Mapping cancer, cardiovascular and malaria research in Brazil

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Brazilian Journal of Medical and Biological Research (2) 33: 853-867 Mapping cancer, cardiovascular and malaria research ISSN 1-879X Overview 853 Mapping cancer, cardiovascular and malaria research in Brazil P.S. Rodrigues 1,2, L. Fonseca 1,3 and H. Chaimovich 1,4 1 Academia Brasileira de Ciências, Rio de Janeiro, RJ, Brasil 2 Departamento de Neurobiologia, Instituto de Biologia, Universidade Federal Fluminense, Niterói, RJ, Brasil 3 Financiadora de Estudos e Projetos (FINEP), Rio de Janeiro, RJ, Brasil 4 Departamento de Bioquímica, Instituto de Química, Universidade de São Paulo, São Paulo, SP, Brasil Correspondence P.S. Rodrigues Academia Brasileira de Ciências R. Anfilóphio de Carvalho, 29 3º andar 23-6 Rio de Janeiro, RJ Brasil Fax: +55-21-533-6274 E-mail: prodrigues@abc.org.br Research supported by FINEP (No. 76.97.65.) and MCT (No. 27/98). Publication supported by FAPESP. Received February 1, 2 Accepted March 1, 2 Abstract Key words Cancer Cardiovascular research Malaria Bibliometric indicators Health indicators Introduction

854 P.S. Rodrigues et al. Material and Methods

Mapping cancer, cardiovascular and malaria research 855 Thematic filters Loading the data warehouse

856 P.S. Rodrigues et al. Bibliometric analysis Results and Discussion Articles and authors

Mapping cancer, cardiovascular and malaria research 857 Authors (N) Authors (N) Authors (N) 15 12 9 6 3 18 16 14 12 1 8 6 4 2 35 3 25 2 15 1 5 A B Authors Articles 82-83 84-85 86-87 88-89 9-91 92-93 94-95 C Authors Articles 82-83 84-85 86-87 88-89 9-91 92-93 94-95 Authors Articles 82-83 84-85 86-87 88-89 9-91 92-93 94-95 Years Figure 1 - Article output and trends for author numbers. Ordinates: Left - number of authors; right - number of articles. Abscissa: Two-year periods from 82-83 to 94-95 in which author and article numbers were grouped for each research area analyzed: cancer (A), cardiovascular (B) and malaria (C). Data from both ISI and Medline. 3 25 2 15 1 5 6 48 36 24 12 14 126 112 98 84 7 56 42 28 14 Articles (N) Articles (N) Articles (N)

858 P.S. Rodrigues et al. Table 1 - Authors grouped into five-year periods. Numbers in columns do not overlap. Core authors: Numbers of authors appearing in articles published during the three periods. Area 81-85 86-9 91-95 Author distribution Cancer 34 34 34 Core authors (author in three consecutive periods) 35 35 - Same author in two consecutive periods 39-39 Same author in two alternate periods - 173 173 Same author in two consecutive periods 258 462 1557 Different authors in each period Cardiovascular 182 182 182 Core authors (author in three consecutive periods) 12 12 - Same author in two consecutive periods 66-66 Same author in two alternate periods - 375 375 Same author in two consecutive periods 54 846 2121 Different authors in each period Malaria 3 3 3 Core authors (author in three consecutive periods) 37 37 - Same author in two consecutive periods 9-9 Same author in two alternate periods - 66 66 Same author in two consecutive periods 18 149 458 Different authors in each period Table 2 - Brazil s share of world publications in cancer, cardiovascular and malaria research. Relative proportion trends indicate the progress of Brazilian output in each area compared to the world progress during the period from 1989 to 1994. B/W-94 and B/W-89 indicate the number of Brazilian articles divided by the number of world articles for each area. Data taken from Ref. 6. 1989 1994 Proportion trend (B/W-94)/(B/W-89) Brazil (N) World (N) Brazil (N) World (N) Cancer 7 24179 141 3257 1.61 Cardiovascular 164 26889 234 29973 1.59 Malaria 39 776 44 989.89

