Full length article| Volume 241, P104-108, October 2019

International authorship in leading world journals on incontinence and pelvic floor disorders: Is it truly international?



      The primary aim of this study is to compare the authorship in the Journal of Neurourology and Urodynamics (NAU) and the International Urogynecology Journal (IUJ) across two categories: country members of the Organization for Economic Co-operation and Development (OECD) and non-members of OECD (non-OECD). The secondary aim is to explore the obstacles in publishing in these two journals.

      Study design

      NAU and IUJ articles between June 2014 and June 2018 were manually screened and divided into 2 categories depending on the country of affiliation of the corresponding author: OECD versus non-OECD. They were then divided into seven different types depending on the scope of the article. An online anonymous lime survey was then used to get the opinions of corresponding authors from non-OECD countries regarding obstacles to publishing.


      The OECD countries, representing 17.0% of the world population contributed to 85.4% of the 1885 articles evaluated, whereas only 14.6% originated from non-OECD countries. The distribution of the article types was comparable between the 2 groups. Out of 194 corresponding authors from non-OECD countries, 35 (18.7%) returned a completely filled survey that could be included in the analysis. Lack of funding, language barrier, and perceived bias were acknowledged as barriers to research and publishing. The majority of corresponding authors believed that international collaboration can improve the quality of research.


      The majority of NAU and IUJ articles originate from countries belonging to the OECD group. The uneven representation could be due to gaps in research activity, to obstacles in submission or both.


      NAU (Journal of Neurourology and Urodynamics), IUJ (International Urogynecological Journal), OECD (Organization for Economic Co-operation and Development), Non-OECD (non-members of OECD), ICS (International Continence Society), IUGA (International Urogynecological Association), PFD (pelvic floor disorders), HIC (high-income countries), IRB (Institutional Review Board), GDP (Gross Domestic Product), HDI (Human Development Index), LMIC (Low- and Middle-Income Countries)


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        • Walker G.J.
        • Gunasekera P.
        Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors.
        Int Urogynecol J. 2011; 22: 127-135
        • OECD
        Members and partners.
        2019 (Available from: Date: March 6, 2019)
        • Worldometers
        Countries in the world by population.
        (Available from:)2019
        • Najjar W.M.M.
        • Rameh G.
        • Bazi T.
        Cochrane Incontinence: Who is Contributing? European Urogynaecological Association (EUGA) 11th Annual Congress, Milano2018
        • Wolff R.F.
        • Reinders S.
        • Barth M.
        • Antes G.
        Distribution of country of origin in studies used in cochrane reviews.
        PLoS One. 2011; 6e18798
        • Sinha A.
        • Ovelman C.
        • Pradhan A.
        • Gupta N.
        • Thumburu K.
        • Gupta P.
        Profile of published cochrane systematic reviews in child health from low- and middle-income countries.
        Indian Pediatr. 2019; 56: 45-48
        • Rohra D.K.
        Representation of less-developed countries in Pharmacology journals: an online survey of corresponding authors.
        BMC Med Res Methodol. 2011; 11: 60
        • Aluede E.E.
        • Phillips J.
        • Bleyer J.
        • Jergesen H.E.
        • Coughlin R.
        Representation of developing countries in orthopaedic journals: a survey of four influential orthopaedic journals.
        Clin Orthop Relat Res. 2012; 470: 2313-2318
        • Kammerer-Doak D.
        • Svabik K.
        • Bazi T.
        Variability in practice patterns in stress urinary incontinence and pelvic organ prolapse: results of an IUGA survey.
        Int Urogynecol J. 2017; 28: 735-744
        • Rezaeian M.
        Disadvantages of publishing biomedical research articles in English for non-native speakers of English.
        Epidemiol Health. 2015; 37e2015021
        • K H
        Academic publishing and the myth of linguistic injustice.
        J Second Lang Writ. 2016; 31: 58-69
        • Rezaeian M.
        Dealing with the serious underrepresentation of editors from low-income countries.
        Epidemiology (Cambridge, Mass). 2015; 26: e55-6
        • Tomkins A.
        • Zhang M.
        • Heavlin W.D.
        Reviewer bias in single- versus double-blind peer review.
        Proc Natl Acad Sci USA. 2017; 114: 12708-12713
        • Haffar S.
        • Bazerbachi F.
        • Murad M.H.
        Peer review bias: a critical review.
        Mayo Clin Proc. 2019; 94: 670-676
        • Gonzalez-Alcaide G.
        • Park J.
        • Huamani C.
        • Ramos J.M.
        Dominance and leadership in research activities: collaboration between countries of differing human development is reflected through authorship order and designation as corresponding authors in scientific publications.
        PLoS One. 2017; 12e0182513
        • Chersich M.F.
        • Blaauw D.
        • Dumbaugh M.
        • Penn-Kekana L.
        • Dhana A.
        • Thwala S.
        • et al.
        Local and foreign authorship of maternal health interventional research in low- and middle-income countries: systematic mapping of publications 2000-2012.
        Global Health. 2016; 12: 35
        • Rees C.A.
        • Lukolyo H.
        • Keating E.M.
        • Dearden K.A.
        • Luboga S.A.
        • Schutze G.E.
        • et al.
        Authorship in paediatric research conducted in low- and middle-income countries: parity or parasitism?.
        Trop Med Int Health: TM & IH. 2017; 22: 1362-1370