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Updated: Oct 28, 2025

Assessment of the Metabolic Profile of Primary Leukemia Cells
Published on: November 21, 2018
[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.
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.
Objective:
To analyse the existence of sex-differences in the content on leukemias in the Haematology and Internal Medicine textbooks recommended in the Medical Degrees, 2019-2020, by comparison with the sex-differences recognized in the scientific literature.
Method:
Manifest content analysis of the content of chapters on leukemias in the books on hematology and internal medicine, clinical haematology and haematology undergraduate. Analysis categories: epidemiology, etiopathogenesis, diagnosis, treatment and prognosis of leukemias.
Results:
Epidemiological information from the revised books has a greater consideration of sex differences in incidence and prognosis but does not contain data on mortality and survival. Etiopathogenesis is described in all books as the same physiological process for both sexes and no differences in the presentation of symptoms are described in any book. Three books describe a unique treatment that is assumed equal for both sexes; two books mention the treatment of acute myeloid leukemia in pregnant women and one in chronic myeloid leukemia. No book mentions sex-differences in pharmacokinetics, efficacy, or treatment toxicity, although there is greater evidence on unequal behavior between the sexes.
Conclusions:
The contents of sex and gender differences in the leukemia chapters analyzed are insufficient compared to the evidence in the scientific literature today. Hematology textbooks might increase their scientific quality in future editions, including knowledge of sex-gender interaction in the sections of epidemiology, etiology, pathogenesis, diagnosis, treatment, prognosis, and consequences of leukemias, which will contribute to better professional practices, more efficient and equitable.
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