Authors of Clinical Practice Guidelines by Gender, Race, and Ethnicity: A Systematic Review and Meta-Analysis
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Le résumé fourni par la source
IMPORTANCE: Clinical practice guidelines (CPGs) play a critical role in shaping medical care and healthcare policies, yet there is growing concern about the lack of diversity in CPG authorship. This systematic review and meta-analysis aim to assess gender, race, and ethnicity representation among authors of CPGs across different medical specialties. OBJECTIVE: To evaluate the representation of women and individuals from minoritized racial and ethnic groups among authors and contributors of CPGs. DATA SOURCES: A comprehensive literature search was conducted in databases including Ovid MEDLINE, Embase.com, Web of Science, Cochrane CENTRAL, and ClinicalTrials.gov from inception to September 2023. Studies focusing on CPG authorship disparities by gender, race, and ethnicity were selected for review. STUDY SELECTION: Eligible studies included those that reported data on gender, racial, and ethnic composition among CPG authors. Out of 2,436 articles screened, 20 studies met the inclusion criteria for full-text review and meta-analysis. DATA EXTRACTION AND SYNTHESIS: Data extraction was performed independently by two reviewers, with disagreements resolved through consensus, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A meta-analysis was then conducted using a random-effects model. MAIN OUTCOMES AND MEASURES: The primary outcome was the proportion of women and individuals from minoritized racial and ethnic groups among CPG authors. The meta-analysis estimated pooled proportions of women's authorship across the different medical specialties. RESULTS: The 20 included studies covered a total of 36,783 author positions. Women's authorship varied widely across specialties, with an overall pooled proportion of 25.7% (95% Confidence Interval (CI): 21.8%-30.1%). Racial and ethnic data were available in only a few studies, with significant gaps in reporting. The findings indicate persistent gender disparities in CPG authorship, particularly in specialties such as cardiology and gastroenterology. CONCLUSIONS: This analysis demonstrated that substantial disparities in gender, race, and ethnicity remain in CPGs' authorship. More inclusive representation is essential to ensure diverse perspectives in shaping healthcare guidelines.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Authors of Clinical Practice Guidelines by Gender, Race, and Ethnicity: A Systematic Review and Meta-Analysis
- Date Crossref
- 26/11/2025
- Éditeur
- SAGE Publications
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Spaulding Rehabilitation Hospital pays non établi dans la noticeÉtablissement de santé
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Vanderbilt University Medical Center Department of Pathology pays non établi dans la noticeÉtablissement de santé
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University of Chicago Department of Psychology pays non établi dans la noticeUniversité ou école supérieure
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Harvard University pays non établi dans la noticeUniversité ou école supérieure
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University of Pittsburgh Medical Scientist Training Program pays non établi dans la noticeUniversité ou école supérieure
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The University of Texas at San Antonio Health Science Center pays non établi dans la noticeUniversité ou école supérieure
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Johnson University pays non établi dans la noticeUniversité ou école supérieure
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Hackensack Meridian Health pays non établi dans la noticeÉtablissement de santé
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Hackensack Meridian School of Medicine Department of Physical Medicine and Rehabilitation pays non établi dans la noticeUniversité ou école supérieure
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Massachusetts General Hospital Treadwell Library pays non établi dans la noticeÉtablissement de santé
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Department of Physical Medicine and Rehabilitation pays non établi dans la noticeInstitution
Spaulding Rehabilitation Hospital, Department of Pathology — Vanderbilt University Medical Center et Department of Psychology — University of Chicago, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.