Disfunción sexual femenina: una mirada a los últimos 44 años. Análisis bibliométrico

Resumen

Objetivo La disfunción sexual femenina (DSF) es un trastorno prevalente que afecta la calidad de vida de las mujeres y combina factores biológicos, psicológicos e interpersonales. Su estudio ha sido de poco interés, en campos como la investigación y el tratamiento, debido a la dificultad en la medición de las respuestas sexuales en las mujeres y otros factores, como el tabú acerca de la sexualidad femenina. Este estudio caracteriza las tendencias de publicaciones científicas acerca del tema, para que los urólogos puedan comprender la necesidad de realizar la búsqueda de este trastorno en la práctica diaria.

Métodos Se realizó una búsqueda de la literatura en las bases de datos PubMed, FABUMED y Scopus, utilizando la estrategia «((«female sexual dysfunction» [Title/Abstract])». Se realizó un análisis bibliométrico descriptivo, de corte retrospectivo, de la literatura médica obtenida en MEDLINE. A través de las herramientas estadísticas FABUMED, PubReminer y Scopus, se recopilaron los datos y se obtuvo los resultados de las variables que posteriormente fueron analizadas de forma estadística y descriptiva. Con base en esta información, elaboramos tablas y gráficas en Microsoft Office Excel 2017. Adicionalmente, realizamos un análisis de mapeo bibliométrico utilizando el programa VOSviewer. Para la obtención del factor de impacto (FI), utilizamos el Journal Citation Reports 2017/2018.

Resultados Desde 1975 hasta 2019, se publicaron 1.292 estudios, y la tasa anual de publicación permaneció estable entre 1975 y 2000. Pero, a partir del año 2000, se evidenció un aumento en el número de publicaciones, con un crecimiento del 92,1%. De las veinte revistas con más publicaciones, sólo cuatro son de urología. Los países con más publicaciones fueron: Estados Unidos (31,4%), Reino Unido (12,9%), Italia (8,9%), Turquía (5,9%), y Australia (4%). Estos datos son muy diferentes a los de los países de América Latina, en los que se encontraron muy pocas publicaciones, como Colombia, con tan sólo tres estudios.

Conclusiones Este análisis bibliométrico mostró las diferentes tendencias y tasas de publicación de estudios sobre DSF, y evidenció una baja tasa de producción con relación a otras temáticas, sobre todo en las revistas urológicas, con predominio de mujeres como autores, aunque en los últimos años se ha identificado un crecimiento importante y sostenido. Se hace evidente la necesidad de desarrollar estrategias para mejorar la formación tanto en los niveles de posgrado como de pregrado y, así, generar más adhesión a este tema en una especialidad quirúrgica como la nuestra.

Abstract

Objectives Female sexual dysfunction (FSD) is a prevalent disorder that affects the quality of life of women and combines biological, psychological, and interpersonal factors. There has been a lack of interest in studying FSD in such fields as research and treatment, due to the difficulty in measuring the sexual responses of women and other factors such as the taboo surrounding female sexuality. The present study portrays the trends in the scientific publications on the subject, so urologists can perceive and understand the need for research about this disorder in the daily practice.

Methods A comprehensive review on the topic was performed through a PubMed, FABUMED, and Scopus databases using the search strategy “female sexual dysfunction”, as well as a retrospective, descriptive, bibliometric analysis of the medical literature retrieved from MEDLINE. Data was collected through the FABUMED, PubReMiner, and Scopus statistical tools, and, based on the results obtained for the variables, which were later submitted to a statistical and descriptive analysis. Based on this data, tables and graphs were developed using the Microsoft Office Excel 2017 software. Moreover, we performed a bibliometric mapping analysis using the VOSviewer software. In order to obtain the impact factor (IF), we used the Journal Citation Reports 2017/2018.

Results From 1975 to 2019, 1,292 studies were published; yearly publication rate remained stable from1975 to 2000, but after year 2000, an increase in the number of publications was evidenced, with a growth of 92.1%. But as of the year 2000, an increase in the number of publications was evidenced, with a growth of 92.1%. Of the twenty journals with the most publications, only four are on urology. The countries with the greatest number of publications were: the United States (31.4%), the United Kingdom (12.9%), Italy (8.9%), Turkey (5.9%), and Australia (4%). This data differs from that of Latin American countries, in which few publications were found, such as in Colombia, with only three studies.

Conclusions The present bibliometric analysis showed the different trends and publication rates of studies on FSD, showing a low production rate as compared with that of other urological topics, especially in Urological journals, with a predominance of women as authors, although in recent years an important and sustained growth has been identified. The need to develop strategies to improve training at both the graduate and undergraduate levels and thus generate more adherence to these issues in a surgical specialty like ours is evident.

