International Collaboration Trends in Facial Plastic and Reconstructive Surgery: A Systematic Bibliometric Scoping Review.
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2023-04-27
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IMPORTANCE: Research in facial plastic and reconstructive surgery (FPRS) in the global health setting, especially in low- and middle-income countries (LMICs), is increasing year by year. As this work progresses, it will be crucial to include voices and perspectives of individuals living in the LMICs being studied. OBJECTIVE: To characterize and understand international collaborations in published literature on FPRS care in a global health setting and report patterns in whether these articles included authors from the LMICs in which the studies took place. EVIDENCE REVIEW: A systematic bibliometric scoping review of articles in Scopus from 1971 to 2022 was performed using a set list of search terms; studies were included using predetermined inclusion and exclusion criteria. Studies met criteria for inclusion if the abstract or text contained information regarding surgeons from a different country performing surgery or conducting research in an LMIC within the domain of FPRS. Exclusion criteria were studies that did not mention a facial plastic or reconstructive surgery and studies where both an HIC and LMIC were not mentioned. FINDINGS: A total of 286 studies met criteria for inclusion. The highest percentage of studies (n = 72, 25.2%) were conducted across multiple countries. A total of 120 studies (41.9%) discussed cleft lip/palate. Overall, 141 studies (49.5%) included at least 1 author from the host LMIC; 89 (31.1%) had first authors from LMICs, and 72 (25.2%) had senior authors from LMICs. A total of 79 studies (27.6%) described humanitarian clinical service trips without mentioning research or education in the text. The remaining studies described research, education projects, or a combination. The published literature on humanitarian service trips had the lowest rate of inclusion of a first or senior author from the host LMICs. CONCLUSIONS AND RELEVANCE: In this systematic bibliometric scoping review, findings showed a general trend of increased international work in the field of FPRS. However, there continues to be a paucity of inclusive authorship trends, with the majority of studies not including first or senior authors from LMICs. The findings presented here encourage new collaborations worldwide, as well as the improvement of existing efforts.
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Stanford-Moore, Gaelen B, Julia Canick, Samantha Kaplan and Walter T Lee (2023). International Collaboration Trends in Facial Plastic and Reconstructive Surgery: A Systematic Bibliometric Scoping Review. JAMA Otolaryngol Head Neck Surg. 10.1001/jamaoto.2023.0372 Retrieved from https://hdl.handle.net/10161/27287.
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Samantha Kaplan
Sami is the Research and Education Liaison Librarian to the School of Medicine. She offers research services to School of Medicine teaching faculty, staff, and students. She works to enable and promote evidence-based practice at Duke Health.
- PhD, UNC Chapel Hill School of Information and Library Science
- MLIS, University of South Carolina
- BA, University of Georgia

Walter T Lee
Global Health, Virtue-Based Professional Development and Leadership, Device Development for Cancer Detection, otolaryngology, ENT, Head and Neck Cancer
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