aiming for a TOFR of 1.0. 13,14 Train-of-four ratio should be normalised by baseline values when calibrated acceleromyography is used. 13 Second, the dosage of the reversal drug should be titrated according to the level of neuromuscular block, following recommendations and avoiding underdosage. 3 Declarations of interestMC has received payments for lectures from Merck Sharp & Dohme, Rome, Italy. The other authors declare no conflicts of interest.

Highlights The AAS is a useful tool to predict future citation counts for oncology publications in gynecologic oncology. A hybrid metric using impact factor and AAS may help to predict academic influence on a broader scale. In addition to impact factor, AAS may be used by journals to enhance interest in subscriptions. AAS may be another metric used to assess the quality of publications.