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Using 616 Web of Science Core Collection papers, the study applies CiteSpace and VOSviewer to analyze relationships among authors, journals, institutions, countries, keywords, and citations. Results identify the Public Library of Science as the most productive publisher and highlight the United States, China, and South Korea as leading contributors. Emerging hotspot themes include diet, obesity, insulin resistance, and intestinal flora, with bariatric surgery proposed as a promising future direction.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/global-trends-in-colorectal-cancer-and-metabolic-syndrome-research-a-bibliometric-and-visualization-analysis/330823/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/global-trends-in-colorectal-cancer-and-metabolic-syndrome-research-a-bibliometric-and-visualization-analysis/330823.png","ImageObject",300,407,{"name":92,"@type":93},"Violet","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-23","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Which databases and tools are used in the bibliometric analysis?","Question",{"text":112,"@type":113},"The study analyzes 616 publications from the Web of Science Core Collection (WoSCC). CiteSpace and VOSviewer are used for correlation and visualization of authors, journals, institutions, countries, keywords, and citations.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What publication and country patterns are reported?",{"text":117,"@type":113},"The Public Library of Science has the highest number of publications. The United States, China, and South Korea are identified as the most contributory nations.",{"name":119,"@type":110,"acceptedAnswer":120},"What topics are highlighted as current research hotspots?",{"text":121,"@type":113},"The mechanisms connecting MetS with CRC—diet, obesity, insulin resistance, and intestinal flora—are described as a growing research area. 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Nonetheless, no systematic analysis or visualization of relevant publications has been conducted via bibliometrics. This research, centred on 616 publications obtainable through the Web of Science Core Collection (WoSCC), employed CiteSpace software and VOSviewer software for correlation analyses of authors, journals, institutions, countries, keywords, and citations. The findings indicate that the Public Library of Science had the highest number of publications, while the United States, China, and South Korea were the most contributory nations. Recent years have seen the mechanisms linking Metabolic Syndrome with Colorectal Cancer, including diet, obesity, insulin resistance, and intestinal flora, remain a burgeoning research area. Furthermore, bariatric surgery appears to be a promising new area of study. This paper presents the initial bibliometric and visualization analysis of research literature concerning CRC and MetS which examines research trends and hotspots.  \nKeywords: bibliometrics, citespace, colorectal cancer, metabolic syndrome, VOSviewer  \nIntroduction  \nCRC is the third most prevalent cancer in the world and, at the same time, it is one of the major treatable cancers[1,2] . MetS is an abnormality of metabolism including obesity, hypertension, insulin resistance, dyslipidemia and hyperglycemia [3–5] . MetS has been linked with about 13% increased risk of CRC. Obesity is an established risk factor for CRC and affects almost all major pathways of colorectal carcinogenesis, although the underlying mechanisms have not been fully elucidated[6–8] . For every 5 kg/m2 increase in body-mass index (BMI), the risk of obesity-related cancers increases by 24% for men and 9% for women[9] . MetSand its components are strongly associated with developing CRC.  \nDepartment of Anorectal Surgery, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, People’s Republic of China  \nSponsorships or competing interests that maybe relevant to content are disclosed atthe end of this article.  \n*Corresponding author. Address: The Affiliated Hospital of Nanjing University of Chinese Medicine, 155 Hanzhong Road, Qinhuai District, Nanjing 210023, People’s Republic of China. Tel.: +86 [184 082 935 58. E-mail: danaezhang @163.com](184 082 935 58. E-mail: danaezhang @163.com)[ ](184 082 935 58. E-mail: danaezhang @163.com)(D. Zhang), and Tel.:+86 [184 082 935 58. E-mail address: haihuaqian@126.com](184 082 935 58. E-mail address: haihuaqian@126.com)[ ](184 082 935 58. E-mail address: haihuaqian@126.com)(H.-H. Qian).  \nCopyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0, which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms.  \nInternational Journal of Surgery (2024) 110:3723–3733  \nReceived 16 November 2023; Accepted 4 March 2024  \nSupplemental Digital Content is available for this article. Direct URL citations are provided in the HTML and PDF versions of this article on the journal's website, [www.lww.com/international-journal-of-surgery](www.lww.com/international-journal-of-surgery).  \nPublished online 18 March 2024  \n[http://dx.doi.org/10.1097/JS9.0000000000001342](http://dx.doi.org/10.1097/JS9.0000000000001342)  \nHIGHLIGHTS  \n• This study provides the first bibliometric analysis and visualization of the field related to CRC and MetS.  \n• This research discovered that, besides CRC, Met","cbCaid9VzBsGAxVp","https://ap.wps.com/l/cbCaid9VzBsGAxVp","pdf",1142138,11,"English","# Abstract\n# Keywords\n# Introduction\n# Highlights\n## Research contributions and key associations\n## Research hotspots and leading countries","[{\"question\":\"Which databases and tools are used in the bibliometric analysis?\",\"answer\":\"The study analyzes 616 publications from the Web of Science Core Collection (WoSCC). CiteSpace and VOSviewer are used for correlation and visualization of authors, journals, institutions, countries, keywords, and citations.\"},{\"question\":\"What publication and country patterns are reported?\",\"answer\":\"The Public Library of Science has the highest number of publications. The United States, China, and South Korea are identified as the most contributory nations.\"},{\"question\":\"What topics are highlighted as current research hotspots?\",\"answer\":\"The mechanisms connecting MetS with CRC—diet, obesity, insulin resistance, and intestinal flora—are described as a growing research area. Bariatric surgery is also presented as a promising new hotspot.\"}]","Global trends in colorectal cancer and metabolic syndrome research: a bibliometric and visualization analysis | PDF",1789990321,28]