An increasing demand for bibliometric assessment of individuals has led to a growth of new bibliometric indicators as well as new variants or combinations of established ones. The aim of this review is to contribute with objective facts about the usefulness of bibliometric indicators of the effects of publication activity at the individual level. This paper reviews 108 indicators that can potentially be used to measure performance on individual author-level, and examines the complexity of their calculations in relation to what they are supposed to reflect and ease of end-user application. As such we provide a schematic overview of author-level indicators, where the indicators are broadly categorised into indicators of publication count, indicators that qualify output (on the level of the researcher and journal), indicators of the effect of output (effect as citations, citations normalized to field or the researcher's body of work), indicators that rank the individual's work and indicators of impact over time. Supported by an extensive appendix we present how the indicators are computed, the complexity of the mathematical calculation and demands to data-collection, their advantages and limitations as well as references to surrounding discussion in the bibliometric community. The Appendix supporting this study is available online as supplementary material.
Video-assisted thoracic surgery (VATS) is emerging as the standard surgical procedure for both minor and major oncological lung surgery. Thoracic epidural analgesia (TEA) and paravertebral block (PVB) are established analgesic golden standards for open surgery such as thoracotomy; however, there is no gold standard for regional analgesia for VATS. This systematic review aimed to assess different regional techniques with regard to effect on acute postoperative pain following VATS, with emphasis on VATS lobectomy. The systematic review of PubMed, The Cochrane Library and Embase databases yielded 1542 unique abstracts; 17 articles were included for qualitative assessment, of which three were studies on VATS lobectomy. The analgesic techniques included TEA, multilevel and single PVB, paravertebral catheter, intercostal catheter, interpleural infusion and long thoracic nerve block. Overall, the studies were heterogeneous with small numbers of participants. In comparative studies, TEA and especially PVB showed some effect on pain scores, but were often compared with an inferior analgesic treatment. Other techniques showed no unequivocal results. No clear gold standard for regional analgesia for VATS could be demonstrated, but a guide of factors to include in future studies on regional analgesia for VATS is presented.
Knowledge is limited because complications and outcomes are poorly defined. The expected increase in catheter treatment of refractory ascites necessitates comparative studies, using validated patient-related outcomes, and the reporting of unambiguous complications. A proposal of variables to include in future studies is presented.
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