bims-evares Biomed News
on Evaluation of research
Issue of 2025–09–07
thirty-one papers selected by
Thomas Krichel, Open Library Society



  1. Turk Neurosurg. 2025 Jul 14.
       AIM: Scientific publications can serve as both a measure of scientific productivity and a reflection of gender distribution in academic fields. This study aimed to assess the contributions of Turkish female authors to the field of neurosurgery through Turkish Neurosurgery, the only neurosurgery journal in Turkey indexed by SCIE.
    MATERIAL AND METHODS: A bibliometric analysis was conducted on articles published in Turkish Neurosurgery from 2019 to 2023. Data were gathered on authorship, gender distribution, article types, topics, and institutional affiliations. Statistical analyses included chi-square tests, the Cochran-Armitage test, and logistic regression to evaluate the association between female senior and first authorship.
    RESULTS: Of the 751 articles reviewed, 505 featured contributions from at least one Turkish author, comprising 2,601 Turkish contributors (24.8% female, 74.4% male). Turkish female authors appeared in 292 of these publications (57.8%), serving as first authors in 103 (20.4%) and senior authors in 92 (18.2%). The proportion of Turkish female first authorship increased significantly over the study period, peaking at 31.2% in 2022 (p = 0.049). Logistic regression analysis revealed that the presence of a Turkish female senior author significantly increased the likelihood of female first authorship (OR = 3.96, p 0.001). Only 16.2% of Turkish-authored articles included female neurosurgeons. Of all Turkish female authors, 23.6% of first authors and 19.6% of senior authors were neurosurgeons. Most publications by Turkish female authors (59.7%) were original research articles, primarily focusing on neuro-oncology, spine, and functional neurosurgery.
    CONCLUSION: This study highlights encouraging progress in the representation of Turkish female authors, particularly neurosurgeons, who exhibit strong academic engagement relative to their workforce proportion in neurosurgical academic publishing. Mentorship plays a crucial role in increasing female first authorship. To strengthen this effect, academic institutions could implement structured mentorship programs, fund collaborative research, and establish platforms to connect senior and junior female researchers.
    DOI:  https://doi.org/10.5137/1019-5149.JTN.49213-25.1
  2. Plast Surg (Oakv). 2025 Aug 29. 22925503251371051
      Introduction: The landscape of academic research has evolved notably in recent decades, shifting towards earlier career publications and more interdisciplinary collaborations. This study aims to identify research productivity trends among Canadian academic plastic surgeons. Methods: The Web of Science and MEDLINE databases were searched by plastic surgeon names and for each result, the author list position, year of publication, journal, and citation counts were collected. Surgeons' demographics, including gender and medical school graduation year, were obtained from provincial college websites. Publication rates over a plastic surgeon's career trajectory were analyzed by surgeons' current decade of practice. Results: There were 3661 included entries in our database, corresponding to 2831 unique publications by 245 surgeons (71%, 175/245 men). The median year of medical school graduation was 2002 (SD 12 years). Surgeons in more recent decades of practice (decade 1 or decade 2) published earlier and more frequently per career decade. A wide distribution of publication rates (range 0-66) was found for surgeons currently in their fourth decade of practice. From 2005 to 2020, the number of publications per year increased dramatically, from 36 publications in 2005 to 198 publications in 2020. Citations normalized by years from publication remained stable. The proportion of first authorship decreased from 0.63 and 0.42 in the pre-medicine and educational decades, to 0.09 and 0.08 by the third and fourth decades of practice (p < .001). Conclusion: An emerging trend of earlier and increased publications among newer generations of surgeons was seen. Incentives to participate and mentor in research for surgeons gaining seniority are suggested.
    Keywords:  career trajectory; publication trends; research productivity; surgical education
    DOI:  https://doi.org/10.1177/22925503251371051
  3. Cureus. 2025 Jul;17(7): e88858
       BACKGROUND: Citations are an indicator of an article's visibility, significance, impact, and attention in journals. Evidence has suggested that there may be increasing questionable citation practices by authors to achieve "scores and win rewards." It poses the question of whether high citation counts are a realistic metric for an individual's mark of influence or an attempt at the misrepresentation of performance to game citation scores.
    OBJECTIVE: This study aimed to investigate the difference in author and journal self-citation rates in three high-impact general surgery journals.
    METHODS: A retrospective cohort of all original research articles published from January 1, 2022, through December 31, 2022, in the Journal of the American Medical Association Surgery (JAMA Surg, Impact Factor (IF) 16.7), Annals of Surgery (AOS, IF 13.8), and the Journal of the American College of Surgeons (ACS, IF 6.5) were reviewed. Data was collected on the total number of authors, references, author self-citations, journal self-citations, and the country associated with the last author. The Kruskal-Wallis test was used to compare continuous data between journals, and all correlations were calculated using Spearman correlation coefficients. An average self-citation index was calculated for every country represented in each journal and plotted on an area map.
    RESULTS: A total of 558 articles, 6,399 authors, 19,943 references, 32 states in the U.S., and 25 countries were reviewed and included in the final analysis. Author self-citations accounted for 28.4% (N = 1,819) of all references studied, with a statistically significant difference between JAMA Surg and AOS vs. ACS, and no differences between JAMA Surg and AOS (JAMA Surg 3 and AOS 3 vs. ACS 2; p < 0.001), with data represented as group medians. Authors self-cited themselves a total of 3,852 times, with first authors accounting for 17.1% (N = 658) and last authors accounting for 19.6% (N = 755) of all self-citations. A significant positive correlation was noted between the total number of authors and the number of authors self-citing (r(556) = 0.386; p < 0.001). A significant, strong positive correlation was also noted between the total times authors self-cited and the total times the first and last authors self-cited (first author: r(556) = 0.582, p < 0.001); last author: r(556) = 0.634, p < 0.001). Overall, journal self-citations accounted for 6.7% (N = 1337) of all cited manuscripts. A significantly small positive correlation between the number of references and the journal self-citations was noted (r(557) = 0.224; p < 0.001). On an international stage, the UK (0.63, 0.67 in JAMA Surg and ACS, respectively) and Israel (0.75 in AOS) had the highest average self-citation index across all three journals, with the UK repeating in both JAMA Surg and ACS; however, New Zealand (0), Canada (0), and Spain (0.11) had the lowest average self-citation indices across all three journals.  Conclusion: In the journals studied, both JAMA Surg and AOS were found to have equal levels of self-citation but significantly higher than ACS. Nearly a third of all the references across three journals were found to be first or last author self-citations. Additionally, journals self-cited at a lower rate, but a correlation existed between the number of references and journal's self-citation rate. A potential international co-localization of self-citations exists, especially among smaller European and Asian countries.
