Article Text

Download PDFPDF

2022-RA-831-ESGO Gender-related differences in career development among gynecologic oncology surgeons in europe. European network of young gynecologic oncologists’ survey based data
  1. Tanja Nikolova1,
  2. Michaela Bossart2,
  3. Joanna Kacperczyk-Bartnik3,
  4. Zoia Razumova4,
  5. Alexandra Strojna5,
  6. Nicolo Bizzari6,
  7. Andrei Pletnev7,
  8. Charalampos Theofanakis8,
  9. Natalia Gómez-Hidalgo9,
  10. Maximilian Lanner10,
  11. Ilker Selcuk11,
  12. Alexander Shushkevich12,
  13. Natasha Nikolova13,
  14. Nicole Concin14 and
  15. Kamil Zalewski15
  1. 1Academic teaching Hospital of Heidelberg University, Klinikum Mittelbaden, Baden-Baden, Germany
  2. 2St. Josefskrankenhaus, Freiburg, Germany
  3. 32nd Department of Obstetrics and Gynaecology, Medical University of Warsaw, Warsaw, Poland
  4. 4Department of Women’s and Children’s Health, Division of Neonatology, Obstetrics and Gynaecology, Karolinska Institutet, Stockholm, Sweden
  5. 5?, ?, Poland
  6. 6UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica, Fondazione Policlinico Universitario A Gemelli, IRCCS, Rome, Italy
  7. 7Department of Obstetrics and Gynaecology, University of Zielona Gora, Zielona Gora, Poland
  8. 8Department of Gynaecological Oncology, General Hospital of Athens Alexandra, Athens, Greece
  9. 9Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Vall d’Hebron Barcelona Hospital Campus, Autonoma University of Barcelona, UAB, Passeig Vall d’Hebron, Barcelona, Spain
  10. 10Department of Gynaecology, Private Hospital Villach, Villach, Austria
  11. 11Gynaecological Oncology, Maternity Hospital, Ankara City Hospital, Ankara, Turkey
  12. 12Taras Shevchenko National University of Kyiv, Kyiv, Ukraine
  13. 13Medical School, University in Perugia, Perugia, Italy
  14. 14Department of Gynaecology and Obstetrics, Innsbruck Medical University and Department of Gynaecology and Gynaecological Oncology, Kliniken Essen-Mitte, Innsbruck and Essen, Austria
  15. 15Gynaecological Oncology, Świętokrzyskie Cancer Centre, Kielce, Poland


Introduction/Background Gender-related differences in career development are well-known issues in various professions. An international survey on gender-related differences was performed among young gynecologic oncologic surgeons in Europe to identify potential gender inequalities in career development.

Methodology A survey on demographics, clinical and academic working environment, family/parenting, career development, salary and leadership was sent to all members of the European Network of Young Gynecologic Oncologists. Gynecologic oncology surgeons and obstetricians/gynecologists who actively work in this field in Europe were included in the study.

Results Responses were analyzed from 192 gynecologic oncology surgeons of whom 125 (65.1%) were female (median age 37, IQR: 34–42) and 67 (34.9%) male (median age 38, IQR: 36–41). Men reported to perform median 15 and women median 10 operations monthly (p = .007). Among women, 24.8% had a leadership position vs. 44.8% among men (crude OR = 2.46, 95% CI 1.31–4.62, p < .01). When stratifying for age under 41 and having children, 36.7% men and 5.6% women had a leadership position (adjusted OR 10.8, 95% CI 3.28–35.64, p < .001). Significantly higher proportion of women than men believed they earned less than their gender counterparts at the same clinical position and with same qualifications (30.4% vs. 2.5%, p < .001). There wasn’t a statistically significant difference between academic qualification (PhD degree and/or professorship) and gender (p = .92 and p = .64), accordingly. In the previous year, men published more peer-reviewed articles than women (median=3 vs. median=2; p = .017).

Conclusion Our comprehensive analysis revealed gender disparity in several aspects among the young generation of gynecologic oncology surgeons, especially pronounced in leadership positions. New initiatives from ENYGO/ESGO are warranted to better understand the attrition of women on the way from training to leadership positions in gynecological oncology, to overcome the identified obstacles and to help elimination of the gender gaps.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.