Open access redefined:
Survey data and literature review on the impact of Sci-Hub in orthopedic research (Preprint)
BACKGROUND Since Alexandra Elbanyan founded Sci-Hub in 2011, the website has been used by a growing number of researchers worldwide. Sci-Hub is a so-called shadow library or guerilla open access format bypassing publishers’ paywalls, giving everyone free access to scientific papers. Until today, there are no publications about orthopedic and trauma surgeon usage Sci-Hub or other “pirate-sides” and how it may influence their work. OBJECTIVE The goal of this study was to objectify Sci-Hub’s use and potential impact to research the field of orthopedic and trauma surgery. METHODS Orthopedic and trauma surgeons of four university hospitals in Germany and Europe were consulted using a standardized questionnaire containing multiple items about the use and evaluation of Sci-Hub. In addition, the Medline and Cochrane databases were screened for all studies related to Sci-Hub. Two reviewers independently reviewed all articles and the references of these articles. RESULTS 69% of all orthopedics knew Sci-Hub and 66,7% used it on a regular basis. 77% of younger participants (<45 years old) knew the webpage, while only 25% older participants (>45 years old) knew the webpage. 90% found the quality of their citation and research was enhanced since using Sci-Hub. On a scale of 1 to 10, user friendliness was rated with a mean rating of 7.58 (95%; CI: 7.262 – 7.891). Ethical or legal concerns among users seem mixed. On a scale of 1 (no concerns) to 5 (many concerns), the mean score was 2.39 (95%; CI: 2.154 – 2.615). 89% of doctors using Sci-Hub would recommend it to other colleagues. CONCLUSIONS The quality and number of articles in Sci-Hub is outstanding, and the rate of young researchers using the website is high. The most important shift in literature research for decades is a phenomenon mostly used by young researchers and is not the subject of current research itself. Sci-Hub has already and will further change how orthopedic research works.