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Journal of Diabetes and Metabolic Disorders logoLink to Journal of Diabetes and Metabolic Disorders
. 2022 Sep 12;21(2):1679–1687. doi: 10.1007/s40200-022-01120-1

Stem cell therapy for type 1 diabetes: a scientometric assessment of global research during the twenty-first century

Devi Dayal 1,, Brij Mohan Gupta 2, Ghouse Modin Mamdapur 3, Latika Rohilla 4, Pamali Mahasweta Nanda 4
PMCID: PMC9672280  PMID: 36404818

Abstract

Purpose

We aimed to provide a scientometric assessment of global research in stem cell therapy (SCT) for type 1 diabetes (T1D) during 1999–2020.

Methods

The published data on SCT in T1D were retrieved from Elsevier’s Scopus database and analyzed using select bibliometric tools. We used VOSviewer software and the Biblioshiny app to construct and visualize bibliometric networks.

Results

The global yield totaled 1806 publications in the 22-year study period, registering a 17.7% annual growth peaking at 196.9% in the last 11 years. The average citations per publication (CPP) decreased from 62.0 during 1999–2009 to 24.3 during 2010–2020. The funded publications were 727 (40.2%). Randomized controlled trials (RCTs) were only 2.4% (45). Amongst 70 participating countries, the USA led with a 38.6% share. Of the 388 global organizations, Harvard Medical School, USA, San Raffaele Scientific Institute, Italy, and the University of Florida, USA were the topmost contributors. Florina, Couri, and Trucco were the top productive authors, whereas Melton, Abdi, and Simoes were the most impactful. Only 129 (3.1%) publications were highly-cited; their total and average CPP were 31,228 and 214.0 (range 101–1841), respectively.

Conclusions

The quantity of research in SCT for T1D has increased during the last two decades while the quality has dipped. The research landscape is dominated by high-income North-American and Western-European countries. There is a need for conducting large-scale RCTs and promoting research collaborations between high- and low-income countries for long-term sustainability and global impact.

Keywords: Bibliometrics, Global publications, Scientometrics, Stem cell therapy, Treatment, Type 1 diabetes

Introduction

Type 1 diabetes (T1D) is a chronic metabolic disorder characterized by autoimmune destruction of insulin-producing pancreatic β-cells resulting in life-long insulin dependency and is associated with significant morbidity and mortality due to acute and chronic complications. The worldwide incidence of T1D has been increasing steadily; 5–10% of the estimated 425 million people with diabetes have T1D. The increase in average annual incidence has been steeper in countries with previously low incidence. For example, India has recently surpassed the USA in the number of incident cases of T1D [1]. Thus the global disease burden due to T1D remains high. Consequently, there also remains an urgent need for more effective therapies for T1D despite intense overall research in this field [2].

The past few decades have witnessed significant progress in therapeutic options for T1D, such as newer insulin analogs, smart insulins, oral and weekly insulins, artificial pancreas, durable human β-cell replacement, and selective immune manipulation to preserve β-cell function [3, 4]. Of all these therapies, biological approaches involving functional β-cells obtained from stem cells, even though very challenging, offer the biggest hope for patients with T1D [5]. Several experimental and clinical studies conducted in the last decade suggest that stem-cell therapy (SCT) is a promising therapeutic modality for treating T1D [68]. Two recent meta-analyses concluded that SCT has beneficial effects on T1D and is safe [9, 10]. However, there are several aspects of SCT that still need to be evaluated. For example, there is considerable uncertainty about which mechanism works for the therapeutic effect, the duration of therapeutic effect, and the selection of T1D patients most likely to benefit from SCT [10]. The recent meta-analyses recognize the need to address the gaps in SCT research through multiple high-quality, large-scale randomized controlled trials (RCTs) [9, 10]. However, large-scale research requires extensive collaboration between organizations and researchers located in several countries [11]. The first step for international collaboration is to identify researchers, organizations, and funding agencies that share research interests and is often achieved through scientometric or bibliometric studies [12]. Additionally, scientometric analysis is essential for assessing the quantity and quality of the published research in any field. There is thus a need for conducting a bibliometric evaluation of research output in the field of SCT in T1D.