Mapping cancer, cardiovascular and malaria research 859 Biomedical research and epidemiological indicators in cancer, cardiovascular disease and malaria Proportion (%) 7 6 5 4 3 2 1 Cancer Cardiovascular Malaria 82-83 84-85 86-87 88-89 9-91 92-93 94-95 Years Figure 2 - Values express the proportion (%) between number of articles on cancer, cardiovascular disease and malaria (ISI data only) and the articles of life sciences as a whole. These articles included all ISI catcodes (categories of specialized or multidisciplinary journals classified by the ISI; more details in Ref. 8) related to life sciences.

86 P.S. Rodrigues et al. Table 3 - Morbidity and mortality numbers per 1, habitants were used as indicators of disease burden. Morbidity numbers for cancer and cardiovascular diseases were obtained from data about patient hospitalization, while morbidity numbers for malaria were obtained from positive blood testing for this disease. M: Represents morbidity/mortality for cancer, cardiovascular disease and malaria with the relative weight (%) of each disease within the total disease burden indices. P: Relative proportion (%) of article output in each area to the total number of articles in the life sciences. Cancer: The 1995 indices were 257.2 for morbidity and 63.6 for mortality. Cardiovascular: The 1995 indices were 88.9 for morbidity and 157. for mortality. Morbidity M (%) Mortality M (%) P/Morbidity M P/Mortality M A - Cancer 1981-8.4 -.17 1983-8.7 -.17 1985 3.1 9..42.14 1987 2.9 9.6.45.14 1989 3.5 9.9.71.25 1991 3.4 1.7.79.25 1993 3.5 1.6.94.31 1995 3.2 11.1 1.19.34 Morbidity M (%) Mortality M (%) P/Morbidity M P/Mortality M B - Cardiovascular 1981-25.6 -.12 1983-26.1 -.18 1985 12.7 27.2.35.16 1987 12.4 27..48.22 1989 11.9 28..49.21 1991 1.9 27.8.54.21 1993 1.6 27.7.54.21 1995 1. 27.4.66.24 Morbidity M (%) Articles P (%) Morbidity M (%) P/Morbidity M C - Malaria 1981 162.21 1.6 - - 1983 235.15.7 - - 1985 33.43.7 5.1.14 1987 372.18 1.6 5.3.3 1989 47.41 1.7 5.1.33 1991 363.26 1.5 3.9.38 1993 318.94 1.8 3.3.55 1995 362.32 1.6 4.5.36 Impact of scientific output

Mapping cancer, cardiovascular and malaria research 861 Table 4 - Impact factor calculated by counting citations received by articles during the 5 years following their publication and dividing citations by the respective numbers of papers published in the same period. The year column indicates the time of article publication. Years Impact factor Life Sciences Cancer Cardiovascular Malaria 81-82 2.9 3.6 3.6 3.2 83-84 3.4 11.2 5.4 7.9 85-86 3.4 4.5 3.7 8.1 87-88 3.2 4.5 3.3 3.8 89-9 3.9 5.7 3.9 3.4 Journal and article visibility ³

