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Gender Representation in American Urological Association Guidelines
Helen Y Hougen1, Francesca R Goodstein2, Solange Bassale3
1Department of Urology, Oregon Health and Science University, Portland, OR.
Urology
|March 7, 2021
Summary
Female representation in urology guidelines remains low and stagnant. Non-urologists and those with lower H-indices were more likely to be female panelists in American Urological Association guidelines.
Area of Science:
- Urology
- Medical Guidelines
- Gender Representation
Background:
- Female participation in medical professional organizations is a growing area of interest.
- Understanding representation in guideline development is crucial for equitable medical practice.
Purpose of the Study:
- To investigate the patterns and factors influencing female representation in American Urological Association (AUA) guidelines.
- To compare female representation in AUA guidelines with European Association of Urology (EAU) and National Comprehensive Cancer Network (NCCN) guidelines.
Main Methods:
- Publicly available data on AUA guideline panelists were collected, including practice setting, academic rank, fellowship training, years in practice, and H-index.
- Factors associated with the proportion of female panelists and trends over time were analyzed.
- Proportion of female panelists in EAU and NCCN urology guidelines were also examined.
Main Results:
- 17% of 483 panelists in AUA guidelines were female. Non-urologist females were more represented than female urologists (30% vs 13%).
- Female panelists had lower H-indices (median 23 vs 35) and less fellowship training (77.2% vs 86.8%) compared to males.
- Female representation remained stable over time and was low in EAU (12.2%) and NCCN (10.7%) guidelines. Non-urologist status and lower H-indices were linked to female membership.
Conclusions:
- Female representation in major urologic guidelines is consistently low and has not changed over time.
- Female urologist participation reflects their proportion in the overall urology workforce.
- Factors associated with female membership included non-urologist status and lower H-indices, highlighting potential areas for improvement in guideline diversity.