    Keywords:  authorship; bibliometric analyses; country self-citation; scientific publishing; self-citation rate
    DOI:  https://doi.org/10.7759/cureus.88858
  4. Curr Diabetes Rev. 2025 Aug 28.
       BACKGROUND: Epigenetic regulation constitutes critical molecular mechanisms underlying the pathogenesis of diabetes and disease progression. While substantial mechanistic investigations exist, the field lacks systematic mapping of research trends, collaborative networks, and emerging frontiers.
    OBJECTIVES: To conduct the first comprehensive bibliometric evaluation of epigenetic studies in diabetes mellitus and its complications (2014-2024), identifying key research domains, international collaboration patterns, and innovative investigative directions to inform strategic research planning and highlight opportunities for innovative therapeutic approaches.
    METHODS: We interrogated the Web of Science Core Collection using stringent inclusion criteria, analyzing 1,451 publications through advanced multi-dimensional metrics in CiteSpace (6.2.R4), VOSviewer (1.6.20), and Bibliometrix (4.1.3).
    RESULTS: A total of 1,451 original and review articles were retrieved, involving 83 countries/regions, 576 journals, and 7,645 authors. The United States produced the highest number of publications (n = 464), followed by China (n = 283) and Italy (n = 121). The International Journal of Molecular Sciences was the leading journal (66 publications), dominated by review articles (n = 53). Author collaboration networks were extensive, with Charlotte Ling emerging as the most prolific and influential author in publications, citations, and H-index. Keyword co-occurrence analyses emphasized type 2 DM, gestational DM, and diabetic nephropathy as primary research focuses, while new frontiers highlighted potential links to Alzheimer's disease and fibroblast biology.
    CONCLUSION: This multi-dimensional analysis provides quantitative visualization of research evolution, delineates current investigative priorities, and highlights underexplored therapeutic targets. Our findings establish a strategic framework for transdisciplinary collaboration in precision diabetology.
    Keywords:  DNA methylation; Molecular pathology; chronic hyperglycemia; collaboration networks.; histone modification; research mapping
    DOI:  https://doi.org/10.2174/0115733998389913250807044815
  5. Nurse Educ. 2025 Sep 01.
       BACKGROUND: Nurse Educator has been published for 50 years, but no bibliometric studies have been done.
    PURPOSE: The aim was to analyze the focus and characteristics of articles in Nurse Educator through its 50-year history.
    METHODS: This was a bibliometric analysis of the journal.
    RESULTS: There were 4551 articles published from 1976 through 2024. As expected, the number of articles published has increased steadily over the years, from 13 articles in 1976 to 304 articles in 2024. Of the 66 387 keywords, the top individual keyword was "nursing students" (n = 3911). Most of the articles, especially in recent years, disseminate research in nursing education. Changes in the focus of articles over the years were examined in relation to key events in health care and nursing education.
    CONCLUSIONS: Articles that disseminate research had the largest number of keywords (n = 8790), suggesting the importance of the journal in the development of the science of nursing education and of nursing education as a field of study.
    Keywords:  articles; bibliometrics; patterns of articles; quantitative analysis
    DOI:  https://doi.org/10.1097/NNE.0000000000001971
  6. Quant Imaging Med Surg. 2025 Sep 01. 15(9): 7896-7908
       Background: Computed tomography (CT)-based coronary atherosclerotic plaque studies have been continuously deepening and evolving, yet systematic trend analysis remains to be implemented. In this study, to explore the dynamic development in this field, we conducted a comprehensive and in-depth bibliometric analysis of CT-based atherosclerosis plaque imaging in coronary artery disease (CAD).
    Methods: Our data sources were from the Web of Science Core Collection (WoSCC), in which the relevant documents were limited to articles written in English, with no time restrictions. Bibliometric analysis using Bibliometrix and VOSviewer was conducted, including keywords, citations, authors, institutions, countries, and also co-citation analyses of references and sources.
    Results: A total of 2,195 publications between 1990 and 2024 were included, comprising 1,970 articles and 225 reviews. The number of publications displayed a strong upward trend. Based on the keywords analysis, the research topics could be sorted into 4 categories (disease, atherosclerotic plaque type, imaging technique, and study orientation) and the evolution of the research could be divided into four stages (initial, slow rise, wavelike rise, and blooming). The co-citation analysis showed that the sources were grouped into cardiovascular-related, metabolism-related, and radiology-related journals. Among 72 countries and 2,339 institutions, the USA ranked first with 1,003 articles and 58,759 citations.
    Conclusions: Through bibliometric analysis, we found that coronary atherosclerotic plaque studies have been evolving and are now blooming, with obvious trends and certain flow directions, which helps us to identify the current research challenges, as well as future research directions. The CT plaque imaging enabled coronary computed tomography angiography (CCTA) to change from the "gatekeeper" of invasive angiography to the "whistleblower" of high-risk patients, meaning that its role has shifted from a selector reliant on coronary angiography to an identifier of patients at high risk of adverse cardiovascular events.
    Keywords:  Plaque; atherosclerosis; bibliometrics; computed tomography (CT); coronary artery disease (CAD)
    DOI:  https://doi.org/10.21037/qims-2025-239
  7. Rheumatol Int. 2025 09 02. 45(9): 215
       INTRODUCTION: Social media (SoMe) platforms provide ample opportunities for disseminating research results and journal updates. The presence of indexed rheumatology journals on SoMe has been scarcely explored.
    OBJECTIVES: The purpose of this study is to assess the presence of mainstream rheumatology journals on key SoMe platforms and to analyze the relationship between bibliometric indicators and alternative metrics.
    METHODS: Quantitative data were collected from the SCImago Journal and Country Rank platform. The availability of journal SoMe channels (X, Facebook, YouTube), number of subscribers, and activity indicators were analyzed. Bibliometric indicators, including values of journal Hirsch index, SCImago Journal Rank (SJR), journal quartile ranking based on SJR, total number of publications and citations over the past three years, as well as the region and publication mode (open access) were analyzed. The association between SoMe metrics and bibliometric indicators was assessed using Spearman's rank correlation coefficient (ρ).
