Transplant surgery departmental leaders do not represent workforce demographics especially among women and underrepresented minorities - A retrospective analysis
Transplant surgery departmental leaders do not represent workforce demographics especially among women and underrepresented minorities - A retrospective analysis
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DOI：
10.1016/j.amjsurg.2021.11.008
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发表时间：
2022-07-01
影响因子：
3
通讯作者：
Ortiz, Jorge
中科院分区：
文献类型：
--
作者：
Choubey, Ankur P.;Bullock, Brenna;Ortiz, Jorge
引言：肝脏、肾脏和胰腺移植部门外科主任的多样性以前没有被评估过。我们的目的是量化的性别和种族人口统计学移植部门的领导人和评估对患者outcome.Methods的影响：人口统计学收集了116肝，192肾，和113胰腺移植主任使用器官采购和移植网络（OPTN）的目录和程序网站。获得每个项目的移植受体科学登记处（SRTR）5级项目结果排名，并与领导者人口统计数据相匹配。使用器官共享联合网络（UNOS）数据库对2010年至2019年的移植受者进行回顾性分析。结果：91.5%的移植外科主任为男性。55%的部门有非西班牙裔白色领导人。亚裔、西班牙裔和黑人移植负责人分别掌管了23.3%、9%和5%的部门。多变量考克斯回归分析没有发现任何差异，移植主任demographics.Conclusion患者的结局：有一个缺乏女性和URM的领导者在移植手术。为解决目前的领导力差距，有必要采取措施，促进妇女和城市资源管理的研究、指导和职业发展机会。
Introduction: The diversity among surgical directors for liver, kidney, and pancreas transplant departments has not been previously evaluated. We aim to quantify the sex and racial demographics of transplant department leaders and assess the impact on patient outcomes.Methods: Demographics were collected for 116 liver, 192 kidney, and 113 pancreas transplant directors using Organ Procurement and Transplantation Network (OPTN) directory and program websites. Scientific Registry of Transplant Recipients (SRTR) 5-tier program outcomes rankings were obtained for each program and matched to leader demographics. A retrospective analysis of transplant recipients from 2010 to 2019 was performed using the United Network for Organ Sharing (UNOS) database.Results: 91.5% of transplant surgical directors were male. 55% of departments had a Non-Hispanic White leader. Asian, Hispanic and Black transplant chiefs were at the helm of 23.3%, 9%, and 5% of divisions respectively. Multivariate cox regression analysis did not identify any differences in patient outcomes by transplant director demographics.Conclusion: There is a paucity of female and URM leaders in transplant surgery. Initiatives to promote research, mentorship, and career advancement opportunities for women and URM are necessary to address the current leadership disparity.