Ruccia Francesca, Elmorsi Rami, Dhandapani Karthikeyan, Alzaid Mohammad, Bailón-Valdez Zaira, Tammasse Iin, Khajuria Ankur
From Department of Plastic Surgery, The Royal Marsden Hospital, NHS Foundation Trust London, London, United Kingdom.
Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Plast Reconstr Surg Glob Open. 2024 Aug 12;12(8):e6033. doi: 10.1097/GOX.0000000000006033. eCollection 2024 Aug.
Autologous breast reconstruction has continued to increase in popularity and witnessed significant advancements in aesthetic outcomes, patient satisfaction, and improved quality of life. We performed the first bibliometric analysis focused only on the 100 most-cited autologous breast reconstruction articles to characterize any emerging trends and assess the methodological quality of these studies.
The 100 most-cited articles in autologous breast reconstruction were identified on Web of Science, across all available journals and years. Study details, including the citation count, main subject, and outcome measures, were extracted from each article, and the level of evidence was also assessed.
The 100 most-cited articles in autologous breast reconstruction were cited by a total of 21,194 articles. Citation per article ranged significantly from 112 to 1123 (mean, 211.9). Overall, most of the top-cited articles are case reports/series (n = 32, mean citations = 243.2) and cohort studies (n = 30, mean citations = 211.2). This is closely followed by case-control studies (n = 29, mean citations = 183.6). Only four studies achieved level 1 status, underscoring a lack of high-quality methodological research in the field. Most studies (n = 72) highlighted autologous breast reconstruction outcomes, whereas 12 focused on its indications. There were nine studies exploring surgical techniques, and seven studies addressing the autologous breast reconstruction surgical anatomy.
Overall, most of the influential articles in autologous breast reconstruction literature are of lower-level evidence. Contemporary research should focus on enhancing the study designs and measure clinical and patient-reported outcomes with validated tools, such as BREAST-Q.
自体乳房重建的受欢迎程度持续上升，在美学效果、患者满意度以及生活质量改善方面都取得了显著进展。我们进行了首次文献计量分析，仅聚焦于被引用次数最多的100篇自体乳房重建文章，以确定任何新出现的趋势并评估这些研究的方法学质量。
在科学网（Web of Science）上，检索所有可用期刊和年份中被引用次数最多的100篇自体乳房重建文章。从每篇文章中提取研究细节，包括引用次数、主要主题和结局指标，并评估证据水平。
100篇被引用次数最多的自体乳房重建文章共被21,194篇文章引用。每篇文章的引用次数差异很大，从112次到1123次不等（平均为211.9次）。总体而言，大多数被引用次数最多的文章是病例报告/系列研究（n = 32，平均引用次数 = 243.2）和队列研究（n = 30，平均引用次数 = 211.2）。紧随其后的是病例对照研究（n = 29，平均引用次数 = 183.6）。只有四项研究达到了1级地位，这凸显了该领域缺乏高质量的方法学研究。大多数研究（n = 72）强调了自体乳房重建的结果，而12项研究聚焦于其适应症。有九项研究探索了手术技术，七项研究涉及自体乳房重建的手术解剖学。
总体而言，自体乳房重建文献中大多数有影响力的文章证据水平较低。当代研究应专注于改进研究设计，并使用经过验证的工具（如BREAST-Q）来衡量临床和患者报告的结局。