    RESULTS: Among the analyzed 76 rheumatology journals, 29 (38.2%) had an official SoMe account. X (formerly Twitter) turned out to be the most frequently used platform - 28 (96.5%), followed by Facebook - 12 (15.8%), and YouTube 5 (6.6%). SJR and number of followers on X positively correlated (ρ = 0.594, P = 0.001). The number of Facebook followers also showed a positive correlation with SJR (ρ = 0.587, P = 0.045). Only five journals had YouTube channels with a total of 2,471 subscribers, 272 videos, and 288,530 views. The Annals of the Rheumatic Diseases had the most popular YouTube channel, with 1,130 subscribers and 170,575 views.
    CONCLUSION: SoMe channels are crucial for promotion of rheumatology journals. The prominence of the X channels points to their crucial role in disseminating journal updates and boosting their alternative impact metrics.
    Keywords:  Bibliometrics; Communication; Journal impact factor; Rheumatology; Social media
    DOI:  https://doi.org/10.1007/s00296-025-05973-6
  8. JB JS Open Access. 2025 Jul-Sep;10(3):pii: e25.00149. [Epub ahead of print]10(3):
       Background: Research productivity, education, and clinical performance have become increasingly central to faculty promotion decisions in orthopaedic surgery. The Hirsch index (h-index) has emerged as an objective tool for quantifying academic impact, but its relationship with academic rank in orthopaedic surgery remains incompletely understood.
    Methods: We analyzed faculty data from the top 50 academic orthopaedic surgery programs ranked by Doximity. We identified faculty members from institutional websites and collected academic metrics from Scopus, including h-index, publication counts, first-author publications, last-author publications, career length, and m-index (h-index divided by the career length). We used a multivariate analysis and recursive partitioning to identify predictors of senior academic rank (associate or full professor).
    Results: Of 2,744 faculty reviewed, 1,520 academic orthopaedic surgeons met the inclusion criteria. The median h-index was 15 (interquartile range [IQR]: 7-27), and the median career length was 19 years (IQR: 13-28). In multivariate analysis, h-index and career duration emerged as the strongest predictors of senior academic rank. Multivariate recursive partitioning identified the h-index, number of publications, first-author publications, and career length as influential predictors. Faculty at institutions ranked 1 to 25 demonstrated significantly higher academic productivity across all metrics than those ranked 26 to 50 (p < 0.001). The trajectory of research productivity shows a consistent increase with career duration, with the m-index plateauing mid-career.
    Conclusions: Our findings indicate that the h-index and career length are significant predictors of senior academic rank. Academic productivity was higher at programs ranked 1 to 25 by Doximity compared with those ranked 26 to 50. While productivity metrics generally increase with career duration, the m-index plateaus in mid-career.
    Level of Evidence: Level III, Prognostic Study. See Instructions for Authors for a complete description of levels of evidence.
    DOI:  https://doi.org/10.2106/JBJS.OA.25.00149
  9. J Robot Surg. 2025 Aug 31. 19(1): 540
      This study aimed to evaluate the scholarly research output of Pakistan in the field of robotic surgery, using publication trends and citation performance as indicators of research progress. In July 2025, data were retrieved from the Scopus database, focusing on articles and reviews. Two approaches were used: (1) a broad string-based search for robotic surgery-related literature and (2) a journal-specific search in five robotic surgery-focused journals (Journal of Robotic Surgery, International Journal of Medical Robotics and Computer Assisted Surgery, Robotica, Science Robotics, and Laparoscopic Endoscopic and Robotic Surgery). Publications were analyzed by collaboration type (with and without international collaboration). Using the broad search, 49,329 global publications were identified, with 93 collaborative (0.188%) and 45 non-collaborative (0.09%) publications from Pakistan. In the journal-specific search, 6340 global publications were identified, including 16 collaborative (0.25%) and 6 non-collaborative (0.09%) publications from Pakistan. Collaborative outputs were concentrated in the Journal of Robotic Surgery (10 articles) and Robotica (3 articles). Publication activity increased notably in recent years, with the highest number recorded in 2024 (36 publications) for the broad search and 2025 (5 publications) for the journal-specific search. Pakistan's contribution to robotic surgery research remains limited, with a small number of institutions driving collaborative output. Systematic strategies to enhance national research capacity in this field are urgently needed.
    Keywords:  Numerical data; Robotic surgery; Scholarly output; Scopus
    DOI:  https://doi.org/10.1007/s11701-025-02677-8
  10. Clin Dermatol. 2025 Aug 26. pii: S0738-081X(25)00211-1. [Epub ahead of print]
      Assessing academic performance in dermatology is an interesting and evolving challenge. Early-career researchers often look for clear indicators to identify leading authors; however, reliance on single measures such as citation counts or the h-index provides only a limited view of scholarly influence. Using diverse bibliometric indicators from Scopus, we observed that author rankings shifted considerably depending on the metric applied, reflecting the lack of agreement on how best to capture academic impact. Similarly, we noted that ethical publications (letters, notes, and related formats) in dermatology may contribute to scholarly discussions and institutional practices but often receive modest citation profiles, highlighting the gap between measurable indicators and genuine value. Inflated authorship practices and citation manipulation further complicate fair evaluation. Fractional authorship models and multidimensional frameworks-which consider publication type, journal quality, collaboration, funding strength, and broader societal contributions-may offer more balanced perspectives. We suggest that institutions, journals, and training programs promote the ethical use of metrics and integrate qualitative assessments alongside quantitative ones. Such an approach can foster fairness, transparency, and meaningful recognition within dermatology and academic medicine more broadly.
    DOI:  https://doi.org/10.1016/j.clindermatol.2025.08.002
  11. J Neurol Surg B Skull Base. 2025 Oct;86(5): 591-601
       Introduction: Fellowship training has become increasingly sought after by neurosurgeons aiming for academic careers over the last two decades. This study assesses American Board of Neurological Surgeons board-certified neurosurgeons specializing in skull base or open cerebrovascular surgery between 2013 and 2023, focusing on identifying academic career predictors through demographic and academic outputs.
    Methods: The study utilized the American Association of Neurological Surgeons Neurosurgical Fellowship Training Program Directory to identify neurosurgeons certified from 2013 to 2023, gathering demographic details and academic productivity from Scopus.
    Results: Among 173 neurosurgeons, 87.86% were male, 36.36% were graduates from top 40 National Institutes of Health-funded medical schools, and 49.42% completed their residency in highly ranked departments. In univariate analysis, predictors for an academic career included publishing in the field before residency ( p  = 0.03054), a higher h-index before and after residency ( p  = 0.03976 and 0.0003101), and increased publication volume during and up to 3 years post-fellowship (2.284e-06). Multivariate analysis found that publication volume during and up to 3 years post-fellowship (odds ratio [OR] = 4.98, 95% confidence interval [CI]: 2.07-11.9, p  = 0.0003) and basic science publications (OR = 2.4, 95% CI: 1.05-5.49, p  = 0.038) were the most significant predictors of academic career placement.
