Objective The authors hypothesized that less research performed in the
United States was reported in the five major general surgical journal
s in 1993 than in 1983. Summary Background Data Academic surgeons beli
eve they have less time and fewer funds for research than previously.
Methods Five journals were analyzed for the number of pages and articl
es devoted to basic and clinical research in 1983 and 1993 and for the
country in which the research was performed. Results The number of U.
S. research pages and articles decreased over the past decade, and the
number of non-U.S. pages and articles increased. Conclusions The reas
on(s) for the decrease in U.S. research reported in the general surgic
al journals should be studied, identified, and, if possible, rectified
.