Khajuria Ankur, Charles Walton N, Dutt Atul, Hoyos Alfredo
Kellogg College, Nuffield Department of Surgical Sciences, University of Oxford, United Kingdom.
Department of Surgery and Cancer, Imperial College London, London, United Kingdom.
Plast Reconstr Surg Glob Open. 2021 Mar 26;9(3):e3426. doi: 10.1097/GOX.0000000000003426. eCollection 2021 Mar.
Abdominoplasty is one of the most common aesthetic procedures performed globally. Research in this field is evolving, with recent emphasis on evidence-based surgery optimizing informed consent. This bibliometric analysis aimed to characterize emerging research trends and to assess the methodological quality of the highest impact abdominoplasty research.
The 100 most-cited articles in abdominoplasty were identified on Web of Science, across all available journals and years (1950-2019). Study details, including the citation count, main subject, and outcome measures, were extracted from each article by 2 independent reviewers. The level of evidence of each study was also assessed.
The 100 most-cited articles in abdominoplasty were cited by a total of 2545 articles. Citations per article ranged from 206 to 34 (mean 65). Overall, 50 articles were assessed to be level of evidence 3, which is representative of the large number of cohort studies (n = 59) on the list. Similar numbers achieved levels 2, 4, and 5 (n = 16, 20, and 14), though none reached level 1. The main subject was operative technique in 50 articles, followed by outcomes in 34 articles. Only 7 articles utilized objective cosmetic outcome measures. Patient-reported outcome measures were employed in 25 articles, though only 5 incorporated validated questionnaires.
The most-cited research in abdominoplasty largely comprised low-to-moderate quality studies, with no article achieving the highest level of evidence. Contemporary high-quality evidence incorporating validated outcome measures is crucial to enhance shared decision-making, particularly in aesthetic procedures.
腹壁成形术是全球最常见的美容手术之一。该领域的研究不断发展，近期重点在于循证手术以优化知情同意。这项文献计量分析旨在描述新兴研究趋势，并评估最具影响力的腹壁成形术研究的方法学质量。
在科学网（Web of Science）上识别出腹壁成形术领域被引用次数最多的100篇文章，涵盖所有可用期刊及年份（1950 - 2019年）。由两名独立评审员从每篇文章中提取研究细节，包括引用次数、主要主题和结果指标。还对每项研究的证据水平进行了评估。
腹壁成形术领域被引用次数最多的100篇文章共被2545篇文章引用。每篇文章的引用次数从206次到34次不等（平均65次）。总体而言，50篇文章被评估为证据水平3，这代表了列表中大量的队列研究（n = 59）。达到证据水平2、4和5的文章数量相近（n = 16、20和14），但没有一篇达到证据水平1。主要主题在50篇文章中是手术技术，其次在34篇文章中是结果。只有7篇文章使用了客观的美容结果指标。25篇文章采用了患者报告的结果指标，但只有5篇纳入了经过验证的问卷。
腹壁成形术领域被引用次数最多的研究大多为低质量到中等质量的研究，没有一篇文章达到最高证据水平。纳入经过验证的结果指标的当代高质量证据对于加强共同决策至关重要，尤其是在美容手术中。