    Conclusion: The study underscores the strong link between the academic career success of neurosurgeons trained in skull base and open cerebrovascular surgery and their research productivity, particularly publication volume during key career stages and involvement in basic science research. This highlight sustained research activity as a critical determinant of academic career achievement, surpassing the influence of training institution prestige.
    Keywords:  academic careers; academic productivity; bibliometric; complex cranial surgery; open cerebrovascular; publications; research; skull base
    DOI:  https://doi.org/10.1055/a-2375-8003
  12. J Craniofac Surg. 2025 Sep 01.
      This review aims to identify influential publications discussing cranioplasty using citation count as the primary indicator of impact. A search was conducted using Clarivate's Web of Science Database, resulting in 1752 publications related to cranioplasty. Articles were sorted based on citation count. Further analysis was conducted on parameters including topic, country of origin, affiliated institutions, authorship, publishing journal, references, year of publication, level of evidence, and citation density. The 50 most-cited publications were cited 8089 times, averaging 161.8 citations per article. Our analysis reveals a growing emphasis on biomaterials and their modifications to optimize interventional outcomes. The rise of clinical applications and synthetic material advancements in recent decades has contributed to the increase in impactful publications. This trend is most notable after the year 2000. It is seen a high rate of publications assessing outcomes, complications, and decompressive craniotomies. While these studies have yielded impactful results, the lack of Level of Evidence I studies underscores the need for more extensive clinical studies. As the field continues to evolve, we believe this review will serve as a roadmap of the current state of literature and its future trajectory in investigating interventional outcomes and their clinical impact.
    Keywords:  Craniofacial surgery; cranioplasty; cranioplasty complications; decompressive craniectomy; interventional outcome
    DOI:  https://doi.org/10.1097/SCS.0000000000011601
  13. Scientometrics. 2025 ;130(8): 4697-4722
      Science diplomacy is a unique research field that is driven and shaped by scholars and practitioners alike. This study examines whether and how recent trends in the broader science diplomacy discourse have impacted scholarship on the topic. First, it examines whether the pertinent scholarship is as international in outlook as practitioners have made science diplomacy out to be. Second, the study investigates whether recent calls to diversify the science diplomacy scholarship have gained traction. It does so by examining how diverse the science diplomacy scholarship is in terms of: (i) The geographical distribution of authors, (ii) the geographical distribution of funding sources as well as (iii) the geographical area that is being studied in science diplomacy publications. Using a network analysis and a large language model-enhanced bibliometric analysis, the study shows that the internationalization of the field-both in terms of author affiliations and geographical area being studied in publications-is only slowly advancing and is currently restricted to a few regions, with the United States and Europe clearly dominating the production of knowledge on science diplomacy. Overall, the study's findings thus corroborate past claims that the science diplomacy scholarship exhibits North-South dynamics similar to those in other research fields.
    Keywords:  Bibliometrics; Internationalization; Large language models; Network analysis; Science diplomacy
    DOI:  https://doi.org/10.1007/s11192-025-05396-x
  14. Cureus. 2025 Aug;17(8): e89211
      Narrative medicine is defined as a medical approach that utilizes the power of stories, both patients' illness narratives and healthcare providers' reflective accounts, to promote healing, foster empathy, and enhance the therapeutic relationship through close attention to the language, metaphor, and meaning embedded in illness experiences. Despite its growing importance in contemporary healthcare, comprehensive bibliometric analyses of narrative medicine research trends remain limited. This study aims to systematically map global research patterns, identify key contributors, and analyze thematic evolution in narrative medicine literature over the past two decades. We conducted a comprehensive bibliometric analysis using the Citexs platform to examine narrative medicine research published from 2004 to 2024. The PubMed database was systematically searched using Boolean search terms: "narrative medicine OR medical storytelling OR clinical narrative OR patient-centered narrative OR healthcare narrative OR personalized medicine narrative". Inclusion criteria encompassed English-language articles only. Publication trends, geographic distribution, institutional productivity, author contributions, and thematic analysis were evaluated using advanced bibliometric techniques and the BioBERT biomedical language representation model for disease entity analysis. A total of 28,029 English-language articles were identified, demonstrating exponential growth with a peak output of 5,063 articles in 2024. The United States led global research productivity with 7,933 articles (28.3%), followed by the United Kingdom (4,704 articles, 16.78%) and Italy (2,743 articles, 9.79%). The University of Toronto emerged as the most productive institution (432 publications). Keyword analysis revealed "systematic review", "COVID-19", "treatment", and "artificial intelligence" as the most frequent terms, indicating the field's responsiveness to contemporary healthcare challenges and technological integration. Disease entity analysis identified "Neoplasms" (5,282 articles), "Death" (4,948 articles), "Pain" (4,345 articles), "Inflammation" (4,338 articles), and "Depressive Disorder" (3,933 articles) as the most commonly studied conditions. This bibliometric analysis demonstrates narrative medicine's transformation from a niche concept to a mainstream healthcare approach with substantial academic recognition. The exponential publication growth reflects increasing institutional support and clinical integration of narrative approaches. Geographic concentration in developed healthcare systems suggests opportunities for global expansion, particularly in culturally diverse contexts. The emergence of artificial intelligence as a research hotspot indicates the field's adaptive capacity to incorporate technological advances while maintaining humanistic principles. The predominance of cancer, death, pain, and mental health conditions underscores narrative medicine's particular relevance in addressing complex psychosocial dimensions of patient care that traditional biomedical approaches cannot fully capture. These findings emphasize narrative medicine's critical role in humanizing modern medical practice and its essential contribution to patient-centered care delivery.