Several previous bibliometric studies have analyzed the research yield in SCT. However, the focus of these studies was either on research competencies, trends, or the use of SCT in diabetes and Parkinson’s disease [1317]. Similarly, the bibliometric studies on T1D did not analyze the SCT separately [2, 18, 19]. A recent bibliometric assessment of SCT in type 2 diabetes (T2D) analyzed the research output of only China and the USA [20]. The present study was thus planned to provide a comprehensive evaluation of global research output in the field of SCT in T1D. We aimed to evaluate the publication types, annual and cumulative growth, and citation impact of published research in SCT for T1D and identify the most productive countries, organizations, authors, journals, and highly-cited publications (HCP) on this topic.

Methods

Data on SCT for T1D was retrieved from Elsevier’s Scopus database (http://www.scopus.com) using a defined search strategy with keywords “Stem Cell” and “Type 1 Diabetes” tagged to field tags “Keyword” and “Title” (Article Title), and confining output to the period ‘1999–2020’. The search strategy was similar to our recent bibliometric studies [21]. The details of data collection and analysis are shown in Fig. 1.

Fig. 1.

Fig. 1

Flow chart of data collection and analysis

The research was quantified by the number of publications using the complete counting technique, i.e., every contributing author or organization included in multiple authorship papers was fully counted and received equal credit. We used several indicators of quality such as citations per paper (CPP), relative citation index (RCI), and h-index (HI). The CPP is the total number of citations divided by the total number of papers. The RCI refers to the influence of a publication and is calculated by the number of citations divided by the average number of citations that a publication usually receives in that same field [22]. H-index, or Hirsch index, is defined as the maximum value of h such that the given author/journal has published h papers that have each been cited at least h times. Publications that had received more than 100 citations were considered HCPs. The VOSviewer and Biblioshiny app for Bibliometrix were used to evaluate and visualize the interactions among countries, organizations, authors, and keywords. To understand changes in publications’ growth and metrics over time, the study period was divided into two 11-year time periods. The citations were counted from the date of publication till February 5, 2021.

Ethical considerations

We used secondary data in this study that does not require approval from the ethics committee for research on humans. However, all the ethical principles recommended for such analysis were followed by respecting ideas and citations and referencing authors and their publications.

Results

Citations and funding of research

There were 1806 publications in the 22-year study period, an average of 82.0 publications per year. The research registered a 17.7% annual growth, with a peak of 196.9% in the last 11 years (Table 1). The average CPP was 33.8 but showed a decrease from 62.0 during 1999–2009 to 24.3 during 2010–2020. 727 (40.2%) publications were funded by more than 100 national and international funding agencies. The number of funded papers increased by more than fourfold during the second half of the study period (Table 1). However, the average CPP of funded publications (38.4) was only marginally better than that of all publications (33.8). The leading funding agencies were the National Institute of Health, USA (357 papers), US Department of Health & Human Service (343 papers), National Institute of Diabetes & Digestive and Kidney Diseases (198 papers), and National Natural Science Foundation of China (77 papers).

Table 1.

Number of yearly publications on stem cell therapy in type 1 diabetes, their citations and funding during 1999–2020

Year Number of publications Citations Citations per paper Funded papers
1999 7 189 27.0 4
2000 11 867 78.8 0
2001 17 1302 76.59 4
2002 26 1262 48.5 4
2003 26 2681 103.1 6
2004 44 2943 66.8 10
2005 48 1895 39.4 17
2006 49 5119 104.4 13
2007 56 3854 68.8 14
2008 81 3942 48.6 36
2009 90 4173 46.3 29
2010 109 4507 41.3 34
2011 88 4331 49.2 25
2012 118 4752 40.2 41
2013 104 3825 36.7 38
2014 108 3073 28.4 36
2015 121 2997 24.7 44
2016 137 2978 21.7 59
2017 127 2488 19.5 70
2018 156 2100 13.4 89
2019 143 1324 9.2 79
2020 140 487 3.4 75
1999–09 455 28,227 62.0 137
2010–20 1351 32,862 24.3 590
1999–2020 1806 61,089 33.8 727

The retrieved publications were classified as articles (58.4%), reviews (20.3%), notes (2.4%), editorials (2.2%), conference papers (2.0%), book chapters and short surveys (1.8% each), letters (0.6%), erratum (0.1%) and undefined (0.1%). Only 238 publications were clinical studies; the proportion of clinical to non-clinical studies showed an increase during the second 12-year period of the study (15/455, 3.3% versus 223/1351, 16.5%). Forty-five publications were RCTs. According to the type of stem cells used, the distribution of retrieved publications was as follows: Mesenchymal (452, 25.0%), Hematopoietic (302, 16.7%), Pluripotent (283, 15.6%), Embryonic (237, 13.1%), Multipotent (54, 2.9%) and Totipotent (5, 0.2%). Publications on multipotent stem cells recorded the highest average CPP of 42.2 followed by mesenchymal (39.8), hematopoietic (38.9), embryonic (29.3), pluripotent (26.0) and totipotent (22.6) stem cells.

