Clinical Research
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Evolution of Thoracic Outlet Syndrome Research: A Detailed Bibliometric Study

Year 2025, Volume: 7 Issue: 1, 55 - 63, 15.01.2025
https://doi.org/10.37990/medr.1560952

Abstract

Aim: Thoracic outlet syndrome (TOS) is a complex clinical condition caused by the compression of neurovascular structures in the thoracic outlet. Over the past few decades, research on TOS has expanded significantly. This study aims to analyze the literature on TOS using bibliometric methods to identify critical trends, influential authors, prominent themes, and emerging topics in the field.
Material and Method: A comprehensive literature search was conducted using the Web of Science (WoS) database for articles on TOS published between 1980 and 2023, employing the keyword 'thoracic outlet syndrome.' The collected data were analyzed using bibliometric methods. VOSviewer software was utilized to visualize bibliometric networks and map critical findings. Citation analysis was performed to identify influential journals and significant articles in the field. Additionally, keyword clustering and trend analyses were conducted to explore the thematic landscape of TOS research.
Results: In a literature search on TOS, 2248 publications were found, with 1509 journal articles (67.13%) included in the bibliometric summary. The most common research area was surgery (633 articles, 41.94%), and the United States had the highest publication productivity (684 articles, 45.32%). The University of California System had the highest number of publications among institutions (62 articles, 4.1%). These 1509 articles received 7831 citations (6596 excluding self-citations), averaging 13.1 citations per article and with an h-index of 57. 'Annals of Vascular Surgery' published the most articles (71, 4.7%), while 'Journal of Vascular Surgery' had the highest number of cited articles (65, 4.3%), accumulating 2563 citations.
Conclusion: This bibliometric analysis provides valuable insights into the evolution and trends of research on TOS. The keyword analysis offers a roadmap for researchers to design new studies. Additionally, the study highlights the influence of economic size and development levels on academic productivity in TOS, underscoring the importance of promoting multidisciplinary studies, especially in less developed countries.

Ethical Statement

Ethical approval was not required for this study, as it did not involve any human or animal participants, nor did it include any procedures that would necessitate ethical oversight according to institutional or national guidelines

Supporting Institution

This study did not receive any financial support or funding from any institution or organization.

