<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">F1000Research</journal-id>
            <journal-title-group>
                <journal-title>F1000Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2046-1402</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/f1000research.159550.2</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Research Article</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Does gold open-access publishing increase journal&#x2019;s impact? An assessment of hybrid versus gold open-access publishing models of medical journals on their impact</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 2; peer review: 1 approved with reservations, 3 not approved]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Thabit</surname>
                        <given-names>Abrar K.</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-0369-9094</uri>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Ashy</surname>
                        <given-names>Noha I.</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Fallatah</surname>
                        <given-names>Abdulrahman O.</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Alquzi</surname>
                        <given-names>Ali S.</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>Pharmacy Practice Department, Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia</aff>
                <aff id="a2">
                    <label>2</label>Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:akthabit@kau.edu.sa">akthabit@kau.edu.sa</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>7</day>
                <month>4</month>
                <year>2025</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2024</year>
            </pub-date>
            <volume>13</volume>
            <elocation-id>1502</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>28</day>
                    <month>3</month>
                    <year>2025</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Thabit AK et al.</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://f1000research.com/articles/13-1502/pdf"/>
            <abstract>
                <sec>
                    <title>Background</title>
                    <p>Hybrid and gold open-access (OA) are common publishing models. The latter requires fees to allow full-text visibility, whereas hybrid journals offer the option to publish gold OA or for free (subscription-based) where users with access can get the full-text. We evaluated the impact of the publishing model and other factors on medical journals&#x2019; impact.</p>
                </sec>
                <sec>
                    <title>Methods</title>
                    <p>A sample of hybrid and gold OA medical journals indexed in Web of Science (WOS) and Scopus were included. The effect of the publishing model and other factors on journals&#x2019; impact factor (IF), CiteScore, quartile, and number of citations was assessed.</p>
                </sec>
                <sec>
                    <title>Results</title>
                    <p>402 journals were included, 201 in each group. Hybrid and gold OA journals had a median age of 32 and 21 years, respectively (
                        <italic toggle="yes">P</italic>&lt;0.001). While gold OA journals had a slightly higher median IF (3.3 vs. 2.9; 
                        <italic toggle="yes">P</italic>=0.021), more hybrid journals had Q1 ranking in Scopus (57.7% vs. 43.8%; 
                        <italic toggle="yes">P</italic>=0.091). Publishing model, journal&#x2019;s age, being of an organization/society, and EMBASE indexation didn&#x2019;t affect IF, CiteScore, number of citations, and WOS quartile (
                        <italic toggle="yes">P</italic>&gt;0.05). However, gold OA model wasn&#x2019;t significantly associated with Scopus Q1 ranking (OR, 0.49; 95% CI, 0.25-0.94; 
                        <italic toggle="yes">P</italic>=0.032), indicating that hybrid journals were more likely to have such ranking.</p>
                </sec>
                <sec>
                    <title>Conclusion</title>
                    <p>These findings indicate that gold OA publishing doesn&#x2019;t result in higher impact or journals ranking. Therefore, authors can continue to submit their work to high impact hybrid journals if their interest is getting published in reputable prestigious journals regardless of their publishing model. Gold OA journals are encouraged to reduce their fees to facilitate global research access.</p>
                </sec>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>publishing</kwd>
                <kwd>hybrid</kwd>
                <kwd>open-access</kwd>
                <kwd>publisher</kwd>
                <kwd>journal</kwd>
                <kwd>journal impact factor</kwd>
            </kwd-group>
            <funding-group>
                <funding-statement>The author(s) declared that no grants were involved in supporting this work.</funding-statement>
            </funding-group>
        </article-meta>
        <notes>
            <sec sec-type="version-changes">
                <label>Revised</label>
                <title>Amendments from Version 1</title>
                <p>
                    <bold>General update:</bold>
                    <list list-type="bullet">
                        <list-item>
                            <p>We comprehensively revised the manuscript, including the title, to reflect the focus on the impact at the journal-level rather than at the article-level.</p>
                        </list-item>
                    </list>
                    <bold>Abstract:</bold>
                    <list list-type="bullet">
                        <list-item>
                            <p>Added the difference in impact factor between gold open-access (OA) and hybrid journals.</p>
                        </list-item>
                        <list-item>
                            <p>Added that hybrid journals had more Scopus Q1 ranking than gold OA journals.</p>
                        </list-item>
                        <list-item>
                            <p>Edited the conclusion to reflect that publishing model isn't correlated with higher impact at the journal-level.</p>
                        </list-item>
                    </list>
                    <bold>Introduction:</bold>
                    <list list-type="bullet">
                        <list-item>
                            <p>Added diamond OA definition.</p>
                        </list-item>
                        <list-item>
                            <p>Edited green OA sentences.</p>
                        </list-item>
                        <list-item>
                            <p>Added the concern of high article processing charges (APCs) of hybrid journals and high prices of transformative agreements.</p>
                        </list-item>
                    </list>
                    <bold>Methods:</bold>
                    <list list-type="bullet">
                        <list-item>
                            <p>Added that only &#x201c;peer-reviewed&#x201d; journals, indexed in Web of Science and Scopus, were included. Therefore, open data, preprint platforms, and public repositories weren&#x2019;t included.</p>
                        </list-item>
                        <list-item>
                            <p>Added the justification for regression analyses: to control for confounders as an alternative to sample matching.</p>
                        </list-item>
                    </list>
                    <bold>Results:</bold>
                    <list list-type="bullet">
                        <list-item>
                            <p>Added a footnote to Table 1 that the total number of citations isn't an indicator of a journal's performance due to the variation in the number of articles. Consequently, we removed from the results &#x201c;number of citations&#x201d;. Lastly, we removed from the discussion the comment on the difference in the total number of citations between the two groups and added a relevant discussion on this matter.</p>
                        </list-item>
                    </list>
                    <bold>Discussion:</bold>
                    <list list-type="bullet">
                        <list-item>
                            <p>Added the differentiation between the journal-level and article-level of impact.</p>
                        </list-item>
                        <list-item>
                            <p>Discussed diamond OA and its importance in overcoming the financial barriers vs. gold OA and subscription-based publishing.</p>
                        </list-item>
                        <list-item>
                            <p>Commented on the relation of the publishing model and their impact with journals&#x2019; reputation and prestige.</p>
                        </list-item>
                        <list-item>
                            <p>Added the argument on the high APCs of hybrid journals and the high prices of transformative agreements, and the call to reduce these fees by hybrid journals.</p>
                        </list-item>
                    </list>
                    <bold>Conclusion:</bold>
                    <list list-type="bullet">
                        <list-item>
                            <p>Edited to reflect the results that are based on the journal-level rather than on the article-level.</p>
                        </list-item>
                        <list-item>
                            <p>Added a recommendation to adopt diamond OA publishing model.</p>
                        </list-item>
                    </list>
                </p>
            </sec>
        </notes>
    </front>
    <body>
        <sec id="sec5" sec-type="intro">
            <title>Introduction</title>
            <p>Open access (OA) publications allow individuals to read published scientific articles for free, regardless of location, institutional affiliation, or subscription to the journal (or its publisher).
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>
                </sup> Currently, OA publishing model includes several subtypes, the most common type is gold OA, where authors retain the copyright to their published article that is made freely available to any user in the online journal.
                <sup>
                    <xref ref-type="bibr" rid="ref2">2</xref>
                </sup> Gold OA publishing model requires the payment of a certain fee by the authors. The other types of OA publishing model include diamond OA, which involves OA publishing without a fee for the author and the reader, and green OA, which permits the placement of the authors&#x2019; manuscript in an institutional or a disciplinary repository other than the journal publisher&#x2019;s website and then the article becomes freely available after an embargo period in some cases.
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>
                </sup> While the latter approach is thought to be restricted by limited accessibility and outreach,
                <sup>
                    <xref ref-type="bibr" rid="ref2">2</xref>
                </sup> one study found that articles published using green OA model have a comparable citation rate to that of articles published in hybrid journals.
                <sup>
                    <xref ref-type="bibr" rid="ref3">3</xref>
                </sup> The concept of gold OA publishing was recently adapted within the last 20 years as journals used to be subscription-based only (i.e., access to articles are only allowed to users subscribed to the journal via their institution or a personal subscription while authors publish their work without a fee).
                <sup>
                    <xref ref-type="bibr" rid="ref3">3</xref>
                </sup> However, upon the introduction of gold OA concept, it became widespread among publishers as numerus journals became hybrid, meaning that they allow both subscription-based publishing for authors opting to publish for free and gold OA publishing for authors willing to pay the publication fees. OA publishing is becoming more popular as large research funding agencies, such as the National Institutes of Health in the United States and the Bill and Melinda Gates Foundation, require researchers to make their work freely available.
                <sup>
                    <xref ref-type="bibr" rid="ref2">2</xref>,
                    <xref ref-type="bibr" rid="ref4">4</xref>
                </sup>
            </p>
            <p>Access to medical literature is an essential part of healthcare professionals&#x2019; job to make decisions regarding disease management and implementation of certain interventions. Instead of attempting to base their decisions simply on the subset of research to which they have access, clinicians can make more informed health decisions when they have entire access to studies relevant to the cases they are treating.
                <sup>
                    <xref ref-type="bibr" rid="ref5">5</xref>
                </sup> OA articles are more frequently read, hence promote access to knowledge and new advances in different disciplines. Since the early 1990s, there has been a notable surge in OA publication, with an estimated annual growth in published articles of 30%.
                <sup>
                    <xref ref-type="bibr" rid="ref6">6</xref>
                </sup> Furthermore, a number of universities and journal publishers have recently signed Open Access Transformative Agreements (OATAs), which require a greater transition to OA article publication over a predetermined time period, in response to recommendations from the research communities, such as the Efficiency and Standards for Article Charges Initiative.
                <sup>
                    <xref ref-type="bibr" rid="ref7">7</xref>
                </sup> However, the prices of such OATAs are currently very high on the level of APCs charged by hybrid journals for gold OA publishing of articles as such APCs are significantly higher than those of fully gold OA journals.
                <sup>
                    <xref ref-type="bibr" rid="ref4">4</xref>,
                    <xref ref-type="bibr" rid="ref5">5</xref>
                </sup>
            </p>
            <p>Despite the advantages of OA publishing, it has a major disadvantage that should be acknowledged. To publish an OA article, journals ask for publishing fees, which are commonly known as article processing charges (APCs). These charges, which sometimes reach thousands of US dollars, may prevent authors with limited institutional or personal funds from publishing openly and may reflect the for-profit nature of this system.
                <sup>
                    <xref ref-type="bibr" rid="ref6">6</xref>&#x2013;
                    <xref ref-type="bibr" rid="ref9">9</xref>
                </sup> The unaffordability of APCs may create a barrier to sharing research.
