Safety, quality & education

Female first and senior authorship in high-impact critical care journals 2005–2024

Crit CarePublished Bibliometric cross-sectional study

Authors' conclusion

Despite small but constant growth rates of female representation as first or senior authors in high impact critical care journals over the past 20 years, women remain clearly underrepresented.

Study context

Population
Articles in the five highest-ranked critical care journals (by impact factor), 2005–2024articles
Participants
42,970 articles
Outcome
Female first, senior, and combined first and senior authorships (percentages, annual change)
Methodological details20-year trend analysis, linear regression, web-based gender prediction (NamSor)
  • 20-year trend analysis
  • Linear regression
  • Web-based gender prediction (NamSor)

Main finding

As reported in the abstract

Authorship gender distribution

Publications with both female first and senior authors

7.8%

Publications with both positions held by men

56.7%

Single authors female

23.6%

Annual change in female authorships (linear regression), by journal, author position and time period

- 0.1 and + 0.6% points per year

Observational data: associations, not effects.

Further findings

Sensitivity analysis (>80% probability of correct gender classification)

Congruent results

Original publication

Female first and senior authorship in high-impact critical care journals 2005–2024. Crit Care. Published 8 September 2025. doi:10.1186/s13054-025-05649-4

Composed by AI from the published abstract and checked against it. How Briefs are made →

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