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Gender differences in authorship of Canadian Urological Association guidelines
Sareen Singh1, Olivia C MacIntyre1, Naeem Bhojani2
1Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.
Summary
Men dominate authorship in Canadian urology guidelines, with women urologists underrepresented. Despite some subgroup representation, overall gender parity in guideline authorship has not improved significantly over 18 years.
Area of Science:
- Urology
- Medical Guidelines
- Gender Studies in Medicine
Background:
- Women remain underrepresented in Canadian urology, particularly in academic leadership roles.
- Analysis of gender representation in authorship of Canadian Urological Association (CUA) guidelines is crucial.
Purpose of the Study:
- To analyze gender differences in authorship of Canadian Urological Association (CUA) guidelines.
- To assess trends in gender representation in CUA guideline authorship over time.
Main Methods:
- Systematic review of CUA guidelines published between March 2007 and August 2024.
- Data extraction by two independent reviewers, with analysis of author characteristics by gender.
- Statistical analysis using Chi-square and Cochran-Armitage tests for trend.
Main Results:
- Women comprised 15.5% of all authors and 7.5% of urologist authors across 112 guidelines.
- While women urologists were more likely to be first authors or on specific guideline types, their proportion as first or last authors did not change significantly over time.
- Men were more likely to be included on five or more guideline panels compared to women urologists.
Conclusions:
- Male dominance in CUA guideline authorship persists, with minimal progress in women's participation over 18 years.
- Guideline authorship is a significant academic opportunity impacting urologic care standards.
- Efforts are needed to address gender disparities and ensure CUA guidelines reflect the diversity of Canadian urologists and patients.
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