{"id":"https://openalex.org/W1959890641","doi":"https://doi.org/10.17615/c5h5-se74","title":"Osteoarthritis and Sleep: The Johnston County Osteoarthritis Project","display_name":"Osteoarthritis and Sleep: The Johnston County Osteoarthritis Project","publication_year":2008,"publication_date":"2008-01-01","ids":{"openalex":"https://openalex.org/W1959890641","doi":"https://doi.org/10.17615/c5h5-se74","mag":"1959890641","pmid":"https://pubmed.ncbi.nlm.nih.gov/18484690","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4800314"},"language":"en","primary_location":{"id":"pmid:18484690","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18484690","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of rheumatology","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["datacite","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4800314","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160546062","display_name":"JORDAN RENNER","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210089489","display_name":"Health Services Research & Development","ror":"https://ror.org/0083hz885","country_code":"US","type":"facility","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210089489"]},{"id":"https://openalex.org/I4210139568","display_name":"Durham VA Medical Center","ror":"https://ror.org/034adnw64","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210119589","https://openalex.org/I4210139568","https://openalex.org/I4210159720"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"RENNER, JORDAN","raw_affiliation_strings":["Health Services Research and Development Service, Durham Veterans Affairs Medical Center, Durham, North Carolina, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Services Research and Development Service, Durham Veterans Affairs Medical Center, Durham, North Carolina, USA","institution_ids":["https://openalex.org/I4210089489","https://openalex.org/I4210139568"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160420256","display_name":"CHARLES HELMICK","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"HELMICK, CHARLES","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160438832","display_name":"KELLI ALLEN","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"ALLEN, KELLI","raw_affiliation_strings":["University of North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of North Carolina","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160439747","display_name":"BRENDA DEVELLIS","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"DEVELLIS, BRENDA","raw_affiliation_strings":["Centers for Disease Control & Prevention"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centers for Disease Control & Prevention","institution_ids":["https://openalex.org/I1289490764"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036149017","display_name":"Joanne M. Jordan","orcid":"https://orcid.org/0000-0003-2469-9955","observed_orcids":["https://orcid.org/0000-0003-2469-9955"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"JORDAN, JOANNE","raw_affiliation_strings":["Rheumatology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rheumatology","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.8649,"has_fulltext":true,"cited_by_count":142,"citation_normalized_percentile":{"value":0.92066727,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":99},"biblio":{"volume":"35","issue":"6","first_page":"1102","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10316","display_name":"Sleep and related disorders","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10316","display_name":"Sleep and related disorders","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10234","display_name":"Obstructive Sleep Apnea Research","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/osteoarthritis","display_name":"osteoarthritis","score":0.9950000047683716},{"id":"https://openalex.org/keywords/sleep-disturbance","display_name":"sleep disorders","score":0.8159999847412109},{"id":"https://openalex.org/keywords/insomnia","display_name":"insomnia","score":0.9179999828338623},{"id":"https://openalex.org/keywords/insufficient-sleep","display_name":"insufficient sleep","score":0.972000002861023},{"id":"https://openalex.org/keywords/hip-osteoarthritis","display_name":"hip osteoarthritis","score":0.9179999828338623},{"id":"https://openalex.org/keywords/knee-osteoarthritis","display_name":"knee osteoarthritis","score":1.0},{"id":"https://openalex.org/keywords/depressive-symptoms","display_name":"depressive symptoms","score":0.6520000100135803},{"id":"https://openalex.org/keywords/self-rated-health","display_name":"self-rated health","score":0.9049999713897705},{"id":"https://openalex.org/keywords/obesity","display_name":"obesity","score":0.656000018119812},{"id":"https://openalex.org/keywords/sleep-screening","display_name":"sleep