Gender Differences in Authorship and Quality of Anesthesia Clinical Practice Guidelines From 2016 to 2020 Using the Appraisal of Guidelines for Research and Evaluation II Instrument
Authors' conclusion
There is a substantial disparity in the number of women leading and contributing to guidelines which has not improved over time. Woman-led guidelines included more women and a higher percentage of women. There was no difference in quality of guidelines by first-author gender or percentage of female authors.
Study context
- Population
- Clinical practice guidelines published in the top 10 anesthesia journals (Clarivate Impact Factor), 2016–202050 included
- Participants
- 51 participants
- Exposure
- Woman-led vs man-led anesthesia clinical practice guidelines
- Woman-ledn = 12
- Outcome
- Author gender and guideline quality (AGREE II: overall score, overall quality score, overall rating) in woman-led vs man-led guidelines, and changes over time
Methodological detailsbibliometric analysis, Appraisal of Guidelines for Research & Evaluation (AGREE) II quality appraisal, stratified and trend analyses
- Bibliometric analysis
- AGREE II quality appraisal
- Stratified and trend analyses
Main finding
As reported in the abstract
Female authorship
| Group | Value | Female coauthors, median |
|---|---|---|
| Woman-led | median 39% female authors | 3.5 |
| Man-led | median 20% female authors | 1.0 |
Value
Woman-ledmedian 39% female authors
Man-ledmedian 20% female authors
Female coauthors, median
Woman-led3.5
Man-led1.0
- Woman-led vs Man-led: P = 0.012
- Woman-led vs Man-led: P = 0.049
- Women authors overall: 255 of 1052
- 24%
- Woman-led guidelines: 12 of 50
- 24%
- All-male authors: 9 of 50 guidelines
- 18%
- Less than one-third female authors: 26 of 50 guidelines
- 52%
Observational data: associations, not effects.
Further findings
Guideline quality (AGREE II)
- Overall rating of all guidelines increased over time
- P = 0.010
- Overall rating increased among man-led guidelines
- P = 0.002
- No significant difference in overall rating or objective quality, woman- vs man-led
- Overall score did not increase over time overall; increased in man-led but not woman-led
- No significant correlation between % female authors and overall score or rating
Original publication
Gender Differences in Authorship and Quality of Anesthesia Clinical Practice Guidelines From 2016 to 2020 Using the Appraisal of Guidelines for Research and Evaluation II Instrument. Anesth Analg. Published 20 May 2024. doi:10.
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