Introduction
Background and Objectives
Intestinal Behçet’s Disease (IBD) is a rare yet severe form of Behçet’s Disease that predominantly affects the gastrointestinal tract, leading to symptoms such as abdominal pain, diarrhea, and ulcerations. The understanding of IBD’s pathogenesis, treatment, and management poses significant challenges due to its complex nature and the variability in its clinical presentation. Globally, IBD remains under-researched compared to other forms of inflammatory bowel diseases, which necessitates further scientific exploration, particularly in understanding the underlying mechanisms and effective treatment strategies [
1,
2].
In Western countries, research on IBD is often limited due to its relatively lower prevalence; hence, there is a reliance on data and insights from regions with higher prevalence rates, such as East Asia and the Middle East. Conversely, in Asia, particularly in countries like Japan, South Korea, and China, there has been a more substantial focus on IBD research due to the relatively higher incidence rates. This regional disparity underscores the importance of international collaboration to bridge knowledge gaps and improve the overall understanding of the disease [
3,
4].
Network analysis of co-authorship provides a robust methodology to explore the collaborative landscape within a research field. By examining co-authorship networks, we can identify key researchers, institutions, and the dynamics of scientific collaboration that drive advancements in the field. Such analyses not only highlight influential figures and groups but also reveal the interconnectedness and collaboration trends within the research community, offering insights into how knowledge is disseminated and how collaborative efforts can be optimized.
Scope of the Study
This study examines publications related to IBD research indexed in the Web of Science (WoS) Core Collection database between 2000 and 2023. A total of 484 articles were selected for analysis, providing a comprehensive overview of the collaborative landscape within this specialized field over the past two decades. The dataset ensures the inclusion of the most recent publications (as of September 2024). The analysis will focus on constructing and evaluating co-authorship networks using macro-level indicators such as network density (the ratio of actual to possible connections), clustering coefficient (the degree to which nodes tend to cluster together), number of components (distinct connected subgroups within the network), and average path length (the average distance between nodes). At the micro-level, I will assess degree centrality (the number of direct connections each node has), closeness centrality (how close a node is to all other nodes), and betweenness centrality (the extent to which a node lies on the shortest path between other nodes). These metrics will help illuminate the structure and dynamics of researcher collaborations in this field.
Significance of the Study
This study holds significant value in the context of IBD research by offering a detailed exploration of the collaborative landscape within this field. Identifying major researchers and institutions involved in IBD research can help highlight leading contributors and emerging leaders. Furthermore, evaluating the progression of international collaborative research and its impact is essential for understanding how global partnerships contribute to advancements in this area. The analysis of network structures and their evolution over time can reveal critical trends, such as shifts in research focus or the emergence of new collaborative clusters.
By providing a clear picture of the current state of research and collaboration in IBD, this study not only enhances our understanding of existing networks but also sheds light on future directions and potential areas for new partnerships. The findings underscore the importance of international collaboration in addressing the complex challenges associated with IBD, highlighting the role of network analysis as a powerful tool for guiding future research strategies and fostering global cooperation.
Material and Methods
The present study investigates the co-authorship patterns in IBD research papers. I utilized the WoS Core Collection database, conducting a "Topic Search" with the keyword “Intestinal Behçet’s Disease" to analyze a total of 484 articles published between 2000 and 2023 (as of September 2024). In this analysis, I examined who collaborated with whom in co-authoring these papers. I conducted network analysis using the Python programming language (version 3.10.5) within the integrated development environment (IDE) PyCharm (software version 2022.1.3). This study employed methodology-established principles of social network analysis [
5]. I carried out the analysis in two main parts:
Macro-Level Metrics:
Network Density: Calculated as the ratio of the number of edges to the maximum possible edges Between all nodes.
Clustering Coefficient: Measured the extent to which nodes form clusters by considering the number of edges among neighboring nodes and calculating the average.
Components: Identified and counted the number of subgraphs (components) where nodes are mutually connected.
Average Path Length: Evaluated the average "distance" between nodes by calculating the overall average path length in the network [
6].
Micro-Level Metrics:
Degree Centrality: Measured the importance of each node by counting the number of edges it has in the network.
Closeness Centrality: Defined as the inverse of the sum of the shortest path lengths from a node to all other nodes, measuring how close each node is to others in the network.
Betweenness Centrality: Assessed the extent to which a node lies on the shortest paths between other nodes, indicating its importance in information transmission within the network [
6,
7].
The significance of these macro-level metrics in understanding the structure of scientific collaboration networks and these micro-level centrality measures in scientific collaboration networks has been well documented and used [
6,
7]. Through these analyses, I can identify collaborative relationships and influential researchers in IBD research. This information may be useful for understanding research trends and planning future collaborative studies.
Results
The study analyzed the co-authorship network of researchers in IBD research, focusing on the periods from 2000 to 2023. The analysis was conducted using data from the WoS Core Collection and utilized both macro and micro-level network metrics to understand the evolution of collaborative networks in this field.
