Profile of published papers on orthopedics in general journals

Camargo, Olavo Pires de; Leme, Luiz Eugênio Garcez

doi:10.1590/S1413-78522011000200010

Abstracts

The authors study the profile of published papers on orthopedics in general journals, not specific to orthopedics, registered in PUBMED, in a period of two years. There were selected 67 papers with heterogeneous distribution among the magazines studied. It was found the presence of 26.47% of articles with interventional design and 38% with observational one. The data are discussed

Orthopedics; Musculoskeletal; Publication

Os autores estudam o perfil de publicação de artigos sobre ortopedia e área de interesse em aparelho locomotor em revistas gerais, não específicas de ortopedia, com registro no PUBMED, em um período de dois anos. Selecionados 67 artigos com distribuição heterogênea entre as revistas estudadas foi constatada presença de 26,47% de artigos com desenho de intervenção e 38% com desenho observacional. Os dados são comentados.

Ortopedia; Aparelho locomotor; Publicação

REVIEW ARTICLE

Department of Orthopedics and Traumatology of Faculdade de Medicina da Universidade de São Paulo

Mailing address

ABSTRACT

The authors study the profile of published papers on orthopedics in general journals, not specific to orthopedics, registered in PUBMED, in a period of two years. There were selected 67 papers with heterogeneous distribution among the magazines studied. It was found the presence of 26.47% of articles with interventional design and 38% with observational one. The data are discussed

Keywords: Orthopedics. Musculoskeletal. Publication.

INTRODUCTION

The stimulus to scientific production and to regular publication in journals of impact is a constant occurrence at most technological institutions, especially at teaching institutions.

In addressing matters relating to surgical specialties, particularly to orthopedics, several peculiarities can be observed.

As regards intervention studies, particularly their most important representatives, randomized controlled clinical trials, it is often necessary to adapt randomization or masking methods, as well as bioethical demands to be considered, which requires specific knowledge and creativity.

As regards observational studies, the need for controls of co-variables that improve their applicability and generalization, also calls for special skills.

In our field, this situation leads to a growing demand for better prepared scientific surveys and, as a consequence, for publications capable of offering adequate resources of disclosure in scientific circles.

In this perspective, some topics such as those related to the musculoskeletal and locomotor systems, can be found not only in specialized orthopedics journals but also in magazines related to general topics in medicine and health.

In a previous study¹ we had the opportunity of studying the distribution of articles referring to the areas of orthopedics and sports medicine in journals from our field over a two-year period. In this article we strive to study publications related to topics of interest to the study of the locomotor system in general and of orthopedics in particular, in non-orthopedic journals, registered in PUBMED.

METHOD

In the years 2008 and 2009 investigations were conducted on articles with possible orthopedic interest published in four Brazilian periodicals not specifically connected to the orthopedic area, currently cataloged in PUBMED: São Paulo Medical Journal (Sao Paulo Med J), Revista da Associação Médica Brasileira (Rev Assoc Med Bras.), Clinics, Revista da Escola de Enfermagem da USP (Rev Esc Enferm USP) and Brazilian Journal of Infectious Diseases (Braz J Infect Dis).

The search strategies listed in Chart 1 were used for the selection of possible articles of interest.

Once selected the articles were individually evaluated by the authors to define their possible interest in orthopedics and study of the locomotor system.

Inclusion criteria: Articles published in the journals analyzed in the years 2008 and 2009 that fulfilled the search criteria.

Exclusion criteria: Articles that were not directly or indirectly related to orthopedics and study of the locomotor system.

The articles already selected were evaluated in terms of their survey design and the set of topics addressed.

The results were incorporated in an Excel spreadsheet.

Microsoft's Excel 2007® program was used.

The results were presented in the percentage form.

RESULTS:

Using the aforementioned strategy, articles were found in the journals: Sao Paulo Méd J^2-12, Rev Assoc Med Bras^13-16, Clinics^17-64, Rev Esc Enferm USP⁶⁵ and Braz J Infect Dis.^66-68

Chart 2 presents the number of articles located through the search strategy (Chart 1) and the number of articles selected by the authors for their relationship with the area of interest of orthopedics and study of the locomotor system.

Table 1 presents the percentages of the localized articles relating to the topics addressed.

