CURRENT PUBLICATION TRENDS IN INTERVENTIONAL CARDIOLOGY Giuseppe Biondi Zoccai Division of Cardiology, University of Turin, Turin, Italy Meta-analysis and Evidence-based medicine Training in Cardiology (METCARDIO), Ospedaletti, Italy

LEARNING GOALS What is publishing in interventional cardiology all about? What do we mean by current trends in publication? What is currently being published and by who? – methods – on coronary artery disease – on non-coronary heart disease – on vascular disease

WHY AM I GIVING YOU THIS LECTURE? ISI Web of Science query for AU=(Zoccai OR Biondi- Zoccai OR Biondizoccai) on 21 September 2009

LEARNING GOALS What is publishing in interventional cardiology all about? What do we mean by current trends in publication? What is currently being published and by who? – methods – on coronary artery disease – on non-coronary heart disease – on vascular disease

PUBLISH OR PERISH

“Scientists are rated by what they finish, not by what they attempt”

“Scientists are rated by what they finish, not by what they attempt” Physicians writing clinical manuscripts

WHAT IS PUBLISHING ALL ABOUT? Advancement of medical science

WHAT IS PUBLISHING ALL ABOUT? Advancement of medical science Improves your CV Gratifies your ego Necessary for career advancement Necessary for successful grant application Very useful to be recognized Provides proof of your scientific AND clinical competence

PROOF OF CLINICAL COMPETENCE Biondi-Zoccai et al, Catheter Cardiovasc Interv 2006

LEARNING GOALS What is publishing in interventional cardiology all about? What do we mean by current trends in publication? What is currently being published and by who? – methods – on coronary artery disease – on non-coronary heart disease – on vascular disease

TRENDS IN INTERVENTIONAL CARDIOLOGY Sources of novelties include: – Peer reviewed journals – Non-peer reviewed scientific journals – Layman journals – Peers – Sales representatives – Congresses – Government laws and directives – Reimbursement policies – Guidelines from associations or entities

HOW CAN YOU DEFINE AUTHORITY AND SUCCESS IN PUBLISHING Quantity Quality Diffusion Readership Impact factor Citation Durability

LEARNING GOALS What is publishing in interventional cardiology all about? What do we mean by current trends in publication? What is currently being published and by who? – methods – on coronary artery disease – on non-coronary heart disease – on vascular disease

METHODS FOR RECOGNIZING CURRENT TRENDS Manual search of key peer reviewed journals (NEJM, JAMA, Lancet, AIM, BMJ, JACC, Circulation, EHJ) Congresses (ACC, ESC, TCT, AHA) Electronic search of key databases (PubMed, Google Scholar) Peers

LEARNING GOALS What is publishing in interventional cardiology all about? What do we mean by current trends in publication? What is currently being published and by who? – methods – on coronary artery disease – on non-coronary heart disease – on vascular disease

1 ST GENERATION DRUG-ELUTING STENTS Stettler et al, Lancet 2007

1 ST GENERATION DRUG-ELUTING STENTS Stettler et al, Lancet 2007

1 ST GENERATION DRUG-ELUTING STENTS Stettler et al, BMJ 2008

2 ND GENERATION DRUG-ELUTING STENTS Stone et al, JAMA 2008

Stone et al, JAMA ND GENERATION DRUG-ELUTING STENTS

Stone et al, Circulation ND GENERATION DRUG-ELUTING STENTS

Stone et al, Circulation ND GENERATION DRUG-ELUTING STENTS

Onuma et al, J Am Coll Cardiol ND GENERATION DRUG-ELUTING STENTS

Onuma et al, J Am Coll Cardiol ND GENERATION DRUG-ELUTING STENTS

Fajadet et al, Circulation ND GENERATION DRUG-ELUTING STENTS

Fajadet et al, Circulation ND GENERATION DRUG-ELUTING STENTS

Windecker et al, Lancet ND GENERATION DRUG-ELUTING STENTS

Windecker et al, Lancet ND GENERATION DRUG-ELUTING STENTS

Stone et al, TCT 2009 IS PEER REVIEWED PUBLICATION SO IMPORTANT FOR YOUR PRACTICE?