                <sup>
                    <xref ref-type="bibr" rid="ref10">10</xref>
                </sup> Such a major issue influenced many researchers to call for free access to research without barriers (i.e., the need for subscription or forcing authors to pay APCs to make their research accessible to all), such via the advent of diamond OA publishing.
                <sup>
                    <xref ref-type="bibr" rid="ref11">11</xref>
                </sup>
            </p>
            <p>The prevailing view suggests that the advent of OA publishing model enhances the spread of knowledge and potentially increases citation counts for journals; though, this continues to be contested. In fact, the higher the number of databases a journal is indexed in, the higher the visibility, discoverability and citation of its articles.
                <sup>
                    <xref ref-type="bibr" rid="ref9">9</xref>
                </sup> Of note, some databases only index OA journals that regardless of their model (gold, diamond, or green), such as the directory of open-access journals and OpenAlex. At the article level, some studies found that OA articles may have a broader reach and receive citations from various disciplines.
                <sup>
                    <xref ref-type="bibr" rid="ref10">10</xref>
                </sup> However, the impact of OA on metrics related to citations was not sufficiently evaluated at the journal level. Although some members of the scientific community have argued that journals&#x2019; metrics are considered shallow journal-level rather than article-level metrics, academic institutions still put an emphasis on having their academicians and researchers publish in reputable journals with high metrics for hiring, funding, and promotion purposes.
                <sup>
                    <xref ref-type="bibr" rid="ref11">11</xref>,
                    <xref ref-type="bibr" rid="ref12">12</xref>
                </sup> Therefore, the objective of this study is to evaluate the effect of the gold OA publishing model on several journals&#x2019; metrics on Web of Science (WOS) and Scopus by comparing it to hybrid publishing model.</p>
        </sec>
        <sec id="sec6" sec-type="methods">
            <title>Methods</title>
            <sec id="sec7">
                <title>Journals selection</title>
                <p>Medical peer-reviewed journals indexed in Science Citation Index Expanded (SCIE) of WOS and Scopus that are fully published in English were eligible for inclusion in the study. As such, open data, preprint platforms, and public repositories were not included as they are not typically indexed in WOS and Scopus. While journals that publish both clinical and basic sciences studies were included, journals that only publish articles in basic sciences, ethics, healthcare systems management, administration, and policy were excluded. Journals were divided into two groups based on their publishing model as either hybrid or gold OA.</p>
            </sec>
            <sec id="sec8">
                <title>Definitions</title>
                <p>

                    <list list-type="bullet">
                        <list-item>
                            <label>&#x2022;</label>
                            <p>Hybrid journals: Journals that offer subscription-based and gold OA publishing options. Subscription-based publishing means that only users with access to the journal through an institutional or a personal subscription to the journal can get the full-text of the published articles.</p>
                        </list-item>
                        <list-item>
                            <label>&#x2022;</label>
                            <p>Gold OA journals: Journals that require authors to pay publishing fees that&#x2019;s commonly known as APC to have their articles fully visible and available for download to anyone immediately upon publishing.</p>
                        </list-item>
                        <list-item>
                            <label>&#x2022;</label>
                            <p>Impact factor (IF): 2-year IF of 2021-2022. It&#x2019;s calculated based on the number of citations of all the articles published in the journal within the last two years.</p>
                        </list-item>
                        <list-item>
                            <label>&#x2022;</label>
                            <p>CiteScore: 3-year CiteScore of 2019-2022. It&#x2019;s calculated based on the number of citations of all the articles published in the journal within the last three years.</p>
                        </list-item>
                        <list-item>
                            <label>&#x2022;</label>
                            <p>Number of citations in WOS: The total number of times articles published in the journal were cited since journal&#x2019;s inception.</p>
                        </list-item>
                        <list-item>
                            <label>&#x2022;</label>
                            <p>Number of citations in Scopus: The total number of times articles published in the journal were cited between 2019-2022.</p>
                        </list-item>
                        <list-item>
                            <label>&#x2022;</label>
                            <p>Quartile: The quartile in which the journal is ranked, where Q1 involves the journals that are ranked the top 25% within a certain specialty, Q2 involves the journals that are ranked between 26-50%, Q3 involves the journals that are ranked between 51-75%, and Q4 involves the journals that are ranked between 76-100%. If a journal is ranked in more than one specialty, the average ranking was calculated.</p>
                        </list-item>
                    </list>
                </p>
                <p>The IF, CiteScore, number of citations, and quartile of each journal were collected from the journals&#x2019; records on Journal Citation Reports and Scopus.</p>
            </sec>
            <sec id="sec9">
                <title>Statistical analysis</title>
                <p>Categorical data were compared using Chi-square test and were presented as numbers and percentages, whereas continuous data were compared using Mann-Whitney test and presented using median [interquartile range (IQR)] as they were deemed skewed based on results of Shapiro-Wilk test of normality. Linear regression was conducted to assess the effect of different factors on IF and CiteScore. Multinomial regression was used to evaluate the association of different factors with Q1 ranking in WOS and Scopus. Odds ratios (OR) and 95% confidence intervals (CI) were reported. This was done to control for potential confounders among the journals&#x2019; characteristics in each group and as an alternative to matching journals of each group. Fitting of the regression models was assessed using goodness-of-fit test. Omnibus test of significance was used to assess the significance of the regression models. A 
                    <italic toggle="yes">P</italic> value &lt; 0.05 was deemed statistically significant. Analyses were performed on SPSS version 24.0 (IBM Corp., Armonk, NY, USA).</p>
            </sec>
        </sec>
        <sec id="sec10" sec-type="results">
            <title>Results</title>
            <p>A total of 402 journals included, 201 in each group. 
                <xref ref-type="table" rid="T1">
Table 1</xref> shows the characteristics of the included journals. Hybrid and gold OA journals had a median [IQR] age of 32 [23&#x2013;41.5] and 21 [13&#x2013;28] years, respectively (
                <italic toggle="yes">P</italic> &lt; 0.001). Most of the journals were international (39.3% vs. 53.7%; 
                <italic toggle="yes">P</italic> &lt; 0.001). In terms of volumes and issues, hybrid journals publish more frequently per year than gold OA journals (8 vs. 6; 
                <italic toggle="yes">P</italic> = 0.041). However, 93 (46.3%) of the gold OA publish continuously; thus, were not included in the calculation of the median. More than half of the gold OA journals publish both clinical and basic sciences studies (35.3% vs. 53.2%; 
                <italic toggle="yes">P</italic> &lt; 0.001). The median [IQR] cost of publication in gold OA journals was 2,690 [2,000&#x2013;2,990]. Although a significant difference was observed in terms of IF between the hybrid and the gold OA publishing models (2.90 [2.20&#x2013;4.15] vs. 3.30 [2.40&#x2013;4.45]; 
                <italic toggle="yes">P</italic> = 0.021), no statistically significant difference was observed in terms of CiteScore, and quartiles in both WOS and Scopus (
                <italic toggle="yes">P</italic> &gt; 0.05 for all comparisons).</p>
            <table-wrap id="T1" orientation="portrait" position="float">
                <label>
Table 1. </label>
                <caption>
                    <title>Characteristics of the journals based on their publishing model.</title>
                </caption>
                <table content-type="article-table" frame="hsides">
                    <thead>
                        <tr>
                            <th align="left" colspan="1" rowspan="1" valign="top">Characteristic</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Hybrid (n=201)</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Gold Open-access (n=201)</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">

                                <italic toggle="yes">P</italic> value</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal age (years)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">32 [23&#x2013;41.5]</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">21 [13&#x2013;28]</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">&lt; 0.001</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Publisher
                                <sup>
                                    <xref ref-type="table-fn" rid="tfn1">*</xref>
                                </sup>
                            </td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">&lt; 0.001</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Springer</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">29 (14.4)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">48 (23.9)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Elsevier</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">38 (18.9)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">14 (7)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Wiley</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">25 (12.4)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">19 (9.4)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Taylor &amp; Francis</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">23 (11.4)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">13 (6.5)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Sage</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">11 (5.5)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">18 (9)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Lippincott Williams &amp; Wilkins</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">17 (8.5)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1 (0.5)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Cambridge</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">7 (3.5)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">2 (1)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Other</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">51 (25.4)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">86 (42.7)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal&#x2019;s country
                                <sup>
                                    <xref ref-type="table-fn" rid="tfn1">*</xref>
                                </sup>
                            </td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">&lt; 0.001</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;International</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">79 (39.3)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">108 (53.7)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;USA</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">65 (32.3)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">31 (15.4)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;UK</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">16 (8)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">12 (6)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Canada</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">10 (5)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">4 (2)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Japan</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">5 (2.5)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">5 (2.5)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Other</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">26 (12.9)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">41 (20.4)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Specialty
                                <sup>
                                    <xref ref-type="table-fn" rid="tfn1">*</xref>
                                </sup>
                            </td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">&lt; 0.001</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;General medicine</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">20 (10)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">32 (15.9)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Neurology/Neurosurgery</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">18 (9)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">11 (5.5)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Oncology</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">15 (7.4)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">14 (7)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Cardiology</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">12 (6)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">17 (8.4)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Endocrinology</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">13 (6.4)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">14 (7)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Other</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">123 (61.2)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">113 (56.2)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Publication frequency (per year)
                                <sup>
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </sup>
                            </td>
                            <td align="left" colspan="1" rowspan="1" valign="top">8 [6&#x2013;12]</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">6 [4&#x2013;12]</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.041</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal published both clinical and basic sciences</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">71 (35.3)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">107 (53.2)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">&lt; 0.001</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Publication cost ($)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">2,690 [2,000&#x2013;2,990]</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Year journal switched to gold OA (n=124)
                                <sup>
                                    <xref ref-type="table-fn" rid="tfn3">***</xref>
                                </sup>
                            </td>
                            <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">2014 [2008&#x2013;2019]</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal belongs to an organization</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">109 (54.2)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">96 (47.8)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.195</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Impact factor</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">2.9 [2.2&#x2013;4.2]</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">3.3 [2.4&#x2013;4.5]</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.021</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Quartile in WOS</td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.163</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Q1</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">59 (29.4)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">52 (25.6)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Q2</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">59 (29.4)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">81 (40.3)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Q3</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">56 (27.9)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">48 (23.90</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Q4</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">27 (13.4)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">20 (10)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Number of citations in WOS
                                <sup>
                                    <xref ref-type="table-fn" rid="tfn33">****</xref>
