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Vucinovic A, Bukic J, Rusic D, Leskur D, Seselja Perisin A, Radic M, Grahovac M, Modun D. Evaluation of Reporting Quality of Glaucoma Randomized Controlled Trial Abstracts: Current Status and Future Perspectives. Life (Basel) 2024; 14:117. [PMID: 38255732 PMCID: PMC10820560 DOI: 10.3390/life14010117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Revised: 01/09/2024] [Accepted: 01/10/2024] [Indexed: 01/24/2024] Open
Abstract
The aim of this study was to explore adherence to the Consolidated Standards of Reporting Trials (CONSORT) reporting standards in abstracts of randomized controlled trials on glaucoma. A cross-sectional observational study was conducted on the aforementioned abstracts, indexed in MEDLINE/PubMed between the years 2017 and 2021. In total, 302 abstracts met the inclusion criteria and were further analyzed. The median score of CONSORT-A items was 8 (interquartile range, 7-10) out of 17 (47.0%). Most analyzed studies were conducted in a single center (80.5%) and the abstracts were predominantly structured (95.0%). Only 20.5% of the abstracts adequately described the trial design, while randomization and funding were described by 6.0% of the abstracts. Higher overall scores were associated with structured abstracts, a multicenter setting, statistically significant results, funding by industry, a higher number of participants, and having been published in journals with impact factors above four (p < 0.001, respectively). The results of this study indicate a suboptimal adherence to CONSORT-A reporting standards, especially in particular items such as randomization and funding. Since these factors could contribute to the overall quality of the trials and further translation of trial results into clinical practice, an improvement in glaucoma research reporting transparency is needed.
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Affiliation(s)
- Ana Vucinovic
- Department of Ophthalmology, University Hospital Centre Split, Spinciceva 1, 21000 Split, Croatia;
| | - Josipa Bukic
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia; (D.R.); (D.L.); (A.S.P.); (M.G.); (D.M.)
| | - Doris Rusic
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia; (D.R.); (D.L.); (A.S.P.); (M.G.); (D.M.)
| | - Dario Leskur
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia; (D.R.); (D.L.); (A.S.P.); (M.G.); (D.M.)
| | - Ana Seselja Perisin
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia; (D.R.); (D.L.); (A.S.P.); (M.G.); (D.M.)
| | - Marijana Radic
- Department of Neurology, General Hospital Pula, Santoriova 24a, 52100 Pula, Croatia;
| | - Marko Grahovac
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia; (D.R.); (D.L.); (A.S.P.); (M.G.); (D.M.)
| | - Darko Modun
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia; (D.R.); (D.L.); (A.S.P.); (M.G.); (D.M.)
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Tan Y, Jiang W, Hu LY, Shen YY, Chen H, Zou YS, Luo LX, Jin GM, Liu ZZ. Hotspots and frontiers of genetic research on pediatric cataracts from 2013 to 2022: a scientometric analysis. Int J Ophthalmol 2023; 16:1682-1691. [PMID: 37854365 PMCID: PMC10559021 DOI: 10.18240/ijo.2023.10.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 08/02/2023] [Indexed: 10/20/2023] Open
Abstract
AIM To explore the hotspots and frontiers of genetic research on pediatric cataracts. METHODS Global publications from 2013 to 2022 related to genes in pediatric cataracts were extracted from the Web of Science Core Collection, and were analyzed in terms of the publication counts, countries, journals, authors, keywords, cited references, subject categories, and the underlying hotspots and frontiers. RESULTS Totally 699 publications were included in the final analysis. The predominant actors were identified, with China (n=240) and PLoS One (n=33) being the most productive country and journal respectively. The research hotspots extracted from keywords were crystallin gene mutations, pathogenicity evaluation, phenotypes of ocular and neurodevelopmental abnormalities, genes encoding membrane proteins, and diagnosis of multisystemic disorders. The co-cited articles formed 10 clusters of research topics, including FYCO1 (56 items), mutation screening (43 items), gap junction (29 items), the Warburg Micro syndrome (29 items), ephrin-A5 (28 items), novel mutation (24 items), eye development and function (22 items), cholestanol (7 items), OCRL (6 items), and pathogenicity prediction (3 items). The research frontiers were FYCO1, ephrin-A5, and cholestanol. Cell biology showed the strongest bridging effects among different disciplines in the field (betweenness centrality=0.44). CONCLUSION With the progress in next-generation sequencing and multidisciplinary collaboration, genetic research on pediatric cataracts broadens the knowledge scope of the crystalline lens, as well as other organs and systems, shedding light on the molecular mechanisms of systemic diseases. Cell biology may integrate multidisciplinary content to address cutting-edge issues in the field.