    Keywords:  bibliometric analysis; hotspots; medical humanities; narrative medicine; research trends
    DOI:  https://doi.org/10.7759/cureus.89211
  15. Medicine (Baltimore). 2025 Aug 29. 104(35): e42657
      The rise of bibliometrics is closely linked to visualization tools. However, visuals produced by these tools often lack clarity and offer limited valuable information. There is a need for a comprehensive method that concisely describes key article metadata and highlights unexpected aberrant data patterns (UADPs) on slope graphs instead of traditional burst bar charts in CiteSpace. This study examined metadata from 26,555 articles in the journal ``Heliyon'' sourced from the Web of Science Core Collection. It assessed metrics and impacts across 10 critical metadata aspects, using the Rasch model to identify UADP displayed on slope graphs. The performance analytics, summary reports, and visual validations model, with performance analytics, summary reports, and visual validations, was applied to display findings. The slope graph, offering more valuable information, was proposed to replace traditional burst bar charts in CiteSpace. The analysis focused on the top 10 elements from 10 different areas, providing a detailed understanding of the journal and its significant contributors in performance analytics. China emerged as the leading country in research contributions to "Heliyon" with a distinct UADP in summary reports. The visual validations showed that: the UADPs were highlighted in China and Covenant University (Nigeria) by the outfit mean square error (MNSQs = 5.28 and 2.22, respectively, >2.0), and the keyword ``PERFORMANCE'' has a lower outfit MNSQ (=1.95, with a data pattern similar to other top 9 keywords plus). The study emphasized slope graph with UADPs over traditional burst bar chart in bibliometrics. The study highlights China's dominance in research output for the journal "Heliyon," identified through advanced slope graphs showing a significantly higher outfit MNSQ (=5.28). Future bibliometric analyses should emphasize UADPs alongside top-ranked elements to provide deeper insights into article characteristics.
    Keywords:  Meliyon; Rasch model; bibliometric analysis; burst bar chart; outfit MNSQ; slope graph; unexpected aberrant data pattern
    DOI:  https://doi.org/10.1097/MD.0000000000042657
  16. Pediatr Radiol. 2025 Sep 03.
       BACKGROUND: Authorship disparities in medical research are evident, particularly between high-income countries (HICs) and low- and middle-income countries (LICs/LMICs). These disparities have been analyzed in recent publications in Pediatric Radiology journal, noting that between 2019 and 2022, no manuscripts from LICs and only 13 manuscripts from LMICs were published. To our knowledge, an extensive review of publication trends in Pediatric Radiology journal and in radiology word containing journals, with regard to LICs/LMICs disparities, is currently lacking.
    OBJECTIVE: The objective was to assess historical trends and regional disparities in radiology research output and impact.
    MATERIALS AND METHODS: A three-pronged approach was used: (1) analysis of all original articles and reviews in Pediatric Radiology (1973-2024), distinguishing LMIC contributions with or without collaboration; (2) broader review of all Scopus-indexed journals with "radiology*" in the title (2001-2024), focusing on LMIC authorship; (3) comprehensive assessment of all Scopus-classified "Radiology, Nuclear Medicine and Imaging" publications (2021-2024), including output and citation data from 187 countries and various global regions.
    RESULTS: In Pediatric Radiology, only 3.4% of the 8,907 articles involved LMIC collaborations, and 0.9% were authored by LMIC researchers. The number of annual independent LMIC contributions never exceeded 5 until recently. In journals containing "radiology" in the title, LMIC researchers contributed 2.3% of all articles through collaboration and 1.25% independently, with 2024 data revealing continued reliance on partnerships (476 collaborative vs. 276 independent LMIC articles). The USA contributed 53,474 publications (26.67%) and received 362,681 citations (33.75%), whereas China produced 44,851 publications (22.37%) with 237,884 citations (22.14%). Africa produced 4,375 publications and received 22,161 citations, Latin America contributed 4,150 publications with 30,061 citations, and South America generated 3,590 publications with 26,084 citations. The Middle East had the highest citation-per-publication ratio (6.1), followed by the Asia Pacific (5.7), the Organization of Islamic Cooperation (5.3), South Asia (5.2), and Africa (5.1).
    CONCLUSION: The data illustrate that LMICs remain underrepresented in radiology research. Targeted policy reforms, funding mechanisms, and capacity-building strategies are needed to enhance equity and support LMIC-driven radiology scholarship.
    Keywords:  High-income countries; Low- and middle-income countries; Low-income countries; Radiology research; Regional disparities
    DOI:  https://doi.org/10.1007/s00247-025-06388-y
  17. World J Methodol. 2025 Dec 20. 15(4): 102000
      The authors employed inappropriate search keywords and strategies in their published bibliometric papers within volume 29 of the World Journal of Gastroenterology. The comment highlights the identified issues, provides evidence, and suggests improved study methodologies. Subsequent results with more appropriate search strategies were presented to address the shortcomings.
    Keywords:  Bibliometric; Front page; Search keywords; Web of Science Core Collection; World Journal of Gastroenterology
    DOI:  https://doi.org/10.5662/wjm.v15.i4.102000
  18. Front Res Metr Anal. 2025 ;10 1631931
      This study examines gender disparities in authorship and collaboration within the Spanish scientific workforce, focusing on international and industry co-authored publications. Drawing on a comprehensive dataset of over 165,000 publications and more than 170,000 identified authors affiliated with Spanish institutions, the analysis explores how gender interacts with authorship position, research field, career stage, and team size. The results reveal a consistent under-representation of women in both types of collaboration, particularly in key authorship roles (first, last, and corresponding author). While women are more active at early career stages, their visibility in leadership roles tends to diminish over time, especially as the number of co-authors increases. Field-specific patterns show that even in highly feminized disciplines, such as Biomedical & Health Sciences, women are less likely to appear in prominent authorship positions. These findings raise important concerns about current research assessment practices that rely heavily on byline position as a proxy for contribution or leadership. The study contributes to ongoing discussions on responsible metrics and proposes policy recommendations to promote more equitable evaluation systems that reflect the collaborative and diverse nature of research careers.
    Keywords:  authorship position; gender disparities; industry collaboration; international collaboration; publishing career stage; research assessment; research collaboration
    DOI:  https://doi.org/10.3389/frma.2025.1631931
  19. ANZ J Surg. 2025 Aug 28.
       BACKGROUND: Research productivity is a key indicator of academic and clinical advancement in surgery. While previous studies have identified key drivers of productivity, comprehensive analyses examining the key determinants of research output across multiple Australian surgical departments remain limited.
    METHODS: A cross-sectional study was conducted analysing publicly available data from 16 surgical departments at Royal Prince Alfred (RPA) Hospital in December 2024. Data on researcher characteristics, including number of publications, citations, h-index, higher degree by research (HDR) training, academic appointments, and international collaboration, were collated and aggregated for each department. Departmental research productivity was assessed through three primary outcomes: total publication count, aggregate citation count, and median h-index. Univariate and multivariable logistic regression analyses were performed in RStudio to examine associations between these factors and departmental research productivity, measured by publication count, citation count, and median h-index.
