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Sex differences in authorship in cardiothoracic surgery during the early coronavirus disease 2019 pandemic
Lina A Elfaki1, Jessica G Y Luc2, Mara B Antonoff3
1Division of Cardiovascular Surgery, Peter Munk Cardiac Centre, Toronto General Hospital and the University of Toronto, Toronto, Ontario, Canada.
Insights
The COVID-19 pandemic reduced female authorship in cardiothoracic surgery journals, particularly for original research. This study highlights potential worsening sex disparities in academic productivity during the pandemic.
Area of Science:
- Cardiothoracic Surgery
- Academic Medicine
- Gender Studies
Background:
- The COVID-19 pandemic significantly altered academic and clinical responsibilities in cardiothoracic (CT) surgery.
- Preexisting sex disparities in academic CT surgery may have been exacerbated by the pandemic's impact.
- Understanding these changes is crucial for addressing gender equity in the field.
Purpose of the Study:
- To assess sex differences in authorship in two major cardiothoracic surgery journals during the early COVID-19 pandemic.
- To investigate if the pandemic disproportionately affected female academic CT surgeons' contributions.
- To analyze changes in article types authored by male and female surgeons.
Main Methods:
- A review of all accepted submissions to *The Annals of Thoracic Surgery* and *The Journal of Thoracic and Cardiovascular Surgery* from April-August 2019 and April-August 2020.
- Author sex was predicted using the Genderize.io database and verified through professional profiles.
- Article types and author characteristics were systematically collected.
Main Results:
- A 18.6% decrease in accepted articles was observed in 2020 compared to 2019.
- Original research articles decreased significantly in 2020 (4.9%) compared to 2019 (33.3%).
- Female authors' contributions decreased from 39.3% in 2019 to 29.4% in 2020, with a notable drop in original research authorship.
Conclusions:
- The early COVID-19 pandemic altered article acceptance and authorship demographics in CT surgery journals.
- A decline in female-authored articles, especially original research, was observed.
- Further research is needed to determine the long-term effects on sex disparities in academic productivity.
Objectives:
The coronavirus disease 2019 (COVID-19) pandemic negatively impacted cardiothoracic (CT) surgery, with changes in clinical, academic, and personal responsibilities. We hypothesized that the pandemic may disproportionately impact female academic CT surgeons, accentuating preexisting sex disparities. This study assessed sex differences in authorship of 2 major CT surgery journals during the early part of the COVID-19 pandemic.
Methods:
All accepted submissions to The Annals of Thoracic Surgery and The Journal of Thoracic and Cardiovascular Surgery between April and August of 2019 and the same period in 2020 were reviewed. Article type and author characteristics were obtained from the journals. Author sex was predicted using a validated multinational database (Genderize.io) and verified with authors' institutional and public professional profiles.
Results:
In total, 1106 submissions were accepted during the 2019 period, whereas 900 articles (18.6% decrease) were accepted during the same period in 2020. Original research articles comprised 33.3% of the 2019 articles but only 4.9% of the 2020 articles. Female authors contributed to 39.3% (23.1% original research and 16.2% nonoriginal articles) and 29.4% (3.3% original research and 26.1% nonoriginal articles) of articles during the 2019 and 2020 periods, respectively. This represents a marked change in the type of articles that female authors contributed to.
Conclusions:
Early on during the COVID-19 pandemic, the type of articles accepted, and authorship demographic changed. There was a decrease in contribution of female-authored CT surgery articles submitted to both journals, especially for original research. Future research will elucidate the long-term impact of the pandemic on sex disparities in academic productivity.
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