Bibliometric analysis on twin-twin transfusion syndrome between 2000-2025

A Bibliometric Evaluation of Global Publication Trends, Citation Analysis, and Research Collaborations

Authors

DOI:

https://doi.org/10.5281/zenodo.19242441

Keywords:

Twin-Twin Transfusion Syndrome, bibliometric analysıs, articles

Abstract

Abstract

Background: Twin-to-Twin Transfusion Syndrome (TTTS) is a serious complication of the monochorionic twin pregnancies triggered by placental blood shunting. When left untreated, the fetal mortality rate is high and thus it is an issue of major significance in medical science. This study presents a bibliometric analysis of literature to evaluate research productivity and trends.

Methods: Articles and reviews, written in English, on TTTS published between 1 January 2020 and 15 August 2025 were identified using Web of Science Core Collection. Collaboration networks and keyword clusters were extracted using VOSviewer for analysis.

Results: A total of 1062 papers were found, 930 (87.5%) were research papers. The publication output grew significantly between 2015–2022, with its recent decrease.Most frequently cited papers were related to fetal heart disease, treatment, and outcome.

Conclusion: TTTS investigation developed remarkably in the past decade, especially in the aspect of diagnosis, therapy and its complications.

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Author Biography

Sezin Oral Yıldız, Private GLR Obstetrics And Gynecology Clinic

Op. Dr. Sezin Oral Yıldız is a specialist in Obstetrics and Gynecology. She was born in Mersin and completed her medical education at Ufuk University Faculty of Medicine, earning her medical degree. After graduating, she began her medical career as a general practitioner at Mersin Mut Community Health Center. She then started her residency training in Obstetrics and Gynecology at Tepecik Training and Research Hospital under the Turkish Ministry of Health. She completed her specialty training at the Department of Obstetrics and Gynecology, Ufuk University Faculty of Medicine, and was awarded the title of Obstetrics and Gynecology Specialist. Following her specialization, Dr. Yıldız fulfilled her compulsory public service at Ankara Dr. Sami Ulus Children’s Health and Diseases Training and Research Hospital. She subsequently worked as a specialist physician at Ankara Etimesgut Şehit Sait Ertürk State Hospital and Ankara Etlik City Hospital, Department of Obstetrics and Gynecology. She is currently seeing patients at her private clinic, where she provides comprehensive diagnostic, treatment, and follow-up services across all areas of women’s health.

References

1. Bamberg C, Hecher K. Twin-to-twin transfusion syndrome: Controversies in the diagnosis and management. Best Pract Res Clin Obstet Gynaecol. 2022;84:143-54.

2. Kajiwara K, Ozawa K, Wada S, Samura O. Molecular Mechanisms Underlying Twin-to-Twin Transfusion Syndrome. Cells. 2022;11(20):3268.

3. Spruijt MS, Lopriore E, J Steggerda S, Slaghekke F, Van Klink JMM. Twin-twin transfusion syndrome in the era of fetoscopic laser surgery: antenatal management, neonatal outcome and beyond. Expert Rev Hematol. 2020;13(3):259-67.

4. Society for Maternal-Fetal Medicine (SMFM), Miller RS, Miller JL, et al. Society for Maternal-Fetal Medicine Consult Series #72: Twin-twin transfusion syndrome and twin anemia-polycythemia sequence. Am J Obstet Gynecol. 2024;231(4):B16-B37.

5. Hessami K, Nassr AA, Sananès N, et al. Perinatal risk factors of neurodevelopmental impairment after fetoscopic laser photocoagulation for twin-twin transfusion syndrome: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2021;58(5):658-68.

6. van Eck NJ, Waltman L. Software survey: VOSviewer, a computer program for bibliometric mapping. Scientometrics. 2010;84(2):523-38.

7. Dhombres F, Bodenreider O. Trends in Fetal Medicine: A 10-Year Bibliometric Analysis of Prenatal Diagnosis. Stud Health Technol Inform. 2017;245:853-7.

8. Di Mascio D, Khalil A, D’Amico A, et al. Outcome of twin-twin transfusion syndrome according to Quintero stage of disease: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2020;56(6):811-820.

Published

2026-03-26

How to Cite

Güler, A. E., & Oral Yıldız, S. (2026). Bibliometric analysis on twin-twin transfusion syndrome between 2000-2025 : A Bibliometric Evaluation of Global Publication Trends, Citation Analysis, and Research Collaborations. Chronicles of Precision Medical Researchers, 7(1), 73–82. https://doi.org/10.5281/zenodo.19242441

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