    RESULTS: A total of 216 research members (148 consultants) were included. For publication count, univariate analyses showed significant associations with HDR training (p = 0.016) and academic appointment level (p = 0.048). In the multivariable model, only HDR training remained independently associated with publication count (β = 8.31, 95% CI: 1.77-14.85, p = 0.016, R2 = 0.347). For h-index, HDR training (p = 0.027), academic appointment level (p = 0.138), international qualification (p = 0.039), and international collaboration (p = 0.044) showed associations in univariate testing. In the multivariable model, both HDR training (β = 0.29, 95% CI: 0.03-0.55, p = 0.030, R2 = 0.491) and international collaboration (β = 0.47, 95% CI: 0.00-0.93, p = 0.048, R2 = 0.491) remained significant. No multivariable models constructed for citations met statistical significance.
    CONCLUSIONS: This study highlights HDR training as the most consistent predictor of surgical research productivity across multiple metrics across surgical departments in a tertiary Australian hospital. International collaboration emerges as an additional significant driver of research impact, as measured by h-index. These findings provide evidence to support institutional investments in HDR training pathways and international collaborative networks as strategic approaches to enhance research culture and productivity in Australian surgical departments.
    Keywords:  Australia; h‐index; research productivity; surgery
    DOI:  https://doi.org/10.1111/ans.70314
  20. CJC Open. 2025 Aug;7(8): 1097-1107
       Background: The win ratio (WR), introduced in 2012, has emerged as a method to analyze hierarchical composite outcomes by prioritizing clinically significant events, unlike traditional composite time-to-event analyses, which treat events equally. However, use of the WR in biomedical research beyond cardiovascular trials remains unexplored. The study aims to investigate trends in the use of the WR in biomedical research and determine the characteristics of these articles.
    Methods: Biomedical articles indexed in Web of Science and PubMed were retrieved for 2012-2024. Data extraction included bibliometric information and content details. Statistical analyses utilized descriptive statistics, correlation, and linear regression to assess publication trends and the distribution of WR methodologies across disciplines.
    Results: A total of 82 studies were analyzed. Publication counts using the WR have grown significantly since its introduction, with an annual compounded growth rate of 30.2%. Most articles were randomized controlled trials (n = 68; 82.9%). Of the 68 randomized controlled trials, 46 (67.6%) were in the field of cardiology. The unmatched WR was the predominant WR approach (n = 57; 69.5%). Mortality was the highest-ranked outcome in most studies (n = 55; 67.1%), and time-to-event variables were the most frequently used across all hierarchical outcome ranks (n = 173).
    Conclusions: The WR has gained acceptance as a robust and clinically meaningful method for analyzing composite endpoints, particularly for cardiovascular trials. Although challenges remain, its adaptability and ability to prioritize clinically relevant outcomes make it a promising tool for future biomedical research across various disciplines.
    Keywords:  bibliometric analysis; cardiology; clinical trial; statistics; win ratio
    DOI:  https://doi.org/10.1016/j.cjco.2025.05.006
  21. An Sist Sanit Navar. 2025 Aug 28. pii: e1124. [Epub ahead of print]48(2):
       BACKGROUND: Six Sigma is widely implemented in healthcare to enhance efficiency, minimize medical errors, and improve patient safety. However, the global distribution and impact of Six Sigma research in healthcare remain underexplored. This study conducts a scientometrics analysis of Six Sigma research in healthcare, examining its association with global health, research, and development indicators across income groups.
    METHODOLOGY: A mixed-methods scientometrics study was employed, utilizing data from Scopus, PubMed, and other databases. Regression models and meta-analyses were applied to evaluate associations between Six Sigma research productivity and global health, research and development indicators. Publications were categorized by World Bank income groups, and bibliometric parameters such as impact were analysed.
    RESULTS: A total of 804 Six Sigma-related publications in healthcare were identified, with high-income countries contributing 70.8% of the total output. The number of publications was significantly associated with adult mortality reduction in high- and upper-middle income countries (p <0.01). Research and development expenditure showed a strong positive correlation with Six Sigma research output across all income groups. However, low-income countries exhibited minimal research activity, with no significant associations detected.
    CONCLUSIONS: Six Sigma research in healthcare is predominantly concentrated in high-income countries, with increasing but uneven growth in upper-middle and low-middle income countries. The limited engagement of low-income countries underscores a critical research gap.
    DOI:  https://doi.org/10.23938/ASSN.1124
  22. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2025 Aug 20. 43(8): 580-585
      Objective: To conduct a visual analysis of the papers published in the Chinese Journal of Industrial Hygiene and Occupational Diseases since its inception, and to understand the current situation and development trends in the field of occupational health and occupational diseases. Methods: A total of 9894 papers published in the Chinese Journal of Industrial Hygiene and Occupational Diseases from January 1, 1983 to December 31, 2023 were retrieved from China National Knowledge Infrastructure (CNKI) in February 2024. Non-academic literature was screened and excluded. Excel 2010 and SPSS 24.0 were used to analyze the annual publication situation. Visualization software CiteSpace V6.2.R7 was used to conduct co-occurrence analysis, cluster analysis and emergence analysis for keywords and to make knowledge graph. Results: A total of 9381 literatures were included. From 1983 to 2023, the annual publication volume in Chinese Journal of Industrial Hygiene and Occupational Diseases showed an M-shaped fluctuation, with the largest number of literatures published in 2010 (351 literatures). The co-occurrence analysis of keywords showed that the occurrence frequency of keywords such as poisoning, pneumoconiosis, occupational exposure and silicosis was high. By cluster analysis, the literature keywords were summarized into 10 clusters of pneumoconiosis, noise, stress, microwave, paraquat, poisoning, chromatography, polymorphism, silicosis, and yellow phosphorus. The emergence analysis showed that occupational stress, influencing factors, occupational health, occupational diseases and pneumoconiosis were the top 5 keywords of emergence intensity, while noise and hearing loss were the keywords of greater emergence intensity after 2020. Conclusion: The contents of the studies on pneumoconiosis and poisoning published in the Chinese Journal of Industrial Hygiene and Occupational Diseases are relatively stable, while occupational stress and noise have become research hot spots in recent years. It is suggested to strengthen the cross and integration of multi-disciplines in order to promote the development of occupational health and occupational disease fields.
    Keywords:  Bibliometrics; Chinese Journal of Industrial Hygiene and Occupational Diseases; CiteSpace; Occupational diseases; Occupational health; Visualization
    DOI:  https://doi.org/10.3760/cma.j.cn121094-20240508-00203
  23. Int J Ophthalmol. 2025 ;18(9): 1737-1746
       AIM: To provide a comprehensive review of the advances in research on diabetes-associated dry eye (DADE), highlighting its pathophysiological mechanisms, risk factors, and demographic characteristics, laying the foundation for further investigation into its pathogenesis and treatment strategies.
