The Effect of Self-Citations on the Hirsch Index Among Full-Time Academic Hand Surgeons

OBJECTIVE: To assess the magnitude of self-citation among a cohort of academic hand surgeons and estimate the effect of self-citation on the Hirsch index (h-index). DESIGN: Cross-sectional study. SETTING: Johns Hopkins Hospital, Department of Plastic and Reconstructive Surgery, Division of Hand Surgery. RESULTS: The study sample comprised 364 full-time academic hand surgeons. Study subjects had an average of 45 73 publications. The mean total number of citations was 800 1738, the median number of self-citations was 2.5 (interquartile range [IQR]: 0-14.8), and the average frequency of self-citation was 2.2% 3.7%. Older surgeons were slightly less likely to self-cite (coefficient = 0.07; p = 0.001). Furthermore, as the total number of publications increased, the frequency of self-citation increased (coefficient = 0.03; p < 0.001). The h-index increased because of self-citation in 57 surgeons (15.7%). After adjusting for American Society for Surgery of the Hand status and academic rank, increasing rates of self-citation were associated with an increase in the h-index. Surgeons with 7 or more self-citations were more likely to have their h-index influenced by self-citation. CONCLUSIONS: The rate of self-citation among full-time academic hand surgeons affiliated with fellowship programs is fairly low. For most of the surgeons, self-citation did not affect the h-index, ((C) 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)