Table 1

Level of evidence of clinical neurosurgery research in the Kingdom of Saudi Arabia.

FeatureArticles numbersLevel of evidence (LOE), n (%)LOE meanMean difference (95% confidence interval)P-value (significance)
IIIIIIIV
Year
 1990-20002040012 (5.9)192 (94.1)3.940.0900 (0.0208 – 0.1592)0.0110 (Sig)
 2001-20131731 (0.6)2 (1.2)19 (11.0)151 (78.3)3.85
International Collaboration
 Yes4102 (4.9)5 (12.2)34 (82.9)3.78-0.1300 (-0.2402 – -0.0198)0.0209 (Sig)
 No3361 (0.3)026 (7.7)309 (92.0)3.91
Journal
 Neuroscience*2471 (0.4)2 (0.8)16 (6.5)228 (92.3)3.910.0300 (-0.0424 – 0.1024)0.4160 (NS)
 Other medical1300015 (11.5)115 (88.5)3.88
Journal’s IF
 IF ≥12431 (0.4)1 (0.4)20 (8.2)221 (90.9)3.900.000 (-0.0719 – 0.0719)1.000 (NS)
 IF <113401 (0.7)11 (8.2)122 (91.0)3.90
Research topic
 Neurosurgery3161 (0.3)2 (0.6)19 (6.0)294 (93.0)3.920.1200 (0.0259 – 0.2141)0.0126 (Sig)
 Other neuroscience610012 (19.7)49 (80.0)3.80
Article citation numbers
 Citations ≥1014002 (1.4)15 (10.7%)123 (87.9)3.86-0.0600 (-0.1320 – 0.0120)0.1021 (NS)
 Citations <102371 (0.4)016 (6.8%)220 (92.8)3.92
Comparison with literature
 Current Study3771 (0.3)2 (0.5)31 (8.2)343 (91.0)3.90
 Makhdom et al1 2013 (Ortho-KSA)1594 (2.5)9 (5.7)8 (5.0)138 (86.8)3.760.1400 (0.0540 – 0.2260)0.0015 (Sig)
 Samargandi et al2 2013 (Plastic-KSA)24606 (2.4)14 (5.7)226 (91.9)3.890.0100 (-0.0474 – 0.0674)0.7322 (NS)
 Amiri et al3 2013 (Spine-USA/Europe)70333 (4.7)163 (23.2)88 (12.5)419 (59.6)3.270.6300 (0.5286 – 0.7314)0.0001 (Sig)
 Rothoerl et al4 2003 (Neuro-USA/Europe)44128 (6.3)138 (31.3)39 (8.8)236 (53.5)3.100.8000 (0.6891 – 0.9109)0.0001 (Sig)
 Alimi et al5 2013 (Neuro-Iran)117874 (6.3)71 (6.0)57 (4.8)279 (23.7)3.120.7800 (0.6597 – 0.9003)0.0001(Sig)
  • * Including neurosurgery journals,

  • Excluding neurosurgery topics,

  • Only 481 articles were scored.