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Research outputs in respiratory medicine
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  1. I Rippon1,
  2. G Lewison1,
  3. M R Partridge2
  1. 1Department of Information Science, City University, London EC1V 0HB, UK
  2. 2Faculty of Medicine, NHLI Division at Charing Cross Hospital, Imperial College London, London W6 8RP, UK
  1. Correspondence to:
    Professor M R Partridge
    Department of Respiratory Medicine, Imperial College London, Charing Cross Campus, London W6 8RP, UK; m.partridgeimperial.ac.uk

Abstract

Background: There is currently little information regarding how much the distribution of research activity in respiratory medicine reflects the interests of its clinicians and scientists, the disease burden in any country, or the availability of funding.

Methods: A total of 81 419 respiratory medicine publications identified in the Science Citation Index for the years 1996–2001 were assigned to 14 subject areas (mainly based on title words) and to 15 OECD countries. Outputs were compared with a nation’s disease burdens and, for the UK, the sources of research funding were investigated.

Results and conclusions: Overall, Finland, Canada, Spain and the UK had the greatest relative commitment to respiratory medicine research expressed as a ratio of their share of world biomedical research. The largest subject areas were asthma, lung cancer, and paediatric lung disease, each with over 1400 papers published per year. Australia and Canada led in relative commitment to sleep research and Sweden and Finland led in research on asthma. Australia and the UK produced significant numbers of publications on cystic fibrosis (CF) but Finland produced few. The Netherlands has a strong output on chronic obstructive pulmonary disease (COPD), France and the UK on diffuse parenchymal lung disease (DPLD), and Finland dominated occupational lung disease research but had few publications on HIV/AIDS where Spain proportionately produced most. Finland and Australia had strong outputs in paediatric lung disease research. For most subject areas the research output of a country correlated poorly with disease burden. In the UK, lung cancer research appeared unduly low in relation to the number of deaths and COPD outputs were low compared with those for asthma. However, correlations were positive for the burden of CF and pulmonary complications of HIV/AIDS which explains, for example, the low outputs in these subject areas from Finland. The strong performance in CF research in the UK is likely to reflect significant charitable funding, while sleep research, pulmonary circulatory disease, and DPLD had little stated external funding or sponsorship.

  • research
  • respiratory medicine
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Footnotes

  • * For the period of the analysis GlaxoWellcome plc had not yet merged with SmithKlineBeecham plc.

  • This was formed in 2002 by a merger of the Cancer Research Campaign and the Imperial Cancer Research Fund.

  • This work was commissioned and funded by the UK Department of Health.

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