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Affiliation(s)
- Yuan Tan
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China
| | - Wei Jiang
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China
- Zhongshan Medical School, Sun Yat-sen University, Guangzhou 510060, Guangdong Province, China
| | - Le-Yi Hu
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China
| | - Yan-Yu Shen
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China
| | - Hui Chen
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China
| | - Ying-Shi Zou
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China
| | - Li-Xia Luo
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China
| | - Guang-Ming Jin
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China
| | - Zhen-Zhen Liu
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, Guangdong Province, China
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Zirtiloglu S, Bulut E. Publication trends in the field of the cornea in the last 4 decades: a bibliometric study. Int Ophthalmol 2023:10.1007/s10792-023-02705-2. [PMID: 37074568 DOI: 10.1007/s10792-023-02705-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Accepted: 04/09/2023] [Indexed: 04/20/2023]
Abstract
PURPOSE The objective of this bibliometric study was to identify the top 100 most-cited articles on the cornea published in the English language between 1980 and 2021 using multidimensional citation analysis. METHODS The data were obtained from the Thomson Reuters Web of Science Core Collection and the PubMed databases. The top 100 articles in terms of citation number were identified and analyzed. RESULTS A total of 40,792 articles related to the cornea were retrieved. The 100 most-cited articles were published between 1995 and 2000. The average time since publication was 19.64 ± 5.75 years. The mean impact factor of the journals was 10.27 ± 17.14 and the Q category of most journals was Q1. Ophthalmology was the journal with the most published articles (n = 10), which represented level 3 evidence. The three most common topics among the top 100 articles were treatment modality, histopathology, and diagnostic imaging. The most frequently mentioned treatments were related to limbal stem cell failure, crosslinking, and lamellar keratoplasty. We observed a negative correlation between the average number of citations per year and the time passed since publication (r = - 0.629; p = 0.001). CONCLUSION Our analysis of the top 100 most-cited articles on the cornea revealed scientific contributions, vital current data related to clinical implementations, and valuable insights into the current developments in ophthalmology. To our knowledge, this is the first study to evaluate the most influential papers on the cornea, and our findings highlight the research quality and latest discoveries and trends in the management cornea diseases.
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Affiliation(s)
- Sibel Zirtiloglu
- Department of Ophthalmology, Kanuni Sultan Suleyman Training and Research Hospital, Atakent Mh, Turgut Özal Bulvarı No: 46/1, 34303, Küçükçekmece, Istanbul, Turkey.
| | - Erkan Bulut
- Department of Opticianry, Vocational School of Health Services, Gelisim University, 34310, Istanbul, Turkey
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Robert C, Wilson CS. Thirty-year survey of bibliometrics used in the research literature of pain: Analysis, evolution, and pitfalls. FRONTIERS IN PAIN RESEARCH 2023; 4:1071453. [PMID: 36937565 PMCID: PMC10017016 DOI: 10.3389/fpain.2023.1071453] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2022] [Accepted: 02/08/2023] [Indexed: 03/05/2023] Open
Abstract
During the last decades, the emergence of Bibliometrics and the progress in Pain research have led to a proliferation of bibliometric studies on the medical and scientific literature of pain (B/P). This study charts the evolution of the B/P literature published during the last 30 years. Using various searching techniques, 189 B/P studies published from 1993 to August 2022 were collected for analysis-half were published since 2018. Most of the selected B/P publications use classic bibliometric analysis of Pain in toto, while some focus on specific types of Pain with Headache/Migraine, Low Back Pain, Chronic Pain, and Cancer Pain dominating. Each study is characterized by the origin (geographical, economical, institutional, …) and the medical/scientific context over a specified time span to provide a detailed landscape of the Pain research literature. Some B/P studies have been developed to pinpoint difficulties in appropriately identifying the Pain literature or to highlight some general publishing pitfalls. Having observed that most of the recent B/P studies have integrated newly emergent software visualization tools (SVTs), we found an increase of anomalies and suggest that readers exercise caution when interpreting results in the B/P literature details.
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Affiliation(s)
| | - Concepción Shimizu Wilson
- School of Information Systems, Technology and Management, University of New South Wales, UNSW Sydney, Sydney, NSW, Australia
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Bro T. Worldwide ophthalmological research production 2000-2020, with special focus on the Nordic contribution. Acta Ophthalmol 2022; 100:e1760-e1766. [PMID: 35670375 PMCID: PMC9796427 DOI: 10.1111/aos.15200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 05/24/2022] [Indexed: 01/01/2023]
Abstract
PURPOSE To explore the trends in worldwide ophthalmic research production over a 21-year period in relation to journals, contributing countries and dominating topics with special focus on the Nordic region. METHODS Articles published between 2000 and 2020 in 20 top-ranked ophthalmology journals were included. Number of articles and impact points were measured per country for each year. The most frequently occurring keywords were calculated worldwide and for the top five contributing countries and the Nordic countries. Trends were explored using linear regression. RESULTS The analysis included 65 220 articles. Linear regression showed an increase with 56 articles per year (β = 56.3, R2 = 0.72, p-value < 0.01). The United States published the most articles, comprising 35% of the worldwide total, followed by the United Kingdom (9%) and Japan (7%). Population-adjusted productivity revealed that Iceland was the most prolific country with 10 articles per million inhabitants/year. Singapore was second and Denmark third with corresponding numbers of nine and seven. Analysing regional trends, Asia had the largest increase in yearly number of articles (β = 29.1, R2 = 0.89, p-value < 0.01). The strongest positive trend was observed in China (β = 15.7, R2 = 0.94, p-value < 0.01). The Nordic countries contributed with 3.6% of worldwide ophthalmological papers. Among these, Denmark was the only country with a significant positive trend in impact points per million inhabitants per year (β = 0.6, R2 = 0.54, p-value < 0.01). The most frequently occurring eye disease within the whole time frame was myopia (5.8%) followed by macular degeneration (5.4%) and glaucoma (5.3%). Linear regression showed a significant increase in the proportion of articles about diabetic retinopathy (β = 0.2%, R2 = 0.88, p-value < 0.01) a significant decrease in the proportion in articles about cataract (β = -0.1%, R2 = 0.70, p-value < 0.01) and myopia (β = -0.1%, R2 = 0.67, p-value < 0.01). CONCLUSIONS The worldwide ophthalmic research productivity has maintained a growing trend from 2000 to 2020. While North America and Europe are the major contributors, the scientific activity in Asia and especially China is growing impressively. With the current progress, Asia is forecast to outweigh Europe in 2025 and North America in 2033. Diabetic retinopathy was the most common eye disease in ophthalmologic papers in 2020, and also the topic with the strongest positive trend during 2000-2020.