                                </sup>
                            </td>
                            <td align="left" colspan="1" rowspan="1" valign="top">4,918 [2,510&#x2013;8,648]</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">3,963 [2,201&#x2013;8,915]</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.394</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">CiteScore</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">5.10 (3.60&#x2013;6.85)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">5 (3.55&#x2013;7.10)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.951</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Quartile in Scopus</td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Q1</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">116 (57.7)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">88 (43.8)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Q2</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">64 (31.8)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">83 (41.3)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Q3</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">21 (10.4)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">30 (14.9)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Number of citations in Scopus
                                <sup>
                                    <xref ref-type="table-fn" rid="tfn33">****</xref>
                                </sup>
                            </td>
                            <td align="left" colspan="1" rowspan="1" valign="top">2,420 [1,325&#x2013;4,521]</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">2,972 [1,307&#x2013;6,486]</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.060</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Indexed in EMBASE</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">188 (93.5)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">181 (90)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.203</td>
                        </tr>
                    </tbody>
                </table>
                <table-wrap-foot>
                    <p>Data are presented as median [interquartile range] or n (%)</p>
                    <p>OA, open-access; WOS, Web of Science.</p>
                    <fn-group content-type="footnotes">
                        <fn id="tfn1">
                            <label>
                                <sup>*</sup>
                            </label>
                            <p>Only top 5 were listed.</p>
                        </fn>
                        <fn id="tfn2">
                            <label>
                                <sup>**</sup>
                            </label>
                            <p>n=93 of gold open-access journals publish continuously (i.e., without assigning articles to a volume or issue); hence, not included in this median.</p>
                        </fn>
                        <fn id="tfn3">
                            <label>
                                <sup>***</sup>
                            </label>
                            <p>The remaining 77 journals were open-access since inception.</p>
                        </fn>
                        <fn id="tfn33">
                            <label>
                                <sup>****</sup>
                            </label>
                            <p>It should be noted that the number of citations doesn&#x2019;t reflect the number of articles published in a journal.</p>
                        </fn>
                    </fn-group>
                </table-wrap-foot>
            </table-wrap>
            <p>When different factors were assessed for their effect on IF, only publishing both clinical and basic science studies was significantly associated with higher IF (OR, 2.03; 95% CI,1.19&#x2013;3.45; 
                <italic toggle="yes">P</italic> = 0.010). The same factor was associated with higher CiteScore (OR,3.63; 95% CI, 1.43&#x2013;9.20; 
                <italic toggle="yes">P</italic> = 0.007). On the other hand, the publishing model (hybrid vs. gold OA) did not influence IF nor CiteScore (OR, 1.38; 95% CI, 0.81&#x2013;2.36; 
                <italic toggle="yes">P</italic> = 0.237 and OR,0.81; 95% CI, 0.32&#x2013;2.04; 
                <italic toggle="yes">P</italic> =0.648, respectively). The effect of different factors on IF and CiteScore are shown in 
                <xref ref-type="table" rid="T2">
Tables 2</xref> and 
                <xref ref-type="table" rid="T3">3</xref>, respectively.</p>
            <table-wrap id="T2" orientation="portrait" position="float">
                <label>
Table 2. </label>
                <caption>
                    <title>Effect of different factors on impact factor.</title>
                </caption>
                <table content-type="article-table" frame="hsides">
                    <thead>
                        <tr>
                            <th align="left" colspan="1" rowspan="1" valign="top">Factor</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">&#x03b2; Coefficient &#x00b1; SE</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">OR (95% confidence interval)</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">

                                <italic toggle="yes">P</italic> value</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Publishing model</td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.234</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Hybrid</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">Ref</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">Ref</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Gold open-access
</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.32 &#x00b1; 0.27</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1.38 (0.81&#x2013;2.36)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal&#x2019;s age</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">-0.001 &#x00b1; 0.007</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1 (0.99&#x2013;1.01)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.922</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal published both clinical and basic sciences</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.71 &#x00b1; 0.27</td>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.010</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal belongs to an organization</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.14 &#x00b1; 0.26</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1.15 (0.69&#x2013;1.91)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.597</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Indexed in EMBASE</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.62 &#x00b1; 0.48</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1.86 (0.72&#x2013;4.81)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.200</td>
                        </tr>
                    </tbody>
                </table>
            </table-wrap>
            <table-wrap id="T3" orientation="portrait" position="float">
                <label>
Table 3. </label>
                <caption>
                    <title>Effect of different factors on CiteScore.</title>
                </caption>
                <table content-type="article-table" frame="hsides">
                    <thead>
                        <tr>
                            <th align="left" colspan="1" rowspan="1" valign="top">Factor</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">&#x03b2; Coefficient &#x00b1; SE</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">OR (95% confidence interval)</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">

                                <italic toggle="yes">P</italic> value</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Publishing model</td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">0. 648</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Hybrid</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">Ref</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">Ref</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Gold open-access
</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">-0.22 &#x00b1; 0.47</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.81 (0.32&#x2013;2.04)</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal published both clinical and basic sciences</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1.29 &#x00b1; 0.47</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">3.63 (1.43&#x2013;9.2)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.007</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal belongs to an organization</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.05 &#x00b1; 0.46</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1.05 (0.43&#x2013;2.56)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.921</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Indexation in EMBASE</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.79 &#x00b1; 0.84</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">2.21 (0.42&#x2013;11.56)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.347</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal&#x2019;s age</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0 &#x00b1; 0.01</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1 (0.98&#x2013;1.02)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.982</td>
                        </tr>
                    </tbody>
                </table>
            </table-wrap>
            <p>The effect of different factors on the quartiles of the journals in WOS was evaluated, where none of the factors was associated with ranking in either quartile. 
                <xref ref-type="table" rid="T4">
Table 4</xref> lists the factors and their effect on ranking in Q1 of WOS. On the other hand, hybrid journals were associated with ranking in Q1 of Scopus as the odds of gold OA journals being ranked as Q1 was less than one (OR, 0.49; 95% CI 0.25&#x2013;0.94; 
                <italic toggle="yes">P</italic> = 0.032). 
                <xref ref-type="table" rid="T5">
Table 5</xref> lists the factors and their effect on ranking in Q1 of Scopus.</p>
            <table-wrap id="T4" orientation="portrait" position="float">
                <label>
Table 4. </label>
                <caption>
                    <title>Effect of different factors on Q1 ranking in Web of Science.</title>
                </caption>
                <table content-type="article-table" frame="hsides">
                    <thead>
                        <tr>
                            <th align="left" colspan="1" rowspan="1" valign="top">Factor</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">OR (95% confidence interval)</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">

                                <italic toggle="yes">P</italic> value</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Publishing model</td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Hybrid</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">Ref</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Gold open-access
</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1.19 (0.58&#x2013;2.43)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.638</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal published both clinical and basic sciences</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1.06 (0.52&#x2013;2.16)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.870</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal belongs to an organization</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1.29 (0.65&#x2013;2.58)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.468</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Indexation in EMBASE</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.38 (0.04&#x2013;3.33)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.384</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal&#x2019;s age</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1.00 (0.99&#x2013;1.02)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.914</td>
                        </tr>
                    </tbody>
                </table>
            </table-wrap>
            <table-wrap id="T5" orientation="portrait" position="float">
                <label>
Table 5. </label>
                <caption>
                    <title>Effect of different factors on Q1 ranking in Scopus.</title>
                </caption>
                <table content-type="article-table" frame="hsides">
                    <thead>
                        <tr>
                            <th align="left" colspan="1" rowspan="1" valign="top">Factor</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">OR (95% confidence interval)</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">

                                <italic toggle="yes">P</italic> value</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Publishing model</td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Hybrid</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">Ref</td>
                            <td colspan="1" rowspan="1"/>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">&#x2003;Gold open-access
</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.49 (0.25&#x2013;0.94)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.032</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal published both clinical and basic sciences</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.69 (0.36&#x2013;1.31)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.257</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal belongs to an organization</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1.50 (0.79&#x2013;2.83)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.214</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Indexation in EMBASE</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">&lt; 0.0001 (&lt; 0.0001&#x2013;&lt; 0.0001)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">&lt; 0.0001</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Journal&#x2019;s age</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.99 (0.97&#x2013;1.00)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">0.079</td>
                        </tr>
                    </tbody>
                </table>
            </table-wrap>
            <p>A subgroup analysis in the gold OA group to assess the effect of publishing cost on ranking in WOS showed that higher APCs were associated with Q3 ranking (OR, 2.76; 95% CI, 1.22&#x2013;6.23; 
                <italic toggle="yes">P</italic> = 0.015) and negatively associated with Q1 ranking (OR, 0.57; 95% CI, 0.26&#x2013;1.23; 
                <italic toggle="yes">P</italic> &lt; 0.001), but no effect was observed with Q2 ranking. The same observation was found with Q1 ranking in Scopus, where journals with high APCs were less likely to be ranked in Q1 (OR, 0.25; 95% CI, 0.11&#x2013;0.54; 
                <italic toggle="yes">P</italic> &lt; 0.001).</p>
        </sec>
        <sec id="sec11" sec-type="discussion">
            <title>Discussion</title>
            <p>To our knowledge, this is the first study to evaluate the impact of gold OA publishing model on journals&#x2019; metrics. Findings from this study suggest that gold OA publishing model does not have an impact on IF or CiteScore despite the significant difference in IF, that was numerically small but not CiteScore, between hybrid and gold OA journals. These results align with findings from previous studies that explored similar themes, indicating that while OA models aim to increase accessibility, they do not necessarily confer a citation advantage for journals over hybrid models.
                <sup>
                    <xref ref-type="bibr" rid="ref12">12</xref>,
                    <xref ref-type="bibr" rid="ref13">13</xref>
                </sup> For instance, some studies also found minimal differences in citation metrics between different publishing models, suggesting that other factors, such as journal reputation and article quality, might play more pivotal roles in influencing these metrics.
                <sup>
                    <xref ref-type="bibr" rid="ref14">14</xref>&#x2013;
                    <xref ref-type="bibr" rid="ref16">16</xref>
                </sup> Moreover, Piwowar, et al found a significantly higher citation rate of articles published in hybrid journals compared with those published in gild OA journals; though, this could be due to the noticeable difference in the number of articles published subscription-based versus those published gold OA.
                <sup>
                    <xref ref-type="bibr" rid="ref3">3</xref>
                </sup> A study by Chua et al found a higher number of citations of OA journals that did not correlate with IF (Spearman&#x2019;s rho = 0.187; 
                <italic toggle="yes">P</italic> = 0.60).
                <sup>
                    <xref ref-type="bibr" rid="ref16">16</xref>
                </sup> Similarly, the increment increase in IF with increased citations was minimal and not statistically significant (&#x03b2; coefficient = 3.35; 95% CI -0.464&#x2013;7.156; 
                <italic toggle="yes">P</italic> = 0.084).
