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Trends in Women Authoring Editorials in Cardiothoracic Surgery Journals. Open PDF
(2026-05-01)
Lee, Emily Hyunmin
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Gomes, Zoya
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Kim, Jinny Minji
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Liblik, Kiera
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Travis, Nicole
INTRODUCTION: Women have historically been underrepresented in leadership positions and academia in cardiothoracic surgery, creating barriers to career advancement and limiting role models for trainees. While publications are used to measure success in academia, invited articles such as editorials often represent a formal recognition of expertise. The objective of this study was to identify trends in the gender of editorial authors published in cardiothoracic surgery journals. METHODS: Editorials published between 2018 and 2022 across 16 peer-reviewed cardiothoracic surgery journals were analyzed. Author gender was estimated using a validated tool (https://gender-api.com/) with additional verification using available institutional profiles. RESULTS: In total, 806 editorials were published with a total of 1,858 authors (293 women, 16%). Women authors were predominantly from the United States of America (45%) followed by India (9%) and Germany (8%). The percentage of women first authors increased between 2018 and 2022 (P < 0.001); 9% in 2018, 9% in 2019, 17% in 2020, 16% in 2021, and 23% in 2022. A similar trend was observed for women senior authorship (P < 0.0001) (6% in 2018, 9% in 2019, 14% in 2020, 15% in 2021, and 18% in 2022) as well as for editorials with all-women authorship (P < 0.0001), increasing steadily from 9% in 2018 to 20% in 2022. CONCLUSION: Women authorship in editorials published in cardiothoracic surgery journals has steadily increased in recent years. Despite progress, women still make up less than a quarter of first and senior authors, highlighting a critical gap in gender equity in academic leadership that must be urgently addressed.
Gender- and Sex-equitable Submission Guidelines in Emergency Medicine Journals Are Associated with Enhanced Publication Metrics Open PDF
(California Digital Library (CDL), 2026-01-16)
Manes, Akash
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Lall, Michelle D.
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Knight, Starr
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Raja, Ali S.
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Khosa, Faisal
Introduction: Gender and sex equity-promoting (GSEP) clinical research is essential to improving diversity and inclusivity in medicine. In this study we aimed to compare journal impact metrics in emergency medicine (EM) between journals that integrated gender- and sex-based considerations and those that did not. Methods: We searched the 2023 Journal Citations Report (Clarivate Analytics) for EM journals. Submission guidelines of each EM journal were examined according to the SAGER (Sex and Gender Equity in Research) guidelines and stratified as conforming or non-conforming depending on whether at least one SAGER criterion was met. Our primary outcome measure was the journal impact factor. Secondary outcome measures included other citation and influence metrics: total citations; 5-year journal impact factor; journal citation indicator; article influence score, normalized Eigenfactor score; citable items; total articles; and immediacy index. Results: Based on our classification system informed by the SAGER criteria, most journals (66%, 31/47) were classified as non-compliant. The EM journals that conformed to the sex and gender equity guidelines were rated higher than non-conforming journals across all studied journal metrics. We found that conforming journals had a significantly higher median difference (MD) than non-conforming EM journals in total citations (MD 1,586; GSEP: 3,599 vs non-GSEP: 901); 2023 2-year journal impact factor (MD 0.8; 2.3 vs 1.4); 5-year journal impact factor (MD 0.7; 2.5 vs 1.9); article influence score (MD 0.26; 0.76 vs 0.47); normalized Eigenfactor score (MD 0.79; 1.06 vs 0.26); citable items (MD 37; 103 vs 56), and total articles (MD 41; 87 vs 42). All differences were statistically significant (P < 0.05). Conclusion: Using criteria informed by the Sex and Gender Equity in Research guidelines, most EM journals (66%) were classified as non-conforming to these guidelines. This indicates a significant gap in the integration of gender- and sex-based considerations in EM research publication practices.