Thumbnail

Table 2 presents the percentages of the localized articles relating to the survey designs.

Thumbnail

DISCUSSION

The search strategy allowed us to locate a group of 253 articles published in the years 2008 and 2009. When these were analyzed individually we were able to locate 67 publications effectively related to the areas of interest in locomotor system and orthopedics. This difference is due to the actual limitations of the search strategies that should be as inclusive as possible, in order not to lose articles. Subsequent selection, indispensable in the literature review method, guarantees the specificity of the publications included in the final survey.

There is considerable disparity among the publications studied, of which the majority is intended for Clinics and, to a lesser extent, for the São Paulo Medical Journal. This difference can be explained by the fact that these journals are well punctuated and with good agility and publication time. On the other hand publications such as the Brazilian Journal of Infectious Diseases or the Revista da Escola de Enfermagem da USP are necessarily more restricted and geared toward a specialized audience, and cannot be compared in full with general magazines like the others.

As regards the set of topics covered, most of the articles referred to articles of clinical interest, including physical medicine, study of perioperative risk and support conditions, and articles related to the support of physical medicine. This fact can explain why these publications have been geared toward general journals and not those specialized in orthopedics. However, we can also find a significant number of articles on orthopedic surgery and anatomical studies, which would be suitable for specialized publications and might have been allocated to general publications to produce a greater impact of for greater general disclosure in the medical field.

As regards the survey design, we can find a balance among various designs with an expressive number of intervention studies, where clinical trials correspond to more than 26% of the total group in an apparent progression in relation to previous studies.¹As regards the observational studies that amount to more than 38% of the studies, this is an expected measurement, since designs of case series, medical chart reviews and transversal observations are particularly prevalent in studies on orthopedics and area of interest in the locomotor system. The continuously high number of case reports, a design that is increasingly less publishable separately except in special cases, draws our attention.

As a conclusion we can observe that the number of publications in orthopedics and area of interest in the locomotor system has an expressive presence in general periodicals in medicine and health, which could indicate that there is still room for growth in specialized publications. We can also observe progression in the quality of survey designs with an expressive increase of intervention designs and the presence of observational designs of quality such as the cohort design.

On the other hand, we noticed the absence of secondary studies such as systematic reviews or meta-analyses, which might qualify as an area to be developed by researchers in the future.

