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Article Processing Charges in General Surgery Journals: Implications for Equitable Publishing Access in Low-Income
Brenda Feres1, Nadia Palte2, Sofia Wagemaker Viana3
1Kursk State Medical University, Kursk, Russia; Gender Equity Initiative in Global Surgery, Boston, Massachusetts.
The Journal of Surgical Research
|July 3, 2026
Summary
Article processing charges (APCs) in general surgery publishing create financial barriers for researchers from low- and middle-income countries (LMICs). While some journals offer discounts, high fees persist, hindering equitable access to scientific knowledge dissemination.
Area of Science:
- Medical Publishing
- Surgical Sciences
- Open Access Models
Background:
- Open access publishing enhances scientific knowledge dissemination but article processing charges (APCs) pose financial barriers, especially for researchers in low- and middle-income countries (LMICs).
- Previous studies indicate APCs disproportionately affect LMIC authors, perpetuating academic inequities.
- The financial impact of APCs on general surgery publishing remains under-researched.
Purpose of the Study:
- To quantify article processing charges (APCs) in general surgery journals.
- To evaluate the equity of APC fee structures for authors from LMICs.
- To assess the relationship between APCs, journal type, country of origin, and impact factor.
Main Methods:
- A cross-sectional analysis of general surgery journals identified via SCImago Journal & Country Rank.
- Journals were categorized as fully open access (OA) or hybrid.
- Data on APCs, fee reductions for LMIC authors, publishing model, country of origin, and impact factor were extracted and analyzed.
Main Results:
- 90% of analyzed general surgery journals charge APCs, with most being hybrid models.
- Only 42% of journals offering APCs provided reductions for LMIC authors.
- Journals based in LMICs were all fully OA, with lower median APCs and some offering no charges, contrasting with high-income country journals.
Conclusions:
- High APCs in general surgery publishing create significant barriers for LMIC authors, perpetuating inequities.
- While APC reductions are offered by some journals, the fees remain substantial.
- LMIC-based journals demonstrate that fully open access publishing is achievable at minimal or no cost, suggesting a path toward greater equity.