screening","score":0.7139999866485596}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8453286290168762},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.8115354776382446},{"id":"https://openalex.org/C2781210498","wikidata":"https://www.wikidata.org/wiki/Q1869874","display_name":"Insomnia","level":2,"score":0.7223904728889465},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6657257676124573},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.6270847320556641},{"id":"https://openalex.org/C1513209611","wikidata":"https://www.wikidata.org/wiki/Q177190","display_name":"Sleep disorder","level":3,"score":0.6019155979156494},{"id":"https://openalex.org/C2775841894","wikidata":"https://www.wikidata.org/wiki/Q4683692","display_name":"Sleep (system call)","level":2,"score":0.5777624845504761},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.559462308883667},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.5027422904968262},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.4850141704082489},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3214138150215149},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.23712259531021118},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006306","descriptor_name":"Health Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007319","descriptor_name":"Sleep Initiation and Maintenance Disorders","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009657","descriptor_name":"North Carolina","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010003","descriptor_name":"Osteoarthritis","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D016017","descriptor_name":"Odds Ratio","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"pmid:18484690","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18484690","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of rheumatology","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:3767501","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4800314","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:4800314","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4800314/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"J Rheumatol","raw_type":"Text"},{"id":"pmh:cdr.lib.unc.edu:b27744159","doi":null,"is_oa":true,"landing_page_url":"https://doi.org/10.17615/c5h5-se74","pdf_url":"https://cdr.lib.unc.edu/downloads/js956q33p","source":{"id":"https://openalex.org/S4306401075","display_name":"Carolina Digital Repository (University of North Carolina at Chapel Hill)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I114027177","host_organization_name":"University of North Carolina at Chapel Hill","host_organization_lineage":["https://openalex.org/I114027177"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"The Journal of Rheumatology, 35(6)","raw_type":"Article"},{"id":"doi:10.17615/c5h5-se74","doi":"https://doi.org/10.17615/c5h5-se74","is_oa":true,"landing_page_url":"https://doi.org/10.17615/c5h5-se74","pdf_url":null,"source":{"id":"https://openalex.org/S7407051488","display_name":"UNC Libraries","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"},{"id":"mag:1959890641","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18484690","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:europepmc.org:3767501","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4800314","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Text"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G6812699861","display_name":"NIAMS Multidisciplinary Clin Res Ctr: Rheumatic Diseases","funder_award_id":"P60AR049465","funder_id":"https://openalex.org/F4320337362","funder_display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases"},{"id":"https://openalex.org/G7801229591","display_name":"MULTIPURPOSE ARTHRITIS &MUSCULOSKELETAL DISEASES CENTER","funder_award_id":"P60AR030701","funder_id":"https://openalex.org/F4320337362","funder_display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases"},{"id":"https://openalex.org/G8125002010","display_name":null,"funder_award_id":"S1734","funder_id":"https://openalex.org/F4320332162","funder_display_name":"Centers for Disease Control and Prevention"},{"id":"https://openalex.org/G8384987212","display_name":null,"funder_award_id":"S3486","funder_id":"https://openalex.org/F4320332162","funder_display_name":"Centers for Disease Control and Prevention"},{"id":"https://openalex.org/G85598970","display_name":null,"funder_award_id":"5-P60-AR49465-03","funder_id":"https://openalex.org/F4320337362","funder_display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases"},{"id":"https://openalex.org/G992156627","display_name":null,"funder_award_id":"5-P60-AR30701","funder_id":"https://openalex.org/F4320332162","funder_display_name":"Centers for Disease Control and