The impact factor has become a widely used tool for the evaluation of scien
tific research. It is calculated by dividing the number of citations by the
source items published in the journal during the previous two years, Despi
te its popularity, the parameter should be handled with care due:to the man
y phenomena that influence citation rates. The correlation between the impa
ct factor of a journal and the citation frequency of a single article is qu
estionable. Author's selection of references is subject to factors unrelate
d to quality. There is a tremendous bias towards English language journals
compared to those publishing in other languages. The impact factor favours
research areas that promote short-term studies, whereas a tendency to treat
long-term clinical investigations as less important is simultaneously crea
ted.