Sunday, 15 February 2015

Factors related to the frequency of citation of epidemiologic publications

 Source: http://www.biomedcentral.com/1742-5573/5/3

Analytic Perspective



Factors related to the frequency of citation of epidemiologic publications



Kristian B Filion and I Barry Pless*


Department of Epidemiology
and Biostatistics and Occupational Health, McGill University, Montreal,
Quebec, Canada
For all author emails, please log on.


Epidemiologic Perspectives & Innovations 2008, 5:3 
doi:10.1186/1742-5573-5-3






The electronic version of this article is the complete one and can be found online at: http://www.epi-perspectives.com/content/5/1/3




Received:2 May 2006
Accepted:26 February 2008
Published:26 February 2008

© 2008 Filion and Pless; licensee BioMed Central Ltd.





This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.








Abstract

Background

Previous studies have demonstrated that the frequency with which a publication is
cited varies greatly. Our objective was to determine whether author, country, journal,
or topic were associated with the number of times an epidemiological publication is
cited.

Methods

We used outcome-based sampling and investigated one public health issue – child injury
prevention, and one clinical topic – coronary artery disease (CAD) prevention. Using
the Institute for Scientific Information's (ISI) Web of Science® databases, we limited searches to full articles involving humans published in English
between 1998 and 2004. We calculated the citation rate and, after frequency-matching
on year of publication, selected the 36 most frequently cited and 36 least frequently
cited articles per year, for a total of 252 highly-cited and 252 infrequently-cited
articles per topic area (child injury prevention and CAD prevention).

Results

Highly-cited articles in both CAD and child injury prevention were more likely to
be published in medium or high impact journals or in journals with medium or high
circulations. They were also more likely to be published by authors from U.S. institutions.
Among articles examining CAD prevention, the highly-cited articles often involved
risk factors, and the association between topics and frequency of citation persisted
after adjusting for impact factor. Among articles addressing child injury prevention,
topic was not statistically associated with citation.

Conclusion

Journal and country appear to be the factors most strongly associated with frequency
of citation. In particular, highly-cited articles are predominantly published in high-impact,
high-circulation journals. The factors, however, differ somewhat depending on the
area of research the journals represent. Among CAD prevention articles, for example,
topic is also an important predictor of citation whereas the same is not true for
articles addressing injury prevention.

Condensed Abstract

Our objective was to determine whether author, country, journal, or topic were associated
with the number of times an epidemiological publication is cited. We used outcome-based
sampling and investigated one public health issue, child injury prevention, and one
clinical topic, coronary artery disease (CAD) prevention. Using the Institute for
Scientific Information (ISI) Web of Science® databases, we limited searches to full articles involving humans published in English
between 1998 and 2004. We calculated the citation rate and, after frequency-matching
on year of publication, selected the 36 most frequently cited and 36 least frequently
cited articles per year, for a total of 252 highly-cited and 252 infrequently-cited
articles per topic area (child injury prevention and CAD prevention). Highly-cited
articles in both CAD and child injury prevention were more likely to be published
in medium or high impact journals or in journals with medium or high circulations.
They were also more likely to be published by authors from U.S. institutions. Among
articles examining CAD prevention, the highly-cited articles often involved risk factors,
and the association between topics and frequency of citation persisted after adjusting
for impact factor. Among articles addressing child injury prevention, topic was not
statistically associated with citation.

Introduction

The mission of this Journal includes publishing "epidemiology-based policy analysis,
critical analyses of the field and its practices, or various contributions to methodology,
philosophy, or other perspectives on the field" [1]. As is true for most journals, Epidemiologic Perspectives and Innovations wishes to publish work that is influential at many levels, including clinical practice,
health policy, and future research. One objective measure of the influence of a publication
on future research is the frequency with which the study is cited in subsequent publications.
"Citationology", a term coined by Garfield, refers to "the theory and practice of
citation, including its derivative disciplines citation analysis and bibiometrics"
[2]. Citationology has been examined in many fields, ranging from sociology [3] to health sciences [4]. In these studies, much attention has been focused on the large body of literature
that is uncited and somewhat less on the characteristics of the relatively few journals
in which a large proportion of all cited work is published [5].
In a two-article series using data from the Institute for Scientific Information (ISI),
Hamilton found that approximately 46% of papers in medicine remain uncited 5 years
after publication [6,7]. However, as Pendlebury noted in a letter to the editor, this may be an overestimate
because Hamilton's statistics include every type of publication, including obituaries,
editorials, abstracts, letters, and other marginalia which, together, represent about
27% of all items indexed [8].
In another study, Callaham et al. investigated journal prestige and other characteristics
associated with the citation of studies in peer-reviewed journals and found that the
impact factor was the most important predictor [9]. Factors related to citation frequency differed depending on the field of enquiry,
however.
In this study, we sought to determine if author, institution, country, journal, or
topic are associated with the number of times a publication is cited. To test the
robustness of our findings we chose to examine these relationships in 2 highly contrasting
areas, child injury prevention and coronary artery disease (CAD) prevention, both
of which were viewed from an epidemiological perspective.

