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Using the Disruptive Score to Identify Publications That Changed Plastic Surgery Practice.

Daniel C Neubauer1, Jessica D Blum2, Stephanie G Labou3

  • 1From the Department of Surgery, Division of Plastic Surgery, University of California San Diego, San Diego, CA.

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Summary

The disruption score (DS) identifies paradigm-shifting plastic surgery publications. Technical innovation and creativity drive academic impact, suggesting DS should supplement citation counts for evaluating scientific contributions.

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Area of Science:

  • Plastic Surgery
  • Academic Publishing
  • Bibliometrics

Background:

  • Traditional citation counts inadequately measure academic impact.
  • The disruption score (DS) quantifies paradigm shifts in research.
  • This study applies DS to plastic surgery literature.

Purpose of the Study:

  • To identify the most disruptive publications in plastic surgery using the DS.
  • To evaluate the impact of academic contributions beyond simple citation metrics.

Main Methods:

  • Searched 7 plastic surgery journals (1954-2014) for articles.
  • Calculated the disruption score (DS) for each publication.
  • Analyzed the top 64 disruptive papers by topic, study type, and citation count after exclusions.

Main Results:

  • Identified 32,622 articles with DS ranging from 0.385 to 0.923.
  • The top 64 disruptive papers had a mean DS of 0.539, 195 citations, and 9 references.
  • Plastic and Reconstructive Surgery published the most disruptive papers (50); most studies were technical descriptions or case series.

Conclusions:

  • The DS effectively measures paradigm shifts in academic contributions.
  • Technical innovation and creativity are key drivers of impactful plastic surgery research.
  • The DS should be integrated into future academic success evaluations for quality assessment.