Open Access Advantage: Attention and Citation Patterns in Rotator Cuff Tear Research

Document Type : RESEARCH PAPER

Authors

1 Drexel College of Medicine, Philadelphia, PA

2 Rothman Orthopaedic Institute

3 Drexel University College of Medicine

4 Drexel University

10.22038/abjs.2025.86583.3937

Abstract

Objectives: The objective of this study was to analyze the differences in social media attention, news attention, readership, and number of citations between open-access and subscription-based randomized control trials (RCTs) examining rotator cuff pathology. We hypothesize that open access articles will have higher attention scores and readership, but closed access subscription-based articles will have higher citation rates.



Methods: A PubMed search was conducted to identify RCTs on rotator cuff tears. Using the Altmetric Explorer Database, metrics such as Altmetric Attention score (AAS), news mentions, X mentions, Mendeley readers, and Dimensions citations were extracted. A negative binomial regression adjusted for time since publication was used to compare metrics between open and closed access articles.



Results: : Of 218 articles analyzed, 39% were open access, and 61% were closed access. Open access publications had higher costs and significantly higher mean AAS’s (42 ± 190 vs 15 ± 36), news mentions (2.6 ± 17 vs 0.48 ± 4.4), X mentions (45 ± 160 vs 19 ± 33), and Mendeley readers (120 ± 110 vs 87 ± 67) compared to closed access publications (p<0.05). However, the mean dimensions citations between open access vs closed access (29 ± 45 vs 27 ± 27) was not significantly different (p=0.554).



Conclusions: Open access articles have higher attention scores while maintaining comparable citation numbers compared to closed access articles.



Level of Evidence: Level 3

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Main Subjects



Articles in Press, Accepted Manuscript
Available Online from 17 September 2025
  • Receive Date: 17 April 2025
  • Revise Date: 21 May 2025
  • Accept Date: 23 June 2025