美国外科学会临床指南作者之间的多样性和专业知识
Alexander Berg1, Kaustav Chattopadhyay2, Youvin Chung3
1Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
The American surgeon
|August 6, 2025
概括
美国外科协会的指导方针缺乏多样性,代表性不足的少数群体和妇女经常缺席. 作者专业知识也各不相同,质疑当前临床实践指南的严格性.
科学领域:
- 医学研究方法论医学研究方法论.
- 外科实践和政策 术术实践和政策
- 卫生公平与多样性健康公平与多样性
背景情况:
- 临床实践指南 (CPG) 显著影响手术护理和患者的治疗结果.
- 人们对CPG的作者多样性和专业知识存在担忧.
- 美国外科协会指导方针中的包容性和专业知识在很大程度上仍未得到审查.
研究的目的:
- 评估美国外科协会临床实践指南的作者性别,种族/民族多样性和出版专业知识.
- 识别随着时间的推移 (2015-2024) 作者多样性和专业知识的趋势.
主要方法:
- 来自11个国家美国外科协会的213个CPG的横截面分析 (2015-2024年).
- 用基于名称的算法和PubMed对性别,种族/种族 (识别医学中代表性不足 - URiM) 和出版历史进行作者评估.
- 统计分析,包括时间趋势的Jonckheere-Terpstra测试.
主要成果:
- 在2185位作者中,25.5%是女性,5.1%是URiM (黑人,西班牙裔/拉丁裔).
- 超过一半的指南缺乏URiM作者 (52.1%),而21.6%缺乏女性作者.
- 随着时间的推移,女性的代表性增加了 (P=0.02),但URiM的代表性没有 (P=0.32).
- 45%的第一作者/对应作者有<5个特定主题的出版物;14.7%的所有作者之前没有指南的经验.
结论:
- 来自美国外科协会的CPG显示,在性别和种族/民族多样性方面存在持续的差距.
- 作者之间不一致的主题专业知识引发了对指南代表性和严格性的担忧.
- 手术协会应该改革作者选择,以确保包含性,专家驱动的指南,反映多样化的患者群体.
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