Materials and methods

We used outcome-based sampling to examine this relationship and searched the ISI Web
of Science®, including the Science Citation Index Expanded™ (SCI EXPANDED™), the Social Sciences
Citation Index (SSCI), and the Arts & Humanities Citation Index (A&HCI). For child
injury prevention, we used the search terms "child*" and ("injury" or "accident")
and "prevention", and for CAD prevention, we used ("coronary artery disease" or "coronary
heart disease") and "prevention". We performed this search in March 2007. All searches
were limited to full articles containing original research involving human subjects
and to articles published in English between 1998 and 2004. We examined the results
year by year. To minimize the potential effects of different latency periods between
publication of the original manuscript and publication of the citing manuscript, we
limited the search to articles published between 1998 and 2004, thus providing at
least 2 years for the most recent citing manuscript to be published.
We assumed that the number of citations is affected by the time since publication,
e.g., that an article published in 1998 is likely to have been cited more frequently
than one published in 2004. To account for this, we calculated the citation rate using
the following formula:

Citation rate=Number of Citations as of March 2007(2005 Year of Publication)

Consequently, if an article published in 2000 was cited 300 times, its citation rate
would be 300/(2005-2000) = 60 citations per year. To minimize bias, we also used frequency-matching,
selecting the 36 most frequently cited and 36 most infrequently cited articles for
each year for each topic area (child injury prevention and CAD prevention). With 36
highly-cited and 36 infrequently cited articles per topic per year, our final sample
had 252 highly-cited and 252 infrequently-cited articles examining child injury prevention
and 252 highly-cited and 252 infrequently-cited articles examining CAD prevention.
For each article we recorded the following characteristics: authors, journal name
and type, topic, institution, country, and year of publication. In addition, we obtained
the circulation for each journal from Ulrich's International Periodicals Directory.
Because previous circulation data were not available, we used current circulation
as a proxy, and categorized the results as low (<18,000), medium (18,000 – 50,000),
or high (>50,000) circulation. Impact factors for 2001 were obtained from ISI Web
of Knowledge. A journal's impact factor represents the mean number of times an article
published in the last two years was cited [10]. We categorized impact factors as low (<2.7), medium (2.7 – 9.0), or high (≥10.0).
These 2001 impact factors were used as a proxy for the average of each journal's impact
factors over the study period.
Among publications examining child injury prevention, we classified articles according
to the following topics: burns/fire, education, guns, motor vehicle, playground/sporting,
or other injuries. Among those examining CAD prevention, we grouped topics into medications,
new technologies, risk factors, or other issues.
Statistical analyses consisted first of a descriptive phase where we provided the
distribution of the following characteristics: authors, institution, country, topic,
and journals by name, type, circulation, and impact factor. Nominal data are presented
as counts or proportions, and continuous data as means ± standard deviation (SD).
In a subsequent analytic phase, Fisher null hypothesis tests were used to examine
the association between whether a publication is highly or infrequently cited and
the following factors: country, topic, and journal name, type, circulation, and impact
factor. Nominal data were compared using Chi-square or Fisher's exact tests, as appropriate,
and continuous data using student t-tests. We also used the stratified (Cochran-)
Mantel-Haenszel to test the association across impact factor strata. All statistical
analyses were performed using SAS 9.1 (SAS, SAS Institute, Gary, NC).

