差异。
