Response to Comment on “Does Surgeon Sex Matter? Practice Patterns and Outcomes of Female and Male Surgeons”

Sharoky, Catherine E.; Karakousis, Giorgos C.; Kelz, Rachel R.

doi:10.1097/sla.0000000000003047

Cited by 16 publications

(29 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study could, however, not find any potential explanation for the differences observed, but the fact that patients operated on by female surgeons exhibited better outcome seems to support the result of our study. Two other studies seem to contradict the results of the present study by demonstrating that patient outcomes were similar when surgery was performed by female and male surgeon after matching the age and clinical experience of the surgeons (18,19). A third study found that "female surgeons in their 50s had the lowest operative mortality", but the study could, however, not find any evidence that mortality differed between female and male surgeons after adjusting for confounding factors.…”

Section: Discussioncontrasting

confidence: 94%

“…Considering surgically treated patients, there are studies indicating that characteristics of the surgeon, such as training background, age and surgery frequency, affect patient outcomes (4,7,16). However, if the sex of the surgeon is related to patient outcome, has been a controversial issue in the past, as indicated by the limited number of studies on this subject (18,19,22).…”

Section: Introductionmentioning

confidence: 99%

“…One large observational study found that patients treated by female, as compared to male internists, not only exhibited a lower 30-day readmission, but more importantly, a lower 30-day mortality (20). Similarly in surgical fields, recent studies indicate a lower mortality-rate among patients operated on by female surgeons (18,22). One study including a total of 45 826 surgeons, found that female surgeons aged 50-59 years exhibited the lowest operative mortality-rates across all examined groups of surgeons (19).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Patient-Reported Outcome and Healing Biomarkers in Patients Treated by Female versus Male Surgeons– A cohort study on Achilles tendon ruptures

Flodin

Juthberg

Edman³

2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

Background. Woman and men practice medicine differently. One recent study showed that patients operated on by female surgeons exhibited better outcome. We hypothesized that the sex of the surgeon would not affect patient outcome, adverse events and the biological processes of healing after surgical repair of Achilles tendon rupture (ATR). Methods. A total of 111 patients with acute ATR were surgically repaired by the surgeon on duty. A specific surgeon could not be decided by the patient. At two-weeks, levels of healing biomarkers collagen I and III were quantified in microdialysates from the operated tendons. At 12-months post-surgery, patient-reported outcome was assessed using the validated Achilles tendon Total Rupture Score (ATRS), and adverse events were measured. Results. Patients treated by female versus male surgeons exhibited higher levels of collagen I (p=0.034) and reported better ATRS (88±8.2 vs. 81±14, p=0.011). Moreover, patients reported less limitations in daily living activity, more strength and less stiffness in the ankle when treated on by female as compared to male surgeons (all p<0.05). No significant difference in the incidence of adverse events was observed between male and female surgeons. Conclusions. The present findings suggest further exploration of the determinating factors including care and communication related to surgeons to improve outcome.

show abstract

Section: Discussioncontrasting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Patient-Reported Outcome and Healing Biomarkers in Patients Treated by Female versus Male Surgeons– A cohort study on Achilles tendon ruptures

Flodin

Juthberg

Edman³

2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

show abstract

“…Women often have higher patient satisfaction scores, better outcomes, higher ratings in quality of care, and similar level or greater levels of academic productivity 18,19 . Sharoky et al demonstrated that female and male surgeons have equivalent rates of complications and inpatient mortality after matching for factors such as age and experience 20 . Recent research has demonstrated that women in multiple subspecialties of otolaryngology are as academically productive not only over their entire career but early in their careers as well when compared to their male colleagues 21,22 …”

Section: What Current Research Has Proved Not To Cause the Gender Paymentioning

confidence: 99%

Gender‐Based Pay Discrimination in Otolaryngology

Lindsay

2020

The Laryngoscope

View full text Add to dashboard Cite

Male and female otolaryngologists all attend the same accredited medical schools, complete the same accredited residency programs, and take the same board certification exams; however, female otolaryngologist are paid 77 cents on the dollar compared to their male colleagues. Even after accounting for age, experience, faculty rank, research productivity, and clinical revenue, significant gender pay gaps exist across all professor levels. The goal of this review is to improve our understanding of how and why the gender pay gap and discrimination exists, the harm caused by tolerance of policies that perpetuate gender pay inequity, and what is and can be done to correct gender‐based pay gaps and discrimination. The review presents the current status of gender pay inequity in the United States and reports on how otolaryngology compares to other professions both within and outside of healthcare. The gender pay gap is shown to have a negative impact on economic growth, institutional reputation and financial success, retention and recruitment of faculty, and patient care. Many historically incorrect reasons used to explain the causes of the gender pay gap, including that women work less, have less research productivity, or produce lower‐quality care, have been be disproved by evaluation of current research. Potential causes of gender pay inequities, such as gender bias, organization culture, fear of retaliation, promotions inequalities, lack of transparency, and senior leadership not being held accountable for equity and diversity concerns, will be explored. Finally, examples of best practices to achieve pay equity will be presented. Laryngoscope, 131:989–995, 2021

show abstract

“…Several studies examining differences in outcomes between male and female physicians appear to show better outcomes among the female practitioners 15,16 or at least equivalent outcomes when matched patterns of practice and outcomes are analyzed. 17 In forming a committee on women within the AACS, we are duplicating other organizations efforts, somewhat late to the movement. The American College of Surgeons has had the Association of Women Surgeons (AWS) since 1981, providing mutual support, but more importantly mentorship and advocacy.…”

mentioning

confidence: 99%