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Affiliation(s)
- Tomas Bro
- Department of Biomedical and Clinical SciencesLinköping UniversityLinköping
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Investigation of Biomedical Students' Knowledge on Glaucoma Reveals a Need for Education: A Cross-Sectional Study. Healthcare (Basel) 2022; 10:healthcare10071241. [PMID: 35885768 PMCID: PMC9319733 DOI: 10.3390/healthcare10071241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 06/23/2022] [Accepted: 06/30/2022] [Indexed: 11/17/2022] Open
Abstract
Background: Glaucoma has been recognized as one of the leading global causes of irreversible blindness. Patients with primary open-angle glaucoma rarely present with visual symptoms, at least early in the course of the disease. It is important to recognize and treat the disease before there are irreversible changes. Methods: This cross-sectional study was conducted at the University of Split School of Medicine from October to November 2021. Participants were biomedical students who completed a questionnaire. Results: In total, 312 students participated in this study. Interestingly, only 12.2% of students identified that primary open-angle glaucoma was asymptomatic. Only 42.6% of all students recognized glaucoma as being the main cause of irreversible blindness. Pharmacy students less frequently recognized high blood pressure and diabetes mellitus as risk factors for glaucoma. Students who completed an ophthalmology course more frequently recognized that successful glaucoma treatment prevents blindness, compared to students who did not complete the course, 79.1% vs. 48.7%, p < 0.001. Conclusion: The results showed that students’ knowledge on the subject is low, even after they passed their ophthalmology course. However, knowledge of glaucoma is crucial for early disease identification and the prevention of blindness. Therefore, it is important that all future health care professionals acquire adequate education.
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Boudry C, Al Hajj H, Arnould L, Mouriaux F. Analysis of international publication trends in artificial intelligence in ophthalmology. Graefes Arch Clin Exp Ophthalmol 2022; 260:1779-1788. [PMID: 34999946 DOI: 10.1007/s00417-021-05511-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 11/05/2021] [Accepted: 11/24/2021] [Indexed: 12/25/2022] Open
Abstract
PURPOSE Artificial intelligence (AI) has entered the field of medicine, and ophthalmology is no exception. The objective of this study was to report on scientific production and publication trends, to identify journals, countries, international collaborations, and major MeSH terms involved in AI in ophthalmology research. METHODS Scientometric methods were used to evaluate global scientific production and development trends in AI in ophthalmology using PubMed and the Web of Science Core Collection. RESULTS A total of 1356 articles were retrieved over the period 1966-2019. The yearly growth of AI in ophthalmology publications has been 18.89% over the last ten years, indicating that AI in ophthalmology is a very attractive topic in science. Analysis of the most productive journals showed that most were specialized in computer and medical systems. No journal was found to specialize in AI in ophthalmology. The USA, China, and the UK were the three most productive countries. The study of international collaboration showed that, besides the USA, researchers tended to collaborate with peers from neighboring countries. Among the twenty most frequent MeSH terms retrieved, there were only four related to clinical topics, revealing the retina and glaucoma as the most frequently encountered subjects of interest in AI in ophthalmology. Analysis of the top ten Journal Citation Reports categories of journals and MeSH terms for articles confirmed that AI in ophthalmology research is mainly focused on engineering and computing and is mainly technical research related to computer methods. CONCLUSIONS This study provides a broad view of the current status and trends in AI in ophthalmology research and shows that AI in ophthalmology research is an attractive topic focusing on retinal diseases and glaucoma. This study may be useful for researchers in AI in ophthalmology such as clinicians, but also for scientists to better understand this research topic, know the main actors in this field (including journals and countries), and have a general overview of this research theme.
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Affiliation(s)
- Christophe Boudry
- Normandie Univ, UNICAEN, Média Normandie, Caen, France. .,URFIST, Ecole Nationale des Chartes, PSL Research University, Paris, France.