862 P.S. Rodrigues et al. Table 5 - Ranking of the 2 journals that either published the highest number of articles or collected most citations during the 1981-1995 period. The ranking is established in descending order of number of articles and citations. Numbers in parenthesis are ISI s impact factor for each Journal for 2 years. Some journals listed below are not indexed by ISI and had no citations or impact factor recorded in the ISI data base. Descending order of articles Descending order of citations Journals Articles Citations Journals Articles Citations A - Cancer Braz J Med Biol Res (.455) 56 52 Nature (28.417) 1 57 Rev Paul Med 32 - Int J Cancer (3.534) 3 39 Int J Cancer (3.534) 3 39 Cancer (3.296) 27 36 Arq Neuro Patol 27 2 New Engl J Med (24.834) 3 23 Cancer (3.296) 27 36 J Urol (2.668) 22 94 Rev Saude Publica 27 8 Cancer Res (8.958) 8 83 J Urol (2.668) 22 94 J Virol (6.194) 3 78 Rev Bras Genet (.191) 17 6 Hum Mol Genet (6.512) 1 75 Cancer Genet Cytogenet (1.45) 15 35 Arch Pathol Lab (1.674) 7 73 Rev Bras Med 15 J Natl Cancer Inst (1.328) 5 64 Am J Surg (2.32) 13 1 J Clin Oncol (7.881) 5 59 Mem Inst Oswaldo Cruz (.314) 13 7 Braz J Med Biol Res (.455) 56 52 Acta Cytol (.987) 12 22 Dis Colon Rectum (2.1) 6 51 Med Pediatr Oncol (1.551) 1 28 J Gen Virol (3.8) 1 48 Mutat Res (2.6) 9 19 Lancet (17.948) 6 38 Eur J Cancer (2.17) 9 9 Modern Pathol (2.565) 3 38 Arch Otolaryngol Head Neck Surg (.995) 8 11 Am J Pathol (7.246) 5 38 Oral Surg Oral Med Oral Pathol (.915) 8 11 World J Surg (1.89) 3 37 Cancer Res (8.958) 8 83 J Surg Oncol (.634) 6 36 Am J Trop Med Hyg (1.91) 8 22 Cancer Genet Cytogenet (1.45) 15 35 Descending order of articles Descending order of citations Journals Articles Citations Journals Articles Citations B - Cardiovascular Braz J Med Biol Res (.455) 245 44 Hypertension (4.736) 11 72 Hypertension (4.736) 11 72 Circulation (9.94) 38 594 Rev Bras Med 13 1 Braz J Med Biol Res (.455) 245 44 Arq Bras Cardiol 68 - J Thorac Cardiovasc Surg (2.874) 42 39 Int J Cardiol (.513) 63 134 Radiology (4.698) 8 37 Am J Physiol (3.323) 49 146 Am J Cardiol (2.373) 33 268 J Thorac Cardiovasc Surg (2.874) 42 39 Eur J Pharmacol (2.339) 29 228 Circulation (9.94) 38 594 Am J Epidemiol (4.112) 3 189 Rev Saude Publica 34 11 Brit J Pharmacol (4.75) 2 179 Am J Cardiol (2.373) 33 268 Am J Physiol (3.323) 49 146 Ann Thorac Surg (1.861) 3 24 Int J Cardiol (.513) 63 134 Eur J Pharmacol (2.339) 29 228 J Hypertens (2.611) 23 128 Am Heart J (1.857) 27 113 Am Heart J (1.857) 27 113 Rev Paul Med 26 - Proc Natl Acad Sci USA (1.244) 1 99 J Card Surg (.97) 26 17 Circ Res (7.617) 4 88 Chest (1.944) 25 63 Am J Trop Med Hyg (1.91) 21 85 Rev Inst Med Trop 25 29 Brit Heart J (2.241) 12 79 J Hypertens (2.611) 23 128 Plast Reconstr Surg (1.377) 2 78 J Cardiovasc Pharmacol (1.476) 21 76 Brain Res (2.526) 2 78 Am J Trop Med Hyg (1.91) 21 85 J Cardiovasc Pharmacol (1.476) 21 76 Continued on next page

