Evidence map›Paper›PMID 32901376›Full record

ArticleSurgery today2021

How pregnancy and childbirth affect the working conditions and careers of women surgeons in Japan: findings of a nationwide survey conducted by the Japan Surgical Society.

Kazumi Kawase, Kyoko Nomura, Sachiyo Nomura, Sadako Akashi-Tanaka, Tomoko Ogawa, Ikuko Shibasaki, Mitsuo Shimada, Tomoaki Taguchi, Emiko Takeshita, Yasuko Tomizawa and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in Surgery today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  7. Gender Gap in Parental Leave Among Physicians in Japan.Women's health reports (New Rochelle, N.Y.) · 2024
    Article
  8. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 14 institutions in 1 country.

Kazumi KawaseDepartment of Surgery, The Jikei University School of Medicine Katsushika Medical Center, 6-41-2, Aoto, Katsushika-ku, Tokyo, 125-8506, Japan. kazumi@jikei.ac.jp.
Kyoko NomuraDepartment of Environmental Health Science and Public Health, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan.
Sachiyo NomuraDepartment of Gastrointestinal Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Sadako Akashi-TanakaDepartment of Breast Surgical Oncology, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555, Japan.
Tomoko OgawaDepartment of Breast Surgery, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie, 514-8507, Japan.
Ikuko ShibasakiDepartment of Cardiac and Vascular Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu,, Tochigi, 321-0293, Japan.
Mitsuo ShimadaDepartment of Surgery, Tokushima University, Kuramoto 3-18-15, Tokushima, Tokushima, 770-8503, Japan.
Tomoaki TaguchiDepartment of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, Fukuoka, 812-8582, Japan.
Emiko TakeshitaDepartment of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-ku, Tokyo, 153-8585, Japan.
Yasuko TomizawaDepartment of Cardiovascular Surgery, Tokyo Women's Medical University, 8-1 Kawada, Shinjuku-ku, Tokyo, 162-8666, Japan.
Kazuhiro HanazakiDepartment of Surgery, Kochi Medical School, Kochi University, Kohasu, Okocho, Nankoku, Kochi, 783-8505, Japan.
Tomoko HanashiDepartment of Surgery, Tokai University Tokyo Hospital, 1-2-5, Yoyogi, Shibuya-ku, Tokyo, 151-0053, Japan.
Hideko YamauchiDepartment of Breast Surgical Oncology, St. Luke's International Hospital, 9-1 Akashi-cho, Chuo-ku, Tokyo, 104-8560, Japan.
Hiroko YamashitaBreast Surgery, Hokkaido University Hospital, Kita 14 Nishi 5, Kita-ku, Sapporo, 060-8648, Japan.
Seigo NakamuraDepartment of Breast Surgical Oncology, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555, Japan.
Showa University · JPAkita University · JPDokkyo Medical University · JPHokkaido University Hospital · JPKatsushika Medical Center · JPKōchi University · JPKyushu University · JPMie University · JPSt. Luke's International Hospital · JPThe University of Tokyo · JPToho University · JPTokai University Tokyo HospitalTokushima University · JPTokyo Women's Medical University · JP

Funding

the Ministry of Sports, Culture, and Science (the Grants-in-Aid for Scientific-Research Program Program No. 17K02089
6 · The paper itself

Abstract

purposeTo identify the conflicts between a career as a surgeon and pregnancy and childbirth for women in Japan.

methodsThe Japan Surgical Society conducted a nationwide survey on pregnancy and childbirth among its members who are women. The questionnaire included items regarding demography, working styles, and pregnancy and childbirth, including adverse events and harassment.

resultsThe response rate was 29.9% (1068 responses, median age, 37 years). Among the responders, 61% were married and 47% had children (average number of children, 1.7). Half of the respondents reported having experienced sexual harassment and 62% reported having received unwelcome comments about pregnancy. About 20% had undergone fertility treatment. In total, 51% had pregnancies, with miscarriages in 33% of these. The top answer for the best timing for pregnancy and childbirth was after becoming board-certified. Nearly one-third of first-time mothers experienced adverse events during pregnancy and delivery, and 28% quit or changed their job because of their pregnancy and the birth of their first child.

conclusionsJapanese women who choose a career as a surgeon face obstacles during pregnancy and childbirth. It is vital to share the findings of this study and understand the issues associated with pregnancy and childbirth regardless of gender. Interventions are essential to ensure that every pregnant surgeon has a safe working environment to allow unobstructed development of her career.

Indexed as

Career ChoiceOccupational HealthSurveys and QuestionnairesAdultFemaleGeneral SurgeryHumansJapanOccupational StressParturitionPhysicians, WomenPregnancySexual HarassmentSocieties, MedicalSurgeonsWorkplaceChildbirthPregnancyWomen surgeons

Identifiers

PMID32901376
OpenAlexW3083809574

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.