REFERENCES

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3. Almeida RF, Queiroz AA, Belloti JC, Castro Filho JM, Cohen M, Navarro RD. Approach towards total knee arthroplasty in Brazil: cross-sectional study. São Paulo Med J. 2009;127:190-7.
4. Ferreira MC, Carvalho VF, Kamamoto F, Tuma P Jr, Paggiaro AO. Negative pressure therapy (vacuum) for wound bed preparation among diabetic patients: case series. Sao Paulo Med J. 2009;127:166-70.
5. Yanasse RH, Cavallari CE, Chaud FL, Hernandez AJ, Mizobuchi RR, Laraya MH. Measurement of tibial slope angle after medial opening wedge high tibial osteotomy: case series. Sao Paulo Med J. 2009;127:34-9.
6. Imbelloni LE, Gouveia MA, Cordeiro JA. Continuous spinal anesthesia versus combined spinal epidural block for major orthopedic surgery: prospective randomized study. Sao Paulo Med J. 2009;127:7-11.
7. Gazi MB, Sakata RK, Issy AM. Intra-articular morphine versus bupivacaine for knee motion among patients with osteoarthritis: randomized double-blind clinical trial. Sao Paulo Med J. 2008;126:309-13.
8. Fregnani JH, Macéa MI, Pereira CS, Barros MD, Macéa JR. Absence of the musculocutaneous nerve: a rare anatomical variation with possible clinical-surgical implications. Sao Paulo Med J. 2008;126:288-90.
9. Trevisani VF, Riera R, Imoto AM, Saconato H, Atallah AN. Teriparatide (recombinant human parathyroid hormone 1-34) in postmenopausal women with osteoporosis: systematic review. Sao Paulo Med J. 2008;126:279-84.
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11. Teive HA, Campos RW, Munhoz RP, Werneck LC. Pressure ulcers and Charcot's definitions: report on two cases. Sao Paulo Med J. 2008;126:223-4.
12. Belloti JC, Tamaoki MJ, Franciozi CE, Santos JB, Balbachevsky D, Chap Chap E et al. Faloppa F. Are distal radius fracture classifications reproducible? Intra and interobserver agreement. Sao Paulo Med J. 2008;126:180-5.
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15. Lopes FF, Loureiro FH, Alves CM, Pereira Ade F, Oliveira AE. [Systemic bone mineral density versus clinical periodontal condition: cross-sectional study in postmenopausal women]. Rev Assoc Med Bras. 2008;54:411-4.
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24. Yanik B, Ayrim A, Ozol D, Koktener A, Gokmen D. Influence of obesity on bone mineral density in postmenopausal asthma patients undergoing treatment with inhaled corticosteroids. Clinics (Sao Paulo). 2009;64:313-8.
25. Nayak SR, Vadgaonkar R, Krishnamurthy A, Prabhu LV. An anomalous muscle in the forearm extensor compartment. Clinics (Sao Paulo). 2009;64:262-3.
26. Ramos LA, Carvalho RT, Garms E, Navarro MS, Abdalla RJ, Cohen M. Prevalence of pain on palpation of the inferior pole of the patella among patients with complaints of knee pain. Clinics (Sao Paulo). 2009;64:199-202.
27. Camanho GL. Total arthroplasty in ankylosed knees: a case series. Clinics (Sao Paulo). 2009;64:183-7.
28. Alonso AC, Greve JM, Camanho GL. Evaluating the center of gravity of dislocations in soccer players with and without reconstruction of the anterior cruciate ligament using a balance platform. Clinics (Sao Paulo).2009;64:163-70.
29. Mehta V, Arora J, Suri RK, Rath G. A rare quadruplicate arrangement of abductor pollicis longus tendons: anatomical and clinical relevance. Clinics (Sao Paulo). 2009;64:153-5
30. Irkorucu O, Ferahköşe Z, Memiş L, Ekinci O, Akin M. Reduction of postsurgical adhesions in a rat model: a comparative study. Clinics (Sao Paulo). 2009;64:143-8.
31. Lopes AD, Vilar e Furtado R, Silva CA, Yi LC, Malfatti CA, Araújo SA. Comparison of self-report and interview administration methods based on the Brazilian versions of the Western Ontario Rotator Cuff Index and Disabilities of the Arm, Shoulder and Hand Questionnaire in patients with rotator cuff disorders. Clinics (Sao Paulo). 2009;64:121-5.
32. Bacarin TA, Sacco IC, Hennig EM. Plantar pressure distribution patterns during gait in diabetic neuropathy patients with a history of foot ulcers.Clinics (Sao Paulo). 2009;64:113-20.
33. Greve JM, Grecco MV, Santos-Silva PR. Comparison of radial shockwaves and conventional physiotherapy for treating plantar fasciitis. Clinics (Sao Paulo). 2009;64:97-103.
34. Nayak SR, Krishnamurthy A, Prabhu LV, Madhyastha S. Additional tendinous origin and entrapment of the plantaris muscle. Clinics (Sao Paulo). 2009;64:67-8.
35. Cunha AC, Burke TN, França FJ, Marques AP. Effect of global posture reeducation and of static stretching on pain, range of motion, and quality of life in women with chronic neck pain: a randomized clinical trial. Clinics (Sao Paulo). 2008;63:763-70.
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Profile of published papers on orthopedics in general journals

Olavo Pires de Camargo; Luiz Eugênio Garcez Leme

Publication Dates

Publication in this collection
15 June 2011
Date of issue
Apr 2011

History

Received
07 Dec 2010
Accepted
12 Jan 2011

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Camargo OP, Garcez-Leme LE. Revisão de artigos de ortopedia e medicina esportiva publicados em periódicos brasileiros. Acta Ortop Bras. 2009;17: 344-9.

[2] 2. Sarkis KS, Salvador MB, Pinheiro MM, Silva RG, Zerbini CA, Martini LA. Association between osteoporosis and rheumatoid arthritis in women: a cross-sectional study. Sao Paulo Med J. 2009;127:216-22.