    METHODS: A systemic review of the documents related to DADE had been performed based on the Web of Science database prior to achieving the plain text files of authors, titles, journals, and abstracts which afterwards had been imported into Citespace and VOSviewer software for data cleansing. The visual analysis was implemented from the following aspects: journals' publications, author and national cooperation, keyword co-occurrence, timeline analysis, and burst detection.
    RESULTS: The 318 documents in 167 journals had been incorporated with the overall annual citations and annual publications respectively growing significantly since 2014 and 2016. The keyword co-occurrence networks formed 4 clusters, with the representative keywords being dry eye, diabetes mellitus, prevalence, and diabetic retinopathy. Both the timeline map and the burst detection demonstrated that in the exploration of the pathogenesis of DADE, initial research was dedicated to Sjögren's syndrome, followed by cross-sectional statistical analysis of the pertinent contributing factors of DADE using online databases. Precisely the oxidative stress seemed to surge into the research spotlight presently. The key pathogenic mechanisms of DADE include inflammation, oxidative stress and corneal neuropathy, contributing to the development of dry eye symptoms.
    CONCLUSION: Age, gender, diabetes duration, and diabetic retinopathy are strongly associated with the development of DADE, but the impact of other systemic factors require further investigation. With high prevalence of dry eye in Asia, valuable resources like the Korea National Health and Nutrition Examination Survey (KNHANES) database offer crucial data for developing risk prediction models for DADE. Building risk prediction models using machine learning algorithms is a promising future research direction, enabling physicians to identify high-risk individuals and implement early interventions.
    Keywords:  bibliometrics; diabetes; dry eye; visual analysis
    DOI:  https://doi.org/10.18240/ijo.2025.09.16
  24. J Acad Ethics. 2025 Jun;23(2): 329-346
      The ethics of citation has attracted increased attention in recent discussions of research and publication ethics, fraud and plagiarism. Little attempt has been made, however, to situate specific citation misbehaviors in terms of broader ethical practices and principles. To investigate researchers' perceptions of citation norms, we surveyed active US researchers receiving federal funding from the National Institutes of Health (NIH), the National Science Foundation (NSF), and the National Endowment for the Humanities (NEH). Participants (n = 257) were asked about citation norms they endorse (norm reports), the behaviors they perceive others to engage in (peer reports), and their own citation behaviors (self-reports). Our analyses showed that while considerable discrepancies exist between norm reports, peer reports and self-reports, respondents' discipline has no significant effect on these. Participants indicated that their own practices and that of their peers falls short of the norms they endorse, but that their own behavior is much less ethically deficient than that of their peers. An exploratory factor analysis revealed that ethically questionable citation behaviors could be grouped usefully into three categories: strategic citations, neglectful citations, and blind citations. Contrary to our hypothesis, the survey showed that greater experience does not always result in better citation practices. A particularly divisive issue pertained to intentionally citing authors from underrepresented demographic groups for reasons of social justice, but broad support for this practice is lacking, although arts and humanities scholars are slightly more supportive. Most researchers view questionable citation practices as negatively affecting their disciplines. Our findings suggest the need for clearer articulations of the citation norms and improved guidance and training about citations.
    Keywords:  Citation ethics; Publication ethics; Referencing; Research ethics; Research integrity
    DOI:  https://doi.org/10.1007/s10805-024-09539-2
  25. Crit Care. 2025 Aug 28. 29(1): 388
       BACKGROUND: Studies have shown an underrepresentation of women in clinical research, but little is known about trends over time and factors associated with this underrepresentation. This study aimed to investigate the evolution and the independent factors associated with the proportion of women in the authorship of high-impact critical care randomized controlled trials (RCTs) over 25 years.
    METHODS: This meta-epidemiological study screened adult critical care RCTs published between 1999 and 2023 in the six highest-impact general and critical care journals. Sex was assessed using a combination of authors' biographies, available photographs, the gender R package, and a native Chinese speaker's assistance to ensure cultural accuracy. The primary outcome was the proportion of women among the authors. Unadjusted and adjusted generalized linear mixed models were performed.
    RESULTS: Of 1,203 RCTs, the sex of all authors was determined in 1,199 (99.7%). Overall, 4,335 out of 16,057 authors (27%) were women. Women were less frequently first (247/1,199 [21%], p < 0.001) or senior authors (174/1,199 [15%], p < 0.001) compared to other positions. The proportion of women among authors increased by a change rate of 0.7% per year ([0.5%-0.9%]) from 18% in 1999 to 32% in 2023. In multivariable analysis, the proportion of women increased significantly per year of publication (odds ratio [OR] = 1.05, 95% confidence interval [1.02-1.09], p < 0.01) and sample size (OR = 1.007 [1.003-1.012] per 100 patients increase, p = 0.01), and decreased significantly in European RCTs (OR = 0.53 [0.33-0.85], p < 0.01), RCTs on ventilation (OR = 0.50 [0.25-0.97], p = 0.04) but not sepsis (OR = 0.74 [0.37-1.46], p = 0.39), mortality as primary outcome (OR = 0.36 [0.14-0.92], p = 0.03), and with endorsement by a study group (OR = 0.36 [0.18-0.69], p < 0.01).
    CONCLUSIONS: Although the proportion of women in authorship has risen over 25 years, women are still widely underrepresented in the authors of high-impact RCTs, especially as first and senior authors. This underrepresentation is exacerbated in Europe, in trials with mortality as primary outcome, on ventilation, or endorsed by a study group. This illustrates the "leaky pipeline" framework: women are still excluded from the highest-level of critical care research.
    Keywords:  Critical care; Equity; Randomized controlled trial; Research; Sex
    DOI:  https://doi.org/10.1186/s13054-025-05627-w
  26. J Clin Orthop Trauma. 2025 Nov;70 103172
       Introduction: Structured research training programs during orthopaedic residency and fellowship play a crucial role in career development, enhancing opportunities for academic positions.
    Methods: A systematic review was conducted following the Synthesis Without Meta-analysis (SWiM) guidelines. Studies published between 2010 and 2025 were sourced from PubMed, ScienceDirect, and Google Scholar. Articles were screened based on predefined inclusion and exclusion criteria, and data extraction was performed using Rayyan software and Excel from 36 articles which were included. The study was registered with PROSPERO (ID: CRD420251035344).
