Evidence map›Paper›PMID 42388342›Full record

ArticleNeurosurgery practice2026

Beyond Publication Counts: Trends in Neurosurgical Publishing via a Retrospective Analysis of the Arms Race Control Score.

Clayton R Baker, Sameer Sundrani, Astoria Chao, Austin Hilvert, Lohit K Velagapudi, Lola B Chambless

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Article in Neurosurgery practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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.

Clayton R BakerVanderbilt University School of Medicine, Nashville, Tennessee, USA.ORCID https://orcid.org/0009-0003-9186-4495
Sameer SundraniVanderbilt University School of Medicine, Nashville, Tennessee, USA.
Astoria ChaoVanderbilt University School of Medicine, Nashville, Tennessee, USA.
Austin HilvertVanderbilt University School of Medicine, Nashville, Tennessee, USA.
Lohit K VelagapudiDepartment of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Lola B ChamblessDepartment of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesResearch productivity has become increasingly emphasized in neurosurgery residency applications, and applicant publication counts continue to rise. The Arms Race Control Score (ARCS) was proposed to standardize research effort, but its temporal stability and predictive value for future output remain unclear. Among board-certified US neurosurgeons, we sought to retrospectively examine how the ARCS has evolved temporally across 20 residency cohorts (1995-2014) and evaluate the predictive value of the ARCS on postresidency research productivity.

methodsPublication data for neurosurgeons certified by the American Board of Neurological Surgery between 2009 and 2024 were extracted from Scopus. Leveraging large-language model analysis of Scopus's document type, title, journal, and abstract, publications were categorized based on ARCS criteria. For each surgeon, ARCS was calculated at the time of residency start. Distributions were analyzed across 5-year residency cohorts. Correlations and multivariable regressions tested associations between ARCS and long-term outputs (postresidency publication total, citation total, and h-index), adjusting for years since residency graduation and pre-residency publication count.

resultsThis cohort included 1776 board-certified neurosurgeons who began residency between 1995 and 2014 and had a total of 96 249 publications. ARCS steadily increased over time (

conclusionIn a retrospective cohort, ARCS moderately increased in more recent residency cohorts and is a modest, independent predictor of long-term research productivity. These findings support ARCS as a complementary metric-alongside holistic review-for interpreting applicant research beyond raw counts.

Indexed as

BibliometricsNeurosurgical educationPublication arms race

Identifiers

PMID42388342
PMCPMC13322472

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