References

  • Dengler NF, Ferraresi S, Rochkind S, et al. Thoracic outlet syndrome part i: systematic review of the literature and consensus on anatomy, diagnosis, and classification. Neurosurgery. 2022;90:653-67.
  • Peet RM, Henriksen JD, Anderson TP, Martin GM. Thoracic-outlet syndrome: evaluation of a therapeutic exercise program. Proc Staff Meet Mayo Clin. 1956;31:281-7.
  • Hooper TL, Denton J, McGalliard MK, et al. Thoracic outlet syndrome: a controversial clinical condition. Part 1: anatomy, and clinical examination/diagnosis. J Man Manip Ther. 2010;18:74-83.
  • Wilbourn AJ. Thoracic outlet syndromes. Neurol Clin. 1999;17:477-97.
  • Atasoy E. Thoracic outlet compression syndrome. Orthop Clin North Am. 1996;27:265-303.
  • Dahlstrom KA, Olinger AB. Descriptive anatomy of the interscalene triangle and the costoclavicular space and their relationship to thoracic outlet syndrome: a study of 60 cadavers. J Manipulative Physiol Ther. 2012;35:396-401.
  • Roos DB. Congenital anomalies associated with thoracic outlet syndrome. Am J Surg. 1976;132:771-8.
  • Urschel HC, Razzuk MA. Neurovascular compression in the thoracic outlet, changing management over 50 years. Ann Surg. 1998;228:609-17.
  • Chwei-Chin Chuang D, Fang F, Nai-Jen Chang T, et al. Thoracic outlet syndrome: past and present - 88 surgeries in 30 years at Chang Gung. Plast Reconstr Surg Glob Open. 2016;4:e728.
  • Illig KA, Rodriguez-Zoppi E, Bland T, et al. The Incidence of Thoracic Outlet Syndrome. Ann Vasc Surg. 2021;70:263-72.
  • Illig KA, Rodriguez-Zoppi E. How common is thoracic outlet syndrome?. Thorac Surg Clin. 2021;31:11-7.
  • Wilbourn AJ. Thoracic outlet syndrome is overdiagnosed. Muscle Nerve. 1999;22:130-7.
  • Roos DB. Thoracic outlet syndrome is underdiagnosed. Muscle Nerve. 1999;22:126-38.
  • Qvarfordt PG, Ehrenfeld WK, Stoney RJ. Supraclavicular radical scalenectomy and transaxillary first rib resection for the thoracic outlet syndrome. Am J Surg. 1984;148:111-6.
  • Chang DC, Rotellini-Coltvet LA, Mukherjee D, et al. Surgical intervention for thoracic outlet syndrome improves patient's quality of life. J Vasc Surg. 2009;49:630-7.
  • Orlando MS, Likes KC, Mirza S, et al. A decade of excellent outcomes after surgical intervention in 538 patients with thoracic outlet syndrome. J Am Coll Surg. 2015;220:934-9.
  • Burt BM. Thoracic outlet syndrome for thoracic surgeons. J Thorac Cardiovasc Surg. 2018;156:1318-23.e1.
  • Li W, Dissanaike S. Jury verdicts, outcomes, and tort reform features of malpractice cases involving thoracic outlet syndrome. J Vasc Surg. 2022;75:962-7.
  • Martín-Martín A, Thelwall M, Orduna-Malea E, et al. Google Scholar, Microsoft Academic, Scopus, Dimensions, Web of Science, and OpenCitations' COCI: a multidisciplinary comparison of coverage via citations. Scientometrics. 2021;126:871-906.
  • van Eck NJ, Waltman L. Software survey: VOSviewer, a computer program for bibliometric mapping. Scientometrics. 2010;84:523-38.
  • Sanders RJ, Hammond SL, Rao NM. Diagnosis of thoracic outlet syndrome. J Vasc Surg. 2007;46:601-4.
  • Bastian JD, Meier MK, Ernst RS, et al. A bibliometric analysis of orthogeriatric care: top 50 articles. Eur J Trauma Emerg Surg. 2022;48:1673-82.
  • Demir E, Yasar E, Ozkocak V, et al. The evolution of the field of legal medicine: A holistic investigation of global outputs with bibliometric analysis. J Forensic Leg Med. 2020;69:101885.
Year 2025, Volume: 7 Issue: 1, 55 - 63, 15.01.2025
https://doi.org/10.37990/medr.1560952

