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Our aim was to re-evaluate the h-index of neurosurgical units in the United Kingdom and Ireland because it was 5 years since it was last reported. Using the Web of Science database, we collated cumulative (1950–2020), 10-year (2011–2020), 5-year (2016–2020), and 3-year (2018–2020) data for neurosurgical units in the United Kingdom and Ireland. Data included h-index, number of publications, and average number of citations. In total, 37 neurosurgical units were found in the United Kingdom and Ireland, which we ranked according to h-index. Since last reviewed 5 years previously, some units had changed their position, whereas others had remained reasonably static. The top 5 units were the same for the 10-year h-index between 2015 and 2020. The 5-year h-index showed some variation in the top 5 compared with the 10-year h-index. We were also able to compare 2 other studies with similar methods but differing from ours. The h-index for neurosurgical units is the most reliable bibliometric, which shows the academic standing and correlates well with amount of research grant obtained and size of department. It is particularly useful when calculated for the most recent 10-year and 5-year periods. Neurosurgical units change their rankings over time and, therefore, it is important to update the tables periodically. We propose an online database with open access showing all h-index and bibliometric data for neurosurgical units in the United Kingdom and Ireland. This database could provide a live and dynamic report of the academic standings of those units and could be used for grant applications and reviews. [ABSTRACT FROM AUTHOR]

This article has reviewed the international research from the 20th century to the first half of 2019 on the terms "efficiency" and "local government". For this purpose, a bibliometric and a cluster analysis by fractional accounting have been carried out using two of the most important databases: Web of Science (WoS) and Scopus. The research found and studied 1222 documents from the WoS Core Collection and 2264 from Scopus. The results show a continuous increase in the number of published articles and citations during the whole period. It also found that the U.S., U.K, and China are the most productive countries with a predominance of North American and Asian organizations supporting and fostering researches. The principal contribution of this article is the analysis of keywords from 2011 to the first half of 2019. The trend shows a convergence on the concepts of efficiency and local government over the last few years, which are related to sustainability and natural environment. Future research in this field should address the relationship between efficiency in the allocation of local resources and the environmental sustainability of municipalities. • A bibliometric review of local government efficiency was conducted. • The paper identifies publications that serve as a guide to the local policymakers. • A recent worldwide trend in this field is based on environment. • A pending subject of local government efficiency is a geopolitical analysis. [ABSTRACT FROM AUTHOR]