Cancer Prevalence among a Cross-sectional Survey of Female Orthopedic, Urology, and Plastic Surgeons in the United States

Chou, Loretta B.; Lerner, Lori B.; Harris, Alex H. S.; Brandon, Ashley J.; Girod, Sabine; Butler, Lesley M.

doi:10.1016/j.whi.2015.05.005

Cited by 47 publications

(66 citation statements)

References 26 publications

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“…Radiation exposure performed during surgery, although low and within established limits, remains a health concern not only among patients, but especially among surgeons [42]. Regardless of the same time of radiation exposure, female patients in our study were susceptible to a lower radiation dose than men.…”

Section: Bdimentioning

confidence: 56%

Gender differences after lumbar sequestrectomy: a prospective clinical trial using quantitative sensory testing

et al. 2016

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Background Quantitative sensory testing (QST) gained popularity to evaluate the time course of recovery in sensory dysfunction and the results of different treatment options. Concerning sex differences in lumbar spine surgery, female gender seems to play a major role as a negative prognostic factor in different spinal disorders. For this purpose, we hypothesised that there are also comparable differences in pain patterns in men and women after lumbar sequestrectomy using QST. Methods We applied the QST protocol of the German Research Network on Neuropathic Pain in 53 patients (21 women and 32 men) with a single lumbar disc herniation confirmed on MRI treated by a lumbar sequestrectomy. Further evaluation included a detailed medical history, a physical examination, and various questionnaires: BeckDepression-Inventory, Oswestry Disability Index, Core Outcome Measure Index, painDETECT-Questionnaire and EQ-5D thermometer. Results Our analyses showed lower heat thresholds in females preoperatively, that adjusted to that of males 1 week postoperatively. Pressure pain thresholds were lower in women as well, but differed between genders throughout the study. Vibration perception deficits resolve earlier in female than in male patients. Both, women and men, had an excellent overall improvement, postoperatively. Conclusion Our results clearly revealed pre-and postoperative differences in pain perception between genders. These differences have to be taken into account in the evaluation of outcome between genders. Therefore, QST seems to be a good method to evaluate the time course of recovery after surgery.

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Section: Bdimentioning

confidence: 56%

Gender differences after lumbar sequestrectomy: a prospective clinical trial using quantitative sensory testing

et al. 2016

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“…[ 155 ] High income United States Questionnaire n = 194 (81/113) 42% Not reported 2015 Cancer Prevalence among a Cross-sectional Survey of Female Orthopedic, Urology, and Plastic Surgeons in the United States. [ 79 ] High income United States National survey n = 1023 100% Not reported 2014 The ergonomics of women in surgery. [ 80 ] High income United States Questionnaire n = 314 (54/260) 17.2% Not reported 2014 Perceptions of surgeons: what characteristics do women surgeons prefer in a colleague?…”

Section: Resultsmentioning

confidence: 99%

“…Norwegian female surgeons drank large quantities of alcohol more frequently than non-surgeon female physicians (18% vs. 7.6%) [ 78 ]. Compared to the general population in the US, breast cancer prevalence was significantly greater in female orthopedic surgeons ( p < 0.001) [ 79 ]. US female surgeons were more likely to receive treatment for issues relating to their hands than males ( p = 0.028), citing instrument design (84%) and operating room table height (44%) as the cause of their symptoms [ 80 ].…”

