Analysis of Gender-Based Authorship Trends in Leading Pain Medicine Journals Over 10 Years

Authorship of peer-reviewed publications is important for academic rank, promotion, and national reputation. In pain medicine, limited information is available for authorship trends for women as compared with men. The objective of this study was to describe trends of female authorship data in the 5 pain journals with the highest impact factors over a 10-year period. We analyzed data for January, April, and October in 2009, 2014, and 2019. For each article, the following information was recorded: journal name, journal month, journal year, article title or article PMCID, total authors, total female authors, total male authors, total authors of unknown gender, presence or absence of a female first author, and presence or absence of a female last/senior author. Authorship for 924 articles was reviewed. When a man was senior author, women were first author on only 27.9% of articles (P<.001). A woman was 2 times as likely (57.2%) to be first author when a woman was the senior author (P<.001), pointing to the potential impact of female senior authors. An article with 50% or more female authors was 76.4% more likely to have a female senior author (P<.001). The results demonstrate the influence of a senior female author on the likelihood of an article’s having a female first author. When men were the senior authors, women were half as likely to be first authors. The total number of female authors changed very little between 2009 and 2019.
1. Bernardi K, Lyons NB, Huang L, et al. Gender Disparity in Authorship of Peer-Reviewed Medical Publications. Am J Med Sci. 2020;360(5):511-516. doi:10.1016/j.amjms.2019.11.005
2. Arrighi-Allisan AE, Shukla DC, Meyer AM, et al. Gender Trends in Authorship of Original Otolaryngology Publications: A Fifteen-Year Perspective. Laryngoscope. 2020;130(9):2126-2132. doi:10.1002/lary.28372
3. Aslan A, Kuzucu P, Karaaslan B, Börcek AÖ. Women in Neurosurgery: Gender Differences in Authorship in High-Impact Neurosurgery Journals through the Last Two Decades. World Neurosurg. 2020;138:374-380. doi:10.1016/j.wneu.2020.03.017
4. Bernardi K, Lyons NB, Huang L, et al. Gender Disparity Among Surgical Peer-Reviewed Literature. J Surg Res. 2020;248:117-122. doi:10.1016/j.jss.2019.11.007
5. Vranas KC, Ouyang D, Lin AL, et al. Gender Differences in Authorship of Critical Care Literature. Am J Respir Crit Care Med. 2020;201(7):840-847. doi:10.1164/rccm.201910-1957oc
6. Miller J, Chuba E, Deiner S, DeMaria S Jr, Katz D. Trends in Authorship in Anesthesiology Journals. Anesth Analg. 2019;129(1):306-310. doi:10.1213/ane.0000000000003949
7. Pagel PS, Freed JK, Lien CA. Gender Composition and Trends of Journal of Cardiothoracic and Vascular Anesthesia Editorial Board Membership: A 33-Year Analysis, 1987-2019. J Cardiothorac Vasc Anesth. 2019;33(12):3229-3234. doi:10.1053/j.jvca.2019.07.139
8. Chien JL, Wu BP, Nayer Z, et al. Trends in Authorship of Original Scientific Articles in Journal of Glaucoma: An Analysis of 25 Years Since the Initiation of the Journal. J Glaucoma. 2020;29(7):561-566. doi:10.1097/ijg.0000000000001503
9. Filardo G, da Graca B, Sass DM, Pollock BD, Smith EB, Martinez MAM. Trends and comparison of female first authorship in high impact medical journals: observational study (1994-2014). BMJ. 2016;352:i847:i847. doi:10.1136/bmj.i847
10. Flexman AM, Parmar A, Lorello GR. Representation of female authors in the Canadian Journal of Anesthesia: a retrospective analysis of articles between 1954 and 2017. Can J Anaesth. 2019;66(5):495-502. doi:10.1007/s12630-019-01328-5
11. Franco-Cardenas V, Rosenberg J, Ramirez A, Lin J, Tsui I. Decadelong profile of women in ophthalmic publications. JAMA Ophthalmol. 2015;133(3):255-259. doi:10.1001/jamaophthalmol.2014.4447
12. Pyatigorskaya N, Di Marco L. Women authorship in radiology research in France: An analysis of the last three decades. Diagn Interv Imaging. 2017;98(11):769-773. doi:10.1016/j.diii.2017.07.001
13. Laycock H, Bailey CR. The influence of first author sex on acceptance rates of submissions to Anaesthesia Cases. Anaesthesia. 2019;74(11):1432-1438. doi:10.1111/anae.14797
14. Lennox MG, Li M, Wang X, Pien LC, Lang DM. Patterns of North American Women Authorship in 2 Allergy/Immunology Journals: 1997-2017. J Allergy Clin Immunol Pract. 2019;7(7):2156-2160. doi:10.1016/j.jaip.2019.03.040
15. Clayton JA, Tannenbaum C. Reporting Sex, Gender, or Both in Clinical Research? JAMA. 2016;316(18):1863-1864. doi:10.1001/jama.2016.16405
16. Doshi TL, Bicket MC. Why Aren’t There More Female Pain Medicine Physicians? Reg Anesth Pain Med. 2018;43(5):516-520.
17. Mentzelopoulos SD, Zakynthinos SG. Research Integrity, Academic Promotion, and Attribution of Authorship and Nonauthor Contributions. JAMA. 2017;318(13):1221-1222. doi:10.1001/jama.2017.11790
18. Weigel KS, Kubik-Huch RA, Gebhard C. Women in radiology: why is the pipeline still leaking and how can we plug it? Acta Radiol. 2020;61(6):743-748. doi:10.1177/0284185119881723
19. Bissing MA, Lange EMS, Davila WF, et al. Status of Women in Academic Anesthesiology: A 10-Year Update. Anesth Analg. 2019;128(1):137-143. doi:10.1213/ane.0000000000003691
20. Thomas EG, Jayabalasingham B, Collins T, Geertzen J, Bui C, Dominici F. Gender Disparities in Invited Commentary Authorship in 2459 Medical Journals. JAMA Netw Open. 2019;2(10):e1913682. doi:10.1001/jamanetworkopen.2019.13682