Research hot spots

Thirty-eight significant keywords were identified from the global literature on SCT in T1D that denote hot spots and trends in this domain. The frequency of their occurrence was the maximum (1098) for T1D, followed by insulin-dependent diabetes mellitus (1029), insulin (741), stem cells (676), pancreas islet beta cells (579), metabolism (560), stem cell transplantation (397) (Fig. 2).

Fig. 2.

Fig. 2

WorldCloud sketch of the top 50 keywords. The significance of every tag is displayed with text dimension or shading with the bigger term implying more significance

Most productive countries

Of the 70 participating countries, the top 12 contributed 98.1% to the global publication output. The USA was the leading contributor with a 38.6% share. The USA, Canada, and Italy registered their RCI above the group average of 1.1 and were considered more impactful than others (Table 2). The average collaboration of the top 12 countries was 39.7% and varied from 20.8% to 58.5%; the leading collaborating country pairs were the USA-China, the USA-Italy, USA-Japan, USA-Germany, and USA-Canada with 60, 58, 24, 22, and 21 collaborative linkages respectively (Fig. 3).

Table 2.

Profile of most productive and most impactful countries in research on stem cells therapy for type 1 diabetes during 1999–2020

S.no Country Number and (% share) of papers TC CPP ICP (%) RCI
1999–2009 2010–2020 1999–2020 1999–2020
1 USA 196 (43.1) 501 (37.1) 697 (38.6) 34,483 49.5 260 (37.3) 1.5*
2 China 25 (5.5) 242 (17.9) 267 (14.8) 5032 18.9 83 (31.1) 0.6
3 Italy 23 (5.1) 117 (8.7) 140 (7.8) 5673 40.5 82 (58.6) 1.2*
4 U.K 34 (7.5) 98 (7.3) 132 (7.3) 4623 35.0 65 (49.2) 1.0
5 Germany 29 (6.4) 66 (4.9) 95 (5.3) 3392 35.7 50 (52.6) 1.1*
6 Japan 26 (5.7) 64 (4.7) 90 (5.0) 3284 36.5 32 (35.6) 1.1*
7 Canada 31 (6.8) 58 (4.3) 89 (4.9) 3824 43.0 32 (36.0) 1.3*
8 Australia 16 (3.5) 42 (3.1) 58 (3.2) 1504 25.9 23 (39.7) 0.8
9 France 16 (3.5) 40 (3.0) 56(3.1) 2019 36.1 30 (53.6) 1.1*
10 S. Korea 5 (1.1) 51 (3.8) 56 (3.1) 1451 25.9 19 (33.9) 0.8
11 India 3 (0.7) 45 (3.3) 48 (2.7) 785 16.4 10 (20.8) 0.5
12 Brazil 10 (2.2) 35 (2.6) 45 (2.5) 1499 33.3 18 (40.0) 1.0
Total 414 (91.0) 1359 (100.6) 1773 (98.2) 67,569 38.1 704 (39.7) 1.1
World total 455 (100.0) 1351 (100.0) 1806 (100.0) 61,089 33.8 –- –-

*Impactful countries

Abbreviations: TC, total citations; CPP, citations per publication; ICP, international collaborative publications; RCI, relative citation index

Fig. 3.

Fig. 3

Collaboration network of the top 12 countries generated using the Biblioshiny app. The countries with the same colour belong to a single cluster, the thickness of the linking lines and the distance between countries represents the degree of collaborative relationships. The diameter and font size of the node represents the value of a country in research collaboration

Most productive organizations

Three hundred eighty-eight organizations participated in the SCT research. The publication output of 213 organizations was 1–5 papers each, 112 organizations 6–10 papers each, 46 organizations 11–20 papers each, 15 organizations 21–50 papers each, and one organization 84 papers. Thirteen of the top 20 most productive organizations were from the USA, two each from Canada and France and one each from Italy and the UK. Six organizations registered their productivity above the group average of 29.6. Ten organizations that reported CPP and RCI above their group average of 58.9 and 1.7 were considered most impactful (Table 3). The research collaboration between the top 20 most productive organizations was high; their collaborative linkages varied from 1 to 26 (Fig. 4).

Table 3.