2000-2009. Network Analysis
During the period from 2000 to 2009, the co-authorship network for Intestinal Behçet’s Disease research was characterized by a relatively sparse structure with a network density of 0.0114 (
Table 1), indicating that only 1.14% of the possible collaborations between researchers were realized (
Figure 1). The network exhibited a high average clustering coefficient of 0.966 (
Table 1), suggesting that while overall connectivity was limited, localized clusters of tightly knit groups of researchers existed (
Figure 1). There were 84 distinct components within the network (
Table 1), highlighting a fragmented structure with many isolated groups (
Figure 1). The average distance between nodes was infinite, reflecting the disconnected nature of the network [
8].
Key researchers based on degree centrality included Kim, Won Ho (0.0390), Cheon, Jae Hee (0.0357), and Shin, Sung Jae (0.0341) (
Table 2), indicating their significant roles in collaboration within the field. Closeness centrality also highlighted Kim, Won Ho (0.0406) and Cheon, Jae Hee (0.0384) (
Table 3) as central figures, further emphasizing their influence in connecting disparate parts of the network. Betweenness centrality identified Shin, Sung Jae (0.0008) (
Table 4) as a crucial intermediary, capable of bridging otherwise separate clusters.
2010-2019. Network Analysis
From 2010 to 2019, the network’s density decreased to 0.0086 (
Table 1), reflecting a continued sparsity in collaborative efforts despite an increase in research output (
Figure 2). The average clustering coefficient remained high at 0.945 (
Table 1), indicating the persistence of localized collaboration clusters (
Figure 2). The number of components rose to 113 (
Table 1), showing an even more fragmented network compared to the previous decade, and the average distance between nodes continued to be infinite, suggesting large sections of the network were still not interconnected [
8].
The most prominent researchers in this period included Cheon, Jae Hee (0.0676) and Kim, Won Ho (0.0628) (
Table 2), who not only had high degree centrality but also played key roles as connectors within the network, as shown by their closeness centrality scores (
Table 3). Betweenness centrality scores highlighted Takeno, Mitsuhiro (0.0069) and Tanaka, Masanori (0.0065) (
Table 4) as influential intermediaries, playing significant roles in facilitating collaborations across different research clusters.
2020-2023. Network Analysis
In the most recent period from 2020 to 2023, the network density increased to 0.0171 (
Table 1), reflecting a noticeable enhancement in collaborative efforts within the field (
Figure 3). The average clustering coefficient was slightly lower at 0.954 compared to earlier periods (
Table 1), still indicating a strong tendency towards forming clusters (
Figure 3). The number of components decreased to 73 (
Table 1), suggesting a trend towards more connected research networks. However, the average distance between nodes remained infinite, indicating that full connectivity was not yet achieved [
8].
The top researchers by degree centrality included Emmi, Giacomo (0.1210), Hatemi, Gulen (0.1018), and Direskeneli, Haner (0.0882) (
Table 2), who were central to collaboration efforts. Emmi, Giacomo also led in closeness centrality (0.1265) (
Table 3), reinforcing his pivotal position in the network. In terms of betweenness centrality, Emmi, Giacomo (0.0103) and Hatemi, Gulen (0.0060) (
Table 4) were identified as critical nodes in maintaining the flow of information and collaboration across different parts of the network.
Summary
The co-authorship network analysis of Intestinal Behçet’s Disease research from 2000 to 2023 reveals a progressively evolving structure with increasing network density and a decreasing number of components, indicative of enhanced collaboration over time. Initially characterized by fragmented and localized clusters, the network gradually moved towards a more interconnected structure, particularly in the most recent period from 2020 to 2023. Notable researchers such as Kim, Won Ho (South Korea) and Cheon, Jae Hee (South Korea) played key roles in the early decades, while recent years have seen the emergence of new central figures such as Emmi, Giacomo (Italy) and Hatemi, Gulen (Turkey).
From 2000 to 2009 (
Table 2) and 2010 to 2019 (
Table 3), Japanese and South Korean researchers were particularly prominent. However, since 2020 (
Table 4), researchers from Italy and Turkey have gained significant global recognition, indicating a shift in the research hub from Asia to Europe. This analysis suggests that promoting collaborative research between Asian and European countries would be beneficial.
Overall, the analysis demonstrates that while collaboration in Intestinal Behçet’s Disease research has grown, significant opportunities remain for further integration and connectivity among researchers worldwide, which could potentially enhance the field’s capacity for innovation and collective problem-solving.
Discussion
The co-authorship network analysis of IBD research from 2000 to 2023 provides valuable insights into the evolving landscape of scientific collaboration within this specialized field. My findings demonstrate significant temporal shifts in network structures, key contributors, and regional dynamics, reflecting broader trends in the field's development.
Over the analyzed periods, the network density, an indicator of collaborative intensity, exhibited notable fluctuations. The initial decade (2000-2009) was characterized by a sparse network with low connectivity, as indicated by the network density of 0.0114. This sparse structure suggests that early IBD research was conducted in isolated clusters with minimal cross-collaboration. During this time, prominent researchers such as Kim, Won Ho, and Cheon, Jae Hee were central figures, underscoring their pivotal roles in fostering initial collaborative efforts, especially within regional contexts such as South Korea.