    Results: The review identified multiple interventions, including formal research training, fellowships, and workshops, which were associated with increased research productivity-measured by publication count, citation rates, and h-index scores. Among 10 studies evaluating research training programs, 8 had protected research time and 7 out of 10 such programs showed increased scholarly output. A trend of high h-index and citation volume was observed among fellowship directors across 8 U S programs with a mean h-index of 22.5 and a mean publication count of 91.6. Additionally, structured training improved the likelihood of securing NIH funding and academic positions. However, the direct influence of integrated research training programs on achieving higher academic ranks remained unclear due to factors such as limited data availability, the elapsed time since training, and survey non-response rates. The limitations includes lack of protected research time (n = 7), limited mentorship availability (n = 7),funding constraints and grant accessibility (n = 6) and variation in institutional support (n = 7).
    Conclusion: Structured research training during orthopaedic residency and fellowship enhances research productivity and grant acquisition prospects. While its direct effect on academic promotions is influenced by various external factors, incorporating research education into the orthopaedic curriculum fosters scholarly output and cultivates research-oriented clinical scientists.
    Keywords:  Funding; Orthopaedic career; Research; Training
    DOI:  https://doi.org/10.1016/j.jcot.2025.103172
  27. PLoS One. 2025 ;20(9): e0331697
      Responsible data sharing in clinical research can enhance the transparency and reproducibility of research evidence, thereby increasing the overall value of research. Since 2024, more than 5,000 journals have adhered to the International Committee of Medical Journal Editors (ICMJE) Data Sharing Statement (DSS) to promote data sharing. However, due to the significant effort required for data sharing and the scarcity of academic rewards, data availability in clinical research remains suboptimal. This study aims to explore the impact of biomedical journal policies and available supporting information on the implementation of data availability in clinical research publications This cross-sectional study will select 303 journals and their latest publications as samples from the biomedical journals listed in the Web of Science Journal Citation Reports based on stratified random sampling according to the 2023 Journal Impact Factor (JIF). Two researchers will independently extract journal data-sharing policies from the submission guidelines of eligible journals and data-sharing details from publications using a pre-designed form from Apr 2025 to Dec 2025. The data sharing levels of publications will be based on the openness of the data-sharing mechanism. Binomial logistic regression analyses will be used to identify potential journal factors that affect publication data-sharing levels. This protocol has been registered in Open Science Framework (OSF) Registries: https://doi.org/10.17605/OSF.IO/EX6DV.
    DOI:  https://doi.org/10.1371/journal.pone.0331697
  28. Lancet Oncol. 2025 Sep;pii: S1470-2045(25)00338-9. [Epub ahead of print]26(9): e466-e476
      This Review presents a comprehensive analysis of the amounts and distribution of public and philanthropic global cancer research funding between 2016 and 2023, including patterns of international collaboration and downstream research output, with an emphasis on the Commonwealth. We show that annual investment decreased globally each year, apart from a rise in 2021. Network analysis revealed that grant and publication collaborations between the Commonwealth, the USA, and the EU are facilitated by linkages through a core group of Commonwealth countries, including the UK, Australia, and Canada. There are inequities in research investment and low funding for treatment modalities for many cancers. These inequities also manifest in the central positioning of high-income Commonwealth countries in research collaborations, but also point to opportunities for high-income Commonwealth countries to facilitate linkages with low-income countries and support active cancer research in the USA and the EU. There is an urgent need to review research investment priorities, both within the Commonwealth and globally, to align with population needs and promote collaborative strategies that can build research skills and infrastructure in low-income settings to impact global cancer control. Finite resources should be invested wisely to achieve maximum improvements in mortality and alleviate the cancer burden.
    DOI:  https://doi.org/10.1016/S1470-2045(25)00338-9
  29. Front Sports Act Living. 2025 ;7 1489652
       Introduction: The Olympics remain today the largest multidisciplinary sports competition in the world, and the Olympic Medal Table has been dogmatically followed by media, scholars, and sports administrators, as the mainstream measurement of the countries' success in elite sport.
    Methods: Since 2018, the Olympic Medal Table has been challenged by a global sport scientific index, the World Ranking of Countries in Elite Sport (WRCES), which provided, for the first time, a research-based measurement of the performance of all the countries having National Olympic Committees. The main characteristics of the WRCES is a weighting of each sport determining its level of competition. This coefficient is the sum of two variables, one related to the universality and the other to the global media popularity of each sport. In this paper, correlations calculi, using Pearson R coefficient of correlation along with the corresponding P value, will be conducted between the number of citations, number of articles, WRCES level of competition and the number of medals of each Olympic sport.
    Results: There is a strong correlation between the number of scientific citations (R = 0.74; p < 0.001) or articles (R = 0.70; p < 0.001) and the competition level determined by the WRCES while no relationship was found with the number of medals available at the Summer Olympics.
    Discussion: Overall, the present study confirms the relevance of the WRCES and adds an argument to contest the rationality of the Olympic Medal program.
    Keywords:  bibliometrics; olympics; ranking; scientific; sports
    DOI:  https://doi.org/10.3389/fspor.2025.1489652
  30. Account Res. 2025 Sep 06. 1-9
       OBJECTIVE: To compare self-publication rates by editors-in-chief (EICs) of psychiatry vs. medicine journals before, during, and after their editorships.
    METHODS: Frequency of self-publication by 25 psychiatry EICs and 22 medicine EICs across seven journals in each specialty was determined for 5 years before, the years during, and 5 years after their tenures. PubMed was used to identify original research and review articles subject to peer review. Two-way ANOVA with repeated measures was used to assess differences in articles published per year by specialty and time period.
    RESULTS: Mean self-publication rates before, during, and after editorship were 0.64, 1.46, and 0.66 articles/year for psychiatry EICs and 0.25, 0.31, and 0.13 articles/year for medicine EICs. ANOVA revealed significant main effects of journal type (psychiatry vs. medicine) (p = 0.003) and time period (before, during, after) (p = 0.003), and a significant interaction (p = 0.024).
    CONCLUSION: Psychiatry EICs self-published discretionary articles significantly more frequently (4.7 times overall) than did their medicine counterparts. These findings do not necessarily imply abuse, but they highlight the need to further enhance editorial safeguards, increase transparency, and continue surveillance of adherence to publication guidelines, in order to further mitigate potential conflicts of interest in academic publishing.
    Keywords:  Editor-in-chief; medicine; psychiatry; self-publication
    DOI:  https://doi.org/10.1080/08989621.2025.2551166