Evidence map›Paper›PMID 42322369›Full record

ArticleSleep & breathing = Schlaf & Atmung2026

Beyond impact factor: citation skew and article-level influence in sleep medicine journals.

Salman Hussain, Raisa Chowdhury, Pedro Gomes de Oliveira, Abdullah Almansouri, Abdulmohsen Alterki, Robson Capasso

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 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

6 authors.

Salman HussainDepartment of Otolaryngology - Head and Neck Surgery, University of Ottawa, Ottawa, Ontario, Canada. q80salman98@gmail.com.ORCID http://orcid.org/0000-0001-7287-7694
Raisa ChowdhuryFaculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada.
Pedro Gomes de OliveiraDivision of Sleep Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University, Stanford, CA, USA.
Abdullah AlmansouriDepartment of General Surgery, University of Toronto, Toronto, Ontario, Canada.
Abdulmohsen AlterkiDepartment of Otolaryngology - Head and Neck Surgery, Zain Hospital, Kuwait City, Kuwait.
Robson CapassoDivision of Sleep Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University, Stanford, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCitation skew refers to the unequal distribution of citations to articles within a journal. The study aimed to assess citation skew in sleep science journals and whether the journal impact factor (JIF) predicts individual article citation rates.

methodsThe top ten sleep science journals were identified via the Journal Citation Report (JCR), and the number of citations in 2022 for all original and review articles from 2020 to 2021 was analyzed.

resultsAmong 3,949 articles with 16,373 citations, a substantial proportion had either zero (16.0%) or one citation (18.7%) in 2022. Only 27.7% of articles exceeded their journal's JIF, while 72.3% fell below it. Review articles demonstrated higher citation rates than original research. Citation distribution was highly skewed, with 12.5% of articles accounting for 50% of all citations. Although citation rate correlated significantly with JIF (r = 0.21, p < 0.001), JIF explained only ~ 4.4% of the variance in article-level citations.

conclusionCitation distributions in leading sleep journals are highly skewed, and journal impact factor has limited utility for predicting individual article influence. These findings support interpreting JIF cautiously and emphasize the value of article-level indicators and qualitative appraisal when assessing research impact. Future studies incorporating multiple JIF cycles and article-level citation provenance, including self-citation and citation-network effects, are needed to better characterize the drivers and temporal stability of citation behavior in sleep medicine.

Indexed as

BibliometricsJournal Impact FactorPeriodicals as TopicSleep Medicine SpecialtyHumansBibliometricsHealth informaticsResearchSleep medicineSleep scienceSleep surgery

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Registered trials

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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.