                <sup>
                    <xref ref-type="bibr" rid="ref16">16</xref>
                </sup> As such, it is argued that the very high fees required by gold OA journals (reaching a median [IQR] of $2,690 [2,000&#x2013;2,990] and a range of $75&#x2013;5,460) are not justified when considering that many researchers call that science should be free to access by everyone. A study by Butler, et al that compared the financial impact of gold OA publishing by five of the biggest academic publishers estimated that authors paid a total of $1.06 billion in APCs with revenues from gold OA reaching $612.5 million.
                <sup>
                    <xref ref-type="bibr" rid="ref8">8</xref>
                </sup> Therefore, such publishers should consider lowering fees to cover necessary editorial processing and offer waivers for unfunded authors provided they provide proof of lack of funds regardless of their country of origin (as many gold OA journals already offer waivers or discounts for authors from low-income countries). This approach aligns with the ethical imperative to democratize access to scientific knowledge, a sentiment echoed in the literature.
                <sup>
                    <xref ref-type="bibr" rid="ref14">14</xref>&#x2013;
                    <xref ref-type="bibr" rid="ref16">16</xref>
                </sup>
            </p>
            <p>Although our study found that gold OA model wasn&#x2019;t associated with higher impact in terms of journal metrics, it should be noted that these results don&#x2019;t reflect the impact of individual articles.
                <sup>
                    <xref ref-type="bibr" rid="ref13">13</xref>,
                    <xref ref-type="bibr" rid="ref14">14</xref>
                </sup> Overall, journals that publish using only gold OA model market themselves to researchers looking to gain more citations and broader readership.
                <sup>
                    <xref ref-type="bibr" rid="ref15">15</xref>
                </sup> Previous research has shown that OA articles, whether they were published using gold OA, green OA, or diamond OA, had higher rates of citations from a broader, diverse readership. A study by Huang, et al found high level of diversity of citing institutions, countries, and fields of research of articles published using OA model.
                <sup>
                    <xref ref-type="bibr" rid="ref13">13</xref>
                </sup> Another study by Youg, et al found that interdisciplinary citations were more common with OA articles than those published as non-OA (56% vs. 41%).
                <sup>
                    <xref ref-type="bibr" rid="ref14">14</xref>
                </sup> Nevertheless, and from the perspective of the journal level, the current study found no significant difference in the distribution of hybrid and gold OA journals among the different WOS quartiles despite a slightly higher median IF of gold OA journals. This outcome suggests that the prestige and perceived impact and reputation of hybrid journals may still hold sway in the academic community.
                <sup>
                    <xref ref-type="bibr" rid="ref16">16</xref>,
                    <xref ref-type="bibr" rid="ref17">17</xref>
                </sup> Moreover, in their studies, Gargouri, et al and McCabe, et al have emphasized the importance of publishing both basic science and clinical research to reach a broader audience. The ability of journals that encompass a wide range of disciplines to appeal to a diverse readership has been highlighted as a significant factor in increasing a journal's impact.
                <sup>
                    <xref ref-type="bibr" rid="ref16">16</xref>,
                    <xref ref-type="bibr" rid="ref17">17</xref>
                </sup> In the current study, this notion was supported by the observation that hybrid journals, which often publish a mix of basic and clinical research, were more likely to achieve higher quartile rankings in Scopus.</p>
            <p>Gold OA publishing model is a relatively new concept in research publishing as seen with the significant difference in the median [IQR] ages of hybrid and gold OA journals (32 [23&#x2013;41.5] vs. 21 [13&#x2013;28]; 
                <italic toggle="yes">P</italic> &lt; 0.001). Nonetheless, it become widespread, especially as many journals that were formerly hybrid have transitioned to gold OA, where the median [IQR] year of switching was 2014 [2008&#x2013;2019]. This transition is indicative of the broader shift in the publishing landscape towards more open access models, a trend noted in earlier studies.
                <sup>
                    <xref ref-type="bibr" rid="ref14">14</xref>,
                    <xref ref-type="bibr" rid="ref15">15</xref>
                </sup> Despite the significant difference in age, it is noteworthy that gold OA journals reached a median total number of citations in WOS since journals&#x2019; inception that was not statistically significant from that of hybrid journals, though it was numerically lower (3,963 vs. 4,918; 
                <italic toggle="yes">P</italic> = 0.351). This could be possibly attributed to the large number of gold OA journals (n=93 of 201; 46.3%) that publish articles continuously without assigning them to a certain volume or issue, unlike hybrid journals that have limited quotas. This observation resonates with previous reports that showed that continuous publication models might influence citation patterns differently compared to traditional issue-based models.
                <sup>
                    <xref ref-type="bibr" rid="ref14">14</xref>,
                    <xref ref-type="bibr" rid="ref15">15</xref>
                </sup>
            </p>
            <p>These results of the current study suggest that unfunded researchers who cannot afford gold OA publishing should be less concerned about getting published in subscription-based journals since they can still achieve high impact and rankings. It is worth noting that while articles published in subscription-based hybrid journals may not be freely accessible, readers can still obtain the full text through institutional subscription, by paying for an individual article, or through contacting the corresponding author via email or researchers platforms like ResearchGate and Academia.edu.
                <sup>
                    <xref ref-type="bibr" rid="ref18">18</xref>
                </sup> This highlights the role of author accessibility in ensuring the wider dissemination of research findings, regardless of the publishing model. Moreover, hybrid journals that offer gold OA publishing tend to have APCs that are higher than APCs of journals that are fully gold OA by an average of $1,620.
                <sup>
                    <xref ref-type="bibr" rid="ref5">5</xref>
                </sup> Nevertheless, the current study highlights the importance of considering the call for free access to scientific information. at minimal costs. Due to these financial barriers (having the authors paying APCs to get their work published through gold OA model or having to pay for a subscription or for an individual article to fully access an article published through a subscription-based model), diamond OA model has emerged allowing for free publishing and free accessibility with no costs to the authors nor to the readers or their institutions.
                <sup>
                    <xref ref-type="bibr" rid="ref2">2</xref>
                </sup> While more than 25,000 journals from different disciplines (including approximately 9,000 in science, technologies, engineering, and mathematics that also include medical journals) adopt diamond OA publishing model, the number remains lower than the number of gold OA journals.
                <sup>
                    <xref ref-type="bibr" rid="ref12">12</xref>,
                    <xref ref-type="bibr" rid="ref18">18</xref>
                </sup> There for andto promote equitable access, gold OA journals and hybrid journals offering gold OA publishing of articles for an APC should offer lower fees and waivers for unfunded authors, regardless of their country of origin. By reducing financial barriers, these journals can facilitate the dissemination of research and contribute to the broader scientific community. Furthermore, hybrid journals should also consider reducing subscription fees, the fees need to be paid by readers to download an individual article, and fees for OATAs.</p>
            <p>Of note, the significance of journal metrics vs. article metrics remains controversial where some studies found that the elevated journal metrics are often driven by high citation of only a small number of articles published by a certain journal.
                <sup>
                    <xref ref-type="bibr" rid="ref11">11</xref>
                </sup> Despite that, academic institutions, policy makers, and research funders still care about high journal metrics that reflect reputability and prestigiousness for purposes such as funding, incentives, and promotion. Therefore, researchers, such as Suigmoto, et al, has called decision makers to reconsider such focus and shift it to the focus on the quality of the scholarly work and its impact.
                <sup>
                    <xref ref-type="bibr" rid="ref12">12</xref>
                </sup>
            </p>
            <p>It is important to acknowledge the strengths and limitations of this study. One of the strengths is that it is the first to directly compare the impact of hybrid and gold OA journals at the journal level. By including a large random sample of journals and meeting the target sample size, the study provides a comprehensive analysis of the two models. It also evaluated several factors for their potential association with IF of WOS, CiteScore of Scopus, and quartiles of both databases. However, certain limitations should be considered. The study did not evaluate the impact of gold OA articles published in hybrid journals (also known as paywalled publications), which could potentially influence the overall impact comparison. Unfortunately, such an assessment was not feasible due to the longstanding existence of many hybrid journals. Additionally, journals that offer diamond or green OA, were not included in the current study given their limited number, which could have made the comparison with the abundant hybrid and gold OA unjustified. Lastly, we included a random sample of journals that were not matched based on their characteristics. While the regression analysis that was done in our study may have helped reduce the impact of differences, matching the sample in both groups may improve the interpretation of the results. Future research could explore the impact of these factors on citation metrics and readership. while including a matched set of journals to improve the results. Further research is also warranted to investigate other aspects of OA publishing. While this study focused on IF and CiteScore, future studies could explore additional metrics such as altmetrics, which capture online attention and engagement with scholarly articles. Moreover, qualitative research methods could be employed to understand the perceptions and experiences of researchers regarding hybrid and gold OA publishing models. This would provide valuable insights into the decision-making processes and considerations of authors when choosing a publishing avenue. Furthermore, future research could delve deeper into understanding the impact of different research disciplines and the role of subject-specific factors in the citation patterns of hybrid and gold OA publications.</p>
        </sec>
        <sec id="sec12" sec-type="conclusion">
            <title>Conclusion</title>
            <p>In conclusion, the findings of this study have noteworthy implications for both researchers and publishers by providing empirical evidence on the impact of hybrid and gold OA journals. The findings suggest that journals&#x2019; impact did not significantly differ between hybrid or gold OA publishing models. This challenges the idea that publishing in gold OA journals leads to a higher impact of journals as measured by citation metrics, such as the IF and CiteScore. The study also emphasizes the need for gold OA journals to offer lower fees and waivers for unfunded authors to promote free access to scientific information. Alternatively, adopting diamond OA model should broaden the accessibility of published research and meet the scientific community&#x2019;s aspiration of free accessible research. This research sets the stage for further investigations into the various dimensions of open access publishing and its implications for scholarly communication.</p>
        </sec>
        <sec id="sec13">
            <title>Author contributions</title>
            <p>AKT: Conceptualization, methodology, data curation, investigation, supervision, project administration, writing &#x2013; original draft, and writing &#x2013; review &amp; editing. NIA: Data curation, investigation, writing &#x2013; original draft, and writing &#x2013; review &amp; editing. AOT and ASA: Data curation, investigation, and writing &#x2013; original draft.</p>
        </sec>
        <sec id="sec14">
            <title>Ethics and consent statement</title>
            <p>Not applicable.</p>
        </sec>
    </body>
    <back>
        <sec id="sec17" sec-type="data-availability">
            <title>Data availability statement</title>
            <p>Open Science Framework: Is publishing gold open-access worth it? An assessment of hybrid and gold open-access publishing models of medical journals on their impact. 
