Dalton Jonathan, Baidya Joydeep, Huang Rachel, Olson Jarod, Herczeg Chloe, Oris Robert J, Narayanan Rajkishen, Uvarov Evgeniy V, Patel Keyur, Canseco Jose A, Hilibrand Alan S, Vaccaro Alexander R, Kepler Christopher K, Schroeder Gregory D
Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University Hospital, Phialdelphia, PA, USA.
Global Spine J. 2025 May 16:21925682251340033. doi: 10.1177/21925682251340033.
Study DesignObservational study.ObjectiveTo evaluate representation of countries and gross national income (GNI) at major international spine conferences.MethodsThe 50 most attended spine conferences were identified via ChatGPT. Conferences were excluded if they (1) reference/are held in a single country, (2) emphasize one technique, (3) emphasize neurosurgery orthopaedic spine, (4) have <2 years of conference programs available. Programs were reviewed (2022-2024) to identify invited speakers/award recipients, executive board members, and committee members and their country of practice. Countries were assigned GNI/capita from World Bank data.ResultsEurospine, GSC, IMAST, ISASS, NASS, and SRS met inclusion criteria (1462 unique invited speakers/awardees). Other than Eurospine, board members were predominantly from Northern America. Speakers were most commonly from Northern America (56.2%), with no representation from Southern Africa and Central Asia. Speakers were overwhelmingly from high-income countries (89.7%) with none from low-income countries. Speakers at GSC were the most globally representative, with 68.8% from countries diverse from GSC's executive board. GSC and NASS had the greatest representation from lower-middle (9.7%) and upper-middle income countries (30.4%), respectively. USA and Germany had 867 (59.4%) invitees, while all of Africa had four. Committee members followed similar trends compared to invited speakers for region, country, and GNI/capita representation.ConclusionsAmongst major international conferences, a preponderance of invited speakers and committee members were from a small number of regions, particularly Northern America and Western Europe. Most speakers and committee members practice in high-income countries, with no representation from low-income countries.
研究设计
观察性研究。
目的
评估主要国际脊柱会议上各国及国民总收入（GNI）的代表性。
方法
通过ChatGPT确定了参会人数最多的50场脊柱会议。若会议符合以下条件则被排除：（1）在单一国家举办或提及该国；（2）强调一种技术；（3）强调神经外科或骨科脊柱；（4）会议议程少于2年。对会议议程（2022 - 2024年）进行审查，以确定受邀演讲者/获奖者、执行董事会成员和委员会成员及其执业国家。根据世界银行数据为各国分配人均国民总收入。
结果
欧洲脊柱学会（Eurospine）、全球脊柱大会（GSC）、国际微创脊柱外科学会（IMAST）、国际脊柱侧凸研究学会（ISASS）、北美脊柱学会（NASS）和脊柱研究学会（SRS）符合纳入标准（共1462位独特的受邀演讲者/获奖者）。除欧洲脊柱学会外，董事会成员主要来自北美。演讲者大多来自北美（56.2%），没有来自南部非洲和中亚的代表。演讲者绝大多数来自高收入国家（89.7%），没有来自低收入国家的。全球脊柱大会的演讲者具有最强的全球代表性，68.8%来自与全球脊柱大会执行董事会不同的国家。全球脊柱大会和北美脊柱学会分别有来自中低收入国家（9.7%）和中高收入国家（30.4%）的最大比例代表。美国和德国有867位受邀者（59.4%），而整个非洲只有4位。在地区、国家和人均国民总收入代表性方面，委员会成员与受邀演讲者呈现相似趋势。
结论
在主要国际会议中，大量受邀演讲者和委员会成员来自少数地区，特别是北美和西欧。大多数演讲者和委员会成员在高收入国家执业，没有低收入国家的代表。
