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Peer-reviewedCC BYMedicine

Bibliometric analysis and visualization of adenomyosis: From 1980-2024.

  • Qicai Hu1,2
  • Liping Zeng2,3
  • Chunlei Guo2,3
  • Chunying Li4
  • Ruifang Wu2,3
  • Xiuli Sun1
4 affiliations
  1. 1Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China.
  2. 2Department of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, China.
  3. 3Institute of Obstetrics and Gynecology, Shenzhen PKU-HKUST Medical Center, Shenzhen, China.
  4. 4Health Science Library, Peking University, Beijing, China.
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Abstract

Objectives

This bibliometric analysis systematically evaluated the research landscape, emerging trends, and key focus areas in adenomyosis to guide future research directions.Design

Performance analysis combined with scientific mapping of global adenomyosis research literature.Data sources

Web of Science Core Collection (1980-2024).Data extraction and synthesis

Articles were manually screened. Bibliometrix (R 4.3.0), VOSviewer, and CiteSpace analyzed productivity, collaboration, citation patterns, and research trends. Derived data and analysis scripts are deposited in the Open Science Framework (OSF) under a citable DOI.Results

Among 3100 included publications, China led output (752, 24.26%, full-counted), followed by the United States (414, 13.35%), Japan (350, 11.29%), Italy (215, 6.94%), and South Korea (128, 4.13%). In the 2 adenomyosis-specific corpora, however, the United States ranked first. The US had the highest citations and international collaboration, though international co-authorship among top-producing countries remained low (16.14%). Leading institutions were Fudan University (89), Shandong University (52), and University of Tokyo (49). Top journals by volume: Fertility and Sterility, Human Reproduction, and Journal of Minimally Invasive Gynecology. Research focus shifted from hysterectomy and uterine artery embolization toward high-intensity focused ultrasound (HIFU), and from endothelial nitric oxide synthase/induced adenomyosis toward ectopic endometrium. Eight keyword clusters emerged; the 4 largest (#0 EMT, #1 HIFU, #2 endometrial cancer, #3 pregnancy outcomes) form the present focus. Burst analysis identified "consensus" (2020-2024), "pathogenesis" (2022-2024), and "pregnancy outcome" (2022-2024) as recent and currently active hotspots.Conclusions

Current adenomyosis research centers on ectopic endometrium and EMT in pathogenesis, fertility outcomes, long-term efficacy of HIFU and fertility-sparing surgery, links to endometrial cancer, and adverse pregnancy outcomes. Beyond deepening pathogenesis and pregnancy-outcome research, key future directions include enhancing international collaboration and developing internationally agreed, evidence-based standardized terminology, diagnostic criteria, and classification systems for adenomyosis.

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Cite

BibTeXRIS
BibTeX
@article{hu2026bibliometric,
  title = {{Bibliometric analysis and visualization of adenomyosis: From 1980-2024.}},
  author = {Qicai Hu and Liping Zeng and Chunlei Guo and Chunying Li and Ruifang Wu and Xiuli Sun},
  journal = {Medicine},
  year = {2026},
  month = oct,
  doi = {10.1097/md.0000000000051082},
  url = {https://europepmc.org/article/MED/42888604},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Bibliometric analysis and visualization of adenomyosis: From 1980-2024.
AU  - Qicai Hu
AU  - Liping Zeng
AU  - Chunlei Guo
AU  - Chunying Li
AU  - Ruifang Wu
AU  - Xiuli Sun
PY  - 2026
DA  - 2026/10/01
JO  - Medicine
DO  - 10.1097/md.0000000000051082
UR  - https://europepmc.org/article/MED/42888604
AB  - Objectives  This bibliometric analysis systematically evaluated the research landscape, emerging trends, and key focus areas in adenomyosis to guide future research directions.Design  Performance analysis combined with scientific mapping of global adenomyosis research literature.Data sources  Web of Science Core Collection (1980-2024).Data extraction and synthesis  Articles were manually screened. Bibliometrix (R 4.3.0), VOSviewer, and CiteSpace analyzed productivity, collaboration, citation patterns, and research trends. Derived data and analysis scripts are deposited in the Open Science Framework (OSF) under a citable DOI.Results  Among 3100 included publications, China led output (752, 24.26%, full-counted), followed by the United States (414, 13.35%), Japan (350, 11.29%), Italy (215, 6.94%), and South Korea (128, 4.13%). In the 2 adenomyosis-specific corpora, however, the United States ranked first. The US had the highest citations and international collaboration, though international co-authorship among top-producing countries remained low (16.14%). Leading institutions were Fudan University (89), Shandong University (52), and University of Tokyo (49). Top journals by volume: Fertility and Sterility, Human Reproduction, and Journal of Minimally Invasive Gynecology. Research focus shifted from hysterectomy and uterine artery embolization toward high-intensity focused ultrasound (HIFU), and from endothelial nitric oxide synthase/induced adenomyosis toward ectopic endometrium. Eight keyword clusters emerged; the 4 largest (#0 EMT, #1 HIFU, #2 endometrial cancer, #3 pregnancy outcomes) form the present focus. Burst analysis identified "consensus" (2020-2024), "pathogenesis" (2022-2024), and "pregnancy outcome" (2022-2024) as recent and currently active hotspots.Conclusions  Current adenomyosis research centers on ectopic endometrium and EMT in pathogenesis, fertility outcomes, long-term efficacy of HIFU and fertility-sparing surgery, links to endometrial cancer, and adverse pregnancy outcomes. Beyond deepening pathogenesis and pregnancy-outcome research, key future directions include enhancing international collaboration and developing internationally agreed, evidence-based standardized terminology, diagnostic criteria, and classification systems for adenomyosis.
SN  - 0304-5412
SN  - 1536-5964
ER  -