Abstract: TH-PO838
Gender and Geographical Differences in International Nephrology Guideline Authorship: A Comparison of the US, UK, and International Nephrology Guidelines, 2009-2024
Session Information
- Race, Ethnicity, and Gender in Kidney Health and Care
October 24, 2024 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Diversity and Equity in Kidney Health
- 900 Diversity and Equity in Kidney Health
Author
- Tripathi, Ohm S., University of Connecticut, Storrs, Connecticut, United States
Background
In Nephrology,there is an underrepresentation of women as first and senior authors as well as in leadership positions. We evaluated the trends in gender and geographical differences in the guideline writing groups of the KDIGO, KDOQI, Renal association, UKKA, and ISPD from 2009 to 2024.
Methods
We extracted all guidelines authors from 2009 to 2024, assessed their gender from publicly available profiles, and compared differences based on chair position, workgroup, and specific societies. Stratified and trend analyses were performed using χ2 and average annual percentage change. We analyzed various countries' representation among different guidelines.
Results
A total of 14 KDIGO, 22 KDOQI, 12 Renal Association, 22 UKKA, and 9 ISPD guidelines were analyzed. There were 831 authors (37.3% women vs 62.8% men, p<0.05), KDIGO (203 authors [26.1% women vs 73.9% men, p <0.05]), KDOQI (185 authors [34.1% women vs 65.9% men, p <0.05]), Renal Association (91 authors [41.8% women vs 58.2% men, p=0.54]), UKKA (278 authors [42.5% women vs 57.5% men, p<0.05]) and ISPD(74 authors [41.9% women vs 58.1% men, p=0.39]). There were 23 women chairs KDIGO ( 3 authors [10.7 % women vs 89.3% men, p <0.05]), KDOQI (15 authors [42.9% women vs 57.1% men, p =0.30]), Renal Association (3 authors [50% women vs 50% men, p=1]), and UKKA (2 authors [25% women vs 75% men, p=0.13]). The US had the highest numbers of authors in KDIGO (72) and KDOQI (174) while the UK (23) had the highest authors contribution in ISPD.
Conclusion
There is a significant disparity in the inclusion of women on all the international nephrology guidelines as chair and as authors. Further advocacy is required to promote equity, diversity, and inclusion in our nephrology guidelines globally. The US and UK contribute most to the guidelines. KDIGO had the most diverse country representation.