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01). The most common year of publication was 2002 (n = 1, and the most common country of origin was the United States (n = 4. Higher citation rates were associated with more recent articles (P less then 0.01) and more authors (P less then 0.01). CONCLUSIONS In the 100 most cited articles about NPH, there has been a distinct shift toward a more globalized effort in recent decades. The lack of more impactful articles in recent decades highlights that particular classic studies still penetrate practice and the possible need to reconsider