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  • Item type:Publication,
    Bridging the gender gap in surgical oncology: Insights from the ESSO membership survey on diversity, equity, and inclusion Open PDF 
    (Elsevier BV, 2026-03)
    Orme, S.E.
    ;
    SantraČ, N.
    ;
    Lorenzon, L.
    ;
    Rubio, I.T.
    ;
    Schrage, Y.M.
    Abstract Introduction: Despite increasing numbers of women entering medicine, they remain underrepresented in surgical specialties, particularly in leadership and academic roles. This study explored gender differences in perceptions of diversity, equity, and inclusion (DEI) among members of the European Society of Surgical Oncology (ESSO) and identified areas where DEI policies may better support female surgeons. Materials and methods: A cross-sectional electronic survey was distributed to ESSO members in 2025. Quantitative items assessed demographics and perceptions of DEI within respondents' organisations and ESSO. Gender differences were evaluated using Mann-Whitney U tests and binomial logistic regression adjusted for age and ethnicity. Open-text responses were analysed thematically to identify perceived barriers and priorities for improvement. Results: A total of 279 members responded (37% women). Women were less likely than men to perceive recruitment as unbiased (53% vs 17% disagreed, p < 0.001) or to believe that equal opportunities for advancement exist (43% vs 19% disagreed, p < 0.001). Nearly 40% of women reported their identity had negatively impacted career progression compared with 8% of men (p < 0.001). Women were more likely to prioritise greater representation of women in leadership and faculty roles (OR 8.58, 95% CI 4.73-15.57, p < 0.001), development of work-life balance guidelines (OR 2.43, 95% CI 1.44-4.10, p < 0.001), and commitment to gender diversity in leadership and committees (OR 1.73, 95% CI 1.02-2.94, p = 0.041). Conclusion: Female surgeons continue to face inequities in surgical oncology. ESSO and similar societies have a critical role in promoting transparent recruitment, inclusive leadership, and equitable professional development to advance gender equity and excellence in cancer care.