Skip to main content
Top
Published in: European Journal of Plastic Surgery 5/2016

01-10-2016 | Original Paper

Levels of evidence in plastic surgery—bibliometric trends and comparison with five other surgical specialties

Authors: Riaz A. Agha, Mariana Devesa, Katharine Whitehurst, Alexander J. Fowler, Robert Coe, Georgina Wellstead, Dennis P. Orgill, Peter McCulloch

Published in: European Journal of Plastic Surgery | Issue 5/2016

Login to get access

Abstract

Background

Categorising research by level of evidence (LOE) is an important evidence-based medicine initiative. Our objective was to assess the change in LOEs in plastic surgery from 2003 to 2013 and compared this with five other surgical specialties.

Methods

A search for all research articles published in the top three general plastic surgery journals (ranked by impact factor) was conducted for 2003 and 2013. Articles were then labelled as LOE 1–5 and compared to other specialties.

Results

Mean LOE for plastic surgery improved by 4.1 % from 3.86 (95 % confidence interval 3.81–3.91) to 3.70 (95 % confidence interval 3.64–3.74) from 2003 to 2013 respectively. All six surgical specialties improved their mean LOE (range 3.7 to 10.9 %). By mean LOE, plastic surgery continues to rank five out of six.

Conclusions

Plastic surgery is tending towards higher levels of evidence at a slow pace. The specialty must continue to drive towards higher levels of evidence.
Level of Evidence: Not ratable.
Literature
3.
go back to reference Rohrich RJ, Eaves FF III (2011) So you want to be an evidence-based plastic surgeon? A lifelong journey. Plast Reconstr Surg 127:467–472CrossRefPubMed Rohrich RJ, Eaves FF III (2011) So you want to be an evidence-based plastic surgeon? A lifelong journey. Plast Reconstr Surg 127:467–472CrossRefPubMed
4.
go back to reference Loiselle F, Mahabir RC, Harrop AR (2008) Levels of evidence in plastic surgery research over 20 years. Plast Reconstr Surg 121:207e–11eCrossRefPubMed Loiselle F, Mahabir RC, Harrop AR (2008) Levels of evidence in plastic surgery research over 20 years. Plast Reconstr Surg 121:207e–11eCrossRefPubMed
6.
go back to reference Amin M, Mabe M (2000) Impact factors: use and abuse. Perspect Publ 1:1–6 Amin M, Mabe M (2000) Impact factors: use and abuse. Perspect Publ 1:1–6
7.
go back to reference Becker A, Blumle A, Momeni A (2013) Evidence-based plastic and reconstructive surgery: developments over two decades. Plast Reconstr Surg 132(4):657e–663eCrossRefPubMed Becker A, Blumle A, Momeni A (2013) Evidence-based plastic and reconstructive surgery: developments over two decades. Plast Reconstr Surg 132(4):657e–663eCrossRefPubMed
8.
go back to reference Post SF, Selles RW, McGrouther DA, Ritt MJPF, Hovius SER, Fridén J, Walbeehm ET (2014) Levels of evidence and quality of randomized controlled trials in hand and wrist surgery: an analysis of two major hand surgery journals. J Hand Surg Eur 39:900–902CrossRef Post SF, Selles RW, McGrouther DA, Ritt MJPF, Hovius SER, Fridén J, Walbeehm ET (2014) Levels of evidence and quality of randomized controlled trials in hand and wrist surgery: an analysis of two major hand surgery journals. J Hand Surg Eur 39:900–902CrossRef
9.
go back to reference Chuback JE, Varley TL, Yarascavitch BA, Eaves F, Thoma A, Bhandari M (2013) The level of evidence presented at plastic surgery meetings: what do we have to learn? Plast Reconstr Surg 131:776–783CrossRefPubMed Chuback JE, Varley TL, Yarascavitch BA, Eaves F, Thoma A, Bhandari M (2013) The level of evidence presented at plastic surgery meetings: what do we have to learn? Plast Reconstr Surg 131:776–783CrossRefPubMed
10.
go back to reference Bhangu A, Fitzgerald JE, Kolias AG (2014) Trainee-led research collaboratives: a novel model for delivering multi-centre studies. ANZ J Surg 84(12):902–3CrossRefPubMed Bhangu A, Fitzgerald JE, Kolias AG (2014) Trainee-led research collaboratives: a novel model for delivering multi-centre studies. ANZ J Surg 84(12):902–3CrossRefPubMed
13.
go back to reference Agha RA, Camm CF, Edison E, Orgill DP (2013) The methodological quality of randomized controlled trials in plastic surgery needs improvement: a systematic review. J Plast Reconstr Aesthet Surg 66:447–452CrossRefPubMed Agha RA, Camm CF, Edison E, Orgill DP (2013) The methodological quality of randomized controlled trials in plastic surgery needs improvement: a systematic review. J Plast Reconstr Aesthet Surg 66:447–452CrossRefPubMed
