Professional Documents
Culture Documents
Carlos Quispe‑Vicuña1, Miguel Cabanillas‑Lazo1, Diego Galarza‑Valencia2, Cesar Mauricio‑Vilchez3, Franco Mauricio2, Fran Espinoza‑Carhuancho4,
Frank Mayta‑Tovalino4
1
Academic Department, Faculty of Medicine, Universidad Nacional Mayor de San Marcos, 2Academic Department, Unidad de Investigación, Innovación y
Emprendimiento, Universidad Nacional Federico Villarreal, 3Academic Department, Faculty of Medical Technology, Universidad Nacional Federico Villarreal, 4Academic
nYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC1y0abggQZXdgGj2MwlZLeI= on 03/16/2024
Department, Grupo de Bibliometría, Evaluación de evidencia y Revisiones Sistemáticas, Human Medicine Career, Universidad Cientifica del Sur, Lima, Peru
Abstract
Background: The convergence of type 2 diabetes mellitus (DM2) and tuberculosis (TB) may lead to increased mortality and complications,
so the underlying mechanism is under investigation. Therefore, a bibliometric analysis was performed to describe the bibliometric indicators
of publications evaluating the relationship between TB and DM2. Methods: A descriptive and observational bibliometric study was conducted
using the Scopus database to identify documents published from 2016–2023, for which free and controlled terms (Medical subject headings
and Emtree) were used. The variables collected comprised the number of published documents, institutions, countries, authors, journals, and
type of collaboration, which were exported to Excel 2016 and analyzed with SciVal. Results: A total of 456 documents, 1624 authors, and
2173 citations were identified, with Medicine and Immunology‑Microbiology being the subcategories with the highest and lowest number of
documents (367 and 80 documents), respectively, with a strong decreasing trend correlation (R2: 0.95; P < 0.5) between the number and year
of publication. While the country with the highest production was China (71 papers), the country with the highest citation was the United
States (952 citations). In terms of authors, the highest production was by the American Venketaraman, and the highest impact was by the
Asian Kimberly To. The institution with the highest number of papers was the Western University of Health Sciences, while Stellenbosch
had the highest impact. Conclusion: Although the scientific productivity of DM2 and TB have reported growth rates of 158.75% and 7.3%,
respectively, our results found a decreasing trend in publications associating these two diseases. The thematic evolution of the concepts in
both diseases suggests that the relationship between them is not yet known, so future studies evaluating the underlying mechanisms of this
comorbidity are suggested.
Introduction global health concern, being a leading cause of illness and death
worldwide. The disease impacts nearly 11 million individuals
Diabetes mellitus (DM) is one of the major diseases with the
and is responsible for just over a million fatalities globally.[5]
greatest impact on global public health,[1] affecting almost
530 million people worldwide, causing almost two million The convergence of these two diseases raises crucial questions
deaths and being mainly caused by type 2 DM2 (96.0% of about how the presence of DM2 may increase the risk of
cases).[2] Type 2 diabetes has experienced an alarming increase
in recent years worldwide,[3] and this has led to an increase in Address for correspondence: Dr. Frank Mayta‑Tovalino,
the risk of its complications and many infections, which are Av. Paseo de la República 5544, Miraflores 15074, Peru.
E‑mail: fmaytat@cientifica.edu.pe
caused by the immunosuppressive state that DM2 tends to
generate in the population.[4] This has led to the development ORCID:
of tuberculosis (TB) along with the growing trend of DM2. TB, Frank Mayta‑Tovalino: http://orcid.org/0000-0002-3280-0024
often abbreviated as TB, is a persistent bacterial disease triggered
by the bacterium known as Mycobacterium TB. It is a significant This is an open access journal, and articles are distributed under the terms of the Creative
Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to
Access this article online remix, tweak, and build upon the work non‑commercially, as long as appropriate credit
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a clear picture of the interaction of these two diseases and their Search strategy
status in the medical literature. To achieve this, bibliometric An advanced search strategy developed independently by two
studies would be a very good option since they comprise a authors (MCL and CQV) was used. Discrepancies were resolved
quantitative analysis of certain topics, by means of which by consensus by a third author (FMT) to obtain a single strategy.