Prevention"}],"funders":[{"id":"https://openalex.org/F4320332162","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12"},{"id":"https://openalex.org/F4320337362","display_name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","ror":"https://ror.org/006zn3t30"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1959890641.pdf","grobid_xml":"https://content.openalex.org/works/W1959890641.grobid-xml"},"referenced_works_count":25,"referenced_works":["https://openalex.org/W70810410","https://openalex.org/W71221305","https://openalex.org/W1509154093","https://openalex.org/W1559908350","https://openalex.org/W1814964269","https://openalex.org/W1937361486","https://openalex.org/W1966654150","https://openalex.org/W1969313589","https://openalex.org/W1977975426","https://openalex.org/W1989196947","https://openalex.org/W1994020405","https://openalex.org/W2002504838","https://openalex.org/W2004508592","https://openalex.org/W2044329441","https://openalex.org/W2054139678","https://openalex.org/W2067000030","https://openalex.org/W2076436295","https://openalex.org/W2104843608","https://openalex.org/W2109443157","https://openalex.org/W2124052130","https://openalex.org/W2134867379","https://openalex.org/W2142606962","https://openalex.org/W2148230248","https://openalex.org/W2168066938","https://openalex.org/W2331984239"],"related_works":["https://openalex.org/W2939145754","https://openalex.org/W4409783956","https://openalex.org/W4410294464","https://openalex.org/W7135016209","https://openalex.org/W4294415504","https://openalex.org/W4394927945","https://openalex.org/W2791200924","https://openalex.org/W4394928748","https://openalex.org/W2111079817","https://openalex.org/W2755614367"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Little":[1],"is":[2],"known":[3],"about":[4],"the":[5,16,53],"association":[6],"of":[7,20,90,108,115,142,183,188,216,240],"symptomatic":[8,29,46,116,177],"osteoarthritis":[9],"(OA)":[10],"with":[11,26,45,118,139,172,176,212,229],"sleep":[12,22,59,78,92,109,119,144,161,173,213,221,236],"disturbance.":[13],"We":[14],"compared":[15],"prevalence":[17],"and":[18,27,76,105,128,159,185,190,206,226],"severity":[19],"current":[21],"problems":[23,120],"among":[24],"individuals":[25],"without":[28],"hip":[30,47,133,205],"or":[31,48,73,84,95,134],"knee":[32,49,135,207],"OA":[33,117,136,178,208,230],"in":[34,167,200],"a":[35],"large,":[36],"community-based":[37],"sample.":[38],"METHODS:":[39],"Participants":[40],"(N":[41],"=":[42],"2682,":[43],"28%":[44],"OA)":[50],"were":[51,61,102,196],"from":[52],"Johnston":[54],"County":[55],"Osteoarthritis":[56],"Project.":[57],"Six":[58],"variables":[60],"grouped":[62],"into":[63],"2":[64],"categories:":[65],"insomnia":[66,153,189],"(trouble":[67],"falling":[68],"asleep,":[69,72],"trouble":[70],"staying":[71],"waking":[74],"early)":[75],"insufficient":[77,96,160,191],"(daytime":[79],"sleepiness,":[80],"not":[81,85,197],"enough":[82],"sleep,":[83,192],"feeling":[86],"rested).":[87],"The":[88],"presence":[89],"any":[91,143],"problem":[93,145],"(insomnia":[94],"sleep)":[97],"was":[98,137],"also":[99],"assessed,":[100],"as":[101,238],"annual":[103,184],"frequency":[104],"cumulative":[106,186],"days":[107,187],"problems.":[110],"Adjusted":[111],"models":[112],"examined":[113],"associations":[114,195],"controlling":[121],"for":[122,235],"demographic":[123],"characteristics,":[124],"obesity,":[125],"self-reported":[126],"health,":[127],"depressive":[129],"symptoms.":[130],"RESULTS:":[131],"Symptomatic":[132,204],"associated":[138,211],"increased":[140],"odds":[141],"(odds":[146],"ratio":[147],"1.25,":[148],"95%":[149,156,164],"confidence":[150],"interval":[151],"1.02-1.54),":[152],"(OR":[154,162],"1.29,":[155],"CI":[157,165],"1.07-1.56),":[158],"1.35,":[163],"1.12-1.62)":[166],"adjusted":[168,201],"models.":[169,202],"Among":[170],"participants":[171],"problems,":[174,214],"those":[175],"reported":[179],"higher":[180],"median":[181],"numbers":[182],"although":[193],"these":[194],"statistically":[198],"significant":[199],"CONCLUSION:":[203],"are":[209],"significantly":[210],"independent":[215],"other":[217],"factors":[218],"related":[219],"to":[220],"difficulties,":[222],"including":[223],"self-rated":[224],"health":[225],"depression.":[227],"Patients":[228],"should":[231],"be":[232],"regularly":[233],"screened":[234],"disturbance":[237],"part":[239],"routine":[241],"care.":[242]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":9},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":13},{"year":2022,"cited_by_count":10},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":12},{"year":2019,"cited_by_count":10},{"year":2018,"cited_by_count":9},{"year":2017,"cited_by_count":8},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":7},{"year":2012,"cited_by_count":11}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}