                <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.17605/OSF.IO/SXV3E">https://doi.org/10.17605/OSF.IO/SXV3E</ext-link>.
                <sup>
                    <xref ref-type="bibr" rid="ref19">19</xref>
                </sup>
            </p>
            <p>This project contains the following underlying data:
                <list list-type="bullet">
                    <list-item>
                        <label>&#x2022;</label>
                        <p>Open-access vs. Hybrid journals &#x2013; Supplementary material</p>
                    </list-item>
                </list>
            </p>
            <p>Data are available under the terms of the 
                <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International license</ext-link> (CC-BY 4.0).</p>
        </sec>
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    <sub-article article-type="reviewer-report" id="report401215">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.179923.r401215</article-id>
            <title-group>
                <article-title>Reviewer response for version 2</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Maddi</surname>
                        <given-names>Abdelghani</given-names>
                    </name>
                    <xref ref-type="aff" rid="r401215a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0001-9268-8022</uri>
                </contrib>
                <aff id="r401215a1">
                    <label>1</label>CNRS and Sorbonne University, Paris, France</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>20</day>
                <month>8</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Maddi A</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport401215" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.159550.2"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>reject</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>The manuscript examines whether publishing model (Gold OA vs. Hybrid OA) affects journals&#x2019; impact, measured by Journal Impact Factor, CiteScore, and quartile rankings in Scopus and Web of Science. The authors conclude that the publishing model does not significantly influence journal impact.</p>
            <p> While the research question is relevant, the study design, data handling, and statistical analyses present major flaws. As a result, the findings are misleading and cannot be validated in their current form. The manuscript also contains misrepresentations of prior literature, questionable policy recommendations, and several methodological omissions.</p>
            <p> </p>
            <p> 
                <bold>&#x00a0;I. Major Issues</bold>
            </p>
            <p> </p>
            <p> 
                <bold>1. Problematic Comparison: Hybrid vs. Gold OA Journals</bold>
            </p>
            <p> The current design compares Gold OA journals against Hybrid OA journals. However, hybrid journals by definition combine two publishing models: Gold OA and subscription-based. They are not a homogeneous category. Comparing them directly to full Gold OA journals is methodologically unsound, as it conflates two distinct business models within the hybrid group. As a result, the analysis is unable to isolate the effect of open access publishing at the journal level. I strongly recommend
                <bold> </bold>to the authors to redefine the study design. At a minimum, distinguish between: 
                <list list-type="bullet">
                    <list-item>
                        <p>Gold OA journals,</p>
                    </list-item>
                    <list-item>
                        <p>OA articles within hybrid journals,</p>
                    </list-item>
                    <list-item>
                        <p>Non-OA articles within hybrid journals,</p>
                    </list-item>
                    <list-item>
                        <p>(And ideally, fully subscription-based journals).</p>
                    </list-item>
                </list> Without such separation, the conclusions about &#x201c;OA vs. hybrid&#x201d; are invalid in my opinion.</p>
            <p> </p>
            <p> 
                <bold>2. 
                    <bold>Incomplete and Biased Treatment of APCs</bold>
                </bold>
            </p>
            <p> The manuscript discusses article processing charges (APCs) only in the context of Gold OA journals, implicitly portraying them as costly. Yet: 
                <list list-type="bullet">
                    <list-item>
                        <p>In practice, APCs in hybrid journals are typically higher than in Gold OA journals, but this important aspect is not acknowledged in the paper. This produces a biased picture of the economics of OA publishing.</p>
                    </list-item>
                    <list-item>
                        <p>Moreover, APCs are not empirically analyzed in the dataset, so the conclusions about costs are speculative and misplaced.</p>
                    </list-item>
                </list> The authors should, either integrate APC data systematically (for both Gold and Hybrid OA journals) or remove normative claims about costs.</p>
            <p> </p>
            <p> 
                <bold>3. 
                    <bold>Lack of Transparency in Data and Methodology</bold>
                </bold>
            </p>
            <p> Several methodological details are missing or insufficiently explained: 
                <list list-type="bullet">
                    <list-item>
                        <p>
                            <bold>Journal model transitions</bold>: The manuscript refers to journal age and model history but does not specify how or from which source the transition dates were determined.</p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>EMBASE indexing</bold>: The authors include &#x201c;indexation in EMBASE&#x201d; as a variable without explaining what EMBASE is, why it matters, or how it affects citation impact. This appears arbitrary.</p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Regression models:</bold> There are several issues with the statistical analyses that require clarification and correction: 
                            <list list-type="bullet">
                                <list-item>
                                    <p>
                                        <bold>Inappropriate use of odds ratios</bold>: The manuscript reports odds ratios for continuous outcomes such as 
                                        <italic>Impact Factor</italic> and 
                                        <italic>CiteScore</italic>. Odds ratios are appropriate for categorical or binary outcomes (e.g., Q1 vs. non-Q1), but not for raw continuous metrics. If the authors transformed or dichotomized these variables, this must be explicitly stated and justified. As currently presented, the results are misleading.</p>
                                </list-item>
                                <list-item>
                                    <p>
                                        <bold>Lack of transparency in model specification</bold>: The regression models are insufficiently described. It is unclear which transformations were applied, what the reference categories are, and how the models were evaluated. Without this information, the analyses are not reproducible.</p>
                                </list-item>
                                <list-item>
                                    <p>
                                        <bold>Inconsistent interpretation of results</bold>: In Table 4, Gold OA is significantly associated with a lower likelihood of being Q1 in Scopus (OR = 0.49, p = 0.032). However, the abstract and discussion state that there is &#x201c;no significant effect.&#x201d;.</p>
                                </list-item>
                            </list> </p>
                    </list-item>
                </list> Taken together, these issues suggest that the statistical analyses are not being applied or reported appropriately. At minimum, the authors must clarify the modeling approach, correct the misuse of odds ratios, and ensure that the interpretation of significant results is consistent throughout the paper.</p>
            <p> </p>
            <p> 
                <bold>4. Problematic and Unsupported Claims</bold>
            </p>
            <p> The policy recommendations presented in the manuscript are not evidence-based and, in some cases, are contradictory or misleading. For example (not exhaustive list): 
                <list list-type="bullet">
                    <list-item>
                        <p>The authors suggest that 
                            <italic>&#x201c;readers can still obtain the full text through institutional subscription, by paying for an individual article, or through contacting the corresponding author via email or researcher platforms like ResearchGate and Academia.edu.&#x201d;</italic>
                        </p>
                        <p> This recommendation ignores key issues: access by payment contradicts the critique of APCs as a barrier, and informal sharing through ResearchGate or Academia.edu disregards copyright restrictions and the fact that legally shareable versions are often limited to preprints or accepted manuscripts (after embargo).</p>
                    </list-item>
                    <list-item>
                        <p>The claim that 
                            <italic>&#x201c;researchers who cannot afford gold OA publishing should be less concerned about getting published in subscription-based journals since they can still achieve high impact and rankings&#x201d;</italic> is highly problematic. It disregards equity issues in access to knowledge and implicitly endorses the continuation of paywalled dissemination, which is contrary to the goals of open science.</p>
                    </list-item>
                    <list-item>
                        <p>Finally, the statement that 
                            <italic>&#x201c;the study emphasizes the need for gold OA journals to offer lower fees and waivers for unfunded authors to promote free access to scientific information&#x201d;</italic> is not grounded in the presented analysis. APC levels are not included in the data or models, and the comparison ignores the fact that APCs in hybrid journals are generally higher than APCs of fully Gold OA journals.</p>
                    </list-item>
                </list> Taken together, these claims are speculative, not supported by the study&#x2019;s findings, and risk reinforcing the status quo rather than providing meaningful policy guidance.</p>
            <p> I suggest to remove or thoroughly revise the recommendations. They are normative, inconsistent with the results, and contradict much of the existing OA literature.</p>
            <p> </p>
            <p> 
                <bold>
                    <bold>5. Misrepresentation of Prior Literature</bold>
                </bold>
            </p>
            <p> The manuscript claims to be the first to study the effect of publishing models at the journal level. This is demonstrably false:</p>
            <p> Existing literature showed that Gold OA publishing shows mixed effects on journal impact, with positive results in Medicine and Life Sciences but lower impact in Social Sciences and Humanities. For example (see below the list of related papers I am aware of), Bautista-Puig et al. (2020) report a significant post&#x2010;conversion increase in relative citation impact (p &lt; 0.05), and Chua et al. (2017) find that gold OA journals receive 1.3 times more citations (p = 0.039) compared with non&#x2013;open access journals. Studies by Gumpen- berger et al. (2013) and Momeni et al. (2021) note upward trends in metrics such as Journal Impact Factor, SCImago Journal Rank, and other normalized citation measures after a shift to gold OA, even if precise effect sizes are not given.</p>
            <p> In contrast, Davis (2011) finds no effect on citation counts (point estimate = 1.01; 95% CI, 0.95&#x2013;1.07), and Bj&#x00f6;rk and Solomon (2012) observe that initial differences in citation rates between open and subscription journals disappear when factors like discipline and age are controlled. Findings differ by field: journals in Medicine and Life Sciences typically achieve higher impact with gold OA, whereas Social Sciences and Humanities tend to score lower.</p>
            <p> The novelty claim must be corrected, and these references properly integrated.</p>
            <p> Moreover, the study ignores the role of Sci-Hub and shadow libraries, which provide access to paywalled articles and reduce the measurable citation advantage of OA (see Maddi et Sapinho 2023). To have more robust results, this effect should be neutralized.</p>
            <p> II. Minor Comments 
                <list list-type="bullet">
                    <list-item>
                        <p>Write &#x201c;Sugimoto&#x201d; instead of &#x201c;Suigmoto&#x201d;.</p>
                    </list-item>
                    <list-item>
                        <p>The title is misleading: it implies a causal claim (&#x201c;Does OA increase impact?&#x201d;) while the design is more observational.</p>
                    </list-item>
                    <list-item>
                        <p>The abstract misinterprets results (e.g., underreporting the significant association in Scopus quartiles).</p>
                    </list-item>
                </list> </p>
            <p> To sum up, the paper requires major restructuring: from redefining the comparison groups to improving the statistical models, correcting the literature claims, and removing unsupported recommendations. As it stands, the article is misleading and fails to meet the methodological rigor required for indexing in F1000Research.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Partly</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>No</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Partly</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>No</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>Open Science, Scientometrics, Research Policy, Economics</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to state that I do not consider it to be of an acceptable scientific standard, for reasons outlined above.</p>
        </body>
        <back>
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                        <pub-id pub-id-type="doi">10.12688/f1000research.10892.1</pub-id>
                    </mixed-citation>
                </ref>
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                    <label>4</label>
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                        <person-group person-group-type="author"/>:
                        <article-title>Open access, readership, citations: a randomized controlled trial of scientific journal publishing</article-title>.