Career success for women in academic medicine: eight self-help strategies Open PDF
(Elsevier BV, 2026-04)
Mehta, Sangeeta
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Barrett, Kali
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Menon, Kusum
Women in academic medicine encounter unique challenges, including implicit biases. They are underrepresented in scholarly activities, including as authors, editorial board members, conference speakers, and guideline panels. In this special article, we suggest eight strategies that women can use to ensure their voices are heard and to reduce the overall gender disparity in academic medicine. These include crafting an academic mission, celebrating successes, building a community, recognising implicit biases, taking risks, exploring creative work-life integration strategies, and learning from mistakes.
National-, institutional-, and individual-level determinants of psychiatric research excellence: Analysis of Stanford-Elsevier lists of the top 2 % scholars worldwide (2017–2023) Open PDF
(Elsevier BV, 2026-02)
Riad, Abanoub
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Alkasaby, Muhammad
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Changchroenkul, Nisarat
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Koščík, Michal
Background Research excellence is increasingly used as a benchmark for academic evaluation in medical sciences, including psychiatry. However, bibliometric analyses often prioritize productivity over quality. This study examined national, institutional, and individual determinants of psychiatric research excellence using a multi-level ecological framework. Methods We analyzed the Stanford–Elsevier Lists of the top 2 % scholars (2017–2023), incorporating 51 independent variables. These included: (a) national determinants grouped into five domains (mental healthcare, gender equity, socioeconomic development, budgetary policies, and disease burden), (b) institutional factors derived from global and discipline-specific rankings, and (c) individual factors of gender and academic age. The primary outcome was the number of excellent psychiatric scholars (EPS), with secondary indicators including citation counts, modified H-index, composite score, and self-citation share. Results Psychiatric research excellence was concentrated in high-income, English-speaking countries, with significant institutional elitism. A small number of institutions hosted a disproportionate share of EPS. Gender disparities persisted, with female representation negatively associated with national gender gaps in employment and education, but positively linked to government spending on education. Academic age positively correlated with citation-based performance metrics. Multivariable models confirmed the explanatory roles of gender, academic age, official language, gender equity, and human development. Conclusion Psychiatric research excellence reflects systemic advantages related to income, language, institutional prestige, and gender equity. Equitable funding, support for emerging research environments, and expanded international collaboration are essential to fostering broader participation in high-impact psychiatric research.
Sex differences in altmetric attention scores and traditional impact metrics of top‐cited general surgery literature: Cracks in the ceiling? Open PDF
(Wiley, 2024-06-18)
Waqar, Usama
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Martins, Russell Seth
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Siddiqui, Ayra
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Waheed, Ayesha Akbar
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Ahmed, Abdullah
Background Sex disparities have previously been identified in surgical academia. This study examines sex differences in the top‐cited contemporary general surgery articles and compares Altimetric Attention Score (AAS) and other impact metrics between male and female corresponding authors (CAs). Methods We conducted a bibliometric analysis of the 100 most cited articles published between 2019 and 2021 in each of the top 10 general surgery journals based on the 2021 Journal Impact Factor. Impact metrics included AAS, citation count, and H‐index of the CA. We used multivariable regression analyses to investigate whether the sex of the CA or first author (FA) was independently associated with AAS and citation count. Results Among 1000 articles, 23.1% had female CAs and 27.4% female FAs. Female CA articles had higher AAS (13.0 [2.0–63.0] vs. 8.0 [1.0–28.5]; p < 0.001) and lower H‐indices (24.0 [11.0–45.0] vs. 31.0 [17.0–50.0]; p = 0.015). Although median citation count did not differ by CA sex, articles with Level 1 evidence and a female CA were cited more often (35.5 [24.0–85.0] vs. 25.0 [16.0 vs. 46.0]; p < 0.05). In multivariable regression, female CA articles had higher AAS (OR: 1.002 [95% CI: 1.001–1.004]) and lower H‐index (OR: 0.987 [95% CI: 0.977–0.997]). Conclusion Despite having similar citation counts, articles authored by female CAs exhibit higher AAS scores compared to those authored by their male counterparts. While it is heartening that research authored by female surgeons achieves significant visibility, it remains to be understood how this translates into academic impact and scholarly recognition.