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the predominant trends in research can be evaluated;[8] they The search strategy was formulated using different MeSH (Medical
also allow us to analyze the authors, journals, and institutions Subject Headings) and Emtree (Embase) terms as the basis. In
with the greatest academic productivity, providing us with a addition to the Boolean operators “OR” and “AND,” the following
complete vision of a specific topic.[9] search strategy was obtained: (TITLE‑ABS (tuberculos * OR
“Kochs Diseas*” OR “Koch × s Diseas*” OR “Koch Diseas*” OR
This data would provide reliable statistics to guide future “TB diseas*” OR “TB infect*” OR “active TB” OR “tuberculous
research and, at the same time, be a tool for the medical infect*” OR “tuberculous lesion”) OR AUTHKEY (tuberculos
community to have a current overview of the topic of interest. * OR “Kochs Diseas*” OR “Koch’s Diseas*” OR “Koch
Regarding DM2 and TB, so far, no bibliometric analysis has Diseas*” OR “TB diseas*” OR “TB infect*” OR “active
been developed that associates both diseases; however, there TB” OR “tuberculous infect*” OR “tuberculous lesion”))
are multiple bibliometric studies that analyze the productivity AND (TITLE‑ABS (diabet * AND (“Noninsulin Dependent” OR
of the diseases as such[10] or associating them with other topics “Ketosis Resistant” OR “Non Insulin Dependent” OR stable OR
such as monitoring, diagnosis, treatment, etc.[11] “ii” OR “Type 2” OR niddm OR “Maturity Onset” OR “Slow
Therefore, a bibliometric analysis was performed with the aim Onset” OR “dm 2” OR “adult Onset” OR “insulin independent”
of describing bibliometric indicators of publications related to OR t2dm)) OR AUTHKEY (diabet * AND (“Noninsulin
the relationship between TB and DM2. Dependent” OR “Ketosis Resistant” OR “Non Insulin Dependent”
OR stable OR ii OR “Type 2” OR niddm OR “Maturity Onset”
OR “Slow Onset” OR “dm 2” OR “adult Onset” OR “insulin
Methods independent” OR t2dm))) AND (LIMIT‑TO (PUBYEAR, 2023)
Ethical statement OR LIMIT‑TO (PUBYEAR, 2022) OR LIMIT‑TO (PUBYEAR,
Because this study used publicly available secondary data from 2 0 2 1 ) O R L I M I T‑ T O ( P U B Y E A R , 2 0 2 0 ) O R
the Scopus database and did not involve humans or animals, LIMIT‑TO (PUBYEAR, 2019) OR LIMIT‑TO (PUBYEAR, 2018)
no ethics committee approval was required. OR LIMIT‑TO (PUBYEAR, 2017) OR LIMIT‑TO (PUBYEAR,
2016)).
This bibliometric study does not need ethical approval as it uses
public anonymous data from Scopus. It poses no ethical issues Selection of information
related to privacy or informed consent. The data are already The sample used in this study included papers published from
published, eliminating confidentiality concerns. 2016 to 2023, without language limitation. We excluded
letters, conference papers, editorials, notes, short surveys,
Study design and database
conference reviews, errata, and articles whose metadata did
An observational and descriptive bibliometric study was
not allow analysis.
formulated, leveraging the Scopus database. This bibliometric
study does not require a sample calculation because it is Data analysis
based on the exhaustive analysis of all articles published in a The gathered data were transferred to Microsoft Excel 2016
database, such as Scopus. This database is renowned for its for further analysis. Bibliometric indicators were derived using
unrestricted access to a broad spectrum of publications, and it the SciVal tool, a Software owned by Elsevier (Netherlands),
supports both rudimentary and sophisticated search strategies which is capable of processing vast amounts of data and
for gathering articles.[12] producing robust bibliometric analyses. The data procured
from SciVal were used to examine several variables: the
Inclusion criteria
number of published documents, institutions, countries,
1. Papers published in the Scopus database from 2016–2023
authors, journals, and the nature of collaboration. The findings
2. Papers using free and controlled terms (Medical subject
were organized and displayed in descriptive Tables. To identify
headings [MeSH] and Emtree) related to TB and type 2
publication trends, a Pearson correlation was conducted.
DM2
3. Papers evaluating the relationship between TB and DM2 Various indicators were utilized to analyze the different variables;[13]
4. Papers providing bibliometric indicators of publications. citations per paper, CiteScore, SCImago Journal and Rank,
Source‑Normalized Impact per Paper, and the type of collaboration Among the 10 authors with the highest number of TB and DM2
of the publications were also analyzed. To illustrate the flow of publications, the American author Vishwanath Venketaraman
normalized relationships by journal‑country‑author, a three‑field had the highest number of publications (13) and citations (218),
graph (Sankey diagram) was used where the largest rectangular while Kimberly To had the highest impact with 26.4 citations
nodes in each category allow visual evaluation of the relationships per paper in her five publications. Most of the authors were
between the elements evaluated. Bibliometrix 3.0 R version 4.2.3 North American (5 of 10 authors) [Table 1].
