The work has been published in the journal Bulletin of the American College of Surgeons 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, 2000, it was in position , thus managing to position itself as a Q2 (Segundo Cuartil), in the category Medicine (Miscellaneous).

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-07-18:

• Scopus: 4

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (DE ARANZADI PEREZ DE ARENAZA, ISABELA CARLOTA MARIA ROSARIO).