Scientometric profile of the most productive and impactful organizations in stem cell therapy for type 1 diabetes during 1999–2020

S.no Organization TP TC CPP HI ICP ICP (%) RCI
Most productive organizations
1 Harvard Medical School, USA 84 4964 59.1 28 45 53.6 1.8
2 IRCCS San Raffaele Scientific Institute, Italy 45 2401 53.4 32 7 8.3 1.6
3 University of Florida, USA 43 1995 46.4 15 4 4.8 1.4
4 INSERM, France 34 1073 31.6 20 3 3.6 0.9
5 University of Sao Paulo, Brazil 31 1346 43.4 14 3 3.6 1.3
6 Massachusetts General Hospital, USA 30 2316 77.2 15 4 4.8 2.3
7 Brigham & Women’s Hospital, USA 28 2568 91.7 14 5 6.0 2.7
8 Children’s Hospital, Boston, USA 28 2620 93.6 22 6 7.1 2.8
9 University of California, San Francisco, USA 27 2765 102.4 7 3 3.6 3.0
10 University of Alberta, Canada 26 1775 68.3 5 3 3.6 2.0
Most impactful organizations
1 University of California, San Fransico, USA 27 2765 102.4 7 3 3.6 3.0
2 Stanford University School of Medicine, USA 19 1941 102.2 12 6 7.1 3.0
3 Children’s Hospital, Boston, USA 28 2620 93.6 22 6 7.1 2.8
4 Brigham & Women’s Hospital, USA 28 2568 91.7 14 5 6.0 2.7
5 Massachsetts General Hospital, USA 30 2316 77.2 15 4 4.8 2.3
6 Harvard University, USA 25 1884 75.4 5 6 7.1 2.2
7 University of Alberta, Canada 26 1775 68.3 5 3 3.6 2.0
8 University of Pittsburg, School of Medicine, USA 23 1548 67.3 8 5 6.0 2.0
9 Harvard Medical School, USA 84 4964 59.1 28 45 53.6 1.8
10 Harvard Stem Cell Institute, USA 22 1307 59.4 8 4 4.8 1.8

Abbreviations: TP, total publications; TC, total citations; CPP, citations per publication; HI, Hirsch Index; ICP, international collaborative publications; RCI, relative citation index

Fig. 4.

Fig. 4

Collaboration network of the prime organizations in research on stem cell therapy for type 1 diabetes. The box size and text dimension of each hub are relative to the organization’s research yield

Most productive authors

A total of 526 authors were involved in research on SCT in T1D during 1999–2020. Of these, 447 authors published 1–5 papers each, 63 authors 6–10 papers each, and 16 authors 11–22 papers each. Ten of the top 20 authors were from the USA, whereas three each were from Brazil and Italy, two from Poland, and one was from India. The top 20 together contributed 15.4% (278 publications) of global output and 20.9% (12,799) of total citations. The scientometric profile of the most productive and most impactful authors is presented in Table 4. The research collaborations between top authors varied from 6–35; the highest linkages (14 each) on a one-to-one basis were noted between C.E.B. Couri and J.C. Voltarelli, G.P. Fadini, and A. Avogaro and A. Avogaro and M. Albiero (Fig. 5).

Table 4.

Scientometric profiles of the most productive and impactful authors in research on stem cell therapy for type 1 diabetes during 1999–2020

S.no Author Affiliation TP TC CPP HI ICP (%) RCI
Most productive authors
1 P. Florina Harvard Medical School, USA 22 1239 56.3 14 21 (95.5) 1.7
2 C.E.B. Couri University of Sao Paulo, Brazil 19 978 51.5 11 7 (36.8) 1.5
3 M. Trucco University of Pittsburg Medical Center, Children’s Hospital, USA 18 374 20.8 10 1 (5.6) 0.6
4 J.C. Voltarelli University of Sao Paulo, Brazil 16 961 60.1 10 5 (31.3) 1.8
5 G.P. Fadini Universita degli Studi di Padova, Italy 16 938 58.6 13 6 (37.5) 1.7
6 C. Ricordi Diabetes Research Unit, Miami, USA 15 393 26.2 12 10 (66.7) 0.8
7 A.M.J. Shapiro University of Alberta, Canada 15 360 24.0 8 3 (20.0) 0.7
8 A. Avogaro Universita degli Studi di Padova, Italy 14 895 63.9 12 5 (35.7) 1.9
9 R.T. Lakey University of California, Irvine, USA 13 371 28.5 9 9 (69.2) 0.8
10 M. Ben Nasr Harvard Medical School, USA 12 162 13.5 6 12 (100.0) 0.4
Most impactful authors
1 D.A. Melton Harvard University, USA 11 1162 105.6 8 2 (18.2) 3.1
2 R. Abdi Harvard Medical School, USA 10 918 91.8 8 6 (60.0) 2.7
3 B.P. Simoes University of Sao Paulo, Brazil 12 890 74.2 8 7 (58.3) 2.2
4 M. Albiero Universita degli Studi di Padova, Italy 10 699 69.9 10 5 (50.0) 2.1
5 A. Avogaro Universita degli Studi di Padova, Italy 14 895 63.9 12 5 (35.7) 1.9
6 M.A. Atkinson University of Florida, USA 20 1223 61.2 13 7 (35.0) 1.8
7 J.C. Voltarelli University of Sao Paulo, Brazil 16 961 60.1 10 5 (31.3) 1.8
8 G.P. Fadini Universita degli Studi di Padova, Italy 16 938 58.6 13 6 (37.5) 1.7
9 P. Florina Harvard Medical School, USA 22 1239 56.3 14 21 (95.5) 1.7
10 C.E.B. Couri University of Sao Paulo, Brazil 19 978 51.5 11 7 (36.8) 1.5

