Evidence map›Paper›PMID 32372142›Full record

ArticleWorld journal of surgery2020

Cultural Barriers for Women in Surgery: How Thick is the Glass Ceiling? An Analysis from a Low Middle-Income Country.

Hina Inam, Mahin Janjua, Russell S Martins, Nida Zahid, Sadaf Khan, Abida K Sattar, Aneela Darbar, Sharmeen Akram, Nuzhat Faruqui, Shaista M Khan and 6 more

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Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Hina InamDepartment of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Mahin JanjuaResearch Associate, Dean's Office, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Russell S MartinsMedical Student, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Nida ZahidDepartment of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Sadaf KhanDepartment of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Abida K SattarDepartment of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Aneela DarbarDepartment of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Sharmeen AkramDepartment of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Nuzhat FaruquiDepartment of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Shaista M KhanDepartment of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Gulzar LakhaniDepartment of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Mishal GillaniMedical Student, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Syeda Amrah HashmiMedical Student, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Ather EnamDepartment of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Adil H HaiderDean, Medical College, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan.
Mahim A MalikDepartment of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, 74800, Pakistan. mahim.malik@aku.edu.
Aga Khan University Hospital · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to highlight cultural barriers faced by surgeons pursuing a surgical career faced by surgeons at a tertiary care hospital in Pakistan. As more females opt for a surgical career, barriers faced by female surgeons are becoming increasingly evident, many of which are rooted in cultural norms. In Pakistan, a predominantly Muslim-majority, low middle-income country, certain societal expectations add additionally complexity and challenges to existing cultural barriers.

methodsA cross-sectional survey was administered via e-mail to the full-time faculty and trainees in the Department of Surgery at the Aga Khan University Hospital, Karachi, Pakistan, from July 2019 to November 2019.

resultsIn total, 100 participants were included in this study, with the majority being residents (55.6%) and consultants (33.3%). 71.9% of female surgeons felt that cultural barriers towards a surgical career existed for their gender, as compared to 25.4% of male surgeons (p < 0.001). 40.6% of females reported having been discouraged by family/close friends from pursuing surgery, as compared to only 9.0% of males (p < 0.001). Moreover, a greater percentage of females surgeons were responsible for household cooking, cleaning and laundry, as compared to male surgeons (all p < 0.001). Lastly, 71.4% of female surgeons felt that having children had hindered their surgical career, as compared to 4.8% of males (p < 0001).

conclusionOur study shows that significant cultural barriers exist for females pursuing a surgical career in our setting. Findings such as these emphasize the need for policy makers to work towards overcoming cultural barriers.

Indexed as

Career ChoicePhysicians, WomenSurgeonsAdultAgedCross-Sectional StudiesCultureFemaleHumansMaleMiddle AgedPakistan

Identifiers

PMID32372142
OpenAlexW3023823789

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.