2): Diabetes & Metabolism Journal, 43.9% 2) Clinical and Experimental Reproductive Medicine, 39.8% 3) International Neurourology Journal, 38.6% 4) Clinical Endoscopy, 38.2% 5) Annals of Rehabilitation Medicine, 34.2% 6) Neurointervention 29.0% 7) and Journal of Educational Evaluation for Health Professions, 29.0%. The proportion of funded original articles (18.4%) was comparable to the following journals ( Fig. The above-described journal metrics were comparable to those of other medical journals published in Korea. The 2015 impact factor was calculated as 0.79 in January 2016. In addition, the impact factor of 1.10 in 2013 corresponded to the percentile rank of 59.7% (40th of the 67 journals related to orthopedic surgery) and 0.94 in 2014 corresponded to the percentile rank of 61.1% (44th of 72 journals in the same field). The impact factor excluding self-citations was the greatest for CiOS among the 4 Asian journals in 20 ( Fig. The impact factor without journal self-citations was compared with that of 3 SCIE journals from Asia: Acta Orthopaedica et Traumatologica Turcica from Turkey, Indian Journal of Orthopaedics from India, and Journal of Orthopaedic Science from Japan. The total citations of CiOS have increased from 0 in 2009 to 374 in 2015 ( Fig. In particular, the top ranking 7 journals that frequently cited CiOS were Knee Surgery Sports Traumatology Arthroscopy (46), Arthroscopy the Journal of Arthroscopic and Related Surgery (33), American Journal of Sports Medicine (30), International Orthopedics (27), Journal of Hand Surgery American Volume (26), Journal of Arthroplasty (26), and Clinical Orthopedics and Related Research (26). The number of journals that published articles citing CiOS publications was more than 100. The largest number of citing authors was in the USA (321), followed by Korea (170), and China (132) ( Fig. The number of countries of citing authors was 66. Of the 392 articles published between 20, 263 (67.1%) were cited at least once by articles in the Web of Science Core Collection database. Keywords: Asia, Journal impact factor, Orthopedics, PubMed, Publishing The inclusion of the journal in PubMed Central appears to have increased international relevance of the journal. CiOS can be considered to have reached the level of top-notch journal in the orthopedic field based on journal metrics. The impact factors without self-citations of CiOS were the greatest among 4 Asian journals in 20. The total citations of CiOS have increased from 0 in 2009 to 374 in 2015. The number of source titles of citing articles was more than 100. The editorial board members were from 13 countries. Of the total 282 original articles, 52 (18.4%) were supported by research grants. Of the total 392 articles, 378 were citable articles (96.4%). The following journal metrics were analyzed from the journal's homepage and Web of Science Core Collection database: number of citable and noncitable articles number of original articles supported by grants editorial board members' countries authors' countries citing authors' countries source titles of citing articles impact factor total citations comparison of impact factor with 3 Science Citation Index Expanded journals and Hirsch index (H-index). Since 7 years have passed since its launch in 2009, it is time to reflect on the journal's efforts to be recognized as a top-notch journal. This article is aimed at providing evidence of increased international recognition of Clinics in Orthopedic Surgery (CiOS) based on journal metrics.
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