Stone et al, TCT 2009 SPIRIT IV TRIAL

Stone et al, TCT 2009 SPIRIT IV TRIAL

Stone et al, TCT 2009 SPIRIT IV TRIAL

DRUG-ELUTING BALLOONS Unverdorben et al, Circulation 2009

BACK TO THE FUTURE Serruys et al, Lancet 2009

BACK TO THE FUTURE Serruys et al, Lancet 2009

DRUG-ELUTING BALLOONS Unverdorben et al, Circulation 2009

THROMBECTOMY DEVICES Burzotta et al, Eur Heart J 2009

THROMBECTOMY DEVICES Burzotta et al, Eur Heart J 2009 MANUAL THROMBECTOMYNON-MANUAL THROMBECTOMY

DIFFUSE CORONARY ARTERY DISEASE: PREVIOUS FINDINGS Hlatky et al, Lancet 2009

DIFFUSE CORONARY ARTERY DISEASE: PREVIOUS FINDINGS Hlatky et al, Lancet 2009 INCLUDING BARI EXCLUDING BARI

THE SYNTAX TRIAL Serruys et al, New Engl J Med 2009

THE SYNTAX TRIAL Serruys et al, New Engl J Med 2009

UNPROTECTED LEFT MAIN DISEASE Lee et al, J Am Coll Cardiol 2009

CHRONIC TOTAL OCCLUSIONS Valenti et al, Eur Heart J 2008

CORONARY BIFURCATION LESIONS Verheye et al, J Am Coll Cardiol 2009

OPTICAL COHERENCE TOMOGRAPHY Guagliumi et al, Catheter Cardiovasc Interv 2008

VIRTUAL HISTOLOGY Sangiorgi et al, Catheter Cardiovasc Interv 2007

FRACTIONAL FLOW RESERVE Tonino et al, New Engl J Med 2009

CHRONIC STABLE ANGINA Shaw et al, Circulation 2008

CORONARY ARTERY DISEASE IN DIABETICS BARI 2D, New Engl J Med 2009

CORONARY ARTERY DISEASE IN DIABETICS BARI 2D, New Engl J Med 2009

CORONARY ARTERY DISEASE IN DIABETICS BARI 2D, New Engl J Med 2009

ANTITHROMBOTIC THERAPY IN ACUTE CORONARY SYNDROMES Wallentin et al, New Engl J Med 2009

LEARNING GOALS What is publishing in interventional cardiology all about? What do we mean by current trends in publication? What is currently being published and by who? – methods – on coronary artery disease – on non-coronary heart disease – on vascular disease

TRANSCATHETER MITRAL VALVE REPAIR Feldman et al, J Am Coll Cardiol 2009

TRANSCATHETER MITRAL VALVE REPAIR Feldman et al, J Am Coll Cardiol 2009

TRANSCATHETER AORTIC VALVE IMPLANTATION Webb et al, J Am Coll Cardiol 2009

TRANSCATHETER AORTIC VALVE IMPLANTATION Webb et al, J Am Coll Cardiol 2009

LEFT ATRIAL APPENDIX CLOSURE Holmes et al, Lancet 2009

LEFT ATRIAL APPENDIX CLOSURE Holmes et al, Lancet 2009

LEARNING GOALS What is publishing in interventional cardiology all about? What do we mean by current trends in publication? What is currently being published and by who? – methods – on coronary artery disease – on non-coronary heart disease – on vascular disease

CAROTID ARTERY STENOSIS Ederle et al, Stroke 2009

ABDOMINAL AORTIC ANEURISM EVAR, Lancet 2005

FEMORO-POPLITEAL STENOSIS Schillinger et al, New Engl J Med 2006

BELOW-THE-KNEE INTERVENTIONS Peregrin et al, Cardiovasc Interven Radiol 2008

TAKE HOME MESSAGES

TAKE HOME MESSAGES Publishing success is a largely subjective and volatile concept Current mainstream publishing trends are shaped by key institutions, research groups, and companies Several niches are still present where high- level or otherwise successful publishing can be achieved with relative ease Yet, these can be quickly spotted and exploited in the worldwide research competition

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