Open Access
CC BY-NC 4.0 · Arch Plast Surg 2015; 42(04): 411-418
DOI: 10.5999/aps.2015.42.4.411
Original Article

Levels of Evidence in the Plastic Surgery Literature: A Citation Analysis of the Top 50 'Classic' Papers

Authors

  • Kenneth M Joyce

    Department of Plastic and Reconstructive Surgery, Galway University Hospital, Galway, Ireland
  • Cormac W Joyce

    Department of Plastic and Reconstructive Surgery, Galway University Hospital, Galway, Ireland
  • John C Kelly

    Department of Orthopaedic Surgery, St. Vincent's University Hospital, Dublin, Ireland
  • Jack L Kelly

    Department of Plastic and Reconstructive Surgery, Galway University Hospital, Galway, Ireland
  • Sean M Carroll

    Department of Plastic and Reconstructive Surgery, St. Vincent's University Hospital, Dublin, Ireland

Background The plastic surgery literature is vast, consisting of a plethora of diverse articles written by a myriad of illustrious authors. Despite this considerable archive of published material, it remains nebulous as to which precise papers have had the greatest impact on our specialty. The aim of this study was to identify the most cited papers in the plastic surgery literature and perform a citation analysis paying particular attention to the evidence levels of the clinical studies.

Methods We identified the 50 most cited papers published in the 20 highest impact plastic surgery journals through the Web of Science. The articles were ranked in order of number of citations acquired and level of evidence assessed.

Results The top 50 cited papers were published in six different journals between the years 1957 and 2007. Forty-two of the papers in the top 50 were considered as level IV or V evidence. No level I or II evidence was present in the top 50 list. The average level of evidence of the top 50 papers was 4.28.

Conclusions In the plastic surgery literature, no positive correlation exists between a high number of citations and a high level of evidence. Anatomical reconstructive challenges tend to be the main focus of plastic surgery rather than pathologic diseases and consequently, papers with lower levels of evidence are relatively more valuable in plastic surgery than many other specialties.



Publication History

Received: 31 July 2014

Accepted: 23 April 2015

Article published online:
05 May 2022

© 2015. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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