Engaging and Empowering Future Female Surgeons: Development of the Medical Student Section of the Society of Women in Urology Open PDF
(Elsevier BV, 2025-10)
Booher, Allison G.
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Vereecken, Sasha J.
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Kim, Erin
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Penmatcha, Neharika
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Aponte, Alexandra
OBJECTIVE: To describe a replicable model for a large-scale, cross-institutional, and student-driven initiative to promote gender equity within surgical fields. METHODS: To address the lack of a national infrastructure to support female medical students pursuing careers in Urology, a historically male-dominated specialty, the society of women in urology (SWIU) established its medical student section, called SWIUdents, as a student-led initiative to offer mentorship, education, and networking resources for future female urologists. In 2022, SWIUdents convened its first medical student leadership board, comprised of two co-chairs and four subcommittees focused on membership, program implementation, mentorship, and community relations. SWIUdents membership was open to medical students of all gender identities, and recruitment for the organization took place via official SWIU communications, social media, and word of mouth. RESULTS: As of April 2025, there are 319 SWIUdents members, 195 of which are current medical students, representing all regional sections of the American Urological Association (AUA), as well as international medical students. In the 2024 to 2025 academic year, SWIUdents paired 87 medical students with resident or faculty members in Urology. SWIUdents also maintains an active social media presence and offers a broad array of programming, with robust attendance at monthly webinars and journal clubs. CONCLUSIONS: This paper outlines the development and infrastructure of SWIUdents, a national, student-driven model which may be replicated by other specialty organizations aiming to engage and empower women and other groups underrepresented within their respective field.
Spinal neurosurgery: Trends in female authorship contribution over 5-Year publication history Open PDF
(Elsevier BV, 2025-10)
Campanaro, Giovanni
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Centini, Francesca Romana
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Sicca, Cecilia
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Davico, Jazmin
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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.
An analysis of women’s authorship in five leading anesthesiology journals Open PDF
(Springer Science and Business Media LLC, 2024-12-20)
Verleysen, Sören
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Janssens, Sander
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Bauters, Annemie
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De Hert, Stefan
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Moerman, Annelies
Purpose Over the last decade, there has been an increasing interest in gender equity. The present study explored the gender gap in five leading anesthesiology journals worldwide, covering the period from 1980 to 2020. Methods We included all articles published in Anaesthesia, the British Journal of Anaesthesia, Anesthesiology, Anesthesia & Analgesia, and the Canadian Journal of Anesthesia in the years 1980, 1990, 2000, 2010, and 2020, analyzing trends in women’s authorship. We explored its association with variables including study type, subspecialty, continent of the corresponding author, number of authors, and gender of coauthors. Results There was a significant increase in women’s authorship across all positions (first, second, and last) over the years (P < 0.001). Despite this progress, a substantial gender disparity remains evident. Women’s authorship positions were notably associated with the type of study, the subspecialty, and the continent of the corresponding author. There was a strong positive correlation (0.82) between the total number of authors and women’s first authorship position, whereas the correlation was negative (−0.54) for women’s last authorship position. Furthermore, women’s first and last authorship, as well as first and second authorship, were strongly associated, with odds ratios of 2.13 and 1.99, respectively. Conclusion The trajectory of women’s authorship in anesthesiology shows an upward trend, yet women continue to be underrepresented in the field. Particularly noteworthy is the finding that, when a woman is either the first or last author, there is a notable increase in the probability of having a woman as the second or first author, respectively. Understanding these dynamics is crucial for fostering inclusivity and diversity within the discipline.
