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Analysis of institutional authors

Encinas J.l.AuthorMartínez L.Author

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January 5, 2026
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Recurrence of Congenital Diaphragmatic Hernia: Risk Factors, Management, and Future Perspectives

Publicated to: Frontiers In Pediatrics. 10 823180- - 2022-02-09 10(), DOI: 10.3389/fped.2022.823180

Authors:

Macchini, F; Raffaeli, G; Amodeo, I; Ichino, M; Encinas, JL; Martinez, L; Wessel, L; Cavallaro, G
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Affiliations

Fdn IRCCS Ca Granda Osped Maggiore Policlin, Dept Pediat Surg - Author
Fdn IRCCS Ca Granda Osped Maggiore Policlin, Neonatal Intens Care Unit - Author
Mannheim Univ, Med Ctr, Fac Med Mannheim Heidelberg Univ, Dept Pediat Surg - Author
Univ Autonoma Madrid, La Paz Childrens Hosp, Dept Pediat Surg - Author
Univ Milan, Dept Clin Sci & Community Hlth - Author
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Abstract

Recurrence is one of the most common surgical complications in Congenital Diaphragmatic Hernia (CDH). It could remain clinically silent for a long time or present as an acute complication week, months, or even years after the primary surgery. Several risk factors have been identified so far. An extended diaphragmatic defect represents one of the leading independent risk factors, together with indirect signs of large defect such as the liver position related to the diaphragm and the use of the prosthetic patch and with the use of a minimally invasive surgical (MIS) approach. However, the exact contribution of each factor and the overall risk of recurrence during the life span still need to be fully understood. This mini-review aims to give an overview of the current knowledge regarding CDH recurrence, focusing on predisposing factors, clinical presentation, management and follow-up of high-risk patients, and future perspectives.
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Keywords

Congenital diaphragmatic herniaEuropeFetoHernia recurrenceInfantsMinimally invasive surgeryMortalityMuscle flapNewbornsOutcomesProsthetic patchProsthetic patch repairPulmonary hypertensionStandardized postnatal managementTerm-follow-up

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Frontiers in Pediatrics due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2022, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Pediatrics, Perinatology and Child Health.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 2.55. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 13, 2025)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Weighted Average of Normalized Impact by the Scopus agency: 2.26 (source consulted: FECYT Mar 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2026-04-05, the following number of citations:

  • WoS: 12
  • Scopus: 12
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-05:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 42.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 42 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 3.
  • The number of mentions on the social network X (formerly Twitter): 3 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: https://repositorio.uam.es/handle/10486/718460
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Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Germany; Italy.

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