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COX-2 Inhibitors

Methodology

COX-2 inhibitors are the evolutionary endpoints (at least, so far) of a development that began with aspirin a century ago, progressed to non-steroidal anti-inflammatory drugs (NSAIDS), and then capitalized on the realization that inhibition of the inducible COX-2 enzyme was central to both the beneficial and toxic effects of these drugs.

ESI’s 10-year ranking of the hottest papers on COX-2 inhibition is dominated by review articles on the biology, pharmacology, and synthesis of the COX-2 inhibitors. The collection includes the early trials of the safety and efficacy of celecoxib, and evaluations of the role of COX-2 in colon cancer and the potential of COX-2 inhibition for chemoprevention.

Over the past two years, the potential of COX-2 inhibition as a cancer therapy takes over the dominant position in the field, and this includes the single hottest paper, a review of NSAIDS and COX-2 inhibitors as anti-cancer agents. Another half-dozen articles in this list discuss the role of COX-2 enzymes and the potential of COX-2 inhibition in colon and prostate cancer, as well as the significance of COX-2 expression in breast cancer. Other prominent themes in the top 20 are NSAIDS and COX-2 inhibitors in myocardial infarction, and the efficacy and tolerability of COX-2 inhibition for the treatment of arthritis.

Methodology

To construct this database, papers were extracted based on title- and author-supplied keywords for COX-2 Inhibitors. The keywords used were as follows: 

COX-2 inhibit* 
-or-
COX-II inhibit*
-or-
cyclooxygenase-2 inhibit*
-or-
cyclooxygenase-II inhibit*

The baseline time span for this database is 1994-2004 (fifth bimonthly). The resulting database contained 3,805 (10 years) and  2,193 (2 years) papers; 11,198 authors; 60 countries; 804 journals; and 2,092 institutions.

Rankings

Once the database was in place, it was used to generate the lists of top 20 papers (two, and ten years periods), authors, journals, institutions, and nations, covering a time span of 1994-2004 (fifth bimonthly).

The top 20 papers are ranked according to total cites. Rankings for author, journal, institution, and country are listed in three ways: according to total cites, total papers, and total cites/paper. The paper thresholds and corresponding percentages used to determine scientist, institution, country, and journal rankings according to total cites/paper, and total papers respectively are as follows:

Entity: Scientists Institutions Countries Journals
Thresholds: 10 26 10 12
Percentage: 1% 1% 50% 10%

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