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2015 ; 42
(4
): 411-8
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English Wikipedia
Levels of Evidence in the Plastic Surgery Literature: A Citation Analysis of the
Top 50 Classic Papers
#MMPMID26217560
Joyce KM
; Joyce CW
; Kelly JC
; Kelly JL
; Carroll SM
Arch Plast Surg
2015[Jul]; 42
(4
): 411-8
PMID26217560
show ga
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.