Held Michael, Bruins Marie-Fien, Castelein Sophie, Laubscher Maritz, Dunn Robert, Hoppe Sven
Department of Orthopaedic Surgery, Orthopedic Research Unit, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Department of Orthopaedic, Inselsspital, University of Bern, Bern, Switzerland.
Int J Mycobacteriol. 2017 Jul-Sep;6(3):229-238. doi: 10.4103/ijmy.ijmy_99_17.
Pediatric tuberculosis (TB) is known to have a wide range of presentations, and if left untreated, primary TB may lead to bone and joint involvement. The literature on this topic is very scarce, and no comprehensive systematic review or meta-analysis of the current knowledge is available to date. The aim of this study is to identify and analyze the literature with highest impact based on citation rate analysis. All databases of the Thomson and Reuters "Web of Knowledge" were used to conduct our search of the 100 most cited articles on this topic published between 1950 and 2014. The included articles were analyzed in terms of citation rate, age, study type, area of research, level of evidence (LOE), and more. All 100 articles were published between 1967 and 2011 in 51 different journals. The average citation rate was 74.26, all articles were on average 23.1 years, and most studies were originated from India (n = 22), followed by the USA (n = 21). The majority of publications were review articles (42%), described clinical course (n = 48), and assigned an LOE IV (44%). TB infection is a high burden disease in low-income countries but widely studied in a fi rst world setup. This research gap between the geographic distribution of disease burden and origin of publications could initiate possibilities for high-burden countries to share their opinion. Their experience is of a high level of importance and relevance which furthermore is necessary to create a more accurate picture of pediatric musculoskeletal TB burden in literature.
小儿结核病已知有多种表现形式，若不治疗，原发性结核病可能会导致骨骼和关节受累。关于这一主题的文献非常稀少，目前尚无对现有知识的全面系统综述或荟萃分析。本研究的目的是基于引文率分析来识别和分析最具影响力的文献。我们使用汤姆森路透“Web of Knowledge”的所有数据库，搜索了1950年至2014年间发表的关于该主题被引用次数最多的100篇文章。对纳入的文章从引文率、年份、研究类型、研究领域、证据水平（LOE）等方面进行了分析。所有100篇文章于1967年至2011年间发表在51种不同的期刊上。平均引文率为74.26，所有文章平均发表年份为23.1年，大多数研究来自印度（n = 22），其次是美国（n = 21）。大多数出版物为综述文章（42%），描述了临床病程（n = 48），证据水平为IV级（44%）。结核病感染在低收入国家是一种高负担疾病，但在发达国家得到广泛研究。疾病负担的地理分布与出版物来源之间的这一研究差距可能为高负担国家分享其观点创造机会。它们的经验具有高度的重要性和相关性，这对于在文献中更准确地描绘小儿肌肉骨骼结核病负担情况也是必要的。