                        <source>
                            <italic>The FASEB Journal</italic>
                        </source>.<year>2011</year>;<volume>25</volume>(<issue>7</issue>) :
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                        <article-title>On the impact of Gold Open Access journals</article-title>.
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                            <italic>Scientometrics</italic>
                        </source>.<year>2013</year>;<volume>96</volume>(<issue>1</issue>) :
                        <elocation-id>10.1007/s11192-012-0902-7</elocation-id>
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                        <article-title>On the culture of open access: the Sci-hub paradox</article-title>.
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                            <italic>Scientometrics</italic>
                        </source>.<year>2023</year>;<volume>128</volume>(<issue>10</issue>) :
                        <elocation-id>10.1007/s11192-023-04792-5</elocation-id>
                        <fpage>5647</fpage>-<lpage>5658</lpage>
                        <pub-id pub-id-type="doi">10.1007/s11192-023-04792-5</pub-id>
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                        <article-title>What happens when a journal converts to open access? A bibliometric analysis</article-title>.
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                            <italic>Scientometrics</italic>
                        </source>.<year>2021</year>;<volume>126</volume>(<issue>12</issue>) :
                        <elocation-id>10.1007/s11192-021-03972-5</elocation-id>
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                        <pub-id pub-id-type="doi">10.1007/s11192-021-03972-5</pub-id>
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                            <italic>Journal of the American Society for Information Science and Technology</italic>
                        </source>.<year>2007</year>;<volume>58</volume>(<issue>13</issue>) :
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    </sub-article>
    <sub-article article-type="reviewer-report" id="report401219">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.179923.r401219</article-id>
            <title-group>
                <article-title>Reviewer response for version 2</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Pilatti</surname>
                        <given-names>Luiz Alberto</given-names>
                    </name>
                    <xref ref-type="aff" rid="r401219a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-2679-9191</uri>
                </contrib>
                <aff id="r401219a1">
                    <label>1</label>Universidade Tecnol&#x00f3;gica Federal do Paran&#x00e1;, Curitiba, Brazil</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>19</day>
                <month>8</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Pilatti LA</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport401219" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.159550.2"/>
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        <body>
            <p>The manuscript investigates whether publishing under the gold open access model is associated with a higher impact of medical journals than the hybrid model. To this end, the authors collected bibliometric indicators such as impact factor, CiteScore, SJR, and SNIP and compared journals with different access models. The study concludes that journals in the gold OA model tend to present higher impact than hybrid journals.</p>
            <p> The work is presented clearly and well-organized, facilitating reading, but the literature review is still limited. The authors do not explore recent references discussing the differences between hybrid and fully open access models, nor do they include debates on alternative metrics such as altmetrics or indicators of digital visibility. Incorporating more recent studies would strengthen the theoretical and contextual basis of the manuscript.</p>
            <p> The study design is relevant but presents weaknesses that compromise its technical soundness. The criteria for selecting the journals are not sufficiently clear, and there is no detail on which subject areas were included or excluded. Furthermore, potential confounding factors such as journal age, editorial policy, or internationalization, which could influence the indicators, were not considered. A more robust methodological clarification and a discussion of these biases are necessary.</p>
            <p> The current methodological description does not allow other researchers to replicate the study. Precise information about the data sources used, the date of collection, the inclusion and exclusion criteria, and how journals were classified as hybrid or gold OA is missing. Without these elements, the study loses transparency and reproducibility. Detailing these aspects is essential to ensure the credibility of the work.</p>
            <p> About statistical analysis, the study presents only descriptive comparisons without applying significance tests to support the observed differences. This absence weakens the conclusions, which are more speculative than scientific. Applying appropriate tests, such as t-test, ANOVA, or multivariate regression, would allow the hypotheses to be validated or refuted with greater robustness. If the authors choose not to include statistical analyses, the conclusions need to be reformulated in more cautious terms.</p>
            <p> Another critical point is the lack of raw data used in the analysis. Without these materials, it is impossible to verify the results' consistency or ensure the study's reproducibility. It is recommended that the authors provide a dataset with the collected indicators, specifying the source and year of each data point, preferably in an open-access repository. This would increase the transparency and scientific utility of the work.</p>
            <p> The conclusions presented are broader than the results can support. Given the absence of statistical analysis and the methodological limitations, it is impossible to state categorically that gold OA journals have a higher impact than hybrid ones. The conclusions should be reformulated to reflect the preliminary and exploratory nature of the findings, acknowledging the study's limitations and avoiding excessive generalizations.</p>
            <p> The article addresses a relevant and timely issue that can contribute to the debate on scientific publishing models, but requires substantial revisions before it can be considered solid. Expanding the literature review, detailing the methodology, including statistical analyses, making the raw data available, and reformulating the conclusions are indispensable steps. If these points are adequately addressed, the work may significantly contribute to discussing the impact of open access models in medical journals.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Partly</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>No</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>No</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Partly</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>Health Sciences, Public Health, Bibliometrics, Scientific Communication, Open Access Publishing.</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to state that I do not consider it to be of an acceptable scientific standard, for reasons outlined above.</p>
        </body>
        <back>
            <ref-list>
                <title>References</title>
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                    <label>1</label>
                    <mixed-citation publication-type="journal">
                        <person-group person-group-type="author"/>:
                        <article-title>Open access versus subscription journals: a comparison of scientific impact</article-title>.
                        <source>
                            <italic>BMC Medicine</italic>
                        </source>.<year>2012</year>;<volume>10</volume>(<issue>1</issue>) :
                        <elocation-id>10.1186/1741-7015-10-73</elocation-id>
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                        <article-title>Hybrid Gold Open Access Citation Advantage in Clinical Medicine: Analysis of Hybrid Journals in the Web of Science</article-title>.
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                            <italic>Publications</italic>
                        </source>.<year>2023</year>;<volume>11</volume>(<issue>2</issue>) :
                        <elocation-id>10.3390/publications11020021</elocation-id>
                        <pub-id pub-id-type="doi">10.3390/publications11020021</pub-id>
                    </mixed-citation>
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    </sub-article>
    <sub-article article-type="reviewer-report" id="report376377">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.179923.r376377</article-id>
            <title-group>
                <article-title>Reviewer response for version 2</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Bouter</surname>
                        <given-names>Lex</given-names>
                    </name>
                    <xref ref-type="aff" rid="r376377a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-2659-5482</uri>
                </contrib>
                <aff id="r376377a1">
                    <label>1</label>Vrije Universiteit Amsterdam, Amsterdam, North Holland, The Netherlands</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>14</day>
                <month>4</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Bouter L</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport376377" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.159550.2"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>The authors did a good job in responding to the comments made by the reviewers, including reframing of the research question. The revised manuscript is a substantial improvement of the report, but there are still a few issues which need attention. 
                <list list-type="bullet">
                    <list-item>
                        <p>Some sentences are difficult to follow and there are still a few spelling and grammar errors in the manuscript.&#x00a0;</p>
                    </list-item>
                    <list-item>
                        <p>Please completely remove language suggestive of causality (e.g. effect, affect, impact), as the study design doesn&#x2019;t allow for a causal interpretation of the associations found.</p>
                    </list-item>
                    <list-item>
                        <p>Please remove from the text the redundancy of providing both 95% CI and P values by removing all p-values from the manuscript when also a 95% CI is provided.</p>
                    </list-item>
                    <list-item>
                        <p>One sentence in the abstract seems to be wrong: 
                            <italic>However, gold OA model wasn&#x2019;t significantly associated with Scopus Q1 ranking (OR, 0.49; 95% CI, 0.25-0.94; P=0.032), indicating that hybrid journals were more likely to have such ranking. </italic>In the Results section you say about this: 
                            <italic>&#x2026;hybrid journals were associated with ranking in Q1 of Scopus as the odds of gold OA journals being ranked as Q1 was less than one (OR, 0.49; 95% CI 0.25&#x2013;0.94; P = 0.032). </italic>These statements contradict each other. I believe that the second one is correct, as the 95% CI doesn&#x2019;t include 1. Furthermore, the sentence in the Results section refers to Table 4, but the table doesn&#x2019;t contain the point estimate and 95% CI cited.</p>
                    </list-item>
                    <list-item>
                        <p>The final sentence of the conclusion (
                            <italic>Gold OA journals are encouraged to reduce their fees to facilitate global research access</italic>) in the abstract is unrelated to the study results and should be removed.</p>
                    </list-item>
                    <list-item>
                        <p>Table 2-4 are not very clear. Please explain whether the factors listed in the table are adjusted for the influence of the others. In other words: are these univariate or multivariate estimates? Furthermore, you specify only the reference category of the reported OR for the first factor in each table, but fail to explain what the reference category is for the other factors included.</p>
                    </list-item>
                    <list-item>
                        <p>Not only the P values, but also the coefficients and standard errors are redundant in tables 1-4 and can be removed.</p>
                    </list-item>
                    <list-item>
                        <p>In Table 3 the OR (95% CI) for the factor 
                            <italic>journal published both clinical and basic sciences</italic> is missing.</p>
                    </list-item>
                    <list-item>
                        <p>The Discussion section contains a number of recommendations to lower subscription rates and APCs or to give waivers to specific groups. While I sympathize with these pleas, there is no ground for them in the outcomes of the study and they should be removed from the manuscript.</p>
                    </list-item>
                </list>
            </p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>No</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Partly</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>No</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>No</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>No</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>No</p>
            <p>Reviewer Expertise:</p>
            <p>Research Integrity, Open Science, Methodology</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report352795">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.175295.r352795</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Simard</surname>
                        <given-names>Marc-Andr&#x00e9;</given-names>
                    </name>
                    <xref ref-type="aff" rid="r352795a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-3795-0053</uri>
                </contrib>
                <aff id="r352795a1">
                    <label>1</label>Universite de Montreal, Montreal, Qu&#x00e9;bec, Canada</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>17</day>
                <month>1</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Simard MA</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport352795" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.159550.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>reject</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>This article compares the journal impact of hybrid and gold OA biomedical journals based on two proprietary data sources, namely Web of Science and Scopus. This study shows that, while it varies on certain conditions, gold OA journals may not result in more citations.</p>
            <p> </p>
            <p> I think criticism of gold OA is warranted, but I think the approach used by the authors is misguided because it ignores the market forces that are at play as well as other sociological factors that hybrid journals benefit from (e.g. publisher and journal reputation, prestige, green OA, transformative agreements, etc.).</p>
            <p> </p>
            <p> I also believe that the introduction is too short or not detailed enough and fails to grasp some of the main issues related to the topic such as publication prestige, impact, preprints, more inclusive data sources (such as OpenAlex and Dimensions), the for-profit nature of the system, article processing charges, OA policies and community infrastructure, transformative agreements, etc. The article would benefit from a more in-depth literature review. OA is a fast-changing topic involving multiple actors which the introduction does not accurately reflect.</p>
