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Eurasian Journal of Medicine and
            Oncology
                                                                                Research on hypoxia and ECM in cancer






























            Figure 1. Annual scientific publications (blue bars) and cumulative publications (orange line). In general, there is a noticeable upward trajectory in the
            annual publication volume represented by the well-fitted red dashed line (R² = 0.754391; p < 0.0001).

            3. Results                                         Table 1. Top 10 countries by publications and citations
            3.1. Growth and trend of publications              Rank    Country      Articles  TGCS  SCP  MCP
            Figure  1 illustrates the trend of the annual publication              N    %              n   %
            volume in the field of hypoxia and ECM in cancer from   1  China       112  31.9  3561  102  10  8.9
            2007 to 2024. In general, there is a noticeable upward   2  USA        83  23.6  7688  59  24  28.9
            trajectory in the annual publication volume represented by   3  Italy  18  5.1  1621   13  5  27.8
            the well-fitted red dashed line (R  = 0.754391; p < 0.0001).   4  United Kingdom  15  4.3  1676  9  6  40
                                      2
            The peak  publication volume was observed in 2022,   5     India       12  3.4  701    9   3   25
            with 52 reported publications. The growth displayed a   6  Korea       10  2.8  284    7   3   30
            relatively stable pattern from 2007 to 2011, exhibited slight
            fluctuations from 2011 to 2019 with a decline in 2012, and   7  Germany  9  2.6  680   7   2  22.2
            an upward trend in subsequent years. The period from   8   Japan        9  2.6  185    9   0   0
            2019 to 2022 marked a phase of rapid growth at a rate of   9  Australia  8  2.3  464   4   4   50
            136.4%. However, the relevant research literature in this   10  Iran    7   2   629    5   2  28.6
            area has been on a downward trend in the last 2 years (2023   Abbreviations: MCP: Multiple country publications; SCP: Single
            and 2024). The average annual growth rate in the annual   country publications; TGCS: Total global citations; USA: United States
            publication volume of relevant literature from 2007 to 2024   of America.
            is 13.54%, indicating an increasing involvement of scholars
            in the research areas of hypoxia and ECM in cancer.  the total articles. The USA also claims the highest citation
                                                               frequency at 7688, followed by China at 3561. All other
            3.2. Country and region analysis                   countries/regions maintain citation frequencies below 2000.
            There are 39 countries/regions actively engaging in the field   Figures 2A and S1 visually elucidate the publication volume
            of hypoxia and ECM in cancer. Table 1 delineates the top 10   and  collaboration  dynamics  among  different  countries/
            countries/regions based on publication volume, along with   regions. Importantly, research on hypoxia and ECM in
            corresponding citation frequencies and centrality metrics.   cancer predominantly centers in the Northern Hemisphere,
            The betweenness centrality of countries/regions serves as   establishing robust connections among North America,
            a gauge of their significance within the research network.   Europe, and East Asia, particularly showcasing strong
            Notably, China has the highest publication volume with 112   collaborative ties between North America and Europe.
            papers,  closely followed  by the United  States  of  America   Figure 2 reveals the publication volume and international
            (USA) with 83 papers, both of which account for 55.5% of   collaboration status for each country of the corresponding



            Volume 9 Issue 1 (2025)                        170                              doi: 10.36922/ejmo.7116
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