| | - Hassan Al Hajj
- LaTIM, UMR 1101 INSERM, Université de Bretagne Occidentale, Brest, France
| | | | - Frederic Mouriaux
- INSERM, Univ Rennes, CHU Rennes, Department of Ophthalmology, CLCC Eugène Marquis, COSS [(Chemistry Oncogenesis Stress Signaling)] - UMR_S 1242, 35000, Rennes, France
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Thematic research clusters in very old populations (≥ 80 years): a bibliometric approach. BMC Geriatr 2021; 21:266. [PMID: 33882849 PMCID: PMC8058755 DOI: 10.1186/s12877-021-02209-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 03/25/2021] [Indexed: 12/17/2022] Open
Abstract
Background Population aging will be one of humanity’s major challenges in the decades to come. In addition to focusing on the pathologies causing the greatest mortality and morbidity in this population, such as dementia, health research in elderly people must consider a myriad of other interlinked factors, such as geriatric syndromes, social aspects, and factors related to preserving quality of life and promoting healthy aging. This study aims to identify the main subject areas attracting research attention with regard to very old (≥ 80 years) populations. Methods Documents assigned with the medical subject heading “Aged, 80 and over” were retrieved from MEDLINE and the Web of Science. This dataset was used to determine publication output by disease, geographic region, country, and discipline. A co-word analysis was undertaken to identify thematic research clusters. Results Since the mid-2000s, there has been a boom in scientific output focusing specifically on very old populations, especially in Europe (43.7% of the documents) but also in North America (30.5%) and Asia (26%); other regions made only nominal contributions (0.5 to 4.4%). The USA produced the most research, while the most growth over the study period occurred in Japan, Spain, and China. Four broad thematic clusters were identified: a) geriatric diseases, health services for the aged, and social and psychological issues of aging; b) cardiovascular diseases; c) neoplasms, and d) bacterial infections & anti-bacterial agents. Conclusions Scientific research in very old populations covers a wide variety of interrelated topics. In quantitative terms, the top subject areas have to do with cardiovascular and cerebrovascular diseases (including aortic valve stenosis and stroke), dementia, and neoplasms. However, other degenerative pathologies, geriatric syndromes, and different social and psychosocial aspects also attract considerable interest. It is necessary to promote more equal participation in global research on pathologies and topics related to very elderly populations, as the highest rates of population aging and the largest numbers of elderly people in the next decades will be in low- and middle-income countries. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-021-02209-7.
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Gehanno JF, Gehanno B, Schuers M, Grosjean J, Rollin L. Analysis of Publication Trends in Childhood Obesity Research in PubMed Since 1945. Child Obes 2020; 15:227-236. [PMID: 30855177 DOI: 10.1089/chi.2018.0276] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Background: Childhood obesity (CO) has become a true epidemic and a subject of increasing publications. The aim of this study was to assess if the number of publications in that field increases over time in proportion to the epidemic, and also according to socioeconomic factors. Methods: A PubMed search was carried out to extract articles related to CO published between 1945 and 2017. Data were downloaded from PubMed and processed through a dedicated parser. Socioeconomic data were collected from international organizations. Results: Overall, 36,554 articles were retrieved among 3329 journals, one-third of them being concentrated in 44 journals. The annual growth rate of publications on CO was on average 11.6% per year between 1990 and 2016, whereas the growth rate of articles on pediatrics or of the total articles indexed in MEDLINE was 2.6% and 4.4%, respectively. The most productive countries were the United States (37.80%), the United Kingdom (6.24%), and Italy (4.56%). There was a significant relationship between publications on CO in a country and prevalence of CO in that country (p = 0.002) and between evolution of the number of publications and evolution of the Human Development Index (p = 0.01). Following exponential growth, CO publications reached a plateau in 2013, whereas publications targeted on obesity in infants continue to increase. Conclusions: Research on CO has risen markedly in the last two decades, with a higher growth rate than biomedical research overall, as a result of the worldwide obesity epidemic and also due to specific socioeconomic factors.
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Affiliation(s)
- Jean-Francois Gehanno
- 1 Sorbonne Université, Inserm, Université Paris 13, Laboratoire d'informatique Médicale et d'ingénierie des Connaissances en e-santé, LIMICS, Paris, France.,2 Department of Occupational and Environmental Medicine, Rouen University Hospital, Rouen, France
| | - Bogna Gehanno
- 3 Department of Pediatrics, LADAPT, Caudebec-lès-Elbeuf, Rouen, France
| | - Mathieu Schuers
- 1 Sorbonne Université, Inserm, Université Paris 13, Laboratoire d'informatique Médicale et d'ingénierie des Connaissances en e-santé, LIMICS, Paris, France.,4 Department of General Medicine, Rouen University Hospital, Rouen, France
| | - Julien Grosjean
- 1 Sorbonne Université, Inserm, Université Paris 13, Laboratoire d'informatique Médicale et d'ingénierie des Connaissances en e-santé, LIMICS, Paris, France.,5 Department of Biomedical Informatics, Rouen University Hospital, Rouen, France
| | - Laetitia Rollin
- 1 Sorbonne Université, Inserm, Université Paris 13, Laboratoire d'informatique Médicale et d'ingénierie des Connaissances en e-santé, LIMICS, Paris, France.,2 Department of Occupational and Environmental Medicine, Rouen University Hospital, Rouen, France
