StayCurrentMD · Return of the Disruption Score: Fetal Surgery in the Spotlight (1975–2021)
Article1 min read·Published Apr 2025

Return of the Disruption Score: Fetal Surgery in the Spotlight (1975–2021)

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Article · Apr 2025 · 1 min read

In brief

In brief

This bibliometric study examines the evolution of fetal surgery literature from 1975 to 2021 using disruption scores to identify paradigm-shifting versus developmental publications. The analysis addresses the challenge of reviewing a multidisciplinary field whose foundational works are scattered across subspecialty journals.

  • Fetal surgery evolved from pediatric surgery and maternal-fetal medicine as a highly specialized multidisciplinary field.
  • Literature is scattered across subspecialty journals, making comprehensive review challenging for clinicians and researchers.
  • Disruption score is a bibliometric tool: negative scores indicate developmental work, positive scores indicate paradigm-shifting research.
  • This metric helps identify which fetal surgery publications represent true innovations versus incremental advances in the field.

Written by the GCMD Library team from the article.

Fetal surgery is a highly specialized multidisciplinary field which evolved from pediatric surgery and maternal–fetal medicine. The published works that define the field are found across the spectrum of subspeciality journals, making a comprehensive review of the literature difficult. The disruption score is a bibliometric tool which places each published work in the context of the existing literature with negative scores representing developmental works and positive scores representing disruptive works, which tend to be paradigm shifting.

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