The subsequent decade (2010-2019) saw a decline in network density to 0.0086 despite an increase in publication output, highlighting persistent fragmentation and the emergence of more distinct, localized research clusters. The presence of 113 components during this period suggests that while the research community expanded, it did so in a disjointed manner, with limited integration among research groups. Notably, Japanese researchers such as Takeno, Mitsuhiro and Tanaka, Masanori emerged as key intermediaries, playing significant roles in bridging some of these gaps.
In contrast, the period from 2020 to 2023 marked a turning point, with network density increasing to 0.0171 and a reduction in the number of components to 73. This suggests a positive trend towards greater interconnectedness and collaboration within the IBD research community. The rise of new central figures such as Emmi, Giacomo (Italy), and Hatemi, Gulen (Turkey) highlights a shift in the locus of collaboration from Asia to Europe, reflecting a broader diversification in the global research landscape. This transition underscores the importance of expanding international collaborations to leverage diverse regional expertise and address the global nature of IBD.
The observed shifts in network centrality metrics over time reveal evolving patterns of influence and collaboration in IBD research. Initially dominated by a few key players from East Asia, the field has seen a diversification of influential researchers from different regions. This geographical expansion aligns with the global need for a more comprehensive understanding of IBD, which varies significantly across populations. The emergence of European researchers as central figures in the most recent period underscores a potential shift in research leadership, with implications for the direction of future studies and collaborative efforts.
Despite the progress noted in recent years, the network analysis indicates that there remains considerable room for improvement in global collaboration. The persistent presence of multiple components and the infinite average distance between nodes suggest that many research groups operate in relative isolation. Enhancing connectivity between these groups could be achieved through targeted initiatives that promote cross-border collaborations, joint research projects, and international conferences focused on IBD. These efforts would not only strengthen the overall research network but also facilitate the exchange of knowledge and resources necessary to address the complexities of IBD effectively.
One of the primary challenges identified in this study is the regional disparity in research activity, with certain areas such as East Asia and, more recently, Europe, driving much of the collaborative momentum. Furthermore, the analysis of micro-level metrics such as degree, closeness, and betweenness centrality provides insights into individual researchers' roles within the network. Key figures identified through these measures are not only leaders in the field but also potential catalysts for broader collaborative efforts. Supporting these researchers through funding, collaborative platforms, and institutional backing could amplify their impact and foster a more cohesive research community.
Conclusion
This study provides a comprehensive analysis of the co-authorship networks in IBD research from 2000 to 2023, highlighting the evolving landscape of collaboration within this specialized field. By examining the network structures using both macro-level (network density, clustering coefficient, components, average path length) and micro-level indicators (degree centrality, closeness centrality, betweenness centrality), the study identifies key researchers, influential clusters, and trends in global collaboration.
From 2000 to 2009, the network exhibited a highly fragmented structure, characterized by numerous isolated components and localized clusters of researchers. Notable figures such as South Korea's Kim, Won Ho, and Cheon, Jae Hee were instrumental in connecting disparate parts of the network, primarily within the context of regional collaborations in East Asia. Despite these efforts, the overall network density remained low, underscoring the limited extent of cross-border collaboration during this early period.
The 2010-2019 period saw a further decrease in network density, reflecting a continued challenge in achieving broader integration across research groups. This era was marked by the emergence of Japanese researchers like Takeno, Mitsuhiro, and Tanaka, Masanori as pivotal intermediaries, bridging otherwise isolated clusters. However, the increasing number of components indicated persistent fragmentation, suggesting that despite growing research output, collaborative efforts were still largely confined within regional boundaries.
In contrast, the period from 2020 to 2023 represented a notable shift towards enhanced collaboration, as evidenced by increased network density and a reduction in the number of components. This positive trend suggests that the IBD research community has become more interconnected, with new central figures such as Emmi, Giacomo (Italy), and Hatemi, Gulen (Turkey) playing leading roles. The rise of these researchers signifies a shift in the collaborative epicenter from Asia to Europe, highlighting the growing influence of European researchers in the global IBD research landscape.
Overall, the analysis reveals that while collaboration in IBD research has improved significantly over the past two decades, there remain substantial opportunities for further integration and connectivity among researchers worldwide. The identification of key researchers and the understanding of network dynamics can help inform future strategies to foster international collaboration, thereby enhancing the field’s capacity for innovation and addressing the complex challenges associated with IBD. The findings underscore the importance of continued efforts to bridge regional divides, promote global partnerships, and leverage the diverse expertise within the IBD research community to drive forward advancements in understanding, treating, and managing this challenging disease.
Institutional Review Board Statement
not applicable for this article.
Conflicts of Interest
none.
Abbreviations
WoS, Web of Science; IDE, Integrated Development Environment; IBD, Intestinal Behçet’s Disease.
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