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Publishing Trends in the Field of Pediatric Emergency Medicine From 2004 to 2013
Nancy S Rixe1, Jeffrey Rixe, Joshua Glick
1From the *Department of Pediatrics, Children's Hospital of Boston; †Department of Emergency Medicine, Boston Medical Center, Boston, MA; ‡Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia; §Department of Public Health Sciences, Pennsylvania State University College of Medicine; and ∥Departments of Emergency Medicine and Pediatrics, Penn State Hershey Medical Center, Hershey, PA.
Insights
Publishing in pediatric emergency medicine saw shifts, with more articles in specialized journals but fewer randomized controlled trials. This analysis highlights research gaps and guides clinicians to evidence-based studies.
Area of Science:
- Medical Research
- Clinical Trials
- Pediatric Emergency Medicine
Background:
- The field of pediatric emergency medicine has seen significant growth.
- Understanding publishing trends is crucial for identifying research gaps and guiding future studies.
Purpose of the Study:
- To analyze publishing trends in pediatric emergency medicine from 2004 to 2013.
- To identify shifts in journal focus, study design, and research topics.
Main Methods:
- A MEDLINE search identified 464 clinical trials published in ten key journals.
- Articles were categorized by journal type, study design, findings, subject demographics, and topic.
- Data were stratified into two publication periods (2004-2008 and 2009-2013) to assess trends.
Main Results:
- The majority of studies were randomized-controlled trials (47%) with predominantly negative or equivocal findings (70%).
- Key research areas included pain management, asthma, sedation, bronchiolitis, resuscitation, simulation, and ultrasound.
- A notable trend was the increase in articles published in pediatrics and pediatric emergency medicine journals (P = 0.0499), alongside a general rise in study designs, excluding randomized controlled trials (P = 0.0089).
Conclusions:
- The study identifies a shift towards specialized journals and a decrease in randomized controlled trials.
- Findings highlight areas with research deficiencies, encouraging targeted studies.
- This analysis aids healthcare professionals in locating evidence-based literature in pediatric emergency medicine.
Objective:
To identify publishing trends within the field of pediatric emergency medicine between 2004 and 2013.
Methods:
We conducted a MEDLINE search of pediatric emergency medicine articles, filtered by clinical trial, published between 2004 and 2013 in ten journals from the fields of pediatrics, emergency medicine, general medicine, and pediatric emergency medicine. Each article was classified by journal type, study design, results (positive or negative/equivocal), age/type of subjects, and major topic (based on the objective of the study). Articles were stratified by publication period (2004-2008 or 2009-2013) to analyze trends.
Results:
A total of 464 articles were analyzed. The majority of articles were described as randomized-controlled trials (47%) with negative/equivocal findings (70%). The most common major topics were pain management, asthma, sedation, bronchiolitis, resuscitation, simulation, and ultrasound. Over time, the percentage of articles published in pediatrics and pediatric emergency medicine journals increased (P = 0.0499) and the percentage for all study designs increased except for randomized controlled trials (P = 0.0089). There were no differences between the 2 publication periods when stratified by results, age/type of subjects, and major topic.
Conclusions:
By identifying these trends, we hope to encourage researchers to perform studies in the field of pediatric emergency medicine where deficiencies lie and to guide pediatric health care professionals to where published, evidence-based studies can be found in the medical literature.
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