I appreciate Dr. Kissin’s interest in the Anesthesiology editorial which described, in the context of authorship integrity, escalating author counts in academic journals. He wonders whether escalating author count is also common among anesthesia publications. He cites his own article on “the most influential original clinical articles that fomented important developments in anesthesiology over the past 50 yr.” He concludes that there has been “some increase” in author numbers, that the rise in the average number of authors per article was much less than that in three major general medical journals, that significant multiauthorship was not observed, and the top count did not exceed 11 authors.

The analysis of Dr. Kissin is only partial. First, the analysis in his letter stops at 2007, yet his own article, used as the basis for his letter, analyzes to 2015. Second, the analysis in his article was not...

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