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



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            Figure 7. Analysis of most commonly cited references. (A) Cluster analysis of co-cited references. (B) Timeline graph of cluster analysis.

              The study involved 39 countries/regions. Developed   Among the top 10 institutions by publication volume,
            nations, such as the USA and the United Kingdom, entered   seven are from China and three from the USA. However,
            the research field of hypoxia and ECM in cancer earlier, while   the top three institutions by citation frequency are all in
            emerging countries, such as China and Russia, joined the field   the USA, with Johns Hopkins University leading by a
            more recently. Despite China’s lead in publication volume,   significant margin. Research in this field was initially
            it has a lower average citation per paper and intermediary   driven by the USA and other developed countries, but in
            centrality, probably due to its later entry. The USA, ranking   recent years, developing countries have joined through
            second in publication volume, is outstanding in both citation   international collaboration. Although China now surpasses
            frequency and intermediary centrality. Research in this field   the USA in publication volume, its research depth and level
            is predominantly concentrated in the Northern Hemisphere,   of international cooperation remain significantly lower.
            with strong connections among North America, Europe,   Visualization of author contributions highlights Semenza
            and East Asia. Notably, collaborations between North   G.L., Wirtz D., and Gilkes D.M. as key contributors to this
            America and Europe demonstrate evolving dynamics in   field. In addition, Bhujwalla Z.M., Wang Y., and Wirtz D.
            global research partnerships.                      have made substantial contributions. Krishnamachary B.


            Volume 9 Issue 1 (2025)                        184                              doi: 10.36922/ejmo.7116
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