Results

Author, institution, and country

The CAD prevention articles involved over 2,500 authors whereas the child injury prevention
articles involved 1,700 authors. Over 90% of authors appeared on only 1 publication.
Most institutions of origin also only appeared on only 1 publication during the study
period. Institutions with more than 2 publications are listed in Tables 1 and 2. The Centers for Disease Control had the greatest number of highly-cited publications
on injury prevention, whereas Harvard University produced the most highly-cited research
papers on CAD prevention.
Table 1. Institutions of highly-cited and infrequently-cited publications examining coronary
artery disease prevention (%).
Table 2. Institutions of highly-cited and infrequently-cited publications examining child injury
prevention (%).
Studies conducted in the United States were more likely to be highly-cited than those
conducted in other countries. This relationship was statistically significant for
both topic areas (Tables 3 and 4).
Table 3. Characteristics of highly-cited and infrequently-cited publications examining coronary
artery disease prevention
Table 4. Characteristics of highly-cited and infrequently-cited publications examining injury
prevention among children.

Journal

Highly-cited papers were most likely to be published in journals with large circulation
or high impact factors, and circulation and impact factor were highly correlated (r
= 0.77). Thus, among CAD prevention publications, highly-cited articles were more
likely to be published in Circulation, the Journal of the American College of Cardiology,
the Journal of the American Medical Association, the Lancet, or the New England Journal
of Medicine rather than other journals (Table 3).
For injury prevention papers, highly-cited publications appeared in the Archives of
Pediatric and Adolescent Medicine, Burns, Injury Prevention, the Journal of Trauma,
and Pediatrics (Table 4). Thus, in both categories, highly-cited publications appeared in journals with medium
or high circulation and medium or high impact factors (Tables 3, 4) and infrequently-cited papers were in journals with low impact factors or low circulation.

Topic

Topic was also associated with citation frequency only among CAD prevention papers.
Highly-cited articles were more likely to discuss risk factors, whereas infrequently
cited papers addressed other, general topics (Table 3). This association persisted after adjusting for impact factor (p = 0.04).
For child injury prevention, there was no significant association between topic and
frequency of citation (Table 4). Infrequently-cited papers may be more likely to examine burn prevention than highly-cited
ones, but this relationship did not reach statistical significance and remains after
adjusting for impact factor (p = 0.68).

Discussion

Perhaps not surprisingly, the journal, reflecting in part impact factor and circulation,
was most strongly associated with the frequency with which a publication was cited.
This was particularly evident among publications examining CAD prevention, where almost
80% of highly-cited articles were in medium- or high-impact journals compared with
12% of infrequently-cited publications. For CAD, we also found topic to be associated
with frequency of citation and to the country where the research was done. For both
CAD and injury prevention they were far more likely to come from the United States.
The factors found to be related to frequency of citation are themselves highly correlated,
and these correlations must be considered when interpreting these results. For example,
it is likely that journal of publication lies in the causal pathway because high-impact
journals more often publish articles about interesting or timely topics. Consequently,
adjusting for intermediate variables such as journal, impact factor, or circulation
is likely to result in an underestimation of the effect of topic on citation frequency.
In addition, impact factor is derived from how often a journal is cited. It is thus
difficult to interpret the importance of the association between impact factor and
future citation. Furthermore, adjusting for impact factor, which is highly correlated
with frequency of citation by definition, may attenuate the observed effect of topic.
However, similar results were obtained when adjusting for journal circulation instead
of impact factor. This indicates the importance of choosing the 'best' journal (high
circulation, high impact, or both) if authors hope to influence readers by virtue
of the frequency with which their work is likely to be cited by others.
Only a small number of studies in the epidemiological literature have examined publication
characteristics associated with citation frequency. The most prominent of these was
performed by Callaham et al. [9]. They found impact factor to be the most important predictor, as did we. Additional
important predictors were subjective newsworthiness (from a Delphi panel rating),
sample size, and the presence of a control group. Perhaps surprisingly, statistically
significant results were not found to be an important predictor of citation frequency.
In another study, Callaham et al. examined the citation rate among articles submitted
to emergency medicine research journals compared with non-emergency medicine journals
[11]. They found that the average citation rate among the emergency medicine journals
was 2.04 times per year whereas the citation rate among similar articles published
in non-emergency medicine journals was at least twice as high. Fifteen percent of
articles published in emergency medicine journals were never cited, compared with
only 5% of those published in non-emergency medicine journals. This finding could
be attributable to the fact that the mean impact factor of the non-emergency medicine
journals was substantially higher than that of the emergency medicine journals (4.3
vs 1.5), which further highlights the importance of impact factor as a predictor of
the frequency of citation.
Previous citation studies have also examined the rates of papers that are never cited
[12]. Schwartz found that 46% of all publications in medicine (including marginalia) were
never cited by other authors [12]. Considering only full articles, the proportion was 22% – similar to rates from other
physical sciences, including Physics (47% among all publications, 17% among articles
only), Biological Sciences (41% and 19%, respectively), and Mathematics (55% and 26%,
respectively). The proportion of uncitedness in these fields is substantially lower
than those of other disciplines, including the Humanities (98% among all publications,
93% among articles only) and Social Sciences (75% and 48%, respectively).
The work conducted by Schwartz also highlights a key challenge in citationology –
the definition of the 'population at risk'. It remains unclear whether all publications
in journals catalogued by the ISI should be considered 'at risk' for citation or whether
analyses should be restricted to original articles. Furthermore, given the imperfect
sensitivity of literature search tools, even well-defined searches will likely produce
incomplete results. As a result, it is difficult to identify the entire 'population
at risk' of being cited or to calculate measures such as the risk of citation.
These difficulties in identifying the 'population at risk' also prevent the use of
Kaplan-Meier survival analysis which could provide valuable information regarding
time to citation – a dimension of likely relevance for many authors.
Another important challenge in examining citations is the effect of time. Calendar
time can affect the citation of an article in three important ways. First, there is
the potential effect of partial years. It is unlikely that an article will be published
on January 1st and equally unlikely that a literature search will be conducted on December 31st. Consequently, both the year of publication and the year of search are, in fact,
partial years, the effects of which need to be considered when interpreting the results.
To minimize the effects of these partial years, we frequency-matched on year of publication.
Second, there is a latency period between the decision to cite an article and the
publication of the citing article. This latency period can be highly variable, depending
on the number of times the article is submitted, different review times, and the duration
of the 'in press' period. Although the increasing popularity of open access and electronic
journals likely will shorten this period, a minimum, unavoidable latency period will
always remain. In the present study, therefore, we restricted our analysis to papers
published between 1998 and 2004, thus allowing at least two years for the citing manuscript
to be published. Third, the citation trajectory of most articles is concave-down (Figure
1); i.e., most articles experience a period of increasing citation followed by one
of decreasing citation. As such, it is perhaps too simple to just examine rates of
citations per year. Calendar time-citation interaction is particularly important when
focusing on specific citation rates.
thumbnailFigure 1. Citation trajectory of one highly-cited article examining CAD prevention. This manuscript
was published in 1998, and these citation data were extracted in April 2007.

