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. 2025 Jan 7:11:1448049.
doi: 10.3389/fsurg.2024.1448049. eCollection 2024.

From disease management to prevention, hip prosthesis joint infections in the past 20 years: a global research trends and top 10 cited articles analysis

Fei-Long Li #  1   2 , Xing-Yu Qi #  3 , Jin-Lun Chen  3 , Yi-Rong Zeng  1   3
Affiliations

From disease management to prevention, hip prosthesis joint infections in the past 20 years: a global research trends and top 10 cited articles analysis

Fei-Long Li et al. Front Surg. .

Abstract

Background: There are few literatures comprehensively analyzed the global research in hip prosthesis joint infections (HPJI). We aim to clarify the global research trends and analysis the top 10 cited articles in the HPJI field.

Methods: We identified the core collection of articles/reviews in the HPJI field from 2001 to 2021 through the Web of Science Core Collection (WOSCC). VOSviewer and online bibliometric tool were used to conduct the visualized and knowledge maps. Annual trends of publications, research hotspots and the top 10 cited articles were analyzed.

Results: A total of 5,477 publications were finally included. Generally, an increasing trend was observed in the number of publications from 2001 to 2021. The authors, journals and institutions with largest number of publications all belong to the USA. Co-occurrence analysis of keywords showed that surgical techniques, risk factors, revision surgery strategy, epidemiology, diagnoses and prevention were the 6 major research directions. Total hip arthroplasty, replacement, outcomes, risk factors and diagnosis were the keywords that occurred most frequently. The top 10 cited articles were all published in Journal Citation Reports (JCR) Q1 journals, providing valuable reference value from the perspectives of clinical guidelines, perioperative management, causes and diagnostic methods of infection, epidemiological investigation, risk factors and prognostic analysis.

Conclusions: The number of publications in HPJI field had been on the rise over the past 20 years, from disease management to prevention. An intensive reading of the top 10 cited articles is beneficial to understand the focus of HPJI research comprehensively.

Keywords: bibliometric analysis; highly cited articles background; hip; prosthesis joint infections; research trends.

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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
Flowchart for the selection of articles/review included in the study.
Figure 2
Figure 2
Overview of global publications and trends in HPJI field. (A) The number of publications published annually in the HPJI field. (B) A world map showing the number of global publications in HPJI field from 2001 to 2021. Different colors on the map represent the total number of posts from different countries, the number of publications of Taiwan, Hong Kong and Macao were included in China. (C) The cooperation map of countries/regions involved in HPJI research. The larger the area of the colored area, the larger the number of publications. The thicker the lines connecting different areas, the closer the cooperative relationship. (D) The publication trends of the top 10 active countries in HPJI field from 2001 to 2021. Annual trends in the number of publications published in different countries in different years are shown in the figure as widths of different color lines.
Figure 3
Figure 3
The top 10 authors institutions/countries/journals contributed to research publications in HPJI field. (A) The top 10 authors contributed to research publications in HPJI field. (B) The top 10 institutions contributed to research publications in HPJI field. (C) The top 10 countries contributed to research publications in HPJI field, the number of publications of Taiwan, Hong Kong and Macao were included in China. (D) The top 10 journals contributed to research publications in HPJI field. ACI, average citation per item.
Figure 4
Figure 4
Co-authorship analysis of global research about HPJI. (A) Mapping of the 1,002 authors co-authorship analysis on HPJI. (B) Mapping of the 467 institutions co-authorship analysis on HPJI. (C) Mapping of the 50 countries co-authorship analysis on HPJI. Each node represents a different author/organization/country, the size of nodes represents the frequency of cooperation and the thicker the line between the two nodes, the closer the collaboration between them.
Figure 5
Figure 5
Bibliographic coupling analysis of global research about HPJI. (A) Mapping of the 314 authors on HPJI. (B) Mapping of the 121 journals on HPJI. (C) Mapping of the 5,477 articles/review on HPJI from different years. The line between two nodes represents that two authors/journals/articles had establish a similarity relationship, the thickness of the line indicates the strength of the connection.
Figure 6
Figure 6
Co-occurrence analysis of global research about HPJI. (A) Mapping of keywords in the research on HPJI, the size of the nodes represents the frequency of occurrence, and the keywords were divided into five clusters. (B) Chronological distribution of keywords according to the mean frequency of occurrence, keywords in purple appeared earlier than those in yellow and red. (C) Distribution of keywords according to the density of occurrence, the depth of the color represents the density of the keywords.
Figure 7
Figure 7
Hot spot analysis of the key field about HPJI. The fishbone diagram showed the research trends in the key field about HPJI. From 2001 to 2010, research hotspots in HPJI field were concentrated in surgical techniques, epidemiology, revision surgery strategy; From 2011 to 2021, the focus of research began to turn to risk factors, diagnoses and prevention. By summarizing the topics of papers published in different time periods, it can be concluded that the research trends in the HPJI field over the past 20 years are: From disease management to prevention.
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