从过去到现在：关于先天性膈疝（CDH）最具影响力出版物的文献计量学与可视化研究

From Past to Present: A Bibliometric and Visualized Study of the Most Impactful Publications on Congenital Diaphragmatic Hernia (CDH).

作者信息

Shu Boshen, Riedel Jan, Gosemann Jan-Hendrik, Wagner Richard, Peukert Nicole, Lacher Martin, Mayer Steffi, Aubert Ophelia

机构信息

Department of Pediatric Surgery, University of Leipzig, 04103 Leipzig, Germany.

Department of Pediatric Surgery, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany.

出版信息

J Pediatr Surg. 2025 Jun 7;60(9):162408. doi: 10.1016/j.jpedsurg.2025.162408.

DOI:10.1016/j.jpedsurg.2025.162408

PMID:40490072

Abstract

BACKGROUND

Congenital diaphragmatic hernia (CDH) is a severe birth defect characterized by significant infant mortality and morbidity. While numerous articles have been published on CDH, little is known about the characteristics of the most impactful articles. In this study, we aimed to identify and characterize the most important publications in the CDH field from a bibliometric perspective.

METHODS

Articles addressing CDH were retrieved in October 2024 from the Web of Science™ and ranked by citation number. The top 100 publications were analyzed for their bibliometric parameters including number of citations, subject of study, level of evidence, country of origin, journals and publication year. A visualized study of identified articles was performed using the VOSviewer software.

RESULTS

In total, 4637 publications with 84,163 citations from 713 journals were identified. The 100 most cited papers were published between 1962 and 2018, mainly in the Journal of Pediatric Surgery (37 %). The USA was the leading country for number of publication and degree of collaboration with other countries. Citations per article ranged from 117 to 497 (median 162). Retrospective studies (36 %) and studies with low evidence level IV (41 %) dominated. The terms CDH, extracorporeal membrane oxygenation (ECMO), survival, pulmonary hypoplasia, preoperative stabilization, prenatal diagnosis, high frequency oscillatory ventilation (HFOV) and fetoscopic endoluminal tracheal occlusion (FETO) were identified as high-frequency keywords in co-occurrence analysis. Morbidity and mortality (21 %), surgical management (16 %) and animal model research (14 %) were the top three topics of interest.

CONCLUSIONS

Our findings identify the most referenced works, including the countries and journals of origin, in CDH over the past five decades. These manuscripts highlight advances in the understanding and management, with an increased focus on prenatal diagnosis, long-term outcomes and innovative treatments. However, the field remains hindered by a lack of high-level evidence studies, underscoring the need for more randomized controlled trials and translational research to improve clinical outcomes.

LEVEL OF EVIDENCE

IV.

TYPE OF STUDY

Original Research.

摘要

背景

先天性膈疝（CDH）是一种严重的出生缺陷，其特点是婴儿死亡率和发病率很高。虽然已经发表了大量关于CDH的文章，但对于最具影响力的文章的特征却知之甚少。在本研究中，我们旨在从文献计量学的角度识别和描述CDH领域最重要的出版物。

方法

2024年10月从科学网（Web of Science™）检索了关于CDH的文章，并按被引次数进行排名。对排名前100的出版物进行文献计量学参数分析，包括被引次数、研究主题、证据水平、原产国、期刊和出版年份。使用VOSviewer软件对已识别文章进行可视化研究。

结果

共识别出来自713种期刊的4637篇出版物，被引次数为84163次。被引次数最多的100篇论文发表于1962年至2018年之间，主要发表在《小儿外科杂志》（37%）。美国是发表数量和与其他国家合作程度领先的国家。每篇文章的被引次数从117次到497次不等（中位数为162次）。回顾性研究（36%）和证据水平较低的IV级研究（41%）占主导。在共现分析中，术语CDH、体外膜肺氧合（ECMO）、生存、肺发育不全、术前稳定、产前诊断、高频振荡通气（HFOV）和胎儿镜下气管腔内封堵术（FETO）被确定为高频关键词。发病率和死亡率（21%）、手术治疗（16%）和动物模型研究（14%）是最受关注的三大主题。