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  • Item type:Publication,
    Gender Differences in Authorship in the Journal of Cardiothoracic and Vascular Anesthesia: A 28-Year Analysis of Publications Originating From the United States, 1990-2017 Open PDF 
    (2019)
    Pagel, Paul S.
    ;
    Freed, Julie K.
    ;
    Lien, Cynthia A.
    OBJECTIVE: Gender-based differences in scholarship among cardiothoracic anesthesiologists have not been studied. The authors examined the gender distribution of authorship of original research articles, case reports, review articles, and editorials in the Journal of Cardiothoracic and Vascular Anesthesia (JCVA) originating from the United States during four 3-year intervals to determine temporal changes in productivity of women in cardiothoracic anesthesiology. The authors tested the hypothesis that scholarly output of women has increased progressively in JCVA over time concomitant with greater participation in first, last, and corresponding author roles. DESIGN: Observational study. SETTING: Internet analysis. PARTICIPANTS: Authors of research articles, case reports, review articles, and editorials published in JCVA in 1990-92, 1999-2001, 2008-10, and 2015-17. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The gender of each author was determined by inspection of the first name. If gender could not be established easily, the author's institutional website was examined or an internet search using the Google search engine was conducted. First, last, and corresponding authors as well as coauthors were noted for each article. A total of 1,195 publications with 4,982 authors (1,032 women; 20.7%) were examined. Gender was identified positively in 98.5% of authors. Women were first, last, and corresponding authors on 22.4%, 10.3%, and 14.6% of publications, respectively. The percentage of women who were authors increased from 12.1% in 1990-92 to 20.9% in 1999-2001 (p < 0.05), but plateaued in 2008 to 2010 (22.3%) and 2015 to 2017 (22.9%). Greater percentages of women were first authors (26.2%), senior authors (11.8%), and corresponding authors (16.6%) in 2015 to 2017 compared with 1990 to 1992 (9.6%, 7.0%, and 8.7%, respectively; p < 0.05 for each). The contributions of women to research articles and case reports were primarily responsible for these observed increases, although women also made a substantial impact with review articles in 2015 to 2017. The percentage of publications that included at least 1 female author in any capacity increased in a time-dependent manner (p < 0.05) from 31.0% (1990-1992) to 74.4% (2015-2017). The proportion of female first or last authors (35.0%) appearing in JCVA during 2015 to 2017 was modestly higher than the current percentage of female cardiothoracic anesthesiologists practicing in departments with accredited fellowship programs (29.1%). CONCLUSION: The results indicate that scholarly output of women rose in JCVA over time, but gains in productivity have plateaued more recently. These findings are encouraging, but women continue to be underrepresented in corresponding and last author roles.
  • Item type:Publication,
    A 50-year analysis of gender differences in United States authorship of original research articles in two major anesthesiology journals Open PDF 
    (2019)
    Pagel, P.S.
    ;
    Freed, J.K.
    ;
    Lien, C.A.
    Underrepresentation of women in academic medicine is strongly linked to differences in men’s and women’s scholarship and has been shown to substantially reduce the overall quality of research. An authorship “gender gap” exists in most medical specialties, but differences in research article authorship have only been recently suggested in anesthesiology. We analyzed authorship of US research articles published in Anesthesiology and Anesthesia and Analgesia (journals that publish two-thirds of all anesthesiology-related articles) from 1967 to 2017 to test the hypothesis that publication of anesthesiology research articles by women authors has progressively increased over time along with greater involvement in first, last, and corresponding author roles. Research articles appearing in Anesthesiology and Anesthesia and Analgesia in 1967, 1977, 1987, 1997, 2007, and 2017 were identified. The corresponding author was used to determine the country of origin of each article; only articles originating from the US were included in the analysis. Each author’s gender was determined by inspection of the first name and verified using the author’s institutional website or an internet search if necessary. First, last, and corresponding authors as well as co-authors were noted for each article. Federal grant support was also identified if present. Gender was identified in 98.2% of authors. A total of 1350 research articles with 6165 authors (1319 female; 21.4%) originated from the US. The percentage of women authors increased in a time-dependent manner in Anesthesiology from 6.2% in 1967 to 31.3% in 2017. The proportion of women who were first, last, and corresponding authors increased from 5.1%, 8.9%, and 2.5%, respectively, in 1967 to 37.0%, 22.2%, and 25.9% in 2017, respectively. The number of women co-authors per article also increased over time. Similar results were observed in Anesthesia and Analgesia. The percentage of articles that included at least one woman rose progressively over time in both journals (e.g., Anesthesiology, 12.6% in 1967 versus 90.7% in 2017). Articles published in Anesthesiology were more likely to be supported by a federal grant than those in Anesthesia and Analgesia. The percentage of women first authors of US research articles in Anesthesiology and Anesthesia and Analgesia increased from 1967 to 2017 and approaches the proportion who currently hold academic appointments. Women’s last and corresponding authorship also increased during the past 50 years, but women continue to be relatively underrepresented in these roles. © 2019, Akadémiai Kiadó, Budapest, Hungary.