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  • Item type:Publication,
    Spinal neurosurgery: Trends in female authorship contribution over 5-Year publication history Open PDF 
    (Elsevier BV, 2025-10)
    Campanaro, Giovanni
    ;
    Centini, Francesca Romana
    ;
    Sicca, Cecilia
    ;
    Davico, Jazmin
    ;
    Musella, Emanuele
    In the last few years, more efforts have been made to increase gender equity in medical specialties. Nevertheless, spinal neurosurgery continues to be one of the most male-dominated subspecialties in neurosurgery. This bibliometric analysis sought to explore the representation of female authors in major neurosurgical publications between September 2017 and August 2022, with a focus on first and last authorship roles across journals and countries. The paper analyzed 3171 unique publications within a framework of 93 high-impact neurosurgery-related journals. Results showed that female authors were 14,25 % of first authors and 7,88 % of last authors, and that only 2,11 % of articles had both female first and last authors. Country of affiliation and the journal of publication significantly influenced the author's gender representations, with Scandinavian states and certain journals, like Neurocritical Care, showing relatively high percentages of female authorship. Even if there has been minor progress over the recent past, disparities nowadays persist, potentially limiting diversity in perspectives and advancements in this field. These disparities underline the presence and the influence of systemic and cultural factors impeding gender equity, and underscoring the critical need for proactive measures to foster it, including mentorship programs, institutional support, and policies for balanced opportunities. The COVID-19 pandemic amplified inequities in this field, disproportionately impacting female academics due to increased domestic responsibilities without the corresponding implementation of support systems. The significant role of mentorship in improving female representation was also highlighted by this analysis: our data indicated higher collaboration rates between female first and last authors in the field of spinal neurosurgery. To address these challenges, efforts must be made starting during residency, with the aim of targeting systemic barriers and cultural biases. The implementation of inclusive policies, like on-site childcare programs, and fostering international collaboration, might help to reduce these disparities and to ensure that diversity drives innovation in spinal neurosurgery. Such an approach is essential for addressing inequity, which is not merely a matter of fairness but is central to advancing the field. This would ensure that only talent and hard work are what determine success in spinal neurosurgery, which is imperative for the progress of the speciality, enabling diverse perspectives to shape the future of patient care, research, and academic leadership.
  • Item type:Publication,
    Women in Neurosurgery: Gender Differences in Authorship in High-Impact Neurosurgery Journals through the Last Two Decades Open PDF 
    (2020)
    Aslan, Ayfer
    ;
    Kuzucu, Pelin
    ;
    Karaaslan, Burak
    ;
    Börcek, Alp Özgün
    OBJECTIVE: Despite common gender disparities in authorship across the vast majority of specialties, the presence of a similar lack of equality in neurosurgery literature is not published yet. Therefore the authors examined the changes in representation of women among the first and senior (last) authors of original articles in high-impact neurosurgical journals between 2003 and 2018. METHODS: Data regarding women proportions among the first and senior authors were collected from the issues of Neurosurgery and Journal of Neurosurgery published in 2003, 2008, 2013, and 2018. RESULTS: According to the analysis of 3247 original articles, compared with male authors, female authors have published fewer articles as the first (518 of women, 2729 of men) and senior authors (352 of women, 2884 of men). Nonetheless, the proportion of women in the first authorship represented a significant increase from 2003 to 2018 (from 12% to 16.5%, respectively; P < 0.01), but not in senior authorship (11.7% in 2003 vs. 10.5% in 2018; P > 0.05). Overall, women wrote more research articles than case reports as both first and senior authors (451 and 301 vs. 67 and 51, respectively). In addition, women demonstrated a higher percentage of first authors on female senior author articles (30.4%) than male senior author articles (14.1%). CONCLUSIONS: Although a rising trend in female authorship of neurosurgical literature has been going on through the last 2 decades, this advancement could not be regarded as satisfactory, as the gender gap in authorship is still excessive. Strikingly, female first authors had a tendency of coauthoring with female senior authors.