[3] 3. Almeida RF, Queiroz AA, Belloti JC, Castro Filho JM, Cohen M, Navarro RD. Approach towards total knee arthroplasty in Brazil: cross-sectional study. São Paulo Med J. 2009;127:190-7.

[4] 4. Ferreira MC, Carvalho VF, Kamamoto F, Tuma P Jr, Paggiaro AO. Negative pressure therapy (vacuum) for wound bed preparation among diabetic patients: case series. Sao Paulo Med J. 2009;127:166-70.

[5] 5. Yanasse RH, Cavallari CE, Chaud FL, Hernandez AJ, Mizobuchi RR, Laraya MH. Measurement of tibial slope angle after medial opening wedge high tibial osteotomy: case series. Sao Paulo Med J. 2009;127:34-9.

[6] 6. Imbelloni LE, Gouveia MA, Cordeiro JA. Continuous spinal anesthesia versus combined spinal epidural block for major orthopedic surgery: prospective randomized study. Sao Paulo Med J. 2009;127:7-11.

[7] 7. Gazi MB, Sakata RK, Issy AM. Intra-articular morphine versus bupivacaine for knee motion among patients with osteoarthritis: randomized double-blind clinical trial. Sao Paulo Med J. 2008;126:309-13.

[8] 8. Fregnani JH, Macéa MI, Pereira CS, Barros MD, Macéa JR. Absence of the musculocutaneous nerve: a rare anatomical variation with possible clinical-surgical implications. Sao Paulo Med J. 2008;126:288-90.

[9] 9. Trevisani VF, Riera R, Imoto AM, Saconato H, Atallah AN. Teriparatide (recombinant human parathyroid hormone 1-34) in postmenopausal women with osteoporosis: systematic review. Sao Paulo Med J. 2008;126:279-84.

[10] 10. Salimi J, Khaji A, Karbakhsh M, Saadat S, Eftekhar B. Scapular fracture: lower severity and mortality. Sao Paulo Med J. 2008;126:186-9.

[11] 11. Teive HA, Campos RW, Munhoz RP, Werneck LC. Pressure ulcers and Charcot's definitions: report on two cases. Sao Paulo Med J. 2008;126:223-4.

[12] 12. Belloti JC, Tamaoki MJ, Franciozi CE, Santos JB, Balbachevsky D, Chap Chap E et al. Faloppa F. Are distal radius fracture classifications reproducible? Intra and interobserver agreement. Sao Paulo Med J. 2008;126:180-5.

[13] 13. Senaga C, Girão DS, Borba MA, Machado GC, Chojniak R. [Mandible giant cell tumor.]. Rev Assoc Med Bras. 2009;55(2):108-9.

[14] 14. Carvalho VF, Ferreira MC, Vieira SA, Ueda T. [Cutaneous sensibility threshold in the feet of diabetic patients with pressure specified sensory device: an assessment of the neuropathy]. Rev Assoc Med Bras. 2009;55:29-34.

[15] 15. Lopes FF, Loureiro FH, Alves CM, Pereira Ade F, Oliveira AE. [Systemic bone mineral density versus clinical periodontal condition: cross-sectional study in postmenopausal women]. Rev Assoc Med Bras. 2008;54:411-4.

[16] 16. Campos LM, Goldstein S, Santiago RA, Jesus AA, Cristofani LM, Odone Filho V et al. [Musculoskeletal involvement as a first manifestation of neoplasm disease]. Rev Assoc Med Bras. 2008;54:132-8.

[17] 17. Satomi E, Sitta Mdo C, Machado AN, Garcez Leme LE. Identification and treatment of osteoporosis among elderly patients with hip fractures. Clinics (Sao Paulo). 2009;64:1201-4.

[18] 18. Santos MF, Furtado RN, Konai MS, Castiglioni ML, Marchetti RR, Natour J. Effectiveness of radiation synovectomy with samarium-153 particulate hydroxyapatite in rheumatoid arthritis patients with knee synovitis: a controlled randomized double-blind trial. Clinics (Sao Paulo). 2009;64:1187-93.

[19] 19. Bispo Júnior RZ, Camargo OP. Prognostic factors in the survival of patients diagnosed with primary non-metastatic osteosarcoma with a poor response to neoadjuvant chemotherapy. Clinics (Sao Paulo). 2009;64:1177-86.

