{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T01:52:29Z","timestamp":1784425949105,"version":"3.55.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Reconstr Microsurg"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Evidence-based medicine uses the current best evidence for decisions about patient care. Lymphedema is a chronic debilitating medical condition caused by a dysfunctional lymphatic system. This study analyzes the most cited articles, including the levels of evidence, for the surgical treatment of lymphedema.<\/jats:p><jats:p>\n          Methods\u2003The Web of Science Sci-Expanded Index was utilized to search for surgical treatment of lymphedema. Articles were examined by three independent reviewers and the top 100 articles were determined. The corresponding author, citation count, publication year, topic, study design, level of evidence, journal, country, and institution were analyzed.<\/jats:p><jats:p>\n          Results\u2003Since 1970, the top 100 articles have been cited 7,300 times. The average citation count was 68 and standard deviation was 55. The majority was case series (71), followed by retrospective cohort (8), prospective cohort (7), retrospective case\u2013control (5), and randomized controlled trials (2). Based on the \u201cLevel of Evidence Pyramid,\u201d 71 articles were level IV, 13 articles were level III, and 9 articles were level II. On the Grading of Recommendations Assessment, Development, and Evaluation Scale, there were 71 articles with \u201cvery low,\u201d 20 articles with \u201clow,\u201d and 2 articles with \u201cmoderate\u201d quality of evidence.<\/jats:p><jats:p>\n          Conclusion\u2003The top 100 cited articles were mostly case series and lacked high levels of evidence. Most studies are retrospective case series with short-term outcomes. However, low level evidence for new surgical procedures is to be expected. Current trends suggest the treatment and understanding of lymphedema will continue to improve.<\/jats:p>","DOI":"10.1055\/a-2003-7795","type":"journal-article","created":{"date-parts":[[2022,12,24]],"date-time":"2022-12-24T00:56:28Z","timestamp":1671843388000},"page":"559-564","source":"Crossref","is-referenced-by-count":2,"title":["The Top 100 Cited Articles in the Microsurgical Treatment for Lymphedema"],"prefix":"10.1055","volume":"39","author":[{"given":"Justin J.","family":"Cordero","sequence":"additional","affiliation":[{"name":"School of Medicine, University of California Riverside, Riverside, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Eidelson","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanner","family":"Frediani","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasha","family":"Shakoori","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. Lyonel","family":"Carr\u00e9","sequence":"additional","affiliation":[{"name":"Department of Plastic & Reconstructive Surgery, City of Hope, Duarte, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa A.","family":"Klausmeyer","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, California"},{"name":"Department of Plastic and Reconstructive Surgery, Kaiser Permanente Medical Group, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael W.","family":"Chu","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, California"},{"name":"Department of Plastic and Reconstructive Surgery, Kaiser Permanente Medical Group, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,1,24]]},"reference":[{"issue":"12","key":"ref1","first-page":"1279","article-title":"Primary lymphedema of limbs [in French]","volume":"39","author":"L Vaillant","year":"2010","journal-title":"Presse Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1196\/annals.1413.014","article-title":"Estimating the population burden of lymphedema","volume":"1131","author":"S G Rockson","year":"2008","journal-title":"Ann N Y Acad Sci"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"1003e","DOI":"10.1097\/PRS.0000000000003218","article-title":"Current concepts in the surgical management of lymphedema","volume":"139","author":"T A Kung","year":"2017","journal-title":"Plast Reconstr Surg"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"e3630","DOI":"10.1097\/GOX.0000000000003630","article-title":"Single center retrospective analysis of cost and payments for lymphatic surgery","volume":"9","author":"A R Tom","year":"2021","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1097\/PRS.0b013e3182a4d626","article-title":"A prospective analysis of 100 consecutive lymphovenous bypass cases for treatment of extremity lymphedema","volume":"132","author":"D W Chang","year":"2013","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1002\/jso.24351","article-title":"The use of supraclavicular free flap with vascularized lymph node transfer for treatment of lymphedema: a prospective study of 100 consecutive cases","volume":"115","author":"A A Maldonado","year":"2017","journal-title":"J Surg Oncol"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1097\/SAP.0000000000000596","article-title":"How \u201clow-level\u201d evidence has changed plastic surgery: time to appreciate the value of case reports and case series","volume":"75","author":"A Momeni","year":"2015","journal-title":"Ann Plast Surg"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1097\/PRS.0b013e318219c171","article-title":"The levels of evidence and their role in evidence-based medicine","volume":"128","author":"P B Burns","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"GRADE: an emerging consensus on rating quality of evidence and strength of recommendations","volume":"336","author":"G H Guyatt","year":"2008","journal-title":"BMJ"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.urology.2019.08.052","article-title":"The top 100 cited articles in urethral reconstruction","volume":"135","author":"A W Lee","year":"2020","journal-title":"Urology"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"68S","DOI":"10.1097\/01.prs.0000794868.07051.b4","article-title":"The Level of Evidence Pyramid: indicating levels of evidence in plastic and reconstructive surgery articles","volume":"148","author":"D Sullivan","year":"2021","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.jclinepi.2010.04.026","article-title":"GRADE guidelines: 1. 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Rodriguez JR, Fuse Y, Yamamoto T","volume":"36","author":"Microsurgical Strategies for Prophylaxis of Cancer-Related Extremity Lymphedema","year":"2020","journal-title":"J Reconstr Microsurg"},{"issue":"06","key":"ref24","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1055\/s-0037-1599100","article-title":"Systematic review of the surgical treatment of extremity lymphedema","volume":"33","author":"H M Carl","year":"2017","journal-title":"J Reconstr Microsurg"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1007\/s11192-011-0352-7","article-title":"Evaluating research: from informed peer review to bibliometrics","volume":"87","author":"G Abramo","year":"2011","journal-title":"Scientometrics"}],"container-title":["Journal of Reconstructive Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2003-7795.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T23:23:12Z","timestamp":1691450592000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2003-7795"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,23]]},"references-count":25,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2023,8,7]]},"published-print":{"date-parts":[[2023,9]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2003-7795","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0743-684X","1098-8947"],"issn-type":[{"value":"0743-684X","type":"print"},{"value":"1098-8947","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,12,23]]},"published":{"date-parts":[[2022,12,23]]}}}