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Objective: To study the impact of converting from subscription‐based publishing to open access ("flipping") in three obstetrics and gynecology (OBGYN) journals. Methods: We compared original articles in three OBGYN journals during a matched subscription‐based and open access publishing period. We analyzed citation metrics and country of authorship. Results: Overall, 1522 studies were included; of those, 869 (57.1%) were before flipping and 653 (42.9%) were after flipping. There was a decrease in publications by lower‐middle income countries from 7.7% in subscription‐based publishing to 1.8% in open access (P < 0.001). There was a decrease in the proportion of articles from South Asia (2.5% vs 0.5%), North America (14.4% vs 9.4%), and the Middle East (7.4% vs 2.5%), and an increase in publications from East Asia and Pacific (17.4% vs 30.9%; P < 0.001). The relative citation ratio was higher in the open access period (median 1.65 vs 0.95, P < 0.001). The number of citations per year was higher in the open access period (median 3.0 vs 2.0, P < 0.001). There was an increase in the proportion of funded studies (from 40.2% to 47.8%; P = 0.003). Conclusions: Flipping to open access in OBGYN journals is associated with a citation advantage with major authorship changes, leading to inequity. Synopsis: Transition to open access leads to a citation advantage, coupled with increasing gaps in equity of authorship. [ABSTRACT FROM AUTHOR]

Objective Methods Results Conclusion To compare postoperative stay in octogenarians and younger patients undergoing gynecologic oncology robot‐assisted surgery.A retrospective review of robot‐assisted surgery in Gynecological Oncology division during 2019–2022. We included all consecutive cases. Octogenarians (age ≥80 years) and younger patients were investigated by univariable analysis for characteristics and outcome.A total of 816 robot‐assisted surgeries were performed, 426 (52.2%) endometrial cancer, 159 (19.5%) ovarian cancer, 27 (3.3%) cervical cancer, 35 (4.3%) endometrial intraepithelial neoplasia, and in 169 (20.7%) the final pathology was benign. There were 60 (7.4%) octogenarians and 756 (92.6%) younger patients. The proportion of patients with an American Society of Anesthesiology score greater than 2 was higher among octogenarians (66.7% vs 32.0%, P < 0.001). The median console time, surgical time, and total operation theater time were similar between groups (P = 0.303, P = 0.643 and P = 0.688, respectively). Conversion rate did not differ between groups (0.4% among younger patients vs 0% in octogenarians, P > 0.99). The median length of stay in the recovery room was similar in both groups (median 170 min, interquartile range [IQR] 125–225 min vs 170 min, IQR 128–240 min in octogenarians, P = 0.731). Length of hospital stay was similar in both age groups; median 1 day (IQR 1–1) among octogenarians versus 1 (0–1) in younger patients (P = 0.136).Octogenarians undergoing robotic surgery have no increased risk of length of stay or conversion to laparotomy compared with younger patients. [ABSTRACT FROM AUTHOR]

The integration of innovation into routine clinical practice is faced with many challenges. In 2007, we received the mandate to evaluate how the introduction of a robotic program in gynecologic oncology affected patient-centered care by studying its impact on clinical outcomes and hospital resource utilization. Here we summarize the history and experience of developing a robotic surgery program for gynecologic cancers over 16 years. Analysis of the data indicates that robotic surgery improved perioperative patient clinical parameters, decreased blood loss, complications, and hospital stay, maintained the oncologic outcome, and is cost-effective, resulting in it becoming the dominant surgical approach in gynecologic oncology in a tertiary cancer care institution. [ABSTRACT FROM AUTHOR]

A systematic review and meta-analysis was conducted to assess the performance of ChatGPT, an artificial intelligence language model, in medical examinations. The study analyzed 19 articles that reported ChatGPT's performance in various medical fields, such as plastic surgery, anesthesia, and diabetes. The overall performance of ChatGPT ranged from 40% to 100%, with a mean performance of 61.1%. The study suggests that ChatGPT has the potential to be a useful educational tool in medical education, but caution should be exercised in its use for examination preparation. Future research is needed to explore the role of AI chatbots in medical education. [Extracted from the article]

Competing Interests: Competing interests: None declared.