(Bibliometrix 3.0 R version 4.2.3 [R studio, Italy]) was used to
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analyze scientific production by country and to describe graphically The 10 institutions with the highest number of papers
the thematic evolution of publications over the years. are shown in Table 2. Western University of Health
Sciences (USA) was the institution with the highest
scientific output (13) and citations (218), while Stellenbosch
Results
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80
74
75 71
Number of Publications
69
70
65
58 R2 = -0.008
60 57
55
50
45 43 42 42
40
35
30
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Year
Table 4: Documents published according CiteScore Quartil 2022 and type of collaboration
CiteScore Quartile 2018 2019 2020 2021 2022 2023 Total
Q1 17 11 23 21 21 14 107
Q2 9 24 17 27 25 22 124
Q3 6 8 12 9 14 8 57
Q4 7 9 10 8 7 7 48
Total 39 52 62 65 67 51 336
Type of collaboration Documents (%) Citations Citations per publication FWCI
International collaboration 111 (29.8) 1602 14.4 1.08
National collaboration 149 (40.0) 1144 7.7 0.73
Institutional collaboration 95 (25.5) 425 4.5 0.51
Single authorship 15 (4.0) 155 10.3 1.81
FWCI: Field‑weighted citation impact
More than two‑thirds of the global prevalence of both TB is review that evaluates the susceptibility to pathogens such
usually concentrated in Asian and Middle Eastern countries,[16] as TB caused by an altered immune system that is usually
and similarly, the East Asian region usually concentrates a large found in patients with DM2 due to factors such as advanced
amount of the world’s diabetes burden (3); this may account glycation and constant inflammation caused by a very high
for the fact that countries such as India or China are among glucose concentration.[17] This publication was one of the most
the countries with the highest productivity. cited, with 85 citations, which evidence its importance in the
The author Kimberly To had the highest impact with 26.4 medical literature to understand the association between TB
citations per paper with only 5 publications, highlighting a and DM2.
Stellenbosch University leads in research impact with 19.9 on the topic of TB worldwide,[19] which would show its great
citations per article. A review highlights the need to study TB impact on TB issues.
and diabetes. Gaps in knowledge about altered immunity in The journal BMC Infectious Diseases was not only the journal
patients with DM2 during TB were identified.[18] In turn, this with the highest impact but also the one with the highest %
institution has previously been reported to have been one of of citations. This journal is a high quartile (Q2), open‑access,
the most collaborative and affiliated institutions with others peer‑reviewed journal that collects articles evaluating all aspects
of infectious and sexually transmitted diseases in humans and Financial support and sponsorship
animals. In addition, this journal has previously reported high Nil.
productivity in previous bibliometric studies TB.[20,21]
Conflicts of interest
Regarding the thematic evolution, apart from TB and DM2 There are no conflicts of interest.
itself, comorbidity and inflammation are the topics that have
gained most relevance in recent years. This would reinforce
References
Downloaded from http://journals.lww.com/ijmy by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AW
mechanisms. Chest 2017;152:174‑80. Retamozo Siancas Y, Mayta Tovalino F. Scientometric analysis of the
19. Abdullah M, Humayun A, Imran M, Bashir MA, Malik AA. world scientific production on tuberculosis associated with COVID‑19.
A bibliometric analysis of global research performance on Int J Mycobacteriol 2022;11:249‑55.
tuberculosis (2011‑2020): Time for a global approach to 23. Ahmed M, Omer I, Osman SM, Ahmed Abakur EH. Association between
support high‑burden countries. J Family Community Med pulmonary tuberculosis and type 2 diabetes in Sudanese patients. Int J
2022;29:117‑24. Mycobacteriol 2017;6:97‑101.
20. Igwaran A, Edoamodu CE. Bibliometric analysis on tuberculosis and 24. Desai A, Gupta N, Korishetty L, Saravu K. Treatment outcomes of
tuberculosis‑related research trends in Africa: A decade‑long study. patients with tuberculosis and diabetes: A prospective cohort study from
Antibiotics (Basel) 2021;10:423. India. Int J Mycobacteriol 2021;10:111‑5.
Downloaded from http://journals.lww.com/ijmy by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AW
21. Zheng MQ, Li XX, Xu R, Liu S, Rui ZY, Guo ZY, et al. Bibliometric 25. Ayeni FA, Oyetunde OO, Aina BA. The effect of collaborative care
analysis of tuberculosis molecular epidemiology based on CiteSpace. on treatment outcomes of newly diagnosed tuberculosis patients with
Front Public Health 2022;10:1040176. Type‑2 diabetes mellitus and adverse drug reaction presentations:
22. Nieto Chumbipuma J, Silva Reategui L, Fernandez Giusti A, Barja Ore J, A prospective study. Int J Mycobacteriol 2021;10:285‑92.
nYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC1y0abggQZXdgGj2MwlZLeI= on 03/16/2024