Unmasking gender disparities in industry payments to U.S. surgeons: Royalty and consulting fees across surgical subspecialties

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-09-18 DOI:10.1016/j.amjsurg.2025.116612

Sofia Wagemaker Viana , Brenda Feres , Gabriele Eckerdt Lech , Yasmin Biscola Da Cruz , Mariana Ferrari , Mecker G. Möller

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引用次数: 0

Abstract

Introduction

Research demonstrates persistent gender-based pay disparities among U.S. surgeons.

Methods

We analyzed 2023 OpenPaymentsData.CMS.gov consulting and royalty (C/R) payments by pharmaceutical and medical device companies to surgeons, comparing gender differences across subspecialties.

Results

Of 5505 C/R payments totaling $23.9 million, $16.9 million were consulting fees with male surgeons (n = 1,056, 87 %) receiving a total of $15,322,355 with a significantly higher mean consulting fee across subspecialties ($14,637 ± $33,314) vs female (n = 164; 13 %) ($9728 ± $16,749.44, p = 0.009). Median consulting fees for males ($4800.00, IQR $11,403) vs females ($4650.00, IQR $8778), (p = 0.0005) Only one female received royalties vs 37 males ($298,836 vs. $6.66 million).

Conclusion

Our findings reveal persistent and multifaceted gender disparities in both representation and industry remuneration across surgical subspecialties. Addressing these inequities is crucial to fostering transparency and equity in compensation within the healthcare industry.

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揭露行业支付给美国外科医生的性别差异：外科亚专科的版税和咨询费

研究表明，在美国外科医生中，基于性别的薪酬差距持续存在。方法：我们分析了2023年OpenPaymentsData.CMS.gov上制药和医疗器械公司向外科医生支付的咨询和版税（C/R），比较了不同亚专科的性别差异。结果在总计2390万美元的5505笔C/R付款中，1690万美元为咨询费，其中男性外科医生（n = 1,056, 87%）共获得15,322,355美元，亚专科平均咨询费（14,637±33,314美元）明显高于女性外科医生（n = 164, 13%）（9728±16,749.44美元，p = 0.009）。男性咨询费用中位数（4800.00美元，11403美元）vs女性（4650.00美元，8778美元），（p = 0.0005）只有一名女性获得版税，而男性为37名（298836美元vs 666万美元）。结论：我们的研究结果揭示了在外科亚专科的代表性和行业薪酬方面持续存在的多方面的性别差异。解决这些不平等问题对于促进医疗保健行业薪酬的透明度和公平性至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.