Mapping cancer, cardiovascular and malaria research 863 Table 5 - Continued. Descending order of articles Descending order of citations Journals Articles Citations Journals Articles Citations C - Malaria Rev Inst Med Trop 74 41 Am J Trop Med Hyg (1.91) 34 238 Mem Inst Oswaldo Cruz (.314) 69 67 Trans R Soc Trop Med Hyg (1.631) 21 158 Rev Saude Publica 56 152 Science (23.65) 3 154 Am J Trop Med Hyg (1.91) 34 238 Rev Saude Publica 56 152 Rev Soc Bras 22 - Bull World Health Organ (1.818) 8 9 Trans R Soc Trop Med Hyg (1.631) 21 158 Gene (1.931) 1 42 Braz J Med Biol Res (.455) 13 25 Mem Inst Oswaldo Cruz (.314) 69 67 Rev Bras Malaria 12 - Parasite Immunol (2.99) 6 45 Ann Trop Med Parasitol (.819) 9 16 Rev Inst Med Trop 74 41 Bull World Health Organ (1.818) 8 9 J Infect Dis (5.418) 5 4 J Am Mosq Control Assoc (.515) 7 21 J Exp Biol (1.829) 1 39 Exp Parasitol (1.77) 6 32 Proc Natl Acad Sci USA (1.244) 1 38 Mol Biochem Parasitol (2.639) 6 2 Chemotherapy (1.14) 2 34 Parasite Immunol (2.99) 6 45 Exp Parasitol (1.77) 6 32 J Biol Chem (7.452) 5 21 Parasitol Today (4.36) 3 31 J Infect Dis (5.418) 5 4 Math Biosci (.883) 3 28 Rev Bras Genet (.191) 5 2 Braz J Med Biol Res (.455) 13 25 Acta Trop (1.76) 5 Eur J Immunol (5.71) 1 22 J Protozool Res (.63) 5 22 J Protozool Res (.63) 5 22 J Med Entomol (1.67) 4 6 J Am Mosq Control Assoc (.515) 7 21 Numbers and geographical distribution of articles and authors

864 P.S. Rodrigues et al. Table 6 - Geographical distribution of science output (81-95) in the Southeast and Southern regions of Brazil. States: Southeast and South states. A: Number of authors with the indicated state address; in parentheses - proportion of identified state addresses, as related to total number of authors; B: numbers indicating the frequency at which the respective state address and each author appear in the collected articles; C: number of articles presenting the indicated state address (the same article can be assigned to more than one state; in parentheses - proportions of total number of articles); D: total number of citations received by articles in C from 1981 to 1995. Foreign addresses: Authors and articles associated with foreign addresses. States A - Authors B - Frequency in articles C - Articles B/A C/A A - Cancer São Paulo 815 (31.9%) 1664 62 (64.5%) 2..8 Rio de Janeiro 18 (7.%) 362 136 (14.1%) 2..8 Minas Gerais 68 (2.7%) 99 39 (4.1%) 1.5.6 Rio Grande do Sul 57 (2.2%) 84 38 (4.%) 1.5.7 Paraná 54 (2.1%) 91 37 (3.9%) 1.7.7 Espírito Santo 6 (.2%) 7 3 (.3%) 1.2.5 Santa Catarina 6 (.2%) 7 3 (.3%) 1.2.5 Foreign addresses 516 (2.2%) 635 21 (2.9%) 1.2.4 States A - Authors B Frequency in articles C - Articles B/A C/A B - Cardiovascular São Paulo 1459 (34.5%) 4266 154 (66.9%) 2.9 1. Rio de Janeiro 288 (6.8%) 438 246 (1.9%) 1.5.9 Minas Gerais 148 (3.5%) 331 129 (5.7%) 2.2.9 Rio Grande do Sul 189 (4.5%) 326 144 (6.4%) 1.7.8 Paraná 35 (.8%) 44 25 (1.1%) 1.3.7 Espírito Santo 48 (1.1%) 251 89 (4.%) 5.2 1.9 Santa Catarina 32 (.8%) 69 34 (1.5%) 2.2 1.1 Foreign address 49 (11.6%) 571 257 (11.2%) 1.2.5 States A - Authors B - Frequency in articles C - Articles B/A C/A C - Malaria São Paulo 156 (18.2%) 448 169 (36.1%) 2.9 1.1 Rio de Janeiro 99 (11.6%) 199 11 (21.6%) 2. 1. Minas Gerais 42 (4.9%) 91 37 (8.%) 2.2.9 Rio Grande do Sul 11 (1.3%) 11 4 (.9%) 1..4 Paraná 18 (2.1%) 36 9 (1.9%) 2..5 Espírito Santo 1 (.1%) 2 2 (.4%) 2. 2. Santa Catarina 2 (.2%) 2 2 (.4%) 1. 1. Foreign addresses 144 (16.8%) 214 84 (18%) 1.5.6