14.
go back to reference Agha RA, Camm CF, Doganay E, Edison E, Siddiqui MRS, Orgill DP (2013) Randomised controlled trials in plastic surgery: a systematic review of reporting quality. Eur J Plast Surg 37:55–62CrossRefPubMedPubMedCentral Agha RA, Camm CF, Doganay E, Edison E, Siddiqui MRS, Orgill DP (2013) Randomised controlled trials in plastic surgery: a systematic review of reporting quality. Eur J Plast Surg 37:55–62CrossRefPubMedPubMedCentral
15.
go back to reference Agha R, Lee S, Jeong KJL, Fowler A and Orgill DP (2015) Reporting Quality of Observational studies in plastic surgery needs improvement: a systematic review. Ann Plast Surg (article in press) Agha R, Lee S, Jeong KJL, Fowler A and Orgill DP (2015) Reporting Quality of Observational studies in plastic surgery needs improvement: a systematic review. Ann Plast Surg (article in press)
16.
go back to reference Agha RA, Fowler AJ, Herlin C, Goodacre T, Orgill DP (2015) Use of autologous fat grafting for reconstruction post-mastectomy and breast conserving surgery: a systematic review and meta-analysis. J Plast Reconstr Aesthet Surg 68(2):143–61CrossRefPubMed Agha RA, Fowler AJ, Herlin C, Goodacre T, Orgill DP (2015) Use of autologous fat grafting for reconstruction post-mastectomy and breast conserving surgery: a systematic review and meta-analysis. J Plast Reconstr Aesthet Surg 68(2):143–61CrossRefPubMed
19.
go back to reference Time for a new approach to case reports. Int J Surg Case Rep. 2010;1(1):1–3 Time for a new approach to case reports. Int J Surg Case Rep. 2010;1(1):1–3
20.
go back to reference Agha RA, Goodacre T, Orgill DP (2013) Use of autologous fat grafting for reconstruction post-mastectomy and breast conserving surgery: a systematic review protocol. BMJ Open 3(10), e003709CrossRefPubMedPubMedCentral Agha RA, Goodacre T, Orgill DP (2013) Use of autologous fat grafting for reconstruction post-mastectomy and breast conserving surgery: a systematic review protocol. BMJ Open 3(10), e003709CrossRefPubMedPubMedCentral
21.
go back to reference Agha RA, Gundogan B, Fowler AJ, Bragg TWH, Orgill DP (2014) The efficacy of the Cook-Swartz implantable Doppler in the detection of free flap compromise: a systematic review protocol. BMJ Open 4, e004253CrossRefPubMedPubMedCentral Agha RA, Gundogan B, Fowler AJ, Bragg TWH, Orgill DP (2014) The efficacy of the Cook-Swartz implantable Doppler in the detection of free flap compromise: a systematic review protocol. BMJ Open 4, e004253CrossRefPubMedPubMedCentral
22.
go back to reference Sullivan D, Chung K, Eaves FF Rohrich RJ (2011) The level of evidence pyramid indicating levels of evidence in plastic and reconstructive surgery articles. Plast Reconstr Surg ;311–314 Sullivan D, Chung K, Eaves FF Rohrich RJ (2011) The level of evidence pyramid indicating levels of evidence in plastic and reconstructive surgery articles. Plast Reconstr Surg ;311–314
23.
go back to reference Agha R, Cooper D, Muir G (2007) The reporting quality of randomised controlled trials in surgery: a systematic review. Int J Surg 5(6):413–422CrossRefPubMed Agha R, Cooper D, Muir G (2007) The reporting quality of randomised controlled trials in surgery: a systematic review. Int J Surg 5(6):413–422CrossRefPubMed
24.
go back to reference Hirst A, Agha RA, Rosin D, McCulloch P (2013) How can we improve surgical research and innovation? The IDEAL framework for action. Int J Surg 11(10):1038–1042CrossRefPubMed Hirst A, Agha RA, Rosin D, McCulloch P (2013) How can we improve surgical research and innovation? The IDEAL framework for action. Int J Surg 11(10):1038–1042CrossRefPubMed
Metadata
Title
Levels of evidence in plastic surgery—bibliometric trends and comparison with five other surgical specialties
Authors
Riaz A. Agha
Mariana Devesa
Katharine Whitehurst
Alexander J. Fowler
Robert Coe
Georgina Wellstead
Dennis P. Orgill
Peter McCulloch
Publication date
01-10-2016
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Plastic Surgery / Issue 5/2016
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-016-1219-1

Other articles of this Issue 5/2016

European Journal of Plastic Surgery 5/2016 Go to the issue