Introduction: Urology has traditionally been a male-dominant field, with only 10.3% of practicing urologists in the US being women. Women are also underrepresented in academic publications in urology, which has a critical influence on promotion within the field of urology. The objective of this study is to examine female authorship trends in urologic oncology literature as first and last authors over the last three decades and to forecast the trend in decades to come. Methods: A PubMed search was conducted for urologic oncology papers from January 1, 1990, to December 31, 2020. The 333 most relevant “best match” papers from each decade were extracted according to a predefined research strategy. Author gender, specialty, advanced degrees, and the continent of origin in addition to journal variables were collected. Forecasting analyses were conducted to determine the projected proportions of female authors over the next 3 decades by considering female authorship trends over the previous 3 decades, using the Holt-Winters exponential smoothing method. Results: Females represent only 10% and 17% of first and last authors, with a lower H-index for females compared with males, both as first and last authors. Female authorship increased over the last 3 decades and we predict an increasing trend for female first and last authors by 2050. Conclusions: Most of urologic oncology literature has been generated by male authors. A significant rising trend was shown in female first and last authorship over the last three decades, and these trends will continue over the next 3 decades. SOURCE OF Funding: None