Global evolution of female authorships in anesthesiology articles: an affiliation-based, longitudinal, scientometric analysis Open PDF
(Springer Science and Business Media LLC, 2025-10-13)
Miller, Clemens
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Rosenberger, Johanna
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Sablewski, Armin
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Nemeth, Marcus
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Paal, Peter
BACKGROUND: Although a gender gap in anesthesiology articles has been reported in certain subsets of anesthesiology literature, a comprehensive analysis is still lacking. Our objective was to conduct a scientometric analysis of the evolution of gender equity among anesthesiology authors worldwide, including all available affiliations. We hypothesized that gender inequity has diminished over time, with relevant differences among countries. METHODS: The MEDLINE/PubMed 2024 Baseline Repository was queried for all articles whose authors were affiliated with a department of anesthesiology. Author positions were sequenced into first, co-authors, and senior authors. Gender was inferred using online classification tools (genderize.io and gender-api.com). Geolocation was identified through text mining of the first author's affiliation. The primary endpoint was the evolution of female authors from 1987 to 2023, calculated descriptively and by average annual growth rates. Secondary endpoints included the proportion of female authors in first or senior author position, the influence of senior authors' gender on first authors' gender, geographical differences, and future projections of parity (defined as 50% female authors). RESULTS: Among 374,301 anesthesiology articles and 7,574 journals, the proportion of female authors increased from 13.6% (1987) to 34.3% (2023) with an average annual growth of 0.57% (95%-confidence interval 0.38% - 0.77%). First authors were female in 30.0% and senior authors in 20.7%, with increases from 11.7% (1987) to 36.9% (2023), and from 11.0% (1987) to 25.9% (2023), respectively. Female authors were overall more likely to be first authors when the senior author was also female. In 2023, only Thailand and Portugal had a percentage of female authors over 50%. Tunisia achieved the highest average annual growth rate of female authors at 2.28% (95%-CI 1.51% - 3.06%). Based on the assumption that current trends continue unchanged, overall gender parity is estimated to be achieved by 2050, for first authors by 2043 and for senior authors by 2072. CONCLUSIONS: Despite an increase in recent decades, women are still underrepresented as authors in academic anesthesiology, particularly in leading authorship positions. While relevant differences between countries exist, strategies addressing this gender gap at a country-specific level are needed to promote female authorship in academic anesthesiology.
Gender trends in authorship of randomized clinical trials in dentistry Open PDF
(FapUNIFESP (SciELO), 2025)
PRADO, Mayara Colpo
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DOTTO, Lara
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AGOSTINI, Bernardo Antônio
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ONOFRE, Rafael Sarkis
The aim of the study was to explore female authorship in various aspects of randomized controlled trials (RCTs) in dentistry. A search was performed in PubMed for RCTs, in dentistry, indexed from 12/31/2016 to 12/31/2021. Only studies in English were considered. Data selection and extraction were performed by two authors and the following data collected: year of publication, journal, subject, number and names of authors, and country and gender (Genderize website) of the first 10 authors. Descriptive analyses, graphs, and maps were generated. Poisson regression assessed the influence of continent and year of publication on the presence of women as first or last authors. The results were presented as prevalence ratios (PR) and 95% confidence intervals (95%CI). A total of 844 RCTs and 4,305 authors (2,372 men and 1,662 women) were included. Gender disparity increases as the order of authorship advances. Among first authors, men represent 50.59% and women 44.08%, whereas among last authors, they account for 61.92% and 34.03%, respectively. Analyses showed no association between year of publication and the presence of women as authors. There were fewer women as first authors in Europe (PR: 0.82, 95%CI: 0.68-0.99) and as last authors in Europe and Asia (PR: 0.68, 95%CI: 0.53-0.87 and PR: 0.79, 95%CI: 0.63-0.99, respectively). The findings highlight a lower presence of female authors in all aspects analyzed in the RCTs, especially in last authorship. Also, there has been no indication of improvement in recent years. Female participation in RCTs is crucial not only for gender equity but also as a means to enhance the quality and relevance of clinical data for decision-making.

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