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Boudry C, Alvarez-Muñoz P, Arencibia-Jorge R, Ayena D, Brouwer NJ, Chaudhuri Z, Chawner B, Epee E, Erraïs K, Fotouhi A, Gharaibeh AM, Hassanein DH, Herwig-Carl MC, Howard K, Kaimbo Wa Kaimbo D, Laughrea PA, Lopez FA, Machin-Mastromatteo JD, Malerbi FK, Ndiaye PA, Noor NA, Pacheco-Mendoza J, Papastefanou VP, Shah M, Shields CL, Wang YX, Yartsev V, Mouriaux F. Worldwide inequality in access to full text scientific articles: the example of ophthalmology. PeerJ 2019; 7:e7850. [PMID: 31687270 PMCID: PMC6825414 DOI: 10.7717/peerj.7850] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2019] [Accepted: 09/08/2019] [Indexed: 11/20/2022] Open
Abstract
Background The problem of access to medical information, particularly in low-income countries, has been under discussion for many years. Although a number of developments have occurred in the last decade (e.g., the open access (OA) movement and the website Sci-Hub), everyone agrees that these difficulties still persist very widely, mainly due to the fact that paywalls still limit access to approximately 75% of scholarly documents. In this study, we compare the accessibility of recent full text articles in the field of ophthalmology in 27 established institutions located worldwide. Methods A total of 200 references from articles were retrieved using the PubMed database. Each article was individually checked for OA. Full texts of non-OA (i.e., “paywalled articles”) were examined to determine whether they were available using institutional and Hinari access in each institution studied, using “alternative ways” (i.e., PubMed Central, ResearchGate, Google Scholar, and Online Reprint Request), and using the website Sci-Hub. Results The number of full texts of “paywalled articles” available using institutional and Hinari access showed strong heterogeneity, scattered between 0% full texts to 94.8% (mean = 46.8%; SD = 31.5; median = 51.3%). We found that complementary use of “alternative ways” and Sci-Hub leads to 95.5% of full text “paywalled articles,” and also divides by 14 the average extra costs needed to obtain all full texts on publishers’ websites using pay-per-view. Conclusions The scant number of available full text “paywalled articles” in most institutions studied encourages researchers in the field of ophthalmology to use Sci-Hub to search for scientific information. The scientific community and decision-makers must unite and strengthen their efforts to find solutions to improve access to scientific literature worldwide and avoid an implosion of the scientific publishing model. This study is not an endorsement for using Sci-Hub. The authors, their institutions, and publishers accept no responsibility on behalf of readers.
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Affiliation(s)
- Christophe Boudry
- Normandie Univ, UNICAEN, Média Normandie, Caen, France.,URFIST, Ecole Nationale des Chartes, PSL Research University, Paris, France
| | | | - Ricardo Arencibia-Jorge
- Empresa de Tecnologías de la Información (ETI), Grupo de las Industrias Biotecnológica y Farmacéutica (BioCubaFarma), Havana, Cuba
| | - Didier Ayena
- Université de Lomé, Faculté des Sciences de la santé, Hôpital de Bè, Lomé, Togo
| | - Niels J Brouwer
- Leiden University Medical Center, Department of Ophthalmology, Leiden, The Netherlands
| | - Zia Chaudhuri
- University of Delhi, Lady Hardinge Medical College, PGIMER, Dr RML Hospital, New Delhi, India
| | - Brenda Chawner
- Victoria University of Wellington, School of Information Management, Wellington, New Zealand
| | - Emilienne Epee
- Université de Yaoundé, Faculté de Médecine et des Sciences Biomédicales, Yaoundé, Cameroon
| | - Khalil Erraïs
- Université de Tunis El-Manar, Faculté de Médecine de Tunis, Tunis, Tunisia
| | - Akbar Fotouhi
- Tehran University of Medical Sciences, School of Public Health, Department of Epidemiology and Biostatistics, Tehran, Iran
| | | | | | | | | | | | - Patricia-Ann Laughrea
- Laval University, Department of Ophthalmology and Head and Neck Surgery, Quebec, Canada
| | - Fernando A Lopez
- Universidad Metropolitana para la Educación y el Trabajo, Centro de Innovación de los Trabajadores, Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina
| | | | | | | | - Nina A Noor
- JEC Eye Hospitals and Clinics, Jakarta, Indonesia
| | | | | | - Mufarriq Shah
- Pakistan Institute of Community Ophthalmology, Hayatabad Medical Complex, Department of Optometry, Peshawar, Pakistan
| | - Carol L Shields
- Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA, USA
| | - Ya Xing Wang
- Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology and Visual Sciences Key Laboratory, Beijing, China
| | - Vasily Yartsev
- Scientific Research Institute of Eye Diseases, Moscow, Russia
| | - Frederic Mouriaux
- Univ Rennes, INSERM, INRA, CHU de Rennes, Institut NUMECAN (Nutrition Metabolisms and Cancer), Rennes, France.,Service d'ophtalmologie, CHU de Rennes, Rennes, France
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PREVALENCE OF POLYPOIDAL CHOROIDAL VASCULOPATHY IN WHITE PATIENTS WITH EXUDATIVE AGE-RELATED MACULAR DEGENERATION: Systematic Review and Meta-Analysis. Retina 2019; 38:2363-2371. [PMID: 29059101 DOI: 10.1097/iae.0000000000001872] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
PURPOSE Polypoidal choroidal vasculopathy (PCV) is a disease with significant inter-ethnical differences. In this study, we systematically review the literature on the prevalence of PCV in whites referred with a diagnosis of exudative age-related macular degeneration (AMD). METHODS We searched PubMed, Embase, the Cochrane Library, and the Web of Science on 24 March, 2017 for studies evaluating the prevalence of PCV in white patients with exudative AMD. Data extraction and risk of bias assessments were performed in duplicate. Studies were included for a qualitative review and a meta-analysis, including subgroup analysis for differences in age and sex. RESULTS We included data from 11 studies (>2,200 participants). For diagnosis, indocyanine green angiography was used together with a set of supporting criteria on fundus examination and optical coherence tomography. Extramacular location was more prevalent in eyes with PCV. Drusen was present in the fellow eye in 17% to 27%. Pooled prevalence of PCV in white patients with exudative AMD was 8.7% (confidence interval 95%: 7.2%-10.3%). Patients with PCV were 3.7 years (confidence interval 95%: 2.1 years-5.3 years) younger than those with other exudative AMD. Sex did not differ significantly. CONCLUSION Polypoidal choroidal vasculopathy is not a rare subtype of exudative AMD in whites-it is present in approximately one in 11 patients.