Palabras Clave

disfunción sexual femenina - sexualidad - femenina - urología - bibliométrico - salud sexual y reproductiva

Keywords

female sexual dysfunction - sexuality - female - urology - bibliometric - sexual and reproductive Health

Publication History

Received: 02 September 2020

Accepted: 16 July 2021

Article published online:
22 December 2021

• Referencias

• 1 Basson R. The Female Sexual Response Revisited. J SOGC 2000; 22 (05) 378-382
• 2 Laan E, Everaerd W, van der Velde J, Geer JH. Determinants of subjective experience of sexual arousal in women: feedback from genital arousal and erotic stimulus content. Psychophysiology 1995; 32 (05) 444-451
• 3 Bancroft J. Sexual Desire and the Brain. Sex Marital Ther 1998; 3 (01) 11-27
• 4 Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA 1999; 281 (06) 537-544
• 5 Alcántara Montero A, Sánchez Carnerero CI. Disfunción sexual femenina: opciones de tratamiento farmacológico. Semergen 2016; 42 (05) e33-e37
• 6 NIH Consensus Development Panel on Impotence. NIH Consensus Conference. Impotence. JAMA 1993; 270 (01) 83-90
• 7 Rosen R. The Process of Care Consensus Panel. The process of care model for evaluation and treatment of erectile dysfunction. Int J Impot Res 1999; 11 (02) 59-70 , discussion 70–74
• 8 Rosen RC. Sexual function assessment and the role of vasoactive drugs in female sexual dysfunction. Arch Sex Behav 2002; 31 (05) 439-443
• 9 Tiefer L. A New View of Women's Sexual Problems: Why New? Why Now?. J Sex Res 2001; 38 (02) 89-96
• 10 Ellegaard O, Wallin JA. The bibliometric analysis of scholarly production: How great is the impact?. Scientometrics 2015; 105 (03) 1809-1831
• 11 Castaño-López E, Plazaola-Castaño J, Bolívar-Muñoz J, Ruiz-Pérez I. (n.d.) Publicaciones sobre mujeres, salud y género en España (1990–2005). Rev. Esp. Salud Publica80(6), 705–716 Retrieved May 27, 2020, from 10.1590/s1135-57272006000600010
• 12 Basson R, Berman J, Burnett A. et al. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol 2000; 163 (03) 888-893
• 13 Gabbard GO. Musings on the report of the International Consensus Development Conference on Female Sexual Dysfunction: definitions and classifications. J Sex Marital Ther 2001; 27 (02) 145-147 Retrieved May272020
• 14 Dalpiaz O, Kerschbaumer A, Mitterberger M. et al. Female sexual dysfunction: a new urogynaecological research field. BJU Int 2008; 101 (06) 717-721 Retrieved May272020
• 15 Milou B, Beck J. The Place of Female Sexual Dysfunction in the Urological Practice: Results of a Dutch Surveyjsm_1460. J Sex Med 2009; [phone] https://pubmed.ncbi.nlm.nih.gov/19694924/
• 16 Pauls RN, Kleeman SD, Segal JL, Silva WA, Goldenhar LM, Karram MM. Practice patterns of physician members of the American Urogynecologic Society regarding female sexual dysfunction: results of a national survey. Int Urogynecol J Pelvic Floor Dysfunct 2005; 16 (06) 460-467
• 17 Clayton AH, Valladares Juarez EM. Female Sexual Dysfunction. Psychiatr Clin North Am 2017; 40 (02) 267-284
• 18 Hayes RD, Dennerstein L, Bennett CM, Fairley CK. What is the “true” prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact?. J Sex Med 2008; 5 (04) 777-787
• 19 Rezaee ME, Johnson HA, Munarriz RM, Gross MS. Bibliometric Analysis of Erectile Dysfunction Publications in Urology and Sexual Medicine Journals. J Sex Med 2018; 15 (10) 1426-1433
• 20 Xiao N, Oliveira DFM, Gupta R. Characterizing the Impact of Women in Academic IR: A 12-Year Analysis. J Vasc Interv Radiol 2018; 29 (11) 1553-1557 Retrieved May272020
• 21 Campbell JC, Yoon SC, Grimm LJ. Collaboration Metrics Among Female and Male Researchers: A 5-Year Review of Publications in Major Radiology Journals. Acad Radiol 2018; 25 (07) 951-954 Retrieved May272020
• 22 O'Rand AM. Women in Science: Career Processes and Outcomes. By Yu Xie and Kimberlee A. Shauman. Harvard University, 2003. 318 pp. Social Forces Volume 82, Issue 4, June 2004, Pages 1669 -1671.
• 23 Giner-Soriano M, López-Pereiro O, Zabaleta-del-Olmo E, Pons-Vigués M, Morros R, Gómez-Lumbreras A. Bibliometric analysis of female authorship in original articles in the journal ATENCIóN PRIMARIA. Aten Primaria 2021; 53 (01) 12-18
• 24 Silver JK, Poorman JA, Reilly JM, Spector ND, Goldstein R, Zafonte RD. Assessment of Women Physicians Among Authors of Perspective-Type Articles Published in High-Impact Pediatric Journals. JAMA Netw Open 2018; 1 (03) e180802 Retrieved May272020
• 25 Sugimoto CR, Ahn YY, Smith E, Macaluso B, Larivière V. Factors affecting sex-related reporting in medical research: a cross-disciplinary bibliolátrico analysis. The Lancet 2019; 393 (10171): 550-559
• 26 Xiao N, Mansukhani NA, Oliveira DFMd, Kibbe MR. Association of author gender with sex bias in surgical research. JAMA Surgery 2018; 153 (07) 663-670
• 27 Ouyang D, Sing D, Shah S, Hu J, Duvernoy C, Harrington RA, Rodriguez F. Sex disparities in authorship order of cardiology scientific publications: trends over 40 years. Circulation: Cardiovascular Quality and Outcomes 2018; 11 (12) e005040