            <p> </p>
            <p> I also find the title/research question (Are gold journals worth it?) to be confusing as the article never really investigate more than research impact, which is only one of the facets (and I would argue it is the shallowest) of what makes OA/open science a more ethical choice. Furthermore, this link between research impact and publishing in OA journals is based on highly controversial and flawed journal-based metrics such as the impact factor and citescore, which are not a good predictor of individual article impact because the distribution of citations among journal articles is highly skewed (see Larivi&#x00e8;re and Sugimoto, 2018 [Ref 3]). Another problem with the design is that it doesn&#x2019;t not take into consideration the fact that hybrid OA articles can also be OA (via green or APC payment), and generally benefit from greater historical prestige than gold journals. Multiple studies have shown that green OA papers tend to receive more citations on average than other types of OA for that reason (e.g. Piwowar et al. 2018).</p>
            <p> </p>
            <p> In my opinion, the discussion/conclusion sections raise some valid points, but they are often too superficial and could use more depth and comprehension of the complex market forces at play. For instance, calling on gold OA publishers to lower APCs, while noble, is not a realistic or a sustainable approach because it doesn&#x2019;t consider the for-profit nature of the system and how these actors are taking advantage of OA to generate more profits (e.g. see Butler et al. 2023 [Ref 2]). There is also very little criticism of the hybrid model (and no APC average, when previous research has shown that they are higher than gold), when it is arguably even worse than gold journals: their APCs are higher, they charge both readers and authors, and are also parts of unsustainable transformative agreements. Why not also call them out on reducing their APC/subscription/transformative agreement prices?</p>
            <p> </p>
            <p> Some more specific comments:</p>
            <p> &#x00a0; 
                <list list-type="bullet">
                    <list-item>
                        <p>The abstract makes the false assumption that hybrid and gold are the most popular open access models, when both green and diamond are essentially just as big as the other two. The main difference is that they are generally not-for-profit, so they don&#x2019;t benefit from the same visibility or attention as the other two models.</p>
                    </list-item>
                    <list-item>
                        <p>There are some minor false information or assumption about OA: 
                            <list list-type="bullet">
                                <list-item>
                                    <p>Green OA doesn&#x2019;t necessarily mean embargos</p>
                                </list-item>
                                <list-item>
                                    <p>Green OA and page charges: green OA is free for authors in the vast majority of cases.</p>
                                </list-item>
                                <list-item>
                                    <p>Green OA is allowed by the vast majority of publishers</p>
                                </list-item>
                                <list-item>
                                    <p>Not all journals ask for APCs. There are more than 25 000 diamond OA journals (e.g. see Khanna et al. 2023 [Ref 1] or the Directory of open access journals)</p>
                                </list-item>
                            </list> </p>
                    </list-item>
                </list> Ultimately, I appreciate what the authors were trying to accomplish with this study, but I do believe that some major flaws in the study design (e.g. focusing on journal-based metrics) and assumptions that were made (e.g. ignoring specific factors about hybrid OA) hold it back to the point where I cannot approve of this article.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>No</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Yes</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>No</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>open science, open access, bibliometrics, science of science</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to state that I do not consider it to be of an acceptable scientific standard, for reasons outlined above.</p>
        </body>
        <back>
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            </ref-list>
        </back>
        <sub-article article-type="response" id="comment13634-352795">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Thabit</surname>
                            <given-names>Abrar</given-names>
                        </name>
                        <aff>Pharmacy Practice Department, King Abdulaziz University, Jeddah, Makkah Province, Saudi Arabia</aff>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>26</day>
                    <month>3</month>
                    <year>2025</year>
                </pub-date>
            </front-stub>
            <body>
                <p>Dear Dr. Simard,</p>
                <p> </p>
                <p> We would like to thank you for taking the time to review and evaluate our manuscript. We have addressed all your comments and have revised the manuscript accordingly. An updated version of the manuscript highlighting the changes is attached. Please find below the responses to your comments.</p>
                <p> </p>
                <p> 1. I think criticism of gold OA is warranted, but I think the approach used by the authors is misguided because it ignores the market forces that are at play as well as other sociological factors that hybrid journals benefit from (e.g. publisher and journal reputation, prestige, green OA, transformative agreements, etc.).</p>
                <p> 
                    <bold>Response: </bold>Based on this comment and the comments made by reviewer 1, we have revised the manuscript to reflect the impact at the journal level, rather than the article level. Specifically, we commented in the discussion on the relation of the publishing model and their impact with journals&#x2019; reputation and prestige (lines 206-208 and 274-278).</p>
                <p> </p>
                <p> 2. I also believe that the introduction is too short or not detailed enough and fails to grasp some of the main issues related to the topic such as publication prestige, impact, preprints, more inclusive data sources (such as OpenAlex and Dimensions), the for-profit nature of the system, article processing charges, OA policies and community infrastructure, transformative agreements, etc. The article would benefit from a more in-depth literature review. OA is a fast-changing topic involving multiple actors which the introduction does not accurately reflect.</p>
                <p> 
                    <bold>Response: </bold>We have expanded the introduction to include many of the suggested topics in the reviewer&#x2019;s comment (lines 59-62, 67, and 74-83).</p>
                <p> </p>
                <p> 3. I also find the title/research question (Are gold journals worth it?) to be confusing as the article never really investigate more than research impact, which is only one of the facets (and I would argue it is the shallowest) of what makes OA/open science a more ethical choice. Furthermore, this link between research impact and publishing in OA journals is based on highly controversial and flawed journal-based metrics such as the impact factor and citescore, which are not a good predictor of individual article impact because the distribution of citations among journal articles is highly skewed (see Larivi&#x00e8;re and Sugimoto, 2018 [Ref 3]). Another problem with the design is that it doesn&#x2019;t not take into consideration the fact that hybrid OA articles can also be OA (via green or APC payment), and generally benefit from greater historical prestige than gold journals. Multiple studies have shown that green OA papers tend to receive more citations on average than other types of OA for that reason (e.g. Piwowar et al. 2018).</p>
                <p> 
                    <bold>Response: </bold>After the extensive revision that made to the manuscript, we have also revised the title to reflect the content and the consideration of the impact at the journal level rather than at the article level. We discussed the controversy regarding OA publishing based on the suggested reference (Sugimoto and Larivi&#x00e8;re) and another reference (Casadevall, et al) in the introduction (lines 78-83), as well as in the discussion (lines 272-278). Regarding the last point of considering that hybrid journals also have gold OA option, we have already acknowledged this as one of the limitations of our study (lines 284-287).</p>
                <p> </p>
                <p> 4. In my opinion, the discussion/conclusion sections raise some valid points, but they are often too superficial and could use more depth and comprehension of the complex market forces at play. For instance, calling on gold OA publishers to lower APCs, while noble, is not a realistic or a sustainable approach because it doesn&#x2019;t consider the for-profit nature of the system and how these actors are taking advantage of OA to generate more profits (e.g. see Butler et al. 2023 [Ref 2]). There is also very little criticism of the hybrid model (and no APC average, when previous research has shown that they are higher than gold), when it is arguably even worse than gold journals: their APCs are higher, they charge both readers and authors, and are also parts of unsustainable transformative agreements. Why not also call them out on reducing their APC/subscription/transformative agreement prices?</p>
                <p> 
                    <bold>Response: </bold>We completely agree with the argument presented by the reviewer. Therefore, and to address this comment, we added to the introduction the concern regarding the high APCs of hybrid journals and the high prices of transformative agreements (lines 59-62). Additionally, we also added this argument and the call to reduce these fees by hybrid journals in the same paragraph that called gold OA journals to reduce their APCs in the discussion (lines 265-271).</p>
                <p> </p>
                <p> 5. The abstract makes the false assumption that hybrid and gold are the most popular open access models, when both green and diamond are essentially just as big as the other two. The main difference is that they are generally not-for-profit, so they don&#x2019;t benefit from the same visibility or attention as the other two models.</p>
                <p> 
                    <bold>Response: </bold>We edited the sentence and removed &#x201c;the most&#x201d; before &#x201c;common publishing models (line 2).</p>
                <p> </p>
                <p> 6. There are some minor false information or assumption about OA: 
                    <list list-type="bullet">
                        <list-item>
                            <p>Green OA doesn&#x2019;t necessarily mean embargos</p>
                        </list-item>
                        <list-item>
                            <p>Green OA and page charges: green OA is free for authors in the vast majority of cases.</p>
                        </list-item>
                        <list-item>
                            <p>Green OA is allowed by the vast majority of publishers</p>
                        </list-item>
                        <list-item>
                            <p>Not all journals ask for APCs. There are more than 25 000 diamond OA journals (e.g. see Khanna et al. 2023 [Ref 1] or the Directory of open access journals).</p>
                        </list-item>
                    </list> 
                    <bold>Response: </bold>We corrected the information presented in the introduction regarding green OA and added appropriate citations (lines 33-38). We also added to the discussion a part discussing diamond OA and the number of journals adopting this model of publishing (lines 258-265).</p>
                <p> </p>
                <p> 7. Ultimately, I appreciate what the authors were trying to accomplish with this study, but I do believe that some major flaws in the study design (e.g. focusing on journal-based metrics) and assumptions that were made (e.g. ignoring specific factors about hybrid OA) hold it back to the point where I cannot approve of this article.</p>
                <p> 
                    <bold>Response: </bold>We appreciate the reviewer&#x2019;s feedback. As mentioned above, we have extensively revised the manuscript to describe the results from the journal-level perspective. We also added to the discussion the arguments regarding the financial barriers posed by both gold OA and hybrid journals. We hope that these revisions have improved the manuscript and its credibility.</p>
                <p> </p>
                <p> </p>
                <p> Respectfully;</p>
                <p> The corresponding author</p>
            </body>
        </sub-article>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report352802">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.175295.r352802</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Bouter</surname>
                        <given-names>Lex</given-names>
                    </name>
                    <xref ref-type="aff" rid="r352802a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-2659-5482</uri>
                </contrib>
                <aff id="r352802a1">
                    <label>1</label>Vrije Universiteit Amsterdam, Amsterdam, North Holland, The Netherlands</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>6</day>
                <month>1</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Bouter L</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport352802" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.159550.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>reject</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>In this article 201 hybrid and 201 gold medical open access journals are compared in terms of several citation-based indicators. The findings indicate that gold open access journals have a slightly higher Impact Factor and are more likely to be in Quartile 1 of Scopus. Strangely that first key finding is not mentioned in the abstract, while the second finding is formulated in a confusing way (&#x2018;&#x2026;wasn&#x2019;t significantly associated..&#x201d;).</p>
            <p> The narrative is somewhat difficult to follow, as there is a disconnect between the research question and the design of the study. The title (&#x2018;Is publishing gold open-access worth it?&#x2019;) doesn&#x2019;t state for whom this question will be answered. It turns out to boil down to the question whether the Article Processing Charge (APC) offers value for money in terms of impact from the author perspective. And this is where the disconnect comes in: the authors study impact at journal level, while authors will be interested in impact at article level. The problem is that indicators like the Impact Factor and other journal level indicators are poor predictors of the number of citations which a specific article in the journal at issue will get. There seems to be a growing consensus that gold open access publication leads to more citations and more citation diversity compared to paywalled publications. (See: Jeffrey Brainard. Open-access papers draw more citations from a broader readership. Science 24 January 2024. 
