“…Moreover, a highly cited paper in a specialty journal may not necessarily be well known to practicing clinicians. The actual impact of articles published in the International Journal of Clinical Practice may be better quantified using other metrics such as downloads, explored in part in a prior editorial . Altmetrics is another way of assessing impact; the Altmetric score is calculated using an algorithm considering mentions of the article in the news, blogs, Twitter, Facebook, Wikipedia, YouTube and other popular media sources …”