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. 2022 May 4:9:845946.
doi: 10.3389/fsurg.2022.845946. eCollection 2022.

Top 100 Most-Cited Articles on Enhanced Recovery After Surgery: A Bibliometric Analysis and Visualized Study

Liping He  1 , Lulu Lu  2 , Shengjie Su  3 , Qiang Lin  3 , Chan Sheng  4
Affiliations

Top 100 Most-Cited Articles on Enhanced Recovery After Surgery: A Bibliometric Analysis and Visualized Study

Liping He et al. Front Surg. .

Abstract

Background: The enhanced recovery after surgery (ERAS) protocol is widely implemented in surgeries, and this study aims to reveal the characteristics of the 100 most-cited original articles in the field of ERAS research.

Methods: The literature was retrieved in the Web of Science database, the 100 most-cited original articles were identified, and their characteristics were analyzed, including the trends of publications and citations; contributions from countries, institutions, and authors; co-cited authors and journals in the references; served surgeries, research endpoints, keywords; and the level of evidence.

Results: There was a rising trend in the yearly publications and citations. Denmark and the USA contributed the largest number of highly cited papers. The University of Copenhagen was the most influential institution. Kehlet, Henrik was the most influential author. The British Journal of Surgery was the most often published and cited journal. ERAS protocols were overwhelmingly implemented in colorectal surgeries. The most focused endpoints were "length of stay", "complications", and "readmission". The most frequently used keywords were "fast track", "length of stay", and "laparoscopy". The keyword "enhanced recovery after surgery" burst since 2012. More than half of the highly cited articles presented level IV evidence, but there was no correlation between citations (densities) and the levels of evidence.

Conclusions: The highly cited research overwhelming implemented ERAS in colorectal surgeries, the "length of stay" was the most focused element, and Kehlet, Henrik was the most influential researcher. Most of the highly cited ERAS had low levels of evidence, and the total number of citations was not relevant to the level of evidence. Therefore, studies with high levels of evidence are still required in the future.

Keywords: ERAS; bibliometric; fast track; top-cited; visualized study.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Trends of yearly publications from 1990 to 2016, and yearly citations from 1990 to 2020.
Figure 2
Figure 2
World distribution of top 100 cited articles.
Figure 3
Figure 3
(A) Bibliographic coupling analysis of authors; (B) Co-cited analysis of cited authors in the references.
Figure 4
Figure 4
(A) Distribution of surgeries; (B) Co-occurrence analysis of study endpoints.
Figure 5
Figure 5
(A) Co-occurrence analysis of author keywords, ranging by year; (B) Burst detection of author keywords from 1990 to 2020.
Figure 6
Figure 6
Distribution of citations (A) and citation densities (B) between different levels of evidence.
See this image and copyright information in PMC

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