Evidence map›Paper›PMID 39493506›Full record

ReviewThe journal of medicine access

Aligning our actions with our words: A systematic review of gender and racial diversity in surgical subspecialties.

Joshua E Lewis, Lornee C Pride, Hannah G Luk, Kafayat Oyejide, Isha M Wilson, Winston E Tawiah, Cale M Watkins, Wei-Chen Lee

Abstract readReview
In one paragraph

Review in The journal of medicine access. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Re-examining equity in urology Evaluating the emergence of unintended bias against male clinicians and academics.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
    Review
  2. Article
  3. Article
  4. Review
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

8 authors.

Joshua E LewisJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.ORCID https://orcid.org/0009-0001-4785-2011
Lornee C PrideJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Hannah G LukJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Kafayat OyejideJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Isha M WilsonHoward University School of Medicine, Washington, DC, USA.
Winston E TawiahJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Cale M WatkinsJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Wei-Chen LeeDepartment of Family Medicine, University of Texas Medical Branch John Sealy Hospital, Galveston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Persistent racial and gender disparities are prevalent within the higher education and medical training system, notably seen in the underrepresentation of Hispanic or Latinos, Black Americans, and female surgeons compared to their respective population proportions. This study aims to quantify publications addressing ethnic or gender diversity across various surgical specialties, analyze publication trends, and explore specific topics within medical literature. Database: The Database includes PubMed, Google Scholar, and Scopus. Methods: Employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), we conducted a systematic literature review utilizing the PubMed, Google Scholar, and Scopus databases. A broad inclusion criterion for both ethnic and gender diversity of plastic surgery, neurosurgery, otolaryngology, dermatology, orthopedic surgery, and gender surgery was utilized. The literature was selected between 2014 and 2024. In the content of our study, diversity in articles was defined as any article that focused on addressing gender or racial/ethnicity in the subspecialty. Results: Of 1529 initially screened articles, 346 were included. Orthopedic surgery had the most diversity publications (n = 86), followed by general surgery (n = 67) and plastic surgery (n = 51). Significant increases in diversity publications were observed across all specialties. Orthopedic surgery showed the highest growth (+0.17 publications/year, p < 0.001), followed by plastic surgery (+0.12, p = 0.002) and general surgery (+0.11, p = 0.003). Race/ethnicity was the primary focus (51.4%), with fewer articles on gender (19.7%) or both (28.9%). Diversity topics included demographics, pipeline/recruitment, application process, training experience, leadership, and workplace treatment. Conclusion: These insights underscore the importance of continued efforts to promote diversity within surgical specialties to enhance patient care and outcomes. Further research and initiatives are needed to ensure equitable representation in surgical fields. Addressing diversity issues in surgical specialties is essential for improving healthcare outcomes and reducing disparities.

Indexed as

Gender diversityhealthcare disparitiesracial diversitysubspecialtysurgery

Identifiers

PMID39493506
PMCPMC11531004

What OpenQuestion holds

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LicenceCC BY-NC
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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.