Evidence map›Paper›PMID 41706629›Full record

ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2026

Publish or Perish: The Cost of Publication in Orthopaedic Journals.

Ellen Lutnick, Benjamin Mazur, Sophia Puertas, Matthew G Alben, Evgeny Dyskin

Abstract read
In one paragraph

Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ellen LutnickFrom the Department of Orthopaedic Surgery and Sports Medicine, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY.
Benjamin Mazur
Sophia Puertas
Matthew G Alben
Evgeny Dyskin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aims to describe the cost of publication in orthopaedic journals and correlation to journal impact factor metrics.

methodsOrthopaedic surgery and sports medicine journals were included for analysis. Data were recorded from publicly available records. Statistical analysis was conducted using R studio version 4.2.3. One-way analysis of variance with post hoc analysis (Tukey, Honest Significant Difference (HSD) was performed to compare SCImago Journal Rank (SJR) scores, H-index, and average cost (including the average submission, publication, or article processing charges [APCs] of a published article) between journals based on SJR quartile. Independent sample t-test and chi square or Fisher exact test were used to compare variables, with a Bonferroni P-value adjustment. Pearson correlation coefficient was calculated for SJR score, H-index, total journal references and publications as of 2022, years in publication, average cost, and APC (ie, the cost of publication associated with Open-Access publication). Correlation strengths were defined as excellent (>0.7), excellent-good (0.61 to 0.7), good (0.31 to 0.6), or poor (0.2 to 0.3). P values ≤0.05 were considered significant.

resultsOf 306 orthopaedic journals, 4.9% had submission fees. Subscription publication was available in 55.56%. The average APC for open-access options was $1,975.69 ± 1,524.53 US dollars (USD). Comparison of publication cost for journals with and without subscription options demonstrated significance ($2,939.19 vs. $857.94 USD, P < 0.005). No strong correlation was found between journal impact factor metrics and publication costs. The top 5 main publishers are listed. The top publisher, Elsevier, responsible for 13.07% of orthopaedic journals, offered subscription publication options for only 32.5% of journals, with an average APC of $2,180.21 ± 1,521.27 USD. The United States published the most (n = 86 journals), followed by the United Kingdom (n = 61). DISCUSSION: Open-access publication aims to ensure equitable access but is limited by large costs associated with publication charged to the authors, which do not strongly correlate with journal impact factor metrics.

Indexed as

OrthopedicsPeriodicals as TopicPublishingCosts and Cost AnalysisHumansJournal Impact Factor

Identifiers

PMID41706629
PMCPMC12915719

What OpenQuestion holds

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LicenceCC BY-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.