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12
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The inverse-research law of eye health. Eye (Lond) 2019; 33:1976-1977. [PMID: 31296951 DOI: 10.1038/s41433-019-0528-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2019] [Accepted: 06/21/2019] [Indexed: 01/21/2023] Open
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13
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Loezar C, Madrid E, Jahr C, Daviu A, Ahumada H, Pardo-Hernandez H, Keller E, Bonfill X. Identification and description of controlled clinical trials published in Spanish Ophthalmology Journals. Ophthalmic Epidemiol 2018; 25:436-442. [PMID: 30081705 DOI: 10.1080/09286586.2018.1503688] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
PURPOSE Properly conducted controlled clinical trials (CCTs) provide the highest level of evidence for optimising decision-making in healthcare. Electronic search strategies do not exhaustively retrieve them, because of issues related to indexing, exclusion of journals in languages other than English, among others. A handsearch approach is therefore warranted. We aimed to identify all CCTs published in Ophthalmology journals in Spain, to describe their main features, and to submit them to the Cochrane Register of CCTs (CENTRAL). METHODS After identifying all Spanish Ophthalmology Journals, we conducted a systematic handsearch following Cochrane guidelines. When appropriate, results were compared against electronic searches. A descriptive analysis was completed, including risk of bias assessment. RESULTS We identified 18 eligible journals; 10 074 original articles, editorials, letters to the editor, abstracts and conference proceedings were assessed via handsearching for inclusion. Of these, 136 were subject to title and abstract screening, after which 102 were classified as CCTs. We identified three articles via electronic searches that had not been detected via handsearch, for a total of 105 CCTs. Among these, the most investigated pathologies were cataracts (32/105; 30.5%) and glaucoma (23/105 21.9%). Regarding risk of bias, 104/105 (99.0%) were deemed as "high risk of bias", mainly due to flaws in sequence generation and allocation concealment. 15/105 (14.3%) mentioned conflicts of interest, half of which had something to declare. No CCT reported adherence to CONSORT. CONCLUSION Spanish Ophthalmology journals publish a low number of CCTs, with limited methodological quality. Handsearching was more sensitive than the electronic searching. Abbreviations CCT: Controlled clinical trial.
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Affiliation(s)
- Cristobal Loezar
- a School of Medicine , Universidad de Valparaiso , Valparaiso , Chile.,b Cochrane Chile , Santiago , Chile.,c Ophthalmology Service , Carlos van Buren Hospital , Valparaiso , Chile.,d Interdisciplinary Centre for Health Studies-CIESAL, Universidad de ValparaIso , Valparaiso , Chile
| | - Eva Madrid
- a School of Medicine , Universidad de Valparaiso , Valparaiso , Chile.,b Cochrane Chile , Santiago , Chile.,d Interdisciplinary Centre for Health Studies-CIESAL, Universidad de ValparaIso , Valparaiso , Chile
| | - Catalina Jahr
- a School of Medicine , Universidad de Valparaiso , Valparaiso , Chile
| | - Antonio Daviu
- a School of Medicine , Universidad de Valparaiso , Valparaiso , Chile
| | - Herman Ahumada
- a School of Medicine , Universidad de Valparaiso , Valparaiso , Chile
| | - Hector Pardo-Hernandez
- e Iberoamerican Cochrane Centre, Institute of Biomedical Research (IIB Sant Pau) , Barcelona , Spain.,f CIBER de Epidemiología y Salud Pública (CIBERESP) , Barcelona , Spain
| | - Eva Keller
- a School of Medicine , Universidad de Valparaiso , Valparaiso , Chile.,c Ophthalmology Service , Carlos van Buren Hospital , Valparaiso , Chile
| | - Xavier Bonfill
- e Iberoamerican Cochrane Centre, Institute of Biomedical Research (IIB Sant Pau) , Barcelona , Spain.,f CIBER de Epidemiología y Salud Pública (CIBERESP) , Barcelona , Spain.,g Servei d'Epidemiologia i Salut Pública , Hospital de la Santa Creu i Sant Pau , Barcelona , Spain.,h Universitat Autònoma de Barcelona , Barcelona , Spain
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Theme trends and knowledge structure on choroidal neovascularization: a quantitative and co-word analysis. BMC Ophthalmol 2018; 18:86. [PMID: 29614994 PMCID: PMC5883306 DOI: 10.1186/s12886-018-0752-z] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Accepted: 03/23/2018] [Indexed: 12/27/2022] Open
Abstract
Background The distribution pattern and knowledge structure of choroidal neovascularization (CNV) was surveyed based on literatures in PubMed. Methods Published scientific papers about CNV were retrieved from Jan 1st, 2012 to May 31st, 2017. Extracted MeSH terms were analyzed quantitatively by using Bibliographic Item Co-Occurrence Matrix Builder (BICOMB) and high-frequency MeSH terms were identified. Hierarchical cluster analysis was conducted by SPSS 19.0 according to the MeSH term-source article matrix. High-frequency MeSH terms co-occurrence matrix was constructed to support strategic diagram and social network analysis (SNA). Results According to the searching strategy, all together 2366 papers were included, and the number of annual papers changed slightly from Jan 1st, 2012 to May 31st, 2017. Among all the extracted MeSH terms, 44 high-frequency MeSH terms were identified and hotspots were clustered into 6 categories. In the strategic diagram, clinical drug therapy, pathology and diagnosis related researches of CNV were well developed. In contrast, the metabolism, etiology, complications, prevention and control of CNV in animal models, and genetics related researches of CNV were relatively immature, which offers potential research space for future study. As for the SNA result, the position status of each component was described by the centrality values. Conclusions The studies on CNV are relatively divergent and the 6 research categories concluded from this study could reflect the publication trends on CNV to some extent. By providing a quantitative bibliometric research across a 5-year span, it could help to depict an overall command of the latest topics and provide some hints for researchers when launching new projects.
