Female Authorship in the US Orthopaedics Literature: A Bibliometric Analysis of Trends.

INTRODUCTION Although orthopaedic surgery continues to be the field with the smallest proportion of women, efforts have been made to increase the gender diversity in the workforce. Some data exist on how this increased female representation manifests itself in research and authorship. However, a comprehensive overview-beyond general orthopaedics journals and including subspecialty journals-is currently missing. The objective of this study was to analyze female authorship trends in four high-impact general orthopaedic journals and the highest impact journal in each orthopaedic subspecialty. METHODS This bibliometric analysis extracted original research articles published from groups within the United States from Medline from January 2011 to December 2020. We included four high-impact general orthopaedic journals and the highest impact journal in eight orthopaedic subspecialties. Authors' gender was determined using the 'gender' R package. We assessed annual proportion of female authors in first authors, last authors, and any author, separately for all included articles and stratified by journal. Authorship was assessed by Cochran-Armitage trend tests. RESULTS There has been increasing female authorship from 2011 to 2020 for female first authors, but not female last authors or total authorship. Of the journals studied, 3 of 12 had a markedly increased percentage of female first authors and 1 of 12 had a markedly increased percentage of female last authors, and there were no journals with an increasing total amount of female total authors. DISCUSSION The increasing trend in female authorship is primarily due to increases in first author publications and is not consistent across subspecialty journals. Future research should identify driving factors for these differences and potential methods to increase representation.

[1]  J. Hunting,et al.  Evolution and Trends in Male Versus Female Authorship of Articles in Flagship Orthopaedic Journals From 1995 to 2020 , 2022, The Journal of the American Academy of Orthopaedic Surgeons.

[2]  A. Schoenfeld,et al.  The role of gender in academic productivity, impact, and leadership among academic spine surgeons. , 2021, The spine journal : official journal of the North American Spine Society.

[3]  J. Agel,et al.  A 15-Year Report on the Uneven Distribution of Women in Orthopaedic Surgery Residency Training Programs in the United States , 2021, JB & JS open access.

[4]  Antonia F. Chen,et al.  How Long Will It Take to Reach Gender Parity in Orthopaedic Surgery in the United States? An Analysis of the National Provider Identifier Registry , 2021, Clinical orthopaedics and related research.

[5]  Antonia F. Chen,et al.  Trends in Gender Disparities in Authorship of Arthroplasty Research. , 2020, The Journal of bone and joint surgery. American volume.

[6]  Joshua D. Harris,et al.  Which Subspecialties Do Female Orthopaedic Surgeons Choose and Why? , 2020, Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews.

[7]  A. Cruz,et al.  What Are the Rates and Trends of Women Authors in Three High-Impact Orthopaedic Journals from 2006-2017? , 2020, Clinical orthopaedics and related research.

[8]  A. Miller,et al.  Despite Growing Number of Women Surgeons, Authorship Gender Disparity in Orthopaedic Literature Persists Over 30 Years. , 2020, Clinical orthopaedics and related research.

[9]  E. Krell,et al.  How Well Represented Are Women Orthopaedic Surgeons and Residents on Major Orthopaedic Editorial Boards and Publications? , 2020, Clinical orthopaedics and related research.

[10]  O. Sorenson,et al.  Gender differences in how scientists present the importance of their research: observational study , 2019, BMJ.

[11]  David Ouyang,et al.  Gender Trends in Authorship of Foot and Ankle Academic Literature Over 24 Years. , 2019, The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.

[12]  M. Salata,et al.  A 46-year Analysis of Gender Trends in Academic Authorship in Orthopaedic Sports Medicine. , 2019, The Journal of the American Academy of Orthopaedic Surgeons.

[13]  Deeptee Jain,et al.  Gender trends in authorship of spine-related academic literature-a 39-year perspective. , 2016, The spine journal : official journal of the North American Spine Society.

[14]  J. Flynn,et al.  Gender Differences in Pediatric Orthopaedics: What Are the Implications for the Future Workforce? , 2016, Clinical orthopaedics and related research.

[15]  A. Ladd,et al.  The Perry Initiative’s Medical Student Outreach Program Recruits Women Into Orthopaedic Residency , 2016, Clinical orthopaedics and related research.

[16]  M. Bhandari,et al.  The orthopedic gender gap: trends in authorship and editorial board representation over the past 4 decades. , 2012, American journal of orthopedics.