[20] 20. Yilmaz A, Bozer C, Uluçam E, Taşkinalp O. An anomaly of flexor muscles of the fifth (little) finger of the hand: an anatomical case report. Clinics (Sao Paulo). 2009;64:1133-5.

[21] 21. Moya GB, Siqueira CM, Caffaro RR, Fu C, Tanaka C. Can quiet standing posture predict compensatory postural adjustment? Clinics (Sao Paulo). 2009;64:791-6.

[22] 22. Kayalar G, Cevikol A, Yavuzer G, Sanisoglu Y, Cakci A, Arasil T. The value of calcaneal bone mass measurement using a dual X-ray laser Calscan device in risk screening for osteoporosis. Clinics (Sao Paulo). 2009;64:757-62.

[23] 23. Basyches M, Wolosker N, Ritti-Dias RM, Câmara LC, Puech-Leão P, Battistella LR. Eccentric strength and endurance in patients with unilateral intermittent claudication. Clinics (Sao Paulo). 2009;64:319-22.

[24] 24. Yanik B, Ayrim A, Ozol D, Koktener A, Gokmen D. Influence of obesity on bone mineral density in postmenopausal asthma patients undergoing treatment with inhaled corticosteroids. Clinics (Sao Paulo). 2009;64:313-8.

[25] 25. Nayak SR, Vadgaonkar R, Krishnamurthy A, Prabhu LV. An anomalous muscle in the forearm extensor compartment. Clinics (Sao Paulo). 2009;64:262-3.

[26] 26. Ramos LA, Carvalho RT, Garms E, Navarro MS, Abdalla RJ, Cohen M. Prevalence of pain on palpation of the inferior pole of the patella among patients with complaints of knee pain. Clinics (Sao Paulo). 2009;64:199-202.

[27] 27. Camanho GL. Total arthroplasty in ankylosed knees: a case series. Clinics (Sao Paulo). 2009;64:183-7.

[28] 28. Alonso AC, Greve JM, Camanho GL. Evaluating the center of gravity of dislocations in soccer players with and without reconstruction of the anterior cruciate ligament using a balance platform. Clinics (Sao Paulo).2009;64:163-70.

[29] 29. Mehta V, Arora J, Suri RK, Rath G. A rare quadruplicate arrangement of abductor pollicis longus tendons: anatomical and clinical relevance. Clinics (Sao Paulo). 2009;64:153-5

[30] 30. Irkorucu O, Ferahköşe Z, Memiş L, Ekinci O, Akin M. Reduction of postsurgical adhesions in a rat model: a comparative study. Clinics (Sao Paulo). 2009;64:143-8.

[31] 31. Lopes AD, Vilar e Furtado R, Silva CA, Yi LC, Malfatti CA, Araújo SA. Comparison of self-report and interview administration methods based on the Brazilian versions of the Western Ontario Rotator Cuff Index and Disabilities of the Arm, Shoulder and Hand Questionnaire in patients with rotator cuff disorders. Clinics (Sao Paulo). 2009;64:121-5.

[32] 32. Bacarin TA, Sacco IC, Hennig EM. Plantar pressure distribution patterns during gait in diabetic neuropathy patients with a history of foot ulcers.Clinics (Sao Paulo). 2009;64:113-20.

[33] 33. Greve JM, Grecco MV, Santos-Silva PR. Comparison of radial shockwaves and conventional physiotherapy for treating plantar fasciitis. Clinics (Sao Paulo). 2009;64:97-103.

[34] 34. Nayak SR, Krishnamurthy A, Prabhu LV, Madhyastha S. Additional tendinous origin and entrapment of the plantaris muscle. Clinics (Sao Paulo). 2009;64:67-8.

[35] 35. Cunha AC, Burke TN, França FJ, Marques AP. Effect of global posture reeducation and of static stretching on pain, range of motion, and quality of life in women with chronic neck pain: a randomized clinical trial. Clinics (Sao Paulo). 2008;63:763-70.

[36] 36. Dinçel E, Sepici-Dinçel A, Sepici V, Ozsoy H, Sepici B. Hip fracture risk and different gene polymorphisms in the Turkish population. Clinics (Sao Paulo). 2008;63:645-50.

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