Under-representation of Women as Proceduralists and Patients in TAVR and TMVr Procedures: Data, Implications and Proposed Solutions
Women are under-represented among transcatheter aortic valve replacement (TAVR) and transcatheter mitral valve repair (TMVr) operators. This review assesses the representation of women as patients and as proceduralists and trial authors in major structural interventions. Women are under-represented...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2022-12-01
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| Series: | European Cardiology Review |
| Online Access: | https://www.ecrjournal.com/articleindex/ecr.2022.33 |
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| author | Sonya Burgess F Aaysha Cader Elizabeth Shaw Shrilla Banerjee Julia Stehli Roopa Krishnamorthy Lynn Khor Homa Forotan Alexandra Bastiany Sarita Rao Jaya Chandrasekhar Sarah Zaman Mirvat Alasnag Alaide Chieffo Megan Coylewright |
| author_facet | Sonya Burgess F Aaysha Cader Elizabeth Shaw Shrilla Banerjee Julia Stehli Roopa Krishnamorthy Lynn Khor Homa Forotan Alexandra Bastiany Sarita Rao Jaya Chandrasekhar Sarah Zaman Mirvat Alasnag Alaide Chieffo Megan Coylewright |
| author_sort | Sonya Burgess |
| collection | DOAJ |
| description | Women are under-represented among transcatheter aortic valve replacement (TAVR) and transcatheter mitral valve repair (TMVr) operators. This review assesses the representation of women as patients and as proceduralists and trial authors in major structural interventions. Women are under-represented as proceduralists in structural interventions: only 2% of TAVR operators and 1% of TMVr operators are women. Only 1.5% of authors in landmark clinical TAVR and TMVr trials are interventional cardiologists who are women (4/260). Significant under-representation and under-enrolment of women in landmark TAVR trials is evident: the calculated participation-to-prevalence ratio (PPR) is 0.73, and in TMVr trials, the PPR is 0.69. Under-representation of women is also evident in registry data (PPR = 0.84 for TAVR registries and for TMVr registries). In structural interventional cardiology, women are under-represented as proceduralists, trial participants and patients. This under-representation has the potential to affect the recruitment of women to randomised trials, subsequent guideline recommendations, selection for treatment, patient outcomes and sex-specific data analysis. |
| format | Article |
| id | doaj-art-b30c01b673e74eb4b5ef353c75b51fe4 |
| institution | Kabale University |
| issn | 1758-3756 1758-3764 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | European Cardiology Review |
| spelling | doaj-art-b30c01b673e74eb4b5ef353c75b51fe42024-12-14T16:04:00ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642022-12-011710.15420/ecr.2022.33Under-representation of Women as Proceduralists and Patients in TAVR and TMVr Procedures: Data, Implications and Proposed SolutionsSonya Burgess0F Aaysha Cader1Elizabeth Shaw2Shrilla Banerjee3Julia Stehli4Roopa Krishnamorthy5Lynn Khor6Homa Forotan7Alexandra Bastiany8Sarita Rao9Jaya Chandrasekhar10Sarah Zaman11Mirvat Alasnag12Alaide Chieffo13Megan Coylewright14Department of Medicine, University of Sydney, Sydney, Australia; Department of Cardiology, Nepean Hospital, Sydney, AustraliaDepartment of Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka, Bangladesh; Department of Population Health, University of Oxford, Oxford, UKDepartment of Medicine, University of Sydney, Sydney, Australia; Department of Cardiology, Hornsby Ku-ring-gai Hospital, Sydney, Australia; Department of Cardiology, Sydney Adventist Hospital, Wahroonga, Sydney, AustraliaDepartment of Cardiology, Surrey and Sussex Healthcare NHS Trust, Redhill, UKDepartment of Cardiology, University Hospital Zurich, Zurich, SwitzerlandDepartment of Cardiology, Nepean Hospital, Sydney, AustraliaDepartment of Cardiology, Nepean Hospital, Sydney, AustraliaDepartment of Cardiology, Princess Alexandra Hospital, Brisbane, AustraliaThunder Bay Regional Health Sciences Centre and Northern Ontario School of Medicine, Thunder Bay, Ontario, CanadaDepartment of Cardiology, Apollo Hospital, Indore, IndiaDepartment of Cardiology, Eastern Health, Melbourne, Australia; Eastern Health Clinical School, Monash University, Melbourne, AustraliaWestmead Applied Research Centre, University of Sydney, Sydney, Australia; Department of Cardiology, Westmead Hospital, Sydney, AustraliaDepartment of Cardiology, King Fahd Armed Forces Hospital, Jeddah, Saudi ArabiaInterventional Cardiology Unit, San Raffaele Scientific Institute, Milan, ItalySection of Cardiovascular Medicine, Erlanger Heart and Lung Institute, Chattanooga, Tennessee, USWomen are under-represented among transcatheter aortic valve replacement (TAVR) and transcatheter mitral valve repair (TMVr) operators. This review assesses the representation of women as patients and as proceduralists and trial authors in major structural interventions. Women are under-represented as proceduralists in structural interventions: only 2% of TAVR operators and 1% of TMVr operators are women. Only 1.5% of authors in landmark clinical TAVR and TMVr trials are interventional cardiologists who are women (4/260). Significant under-representation and under-enrolment of women in landmark TAVR trials is evident: the calculated participation-to-prevalence ratio (PPR) is 0.73, and in TMVr trials, the PPR is 0.69. Under-representation of women is also evident in registry data (PPR = 0.84 for TAVR registries and for TMVr registries). In structural interventional cardiology, women are under-represented as proceduralists, trial participants and patients. This under-representation has the potential to affect the recruitment of women to randomised trials, subsequent guideline recommendations, selection for treatment, patient outcomes and sex-specific data analysis.https://www.ecrjournal.com/articleindex/ecr.2022.33 |
| spellingShingle | Sonya Burgess F Aaysha Cader Elizabeth Shaw Shrilla Banerjee Julia Stehli Roopa Krishnamorthy Lynn Khor Homa Forotan Alexandra Bastiany Sarita Rao Jaya Chandrasekhar Sarah Zaman Mirvat Alasnag Alaide Chieffo Megan Coylewright Under-representation of Women as Proceduralists and Patients in TAVR and TMVr Procedures: Data, Implications and Proposed Solutions European Cardiology Review |
| title | Under-representation of Women as Proceduralists and Patients in TAVR and TMVr Procedures: Data, Implications and Proposed Solutions |
| title_full | Under-representation of Women as Proceduralists and Patients in TAVR and TMVr Procedures: Data, Implications and Proposed Solutions |
| title_fullStr | Under-representation of Women as Proceduralists and Patients in TAVR and TMVr Procedures: Data, Implications and Proposed Solutions |
| title_full_unstemmed | Under-representation of Women as Proceduralists and Patients in TAVR and TMVr Procedures: Data, Implications and Proposed Solutions |
| title_short | Under-representation of Women as Proceduralists and Patients in TAVR and TMVr Procedures: Data, Implications and Proposed Solutions |
| title_sort | under representation of women as proceduralists and patients in tavr and tmvr procedures data implications and proposed solutions |
| url | https://www.ecrjournal.com/articleindex/ecr.2022.33 |
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