Limitations

Our study has several limitations. First, to detect important differences for some
variables (e.g., author, institution), even this relatively large sample is insufficient.
It is also possible that the significant results may be the result of type 1 errors.
Second, although our results are generally consistent for CAD prevention and child
injury prevention, the generalizability of the findings is uncertain. Additional studies
involving other epidemiologic topics will be needed to determine how universal these
results are.
Third, we used 2001 impact factors and assumed them to be roughly the average of any
journal's impact factors over the study period. Although it would have been preferable
in a design sense to have used 1998 impact factors, because the impact factors of
some journals have risen sharply over the last 12 years [13], these may not be representative of later values. However, with a maximum of only
4 years between publication and the 2001 midpoint and the categorization of impact
factor as low, medium, or high, it is unlikely that the use of 2001 impact factors
as a proxy introduces an important bias.
Fourth, we used current circulation data as a proxy because earlier circulation data
were unavailable. This is not ideal, but journal subscriptions do not greatly fluctuate
over a 7 year period and it is especially unlikely that a journal would move from
one circulation category (low, medium, or high) to another over this time. Also, due
to the presence of institutional subscriptions, available subscription data likely
underestimate the number of readers of a given journal.
Finally, as discussed previously, there are the potential effects of calendar time
that we have tried to minimize by frequency-matching and by incorporating a minimum
latency period into our study design.

Conclusion

Journal, impact factor, and circulation were the factors significantly associated
to the frequency of citation of epidemiologic publications. These associations were
present for publications addressing child injury prevention and those examining CAD
prevention. Topic also appeared to be associated with citation frequency among CAD
prevention articles.

Authors' contributions

KF contributed to study design, data collection and analysis, interpretation of results,
and drafting and revising the manuscript. IBP contributed to study design, data collection,
interpretation of results, and revising the manuscript.

Acknowledgements

We would like to thank Ms. Sofia Bamboulas for her assistance in data preparation.
Kristian Filion was supported by a scholarship from the Fonds de la Recherche en Santé
du Québec.

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