ArticleThe British journal of surgery2024
Association between anaesthesia-surgery team sex diversity and major morbidity.
Article in The British journal of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Diversity and performance in health care: A systematic review of the evidence base.Health care management reviewPooled it
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- The power of webinars: expanding diverse female representation and role models in surgery.BMC medical education · 2026Article
- Analgesia and Pain in Female and Male Patients After Video-Assisted Thoracic Surgery: A Study Under Real-World Conditions.Journal of clinical medicine · 2026Article
- Epidemiology of surgical occupational exposures in an infectious disease hospital: a 5-year retrospective study.Frontiers in public health · 2026Article
- Patient gender preferences in neurosurgical care: A cross-sectional study with operational modelling.Brain & spine · 2026Article
- Women's Leadership Development at the Yale School of Medicine: Preliminary Evaluation of an Innovative Program.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Females at a Clear Disadvantage with Postoperative Myocardial Infarction Symptoms.Journal of cardiovascular development and disease · 2024Article
- Creation and Program Evaluation of a Women in Surgery in ENT (WISE) Group.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-facialeArticle
- Advancing cardiovascular imaging in Iraq: infrastructure, gender diversity, and future perspectives.Therapeutic advances in cardiovascular diseaseReview
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Authors and funding
13 authors.
Funding
Abstract
backgroundTeam diversity is recognized not only as an equity issue but also a catalyst for improved performance through diversity in knowledge and practices. However, team diversity data in healthcare are limited and it is not known whether it may affect outcomes in surgery. This study examined the association between anaesthesia-surgery team sex diversity and postoperative outcomes.
methodsThis was a population-based retrospective cohort study of adults undergoing major inpatient procedures between 2009 and 2019. The exposure was the hospital percentage of female anaesthetists and surgeons in the year of surgery. The outcome was 90-day major morbidity. Restricted cubic splines were used to identify a clinically meaningful dichotomization of team sex diversity, with over 35% female anaesthetists and surgeons representing higher diversity. The association with outcomes was examined using multivariable logistic regression.
resultsOf 709 899 index operations performed at 88 hospitals, 90-day major morbidity occurred in 14.4%. The median proportion of female anaesthetists and surgeons was 28 (interquartile range 25-31)% per hospital per year. Care in hospitals with higher sex diversity (over 35% female) was associated with reduced odds of 90-day major morbidity (OR 0.97, 95% c.i. 0.95 to 0.99; P = 0.02) after adjustment. The magnitude of this association was greater for patients treated by female anaesthetists (OR 0.92, 0.88 to 0.97; P = 0.002) and female surgeons (OR 0.83, 0.76 to 0.90; P < 0.001).
conclusionCare in hospitals with greater anaesthesia-surgery team sex diversity was associated with better postoperative outcomes. Care in a hospital reaching a critical mass with over 35% female anaesthetists and surgeons, representing higher team sex-diversity, was associated with a 3% lower odds of 90-day major morbidity.
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