Caroline A Brandon1,2, LaMont J Barlow3, Cheongeun Oh4, Andrew Sackrison5, Benjamin M Brucker5,3. 1. Department of Obstetrics & Gynecology, New York University Langone Health, 550 first avenue, NBV 9E2, New York, NY, 10016, USA. caroline.brandon@nyulangone.org. 2. Department of Urology, New York University Langone Health, 222 East 41st Street, 11th Floor, New York, NY, 10017, USA. caroline.brandon@nyulangone.org. 3. Department of Urology, New York University Langone Health, 222 East 41st Street, 11th Floor, New York, NY, 10017, USA. 4. Department of Population Health, New York University Langone Health, 180 Madison Avenue, 5th Floor, New York, NY, 10016, USA. 5. Department of Obstetrics & Gynecology, New York University Langone Health, 550 first avenue, NBV 9E2, New York, NY, 10016, USA.
Abstract
INTRODUCTION AND HYPOTHESIS: To evaluate whether the studies contributing to the national treatment guidelines on pelvic organ prolapse adequately represent the racial and/or ethnic makeup of the American population. METHODS: This analysis examines the racial and ethnic makeup of all primary study cohorts contributing to the American College of Obstetricians and Gynecologists/American Urogynecologic Society Practice Bulletin No. 214 on pelvic organ prolapse. References were excluded if they lacked a primary patient population or were from outside the US. Mean proportional representation of racial/ethnic groups was compared to the 2018 United States Census data on race/ethnicity. The representation quotient was also calculated to evaluate for relative representation of each group. Descriptive statistics were used. RESULTS: Of the 110 references, 53 primary studies were included in the final analysis with 30 studies reporting on race/ethnicity. On average, 82% (SD = 15%) of study populations were White, while Blacks, Hispanics, and Asians represented 67% (SD = 7%), 4% (SD = 8%), and < 1% (SD = 1%), respectively, differing significantly from the 2018 US Census (p < 0.01.) The representation quotients for White women was 1.36, demonstrating a 36% overrepresentation, while Black, Hispanic, and Asian women were underrepresented among studies of all evidence levels, with representative quotients of 0.50, 0.23, and 0.09, respectively. CONCLUSIONS: Our study demonstrates a significant underrepresentation of non-White populations in primary cohorts of studies contributing to the ACOG/AUGS Practice Bulletin No. 214 on POP. This analysis reinforces that more efforts are required to include and report on racial and ethnically diverse cohorts to better serve all patients.
INTRODUCTION AND HYPOTHESIS: To evaluate whether the studies contributing to the national treatment guidelines on pelvic organ prolapse adequately represent the racial and/or ethnic makeup of the American population. METHODS: This analysis examines the racial and ethnic makeup of all primary study cohorts contributing to the American College of Obstetricians and Gynecologists/American Urogynecologic Society Practice Bulletin No. 214 on pelvic organ prolapse. References were excluded if they lacked a primary patient population or were from outside the US. Mean proportional representation of racial/ethnic groups was compared to the 2018 United States Census data on race/ethnicity. The representation quotient was also calculated to evaluate for relative representation of each group. Descriptive statistics were used. RESULTS: Of the 110 references, 53 primary studies were included in the final analysis with 30 studies reporting on race/ethnicity. On average, 82% (SD = 15%) of study populations were White, while Blacks, Hispanics, and Asians represented 67% (SD = 7%), 4% (SD = 8%), and < 1% (SD = 1%), respectively, differing significantly from the 2018 US Census (p < 0.01.) The representation quotients for White women was 1.36, demonstrating a 36% overrepresentation, while Black, Hispanic, and Asian women were underrepresented among studies of all evidence levels, with representative quotients of 0.50, 0.23, and 0.09, respectively. CONCLUSIONS: Our study demonstrates a significant underrepresentation of non-White populations in primary cohorts of studies contributing to the ACOG/AUGS Practice Bulletin No. 214 on POP. This analysis reinforces that more efforts are required to include and report on racial and ethnically diverse cohorts to better serve all patients.
Authors: Charisse Laura Mandimika; William Murk; Alexandra M Mcpencow; AeuMuro G Lake; Devin Miller; Kathleen Anne Connell; Marsha Kathleen Guess Journal: Female Pelvic Med Reconstr Surg Date: 2015 Sep-Oct Impact factor: 2.091
Authors: Gena C Dunivan; Sara B Cichowski; Yuko M Komesu; Pamela S Fairchild; Jennifer T Anger; Rebecca G Rogers Journal: Int Urogynecol J Date: 2013-06-27 Impact factor: 2.894
Authors: Vanessa L Jacoby; Victor Y Fujimoto; Linda C Giudice; Miriam Kuppermann; A Eugene Washington Journal: Am J Obstet Gynecol Date: 2010-04-28 Impact factor: 8.661
Authors: Emily L Whitcomb; Guri Rortveit; Jeanette S Brown; Jennifer M Creasman; David H Thom; Stephen K Van Den Eeden; Leslee L Subak Journal: Obstet Gynecol Date: 2009-12 Impact factor: 7.661
Authors: Aparna D Shah; Susan Shott; Neeraj Kohli; Jennifer M Wu; Sarah Catlin; Lennox Hoyte Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2008-05-09
Authors: Susan L Hendrix; Amanda Clark; Ingrid Nygaard; Aaron Aragaki; Vanessa Barnabei; Anne McTiernan Journal: Am J Obstet Gynecol Date: 2002-06 Impact factor: 8.661