Evidence map›Paper›PMID 34189560›Full record

ArticleBJS open2021

Discrimination in the surgical discipline: an international European evaluation (DISDAIN).

M Holzgang, N Koenemann, H Skinner, J Burke, A Smith, A Young

Open access · goldAbstract read
In one paragraph

Article in BJS open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.9field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Specialties preference by gender among medical students at Sefako Makgatho Health Sciences University, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Workplace bullying and sexual harassment among general surgery residents in ColombiaBiomedica : revista del Instituto Nacional de Salud · 2023
    Article
  9. Article
  10. Article
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

6 authors at 3 institutions in 3 countries.

M HolzgangDepartment of General Surgery, St. James's University Hospital, Leeds Teaching Hospital Trust, Leeds, UK.ORCID 0000-0002-1072-1229
N KoenemannDepartment of Trauma Surgery, Orthopaedics, Plastic and Hand Surgery, Augsburg University Hospital, Augsburg, Germany.
H SkinnerDepartment of General Surgery, St. James's University Hospital, Leeds Teaching Hospital Trust, Leeds, UK.ORCID 0000-0003-0591-1332
J BurkeDepartment of General Surgery, St. James's University Hospital, Leeds Teaching Hospital Trust, Leeds, UK.ORCID 0000-0003-4027-747X
A SmithDepartment of General Surgery, St. James's University Hospital, Leeds Teaching Hospital Trust, Leeds, UK.
A YoungDepartment of General Surgery, St. James's University Hospital, Leeds Teaching Hospital Trust, Leeds, UK.
St James's University Hospital · GBUniversity Hospital Augsburg · DEUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNegative workplace experiences (NWPEs), such as gender discrimination, bullying, sexual harassment and ethnic discrimination, are concerns in today's surgical society. These negative experiences potentially impair surgeons' performance and might impact patient care or outcomes negatively. This study aimed to assess the experience of NWPEs across the European surgical workforce.

methodsA prospective online 34-point questionnaire was designed using a combination of Likert scale, multiple-choice and short-answer questions. Invitations were distributed through surgical associations via email/social media between 1 September and 15 November 2019. Data were analysed using non-parametric methods.

resultsSome 840 complete responses were included in the analysis. The distribution across genders and stage of surgical training was even. Of the respondents, 20 per cent (168 respondents) considered quitting their job, 4.5 per cent (38) took time off and 0.5% (4) left surgery due to NWPEs; 12.9 per cent of females and 4.4 per cent of males experienced some form of physical harassment. Females and those in training were significantly more likely to experience or witness gender discrimination and sexual harassment. Just over half of the respondents (448) did not report negative experiences, with most of these (375 respondents) being unaware of whom to report to. Nearly a fifth of respondents felt that NWPEs influenced patient care or outcomes negatively.

conclusionNWPEs were frequent, especially among females and those in training. While a substantial proportion of respondents experienced physical harassment, many individuals were unaware of how to raise concerns. Adverse effects on patient outcomes, surgical training and workforce retention indicate a need for urgent action.

Indexed as

BullyingSexual HarassmentSurgeonsFemaleHumansMaleProspective StudiesWorkplace

Identifiers

PMID34189560
PMCPMC8242223
OpenAlexW3176781810

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.