Indian Women Get Less Access To Heart Transplant Surgeries Than Men: Data

Women in India are deprived of many things just because of their gender. One of them, it would appear, would be equitable access to data from some prominent hospitals on life-saving surgeries.

Data have been collected from hospitals for three major surgical specialities that come with significantly high costs for operation/rehabilitation — cardiothoracic, organ transplant, and orthopaedic surgery.

Data showed that there is a significant gender skew in favor of men in two specialties: cardiothoracic and transplant surgery. This is even when, doctors say, the chances of a man or a woman needing this surgery are comparable.

However, the numbers seemed a little less skewed as one moves south, with doctors claiming that the gender gap in surgery is a reflection of social realities, which can vary in different parts of the country.

Overall, there is another trend – organ donors tend to be more female. For instance, a representative of Delhi’s Max Super Specialty Hospital Saket told  that seven out of 10 donors were women, while a BLK-Max Super Specialty Hospital spokesperson pegged the female to male ratio at 90:10.

The third specialty—orthopedic surgery—has a reverse bias because women are more prone to osteoporosis. The onset of the disease, also, usually occurs earlier in women, hence the need for joint replacement surgery. Regarding gender disparities in cardiothoracic and transplant surgery, medical experts point to some social factors.

Dr Harsha Jauhari, advisor, organ transplantation, at the National Organ Transplantation and Tissue Organisation (NOTTO), and senior consultant, renal transplantation, at Delhi’s Sir Ganga Ram Hospital said, “There is a skew, but we have to accept social and economic realities without being cynical about them. The hard truth is these surgeries cost money and not everybody has a health insurance. So, the breadwinner always gets priority.”

For every three cardiac surgeries performed at the hospital, two are performed on men. The spokesperson said, “Women have equal or more complex cardiac problems, yet the numbers are stacked up unevenly. Moreover, due to their smaller-calibre arteries their heart surgeries often tend to become more complex.”

Among those who received a kidney transplant, 76 percent were men and 23 percent were women. For liver transplants during this period, 62 percent were for men and 38 percent for women.