Do clinical practice guidelines incorporate sex and gender evidence?

Although the translation of sex and gender evidence into clinical practice guidelines (CPGs) is strongly advised by specialists, this commitment may be limited to presenting findings on women for specific diseases and topics. The inclusion of sex and gender evidence should deploy available data on h...

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Main Author: Ana M González Ramos
Format: Article
Language:English
Published: SAGE Publishing 2024-11-01
Series:Women's Health
Online Access:https://doi.org/10.1177/17455057241302993
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author Ana M González Ramos
author_facet Ana M González Ramos
author_sort Ana M González Ramos
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description Although the translation of sex and gender evidence into clinical practice guidelines (CPGs) is strongly advised by specialists, this commitment may be limited to presenting findings on women for specific diseases and topics. The inclusion of sex and gender evidence should deploy available data on health and illness, taking human diversity into consideration, especially when drafting CPGs. This work examines 21 guidelines from Spanish CPGs from 2018 to 2022, scraping sex and gender evidence across documents under the lens of 59 keywords related to sex and gender. Three out of four CPGs included relevant keywords to analyse. Then the set of words was analysed in terms of their frequency, as well as the context of the words (nature and location of the information in the CPG). It found that masculine keywords were widespread in CPGs as a result of an androcentric orientation in clinical research, except for those CPGs centred on women’s issues. CPGs focused on technical procedures tended to omit considerations regarding sex and gender. CPGs developed under the lens of a more sensitive gender approach formulated relevant Patient, Intervention, Comparison, Outcomes (PICO) questions and showed a greater diversity of situations, detailing different types of patients. Even though some CPGs do express good intentions regarding gender mainstreaming – for example, using gendered language and a balanced developers’ group – important omissions and a lack of precise information were still found.
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spelling doaj-art-d84e23b0eca74ad3a31a465aa12b96b72024-11-30T10:03:23ZengSAGE PublishingWomen's Health1745-50652024-11-012010.1177/17455057241302993Do clinical practice guidelines incorporate sex and gender evidence?Ana M González RamosAlthough the translation of sex and gender evidence into clinical practice guidelines (CPGs) is strongly advised by specialists, this commitment may be limited to presenting findings on women for specific diseases and topics. The inclusion of sex and gender evidence should deploy available data on health and illness, taking human diversity into consideration, especially when drafting CPGs. This work examines 21 guidelines from Spanish CPGs from 2018 to 2022, scraping sex and gender evidence across documents under the lens of 59 keywords related to sex and gender. Three out of four CPGs included relevant keywords to analyse. Then the set of words was analysed in terms of their frequency, as well as the context of the words (nature and location of the information in the CPG). It found that masculine keywords were widespread in CPGs as a result of an androcentric orientation in clinical research, except for those CPGs centred on women’s issues. CPGs focused on technical procedures tended to omit considerations regarding sex and gender. CPGs developed under the lens of a more sensitive gender approach formulated relevant Patient, Intervention, Comparison, Outcomes (PICO) questions and showed a greater diversity of situations, detailing different types of patients. Even though some CPGs do express good intentions regarding gender mainstreaming – for example, using gendered language and a balanced developers’ group – important omissions and a lack of precise information were still found.https://doi.org/10.1177/17455057241302993
spellingShingle Ana M González Ramos
Do clinical practice guidelines incorporate sex and gender evidence?
Women's Health
title Do clinical practice guidelines incorporate sex and gender evidence?
title_full Do clinical practice guidelines incorporate sex and gender evidence?
title_fullStr Do clinical practice guidelines incorporate sex and gender evidence?
title_full_unstemmed Do clinical practice guidelines incorporate sex and gender evidence?
title_short Do clinical practice guidelines incorporate sex and gender evidence?
title_sort do clinical practice guidelines incorporate sex and gender evidence
url https://doi.org/10.1177/17455057241302993
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