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Chen X, Xie H, Wang FL, Liu Z, Xu J, Hao T. A bibliometric analysis of natural language processing in medical research. BMC Med Inform Decis Mak 2018; 18:14. [PMID: 29589569 PMCID: PMC5872501 DOI: 10.1186/s12911-018-0594-x] [Citation(s) in RCA: 64] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Background Natural language processing (NLP) has become an increasingly significant role in advancing medicine. Rich research achievements of NLP methods and applications for medical information processing are available. It is of great significance to conduct a deep analysis to understand the recent development of NLP-empowered medical research field. However, limited study examining the research status of this field could be found. Therefore, this study aims to quantitatively assess the academic output of NLP in medical research field. Methods We conducted a bibliometric analysis on NLP-empowered medical research publications retrieved from PubMed in the period 2007–2016. The analysis focused on three aspects. Firstly, the literature distribution characteristics were obtained with a statistics analysis method. Secondly, a network analysis method was used to reveal scientific collaboration relations. Finally, thematic discovery and evolution was reflected using an affinity propagation clustering method. Results There were 1405 NLP-empowered medical research publications published during the 10 years with an average annual growth rate of 18.39%. 10 most productive publication sources together contributed more than 50% of the total publications. The USA had the highest number of publications. A moderately significant correlation between country’s publications and GDP per capita was revealed. Denny, Joshua C was the most productive author. Mayo Clinic was the most productive affiliation. The annual co-affiliation and co-country rates reached 64.04% and 15.79% in 2016, respectively. 10 main great thematic areas were identified including Computational biology, Terminology mining, Information extraction, Text classification, Social medium as data source, Information retrieval, etc. Conclusions A bibliometric analysis of NLP-empowered medical research publications for uncovering the recent research status is presented. The results can assist relevant researchers, especially newcomers in understanding the research development systematically, seeking scientific cooperation partners, optimizing research topic choices and monitoring new scientific or technological activities.
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Affiliation(s)
- Xieling Chen
- College of Economics, Jinan University, Guangzhou, China
| | - Haoran Xie
- Department of Mathematics and Information Technology, The Education University of Hong Kong, Hong Kong, Hong Kong, Special Administrative Region of China
| | - Fu Lee Wang
- School of Science and Technology, The Open University of Hong Kong, Hong Kong, Hong Kong, Special Administrative Region of China
| | - Ziqing Liu
- The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Juan Xu
- The Research Institute of National Supervision and Audit Law, Nanjing Audit University, Nanjing, China
| | - Tianyong Hao
- School of Information Science and Technology, Guangdong University of Foreign Studies, Guangzhou, China. .,School of Computer, South China Normal University, Guangzhou, China.
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Boudry C, Baudouin C, Mouriaux F. International publication trends in dry eye disease research: A bibliometric analysis. Ocul Surf 2017; 16:173-179. [PMID: 29031646 DOI: 10.1016/j.jtos.2017.10.002] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Revised: 09/27/2017] [Accepted: 10/08/2017] [Indexed: 11/29/2022]
Abstract
PURPOSE To perform a bibliometric analysis in the field of dry eye disease (DED) research to characterize the current international status of DED research and to identify the most effective actors (journals, countries, authors) involved in this field. METHODS Scientometric methods were used to evaluate global scientific production and development trends in DED research, using the Web of Science Core Collection. RESULTS The growth of the literature related to DED averaged 12.18% over the last 10 years. A total of 5522 original and review articles, published in 821 different journals, were identified. The USA was the most productive country with 34.53% of the overall articles studied and 46.10% of the overall citations. The Ocular Surface published a very high percentage of articles related to DED relative to the total number of articles published (31.87%). The most productive institutions and the most frequently cited articles were from the USA and Japan. A network visualization map for country collaboration revealed that most European countries developed most of their collaborations with countries belonging to their own continent, which was not the case for the USA or Japan. A total of 41,956 KeyWords Plus were found with an average of 7.6 (SD = 3.15) KeyWords Plus per article. CONCLUSIONS This study provides a broad view of the current status and trends in DED research and may help clinicians, researchers and policy makers better understand this research field and predict its dynamic directions.