                <ext-link ext-link-type="uri" xlink:href="https://www.science.org/content/article/open-access-papers-draw-more-citations-broader-readership">https://www.science.org/content/article/open-access-papers-draw-more-citations-broader-readership</ext-link> ).</p>
            <p> But there are more reasons why the study design is less suitable to answer the research question: 
                <list list-type="bullet">
                    <list-item>
                        <p>Hybrid journals are a mix of gold open access and paywalled publications, which diminishes the contrast studied.</p>
                    </list-item>
                    <list-item>
                        <p>There are many differences between the included hybrid and gold open access journals that render causal interpretations very difficult. A much better study design would consist of a comparison between gold open access publications to a carefully matched group of similar paywalled publications.</p>
                    </list-item>
                    <list-item>
                        <p>No mention is made of open methods (preregistration, study protocol in public repository) or open data. Please repair or explain why this is not done.</p>
                    </list-item>
                    <list-item>
                        <p>Some indicators studied seem to concern absolute counts of citations. This is strange as the total number of articles will differ substantially between journals.</p>
                    </list-item>
                </list> Insufficient attention is given to the fact that from the perspective of authors both gold open access publications and paywalled publications suffer from financial barriers, as for both types of publications costs are involved that may be difficult to bear for authors or their institutions: APCs or journal subscriptions, respectively. The way forward might be diamond open access, but that promising solution is not mentioned in the article. The authors say that green open access involves page charges, which is not the case. (See e.g.: Open Access Network. 
                <ext-link ext-link-type="uri" xlink:href="https://open-access.network/en/information/open-access-primers/green-and-gold">https://open-access.network/en/information/open-access-primers/green-and-gold</ext-link>) Green open access (self-archiving), however, is correctly advocated as a way to make paywalled publications available for everyone, although that approach has a few disadvantages in terms of accessibility and sustainability.</p>
            <p> Finally, I sympathize with the plea to lower APC, but don&#x2019;t see the connection to the findings of the study. In summary, the research question cannot be answered well with the study design at issue and already seems to be answered by others.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>No</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Partly</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>No</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>No</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>No</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>No</p>
            <p>Reviewer Expertise:</p>
            <p>Research Integrity, Open Science, Methodology</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to state that I do not consider it to be of an acceptable scientific standard, for reasons outlined above.</p>
        </body>
        <sub-article article-type="response" id="comment13633-352802">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Thabit</surname>
                            <given-names>Abrar</given-names>
                        </name>
                        <aff>Pharmacy Practice Department, King Abdulaziz University, Jeddah, Makkah Province, Saudi Arabia</aff>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>26</day>
                    <month>3</month>
                    <year>2025</year>
                </pub-date>
            </front-stub>
            <body>
                <p>Dear Prof. Bouter,</p>
                <p> </p>
                <p> We would like to thank you for taking the time to review and evaluate our manuscript. We have addressed all your comments and have revised the manuscript accordingly. An updated version of the manuscript highlighting the changes is attached. Please find below the responses to your comments.</p>
                <p> </p>
                <p> 
                    <bold>1. In this article 201 hybrid and 201 gold medical open access journals are compared in terms of several citation-based indicators. The findings indicate that gold open access journals have a slightly higher Impact Factor and are more likely to be in Quartile 1 of Scopus. Strangely that first key finding is not mentioned in the abstract, while the second finding is formulated in a confusing way (&#x2018;&#x2026;wasn&#x2019;t significantly associated..&#x201d;).</bold>
                </p>
                <p> 
                    <bold>Response: </bold>We added the slight difference in IF; however, it was actually the hybrid journals that tended to have Q1 ranking in Scopus more than gold OA journals. We added both results to the abstract (lines 12-14).</p>
                <p> </p>
                <p> 
                    <bold>2.&#x00a0;The narrative is somewhat difficult to follow, as there is a disconnect between the research question and the design of the study. The title (&#x2018;Is publishing gold open-access worth it?&#x2019;) doesn&#x2019;t state for whom this question will be answered. It turns out to boil down to the question whether the Article Processing Charge (APC) offers value for money in terms of impact from the author perspective. And this is where the disconnect comes in: the authors study impact at journal level, while authors will be interested in impact at article level. The problem is that indicators like the Impact Factor and other journal level indicators are poor predictors of the number of citations which a specific article in the journal at issue will get. There seems to be a growing consensus that gold open access publication leads to more citations and more citation diversity compared to paywalled publications. (See: Jeffrey Brainard. Open-access papers draw more citations from a broader readership. Science 24 January 2024. https://www.science.org/content/article/open-access-papers-draw-more-citations-broader-readership).</bold>
                </p>
                <p> 
                    <bold>Response: </bold>We highly appreciate the reviewer&#x2019;s highlight and the differentiation between the article level vs. the journal&#x2019;s level impact, particularly in terms of citation and the diversity of citations. While we did emphasize the impact of the model on the impact at the journal level, we have edited the claims that our findings have an impact at the article level and changed them to reflect the impact at the journal level. We have revised the manuscript, including the title, to reflect that our work focused on the impact at the journal level rather than at the article level (lines 74-83 in the introduction, as well as lines 152 and 220 in the discussion). We also cited the suggested article in the updated objective statement (line 78). In addition, we added to the discussion a paragraph on the differentiation between the two levels of impact and cited some of the studies mentioned in the article you kindly provided (lines 193-214).</p>
                <p> </p>
                <p> 
                    <bold>3. But there are more reasons why the study design is less suitable to answer the research question:</bold> 
                    <list list-type="bullet">
                        <list-item>
                            <p>
                                <bold>Hybrid journals are a mix of gold open access and paywalled publications, which diminishes the contrast studied.</bold>
                            </p>
                        </list-item>
                        <list-item>
                            <p>
                                <bold>There are many differences between the included hybrid and gold open access journals that render causal interpretations very difficult. A much better study design would consist of a comparison between gold open access publications to a carefully matched group of similar paywalled publications.</bold>
                            </p>
                        </list-item>
                        <list-item>
                            <p>
                                <bold>No mention is made of open methods (preregistration, study protocol in public repository) or open data. Please repair or explain why this is not done.</bold>
                            </p>
                        </list-item>
                        <list-item>
                            <p>
                                <bold>Some indicators studied seem to concern absolute counts of citations. This is strange as the total number of articles will differ substantially between journals.</bold>
                            </p>
                        </list-item>
                    </list> 
                    <bold> Response: </bold>Thank you for this extensive note. As in the case of any published research, limitations to the methodology can exist. 
                    <list list-type="bullet">
                        <list-item>
                            <p>We have already acknowledged the first point as one of the study limitations (lines 284-287).</p>
                        </list-item>
                        <list-item>
                            <p>Regarding the second point, we did intend to include a random sample of journals. In order to control for the potential confounders and as an alternative to matching, we conducted multinomial logistic regression as described in the statistical analysis subsection of the methods. We added this justification to lines 128-129. However, we also added your point to the limitations as another way to control the confounders (lines 291-294).</p>
                        </list-item>
                        <list-item>
                            <p>Regarding the third point, we added a clarification that only &#x201c;peer-reviewed&#x201d; journals (which are indexed in WOS and Scopus) were included. As such, the listed examples were excluded since they&#x2019;re not typically indexed (lines 89-92).</p>
                        </list-item>
                        <list-item>
                            <p>We agree that the total number of articles and the number of citations should be considered together, which was resolved by the advent of IF and CiteScore. We added a footnote to Table 1 regarding this issue. We also removed from the main text of the results &#x201c;number of citations&#x201d; to avoid highlighting it as one of the key findings. Lastly, we removed from the discussion the paragraph commenting on the difference in the total number of citations between the two groups (lines 229-233). We also added a relevant discussion on this matter to lines 272-278 of the discussion.</p>
                        </list-item>
                    </list> 
                    <bold>4. Insufficient attention is given to the fact that from the perspective of authors both gold open access publications and paywalled publications suffer from financial barriers, as for both types of publications costs are involved that may be difficult to bear for authors or their institutions: APCs or journal subscriptions, respectively. The way forward might be diamond open access, but that promising solution is not mentioned in the article. The authors say that green open access involves page charges, which is not the case. (See e.g.: Open Access Network. https://open-access.network/en/information/open-access-primers/green-and-gold) Green open access (self-archiving), however, is correctly advocated as a way to make paywalled publications available for everyone, although that approach has a few disadvantages in terms of accessibility and sustainability.</bold>
                </p>
                <p> 
                    <bold>Response: </bold>We agree that we haven&#x2019;t given diamond OA sufficient attention and emphasized its importance given the financial barriers associated with both gold OA and subscription-based publishing. Therefore and to fill this gap, we added to the introduction a sentence defining diamond OA (lines 32-33). We also edited the statements defining green OA in the introduction and added the appropriate citations including the website suggested by the reviewer (lines 33-38). Moreover, we added a part discussing diamond OA and its importance in overcoming the financial barriers to the discussion section in comparison to gold OA and subscription-based publishing (lines 258-265).</p>
                <p> </p>
                <p> </p>
                <p> 
                    <bold>5. Finally, I sympathize with the plea to lower APC, but don&#x2019;t see the connection to the findings of the study. In summary, the research question cannot be answered well with the study design at issue and already seems to be answered by others.</bold>
                </p>
                <p> 
                    <bold>Response: </bold>After adding the part discussing diamond OA and that it is still growing with a very limited number of journals adopting it compared with the number of gold OA journals, we believe that the context and the flow of this paragraph in the discussion provides a justification for this plea (lines 247-271).</p>
                <p> </p>
                <p> </p>
                <p> Respectfully;</p>
                <p> The corresponding author</p>
            </body>
        </sub-article>
    </sub-article>
</article>