Mapping cancer, cardiovascular and malaria research 865 Concluding remarks Articles (N) Articles (N) Articles (N) 35 3 25 2 15 1 5 2 18 16 14 12 1 8 6 4 2 12 1 8 6 4 2 A Other states São Paulo 82-83 84-85 86-87 88-89 9-91 92-93 94-95 B 82-83 84-85 86-87 88-89 9-91 92-93 94-95 C Other states São Paulo Other states São Paulo 82-83 84-85 86-87 88-89 9-91 92-93 94-95 Years Figure 3 - Geographical distribution of scientific output trends. Values compare the number of articles with at least one address from São Paulo and the number of articles with at least one address from institutions from other states, from 82-83 to 94-95, in cancer (A), cardiovascular (B) and malaria (C) research fields. Data from both ISI and Medline.

866 P.S. Rodrigues et al. References Acknowledgments 1. WHO (1996). Investing in health research and development - Report of the Ad Hoc Committee on Health Research Relating to Future Intervention Options. World Health Organization, Geneva (Document TDR/Gen/96.1). 2. Ministério da Saúde (1997). Saúde no Brasil. Secretaria de Políticas de Saúde e Avaliação. Assessoria Técnico-Gerencial/ GM, Brasília, DF. 3. Ministério da Saúde (1999). Centro Nacional de Epidemiologia (ENEPI), Fundação Nacional de Saúde, Ministério da Saúde, Brasília, DF (Data available in July, 1999, at http://www.fns.gov.br/cenepi/index. html). 4. Anderson J, MacLean M & Davies C (1996). Malaria research: an audit of inter-

Mapping cancer, cardiovascular and malaria research 867 national activity. Unit for Policy Research in Science and Medicine (PRISM). Wellcome Trust, Report No. 7. 5. Lewison G (1996). Subfield analysis - The definition of biomedical research subfields with title keywords and application to the analysis of research outputs. Research Evaluation, 1: 25-26. 6. Dawson G, Lucocq B, Cottrell R & Lewison G (1998). Mapping the landscape - National biomedical research outputs 1988-95. Unit for Policy Research in Science and Medicine (PRISM). Wellcome Trust, Policy Report No. 9. 7. Krauskopf M (1992). Scientometrics indicators as a means to assess the performance of state supported universities in developing countries. The Chilean case. Scientometrics, 23: 15-121. 8. De Meis L & Leta J (1996). O Perfil da Ciência Brasileira. UFRJ Editora, Rio de Janeiro, Brazil. 9. CNPq (1998). Diretório dos Grupos de Pesquisa no Brasil (Versão 2.). Conselho Nacional do Desenvolvimento Científico e Tecnológico (CNPq), Brasília, DF (Data available in September, 1998, at http:// www.cnpq.br/gpesq2/). 1. Ministério da Ciência e Tecnologia (1994). Relatório Estatístico. Ministério da Ciência e Tecnologia, Conselho Nacional do Desenvolvimento Científico e Tecnológico, Brasília, DF. 11. WHO (1999). World Health Organization, Geneva, Switzerland (Data available in April, 1999, http://www.who.int/ctd/html/ malariaepidat.html). 12. IBGE (1999). Instituto Brasileiro de Geografia e Estatística (IBGE), Rio de Janeiro, RJ, Brazil (Data available in July, 1999, at http://www.ibge.org/informacoes/estat1. htm).