Abstract

References

  • Dengler NF, Ferraresi S, Rochkind S, et al. Thoracic outlet syndrome part i: systematic review of the literature and consensus on anatomy, diagnosis, and classification. Neurosurgery. 2022;90:653-67.
  • Peet RM, Henriksen JD, Anderson TP, Martin GM. Thoracic-outlet syndrome: evaluation of a therapeutic exercise program. Proc Staff Meet Mayo Clin. 1956;31:281-7.
  • Hooper TL, Denton J, McGalliard MK, et al. Thoracic outlet syndrome: a controversial clinical condition. Part 1: anatomy, and clinical examination/diagnosis. J Man Manip Ther. 2010;18:74-83.
  • Wilbourn AJ. Thoracic outlet syndromes. Neurol Clin. 1999;17:477-97.
  • Atasoy E. Thoracic outlet compression syndrome. Orthop Clin North Am. 1996;27:265-303.
  • Dahlstrom KA, Olinger AB. Descriptive anatomy of the interscalene triangle and the costoclavicular space and their relationship to thoracic outlet syndrome: a study of 60 cadavers. J Manipulative Physiol Ther. 2012;35:396-401.
  • Roos DB. Congenital anomalies associated with thoracic outlet syndrome. Am J Surg. 1976;132:771-8.
  • Urschel HC, Razzuk MA. Neurovascular compression in the thoracic outlet, changing management over 50 years. Ann Surg. 1998;228:609-17.
  • Chwei-Chin Chuang D, Fang F, Nai-Jen Chang T, et al. Thoracic outlet syndrome: past and present - 88 surgeries in 30 years at Chang Gung. Plast Reconstr Surg Glob Open. 2016;4:e728.
  • Illig KA, Rodriguez-Zoppi E, Bland T, et al. The Incidence of Thoracic Outlet Syndrome. Ann Vasc Surg. 2021;70:263-72.
  • Illig KA, Rodriguez-Zoppi E. How common is thoracic outlet syndrome?. Thorac Surg Clin. 2021;31:11-7.
  • Wilbourn AJ. Thoracic outlet syndrome is overdiagnosed. Muscle Nerve. 1999;22:130-7.
  • Roos DB. Thoracic outlet syndrome is underdiagnosed. Muscle Nerve. 1999;22:126-38.
  • Qvarfordt PG, Ehrenfeld WK, Stoney RJ. Supraclavicular radical scalenectomy and transaxillary first rib resection for the thoracic outlet syndrome. Am J Surg. 1984;148:111-6.
  • Chang DC, Rotellini-Coltvet LA, Mukherjee D, et al. Surgical intervention for thoracic outlet syndrome improves patient's quality of life. J Vasc Surg. 2009;49:630-7.
  • Orlando MS, Likes KC, Mirza S, et al. A decade of excellent outcomes after surgical intervention in 538 patients with thoracic outlet syndrome. J Am Coll Surg. 2015;220:934-9.
  • Burt BM. Thoracic outlet syndrome for thoracic surgeons. J Thorac Cardiovasc Surg. 2018;156:1318-23.e1.
  • Li W, Dissanaike S. Jury verdicts, outcomes, and tort reform features of malpractice cases involving thoracic outlet syndrome. J Vasc Surg. 2022;75:962-7.
  • Martín-Martín A, Thelwall M, Orduna-Malea E, et al. Google Scholar, Microsoft Academic, Scopus, Dimensions, Web of Science, and OpenCitations' COCI: a multidisciplinary comparison of coverage via citations. Scientometrics. 2021;126:871-906.
  • van Eck NJ, Waltman L. Software survey: VOSviewer, a computer program for bibliometric mapping. Scientometrics. 2010;84:523-38.
  • Sanders RJ, Hammond SL, Rao NM. Diagnosis of thoracic outlet syndrome. J Vasc Surg. 2007;46:601-4.
  • Bastian JD, Meier MK, Ernst RS, et al. A bibliometric analysis of orthogeriatric care: top 50 articles. Eur J Trauma Emerg Surg. 2022;48:1673-82.
  • Demir E, Yasar E, Ozkocak V, et al. The evolution of the field of legal medicine: A holistic investigation of global outputs with bibliometric analysis. J Forensic Leg Med. 2020;69:101885.
There are 23 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Original Articles
Authors

Sercan Çapkın 0000-0001-6957-5927

Ali İhsan Kılıç 0000-0001-7491-6044

Fatih Şeker 0000-0003-0427-9208

Mehmet Akdemir 0000-0001-9638-4907

Mahmud Aydın 0000-0002-2235-1480

Ertuğrul Şahin 0000-0002-8509-3570

Publication Date January 15, 2025
Submission Date October 3, 2024
Acceptance Date October 21, 2024
Published in Issue Year 2025 Volume: 7 Issue: 1

Cite

AMA Çapkın S, Kılıç Aİ, Şeker F, Akdemir M, Aydın M, Şahin E. Evolution of Thoracic Outlet Syndrome Research: A Detailed Bibliometric Study. Med Records. January 2025;7(1):55-63. doi:10.37990/medr.1560952

17741

Chief Editors

Assoc. Prof. Zülal Öner
İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Düzce University, Department of Anatomy, Düzce, Türkiye

Editors
Assoc. Prof. Serkan Öner
İzmir Bakırçay University, Department of Radiology, İzmir, Türkiye
 
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