Abstract：
Background and Objectives: Clinical practice guidelines (CPGs) have significantly influenced medical practice worldwide. Nevertheless, the authorship of CPGs produced by several medical societies has not been representative of the field and population they address, as women and individuals from racial and ethnic minority groups have been underrepresented as authors. We hypothesized that women and individuals from minoritized racial and ethnic groups would also be underrepresented as authors of CPGs produced by the American Academy of Pediatrics (AAP). Methods: In this cross-sectional study, the gender, race, and ethnic composition of authors and subcommittee participants of AAP-produced CPGs published from January 2010 through May 2023 were analyzed and compared to the 2010 and 2021 U.S. population and 2010 and 2022 U.S. medical school pediatric faculty. Results: Women (39.7%, 127/320 of all positions, and 42.5%, 85/200 of named author positions) and women physicians (35.2%, 101/287 of all positions, and 36.4%, 64/176 of named author positions) were significantly underrepresented-while men and men physicians were significantly overrepresented-from their respective composition in the U.S. Census and pediatric faculty. Women and women physicians from all racial and ethnic groups and men and men physicians from minority racial and ethnic groups were significantly underrepresented-from their respective composition in the U.S. Census and pediatric faculty. No Black man was identified as an author. Conclusions: Medical societies that produce CPGs should be cognizant of these inequities and ensure appropriate authorship diversity.
摘要：
背景和目的：临床实践指南（CPG）对全球医疗实践产生了重大影响。然而，由几个医学协会产生的CPG的作者并不能代表他们所处理的领域和人口，因为来自种族和族裔少数群体的妇女和个人作为作者的代表性不足。我们假设，由美国儿科学会（AAP）制作的CPG的作者中，来自少数民族和种族群体的妇女和个人也将代表不足。方法：在这项横断面研究中，性别,种族,对2010年1月至2023年5月发表的AAP制作的CPG的作者和小组委员会参与者的种族构成进行了分析，并与2010年和2021年美国人口以及2010年和2022年美国医学院儿科教师进行了比较。结果：女性（39.7%，所有位置的127/320，和42.5%，85/200的指定作者职位)和女医生(35.2%，101/287的所有位置，和36.4%，64/176的指定作者职位）在美国人口普查和儿科教师中的代表比例明显不足，而男性和男性医生的代表比例明显过高。来自所有种族和族裔群体的女性和女性医生以及来自少数种族和族裔群体的男性和男性医生在美国人口普查和儿科教师中的比例明显不足。没有黑人被确认为作者。结论：产生CPG的医学社会应认识到这些不平等现象，并确保适当的作者多样性。