Abbreviations: TP, total publications; TC, total citations; CPP, citations per publication; HI, Hirsch Index; ICP, international collaborative publications; RCI, relative citation index

Fig. 5.

Fig. 5

The author collaboration network on stem cell therapy for type 1 diabetes. The top 20 authors are grouped into eight clusters; cluster 1 consists of 6 authors, clusters 2 and 3 of 3 authors each, clusters 4, 5 and 6 of 2 authors each, and clusters 7 and 8 of one author each

Top journals

96.4% (1742 articles) of the total publications appeared in 692 journals; 2.0% (37 papers) in book series, and 0.3% (5 publications) each as conference proceedings and undefined. The top 20 journals accounted for a 22.2% share of the global output; the most impactful journal was Proceedings of the National Academy of Sciences of USA, with a CPP of 149.4 (Table 5).

Table 5.

The most productive journals in stem cell therapy for type 1 diabetes during 1999–2020

S.no Journal TP TC CPP
1 Diabetes 56 1032 18.4
2 Diabetologia 32 1455 45.5*
3 PLOS One 31 1241 40.0*
4 Stem Cell Research & Therapy 26 411 15.8
5 Current Diabetes Report 25 282 11.3
6 Cell Transplantation 18 253 14.1
7 International Journal of Molecular Sciences 18 310 17.2
8 Stem Cells 18 2690 149.4
9 Stem Cell Transplantation Medicine 18 475 26.4
10 Advances in Experimental Medicine & Biology 17 184 10.8
11 Pediatric Diabetes 16 118 7.4
12 Proceedings of National Academy of Sciences of USA 16 2502 156.4*
13 Diabetes Research & Clinical Practice 14 191 13.6
14 Diabetes Care 13 830 63.9*
15 Diabetes Metabolism Research & Review 13 358 27.5*
16 American Journal of Transplantation 12 258 21.5
17 Cell Stem Cell 12 238 19.8
18 Frontiers in Immunology 11 139 12.6
19 Regenerative Medicine 11 600 54.6*
20 Science 11 854 77.6*

*impactful journals

Abbreviations: TP, total publications; TC, total citations; CPP, citations per publication

Highly-cited publications

Only 129 (3.1%) publications were HCPs; their total and average CPP were 31,228 and 214.0 (range 101–1841), respectively (Fig. 6). The USA contributed the most HCPs (76 publications), followed by Italy (14 papers), the UK (13 papers), Japan (9 papers), Germany (7 papers), China (6 papers), etc. Harvard Medical School, USA, San Raffaele Scientific Institute, Italy, Children’s Hospital, Boston, USA, Howard Hughes Medical Institute, USA contributed 11, 7, and 6 HCPs, respectively. Of the 83 journals that published 129 HCPs, Diabetes published the maximum numbers (9 papers) followed by Proceedings of the National Academy of Sciences of USA (7 papers), Circulation and Diabetologia (4 papers each), etc.

Fig. 6.