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Affiliation(s)
- Christophe Boudry
- Normandie Univ, UNICAEN, Média Normandie, Caen, France; URFIST, Ecole Nationale des Chartes, PSL Research University, Paris, France; Laboratoire "Dispositifs d'Information et de Communication à l'Ère Numérique", EA7339, Conservatoire National des Arts et Métiers, Paris, France.
| | - Christophe Baudouin
- Department of Ophthalmology III, Quinze-Vingts National Ophthalmology Hospital, Paris, France; Institut de la Vision INSERM U968 UMR_S 968 CNRS UMR_7210, Sorbonne Universités, UPMC University Paris 06, Paris, F-75012, France
| | - Fréderic Mouriaux
- Service d'Ophtalmologie, CHU Rennes, Université Rennes 1, Rennes, France; Faculté de Médecine, Rennes, France
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Schargus M, Kromer R, Druchkiv V, Frings A. The top 100 papers in dry eye - A bibliometric analysis. Ocul Surf 2017; 16:180-190. [PMID: 28923504 DOI: 10.1016/j.jtos.2017.09.006] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2017] [Revised: 09/12/2017] [Accepted: 09/12/2017] [Indexed: 11/15/2022]
Abstract
PURPOSE Citation analysis represents one of the best currently available methods for quantifying the impact of articles. Bibliometric studies list the ''best sellers'' in a single field of interest. The purpose of the present study was to identify and analyze the most frequently cited papers in dry eye research that may be of high interest for researchers and clinicians. METHODS We reviewed the database of the Institute for Scientific Information to identify articles published from 1900 to September 2016. All dry eye articles published in 59 ophthalmology journals were identified. The top 100 articles were selected for further analysis of authorship, source journal, number of citations, citation rate, geographic origin, article type, and level of evidence. RESULTS The 100 most-cited articles were published between 1983 and 2011, with most of them in the 2000s. The number of citations per article ranged from 96 to 610, and was greatest for articles published in the 2000s. Each of these articles was published in one of 15 journals. Most articles represented Level-III evidence, followed by Levels II and I. CONCLUSIONS The present study focusing on dry eye research revealed that 55% of the most-cited articles came from the U.S. and 18% from Japan. Diagnostics and therapy were the areas of focus of most of the clinical articles; 13% of the most cited papers were review articles. This analysis provides researchers and clinicians with a detailed overview on the most cited dry eye papers over the past decades.
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Affiliation(s)
- Marc Schargus
- Department of Ophthalmology, Heinrich-Heine-University Düsseldorf, Germany; Eye Hospital Schweinfurt-Gerolzhofen, Gerolzhofen, Germany.
| | - Robert Kromer
- Department of Ophthalmology, University Hospital Hamburg-Eppendorf, Germany
| | - Vasily Druchkiv
- Department of Ophthalmology, University Hospital Hamburg-Eppendorf, Germany; Clínica Baviera, Valencia, Spain
| | - Andreas Frings
- Department of Ophthalmology, Heinrich-Heine-University Düsseldorf, Germany
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Boudry C, Bouchard A. Réseaux sociaux académiques et diffusion de la production scientifique des chercheurs en biologie/médecine. Med Sci (Paris) 2017; 33:647-652. [DOI: 10.1051/medsci/20173306023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Boudry C, Chartron G. Availability of digital object identifiers in publications archived by PubMed. Scientometrics 2017. [DOI: 10.1007/s11192-016-2225-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Boudry C, Durand-Barthez M. Publications en libre accès en biologie–médecine : historique et état des lieux en 2016. ACTA ACUST UNITED AC 2017. [DOI: 10.1016/j.jemep.2017.02.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Vainer I, Mimouni F, Blumenthal EZ, Mimouni M. Trends in impact factors of ophthalmology journals. Indian J Ophthalmol 2016; 64:668-671. [PMID: 27853016 PMCID: PMC5151158 DOI: 10.4103/0301-4738.194324] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Purpose: To test whether there is an association between the growth in the number of ophthalmic journals in the past years and their mean and maximum impact factor (IF) as a common sign of scientific proliferation. Methods: Using data from the 2013 Journal Citation Report database a study of the major clinical medical fields was conducted to assess the correlation between the number of journals and maximum IF in a given field in the year 2013. In the field of ophthalmology, we examined the correlation between year, number of journals, mean IF and maximum IF in the field of ophthalmology throughout the years 2000–2013. Results: In the major medical fields, a positive correlation was found between the number of journals and the maximum IF (quadratic R2 = 0.71, P < 0.001). When studying the field of ophthalmology a positive correlation between the number of journals and mean IF (R2 = 0.84, P < 0.001) and between number of journals and maximum IF (R2 = 0.71, P < 0.001) was detected. Conclusions: Our findings suggest that the variation in the IF can be explained by the number of journals in the field of ophthalmology. In the future, the formation of additional ophthalmology journals is likely to further increase the IFs of existing journals.
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Affiliation(s)
- Igor Vainer
- Department of Ophthalmology, Rambam Health Care Campus, Haifa, Israel
| | - Francis Mimouni
- Department of Pediatrics, The Shaare Zedek Medical Center, Jerusalem, Israel
| | | | - Michael Mimouni
- Department of Ophthalmology, Rambam Health Care Campus, Haifa, Israel
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