[Gender blindness in medical textbooks: the case of leukemias]

Carolina Rodríguez-Soza1, María Teresa Ruiz-Cantero2

  • 1Grupo de Investigación de Salud Pública, Universidad de Alicante, Alicante, España.

Gaceta Sanitaria
|July 18, 2021
PubMed

Insights

Hematology textbooks inadequately address sex differences in leukemia, particularly in etiology and treatment. Future editions should incorporate this crucial information for improved patient care and equitable practices.

Area of Science:

  • Medical Education
  • Hematology
  • Oncology

Background:

  • Sex and gender significantly influence disease presentation and outcomes.
  • Existing scientific literature highlights sex-based differences in leukemia.
  • Current medical education may not fully reflect these disparities.

Purpose of the Study:

  • To evaluate sex-difference content in leukemia chapters of recommended hematology textbooks.
  • To compare textbook information with established scientific literature on sex differences in leukemia.

Main Methods:

  • Content analysis of leukemia chapters in medical textbooks.
  • Categorization of content by epidemiology, etiopathogenesis, diagnosis, treatment, and prognosis.

Main Results:

  • Textbooks partially address sex differences in leukemia incidence and prognosis but lack mortality data.
  • Etiopathogenesis and symptom presentation are described as sex-independent.
  • Treatment information is generalized, with limited mention of sex-specific considerations (e.g., pregnancy).
  • No discussion of sex differences in pharmacokinetics, efficacy, or toxicity.

Conclusions:

  • Leukemia textbook content on sex and gender differences is insufficient compared to current scientific evidence.
  • Enhancing textbook content with sex-gender interactions is vital for improving medical practice and equity.
  • Future editions should integrate sex-gender knowledge across all aspects of leukemia.
Abstract

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