Fig. 6

Network visualization of the citation counts of the 129 highly-cited publications in stem cell therapy for type 1 diabetes

Discussion

Our analysis shows that research in SCT for T1D showed an impressive growth during the twenty-first century, increasing by almost threefold in the second 11-year period of the study. In addition, the funding support increased by nearly fourfold. But even as the quantity increased, the quality of research dipped. This finding is consistent with a general decline in the quality of scientific research over the last decades, which has been attributed to several reasons such as an increase in the number of researchers, and linking the quantity of publications to academic promotions, job retention, job mobility, and professional development, which has led to competitive pressure to publish at all costs, sometimes compromising the quality of research publications [23, 24]. It is also perplexing to note that the quality of research in SCT for T1D declined despite increased funding support during the last decade; the quality of funded publications was only slightly better than non-funded publications. Funding is generally associated with improved research quality, as indicated by the citation impact of publications [24, 25]. Conversely, lack of funding support adversely affects the quality of research [26]. However, the increase in the growth of clinical studies during the last decade may indirectly indicate quality improvement in SCT research, as more researchers appear to now focus on the clinical application of research.

An important finding of our analysis was the dominance of the research landscape of SCT for T1D by high-income North-American and Western-European countries. Previous bibliometric studies have reported similar dominance by these countries in other research fields also [2, 27]. The quality and quantity of research in these countries appear to be driven by the availability of adequate infrastructure and funding support essential to conduct highly organized research activity in any field and their governments’ commitment to research [28]. The eminence of China in SCT research reflects the enhanced spending on biomedical research in general, which has resulted in an exponential growth in publications over the past few decades [28, 29]. However, the quality of research indicated by CPP and RCI has remained low, an observation also reported for other fields of medical research from China [29]. The inclusion of India in the top-performing countries is largely due to the research initiatives of a few dedicated organizations and researchers in SCT for T1D [30, 31] and T2D [32, 33]. There was no representation of low-income countries in the most productive or most impactful countries in SCT research for T1D. This is probably due to a meager investment in medical research and several other challenges of conducting biomedical research in low-resource countries [34]. We also noted a worrying trend of lack of collaboration between the high-income and low-income countries in SCT research for T1D. Most of the partnerships occurred amongst researchers and organizations located in high-income countries. However, the improvement in the long-term impact and sustainability of global research requires strengthening of collaborations between high- and low-income countries [35]. Thus, high-income countries need to foster research endeavors and capacity-strengthening initiatives in low and middle-income countries in the area of SCT for T1D.

The gold standard for measuring the effectiveness of any intervention or treatment is RCTs [36]. However, our data show a striking lack of RCTs on SCT in T1D; only 2.4% were RCTs. Recently published meta-analyses that used multiple databases have also highlighted the small number of RCTs in the field of SCT in T1D and suggested large-scale RCTs to confirm the efficacy and safety of SCT in T1D [9, 10].

Our analysis also revealed a lack of SCT studies on children and adolescents with T1D as the analyzed publications did not contain these keywords. The ethical issues and the complexity of the translational pathway probably did not allow younger age groups to be included in RCTs [10]. Only two previous RCTs on mesenchymal SCT probably included young adults with T1D as indicated by the participants’ mean age of 17.6 ± 8.7 and 19.67 ± 2.5 years mentioned in the reports [8, 37]. Thus, future studies should aim to include children and adolescents as T1D is mainly diagnosed during childhood and adolescence, and SCT may benefit this age group the most in the long term [30].

Our analysis had some limitations. Although we tried to address the issue of synonyms or homonyms in authors’ names by using other specific fields such as affiliations, some publications may still have remained uncaptured. Additionally, with the use of a single database compared to multiple databases, it is possible to miss some data [38]. We chose Scopus as it is considered the most authoritative and widely-used medical bibliographic database [39]. Its content coverage, search analysis tools, citation accuracy, and funding information are considered better than PubMed or Web of Science [38, 39]. A vast majority of bibliometric studies also use a single database [38, 40]. Notwithstanding the limitation of using a single database, we could accomplish our study’s stated objectives within its protocol and provide the first global architecture of research on SCT for T1D. The study also provides a framework for researchers, policymakers, organizations, and countries to develop more meaningful collaborations on future research in this field.

Author contributions

Conceptualization: Brij Mohan Gupta; Methodology: Brij Mohan Gupta; Formal analysis and investigation: Brij Mohan Gupta and Ghouse Modin Mamdapur; Writing—original draft preparation: Brij Mohan Gupta and Devi Dayal; Writing—review and editing: Pamali Nanda and Latika Rohilla; Writing manuscript and supervision: Devi Dayal.

Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author upon reasonable request.

Declarations

Competing interests

None.

Footnotes

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Data Availability Statement

The datasets generated during and/or analyzed during the current study are available from the corresponding author upon reasonable request.


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