Section: Health and Other Topicsmentioning

confidence: 99%

The experiences of female surgeons around the world: a scoping review

Xepoleas

Munabi²,

Auslander

et al. 2020

Hum Resour Health

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Introduction The Lancet Commission for Global Surgery identified an adequate surgical workforce as one indicator of surgical care accessibility. Many countries where women in surgery are underrepresented struggle to meet the recommended 20 surgeons per 100,000 population. We evaluated female surgeons’ experiences globally to identify strategies to increase surgical capacity through women. Methods Three database searches identified original studies examining female surgeon experiences. Countries were grouped using the World Bank income level and Global Gender Gap Index (GGGI). Results Of 12,914 studies meeting search criteria, 139 studies were included and examined populations from 26 countries. Of the accepted studies, 132 (95%) included populations from high-income countries (HICs) and 125 (90%) exclusively examined populations from the upper 50% of GGGI ranked countries. Country income and GGGI ranking did not independently predict gender equity in surgery. Female surgeons in low GGGI HIC (Japan) were limited by familial support, while those in low income, but high GGGI countries (Rwanda) were constrained by cultural attitudes about female education. Across all populations, lack of mentorship was seen as a career barrier. HIC studies demonstrate that establishing a critical mass of women in surgery encourages female students to enter surgery. In HICs, trainee abilities are reported as equal between genders. Yet, HIC women experience discrimination from male co-workers, strain from pregnancy and childcare commitments, and may suffer more negative health consequences. Female surgeon abilities were seen as inferior in lower income countries, but more child rearing support led to fewer women delaying childbearing during training compared to North Americans and Europeans. Conclusion The relationship between country income and GGGI is complex and neither independently predict gender equity. Cultural norms between geographic regions influence the variability of female surgeons’ experiences. More research is needed in lower income and low GGGI ranked countries to understand female surgeons’ experiences and promote gender equity in increasing the number of surgical providers.

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“…11 Small increases in malignancy and cataract formation have been seen; thus, reduction in exposure during a common procedure may have benefit for the career surgeon. 10,12,14 Although calculation of the pelvic tilt preoperatively aids in reducing duration of fluoroscopy, it will not have a significant effect on component position because the final image under which component implantation is performed does not change.…”

Section: Discussionmentioning

confidence: 99%

“…Radiation exposure to the surgical team is becoming increasingly important as minimally invasive procedures such as the direct anterior approach for THA gain popularity. [8][9][10] Intraoperative imaging is being used in increasing amounts during orthopedic operative procedures, thus placing the surgeon and surgical team at greater risk of the detrimental effects of chronic radiation exposure, including increased rates of malignancy and eye complications. [10][11][12] Strategies to decrease duration of fluoroscopy use could limit these complications in the orthopedic surgeon.…”

mentioning

confidence: 99%

Preoperative Pelvic Tilt Analysis Reduces Fluoroscopy Time in Direct Anterior Total Hip Arthroplasty

Weeks

Preston²,

Howard³

et al. 2016

Orthopedics

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The direct anterior approach for total hip arthroplasty (THA) requires the use of intraoperative imaging, exposing the patient and surgical team to radiation. The authors hypothesized that calculation of the preoperative pelvic tilt angle and communication of this value with the fluoroscopy technician may result in a decrease in intraoperative fluoroscopy use. The study also examined total radiation exposure during the procedure to ensure that it was within safe limits. The pelvic tilt was calculated preoperatively for 100 consecutive patients undergoing THA by the direct anterior approach. The fluoroscopy technician was blinded to the value of pelvic tilt for the first 50 cases (control group), with the angle being communicated for the following 50 cases (test group). The total duration of fluoroscopy use for each case was recorded. The values were compared for the 2 experienced technicians involved in the study. The surgeon was blinded to the duration of fluoroscopy use in all cases. Mean fluoroscopy time was 28.65 seconds in the control group and 23.61 seconds in the test group (P=.033). No significant difference in duration of fluoroscopy use was found between the 2 fluoroscopy technicians. The control group and the test group were within safe limits of radiation exposure to both the patient and the surgical team. Preoperative pelvic tilt calculation significantly decreases the amount of imaging used during THA by the direct anterior approach. Although it was a statistically significant reduction, both groups were within safe limits for both the surgical team and the patients, and thus the clinical significance is unknown. [Orthopedics.2016; 39(5):e962-e966.].

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Cancer Prevalence among a Cross-sectional Survey of Female Orthopedic, Urology, and Plastic Surgeons in the United States

Cited by 47 publications

References 26 publications

Gender differences after lumbar sequestrectomy: a prospective clinical trial using quantitative sensory testing

Gender differences after lumbar sequestrectomy: a prospective clinical trial using quantitative sensory testing

The experiences of female surgeons around the world: a scoping review

Preoperative Pelvic Tilt Analysis Reduces Fluoroscopy Time in Direct Anterior Total Hip Arthroplasty

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