{"id":"https://openalex.org/W2556900435","doi":null,"title":"Serious Pathologies in the Lumbar Spine: Prevalence and Diagnostic Accuracy of Red Flag Questions","display_name":"Serious Pathologies in the Lumbar Spine: Prevalence and Diagnostic Accuracy of Red Flag Questions","publication_year":2016,"publication_date":"2016-01-01","ids":{"openalex":"https://openalex.org/W2556900435","mag":"2556900435"},"language":"en","primary_location":{"id":"pmh:oai:openrepository.aut.ac.nz:10292/10216","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10292/10216","pdf_url":"https://openrepository.aut.ac.nz/bitstreams/49b41638-6c89-4278-a3f7-5a4f3781a8e1/download","source":{"id":"https://openalex.org/S4306401809","display_name":"Tuwhera (Auckland University of Technology)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I39854758","host_organization_name":"Auckland University of Technology","host_organization_lineage":["https://openalex.org/I39854758"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://openrepository.aut.ac.nz/bitstreams/49b41638-6c89-4278-a3f7-5a4f3781a8e1/download","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072561120","display_name":"Kathryn J. Street","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Kathryn J. Street","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5072561120"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.5746999979019165,"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"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.5746999979019165,"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"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.4196999967098236,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"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/T13555","display_name":"Healthcare cost, quality, practices","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"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/low-back-pain","display_name":"low back pain","score":0.9670000076293945},{"id":"https://openalex.org/keywords/lumbar-spine","display_name":"lumbar spine","score":0.7710000276565552},{"id":"https://openalex.org/keywords/vertebral-fractures","display_name":"vertebral fractures","score":0.8859999775886536},{"id":"https://openalex.org/keywords/spinal-infection","display_name":"spinal infection","score":0.5899999737739563},{"id":"https://openalex.org/keywords/cauda-equina-syndrome","display_name":"cauda equina syndrome","score":0.9409999847412109},{"id":"https://openalex.org/keywords/prevalence","display_name":"prevalence","score":0.7149999737739563},{"id":"https://openalex.org/keywords/incidence","display_name":"incidence","score":0.8970000147819519},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.9890000224113464},{"id":"https://openalex.org/keywords/screening","display_name":"screening","score":0.47200000286102295},{"id":"https://openalex.org/keywords/lumbar-spine-mri","display_name":"lumbar spine MRI","score":0.8529999852180481},{"id":"https://openalex.org/keywords/secondary-and-tertiary-care","display_name":"secondary and tertiary care","score":0.5860000252723694},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.4449999928474426},{"id":"https://openalex.org/keywords/ethnic-differences","display_name":"ethnic differences","score":0.5540000200271606},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.49300000071525574},{"id":"https://openalex.org/keywords/missed-diagnosis","display_name":"missed diagnosis","score":0.7570000290870667}],"concepts":[{"id":"https://openalex.org/C2776730729","wikidata":"https://www.wikidata.org/wiki/Q1392130","display_name":"Flag (linear algebra)","level":3,"score":0.8744639754295349},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5651752352714539},{"id":"https://openalex.org/C3017433307","wikidata":"https://www.wikidata.org/wiki/Q405478","display_name":"Lumbar spine","level":2,"score":0.5545887351036072},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.4670628011226654},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.33779653906822205},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.30735498666763306},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.23015326261520386},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.1270575225353241},{"id":"https://openalex.org/C202444582","wikidata":"https://www.wikidata.org/wiki/Q837863","display_name":"Pure mathematics","level":1,"score":0.0},{"id":"https://openalex.org/C136119220","wikidata":"https://www.wikidata.org/wiki/Q1000660","display_name":"Algebra over a field","level":2,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:oai:openrepository.aut.ac.nz:10292/10216","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10292/10216","pdf_url":"https://openrepository.aut.ac.nz/bitstreams/49b41638-6c89-4278-a3f7-5a4f3781a8e1/download","source":{"id":"https://openalex.org/S4306401809","display_name":"Tuwhera (Auckland University of Technology)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I39854758","host_organization_name":"Auckland University of Technology","host_organization_lineage":["https://openalex.org/I39854758"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},{"id":"pmh:oai:aut.researchgateway.ac.nz:10292/10216","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10292/10216","pdf_url":null,"source":{"id":"https://openalex.org/S4306401809","display_name":"Tuwhera (Auckland University of Technology)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I39854758","host_organization_name":"Auckland University of Technology","host_organization_lineage":["https://openalex.org/I39854758"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis"},{"id":"mag:2556900435","doi":null,"is_oa":false,"landing_page_url":"https://aut.researchgateway.ac.nz/handle/10292/10216","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:openrepository.aut.ac.nz:10292/10216","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10292/10216","pdf_url":"https://openrepository.aut.ac.nz/bitstreams/49b41638-6c89-4278-a3f7-5a4f3781a8e1/download","source":{"id":"https://openalex.org/S4306401809","display_name":"Tuwhera (Auckland University of Technology)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I39854758","host_organization_name":"Auckland University of Technology","host_organization_lineage":["https://openalex.org/I39854758"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320310339","display_name":"Auckland University of Technology, New Zealand","ror":"https://ror.org/01zvqw119"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2556900435.pdf","grobid_xml":"https://content.openalex.org/works/W2556900435.grobid-xml"},"referenced_works_count":130,"referenced_works":["https://openalex.org/W1861322","https://openalex.org/W110053699","https://openalex.org/W212463147","https://openalex.org/W1498589284","https://openalex.org/W1653771092","https://openalex.org/W1965037168","https://openalex.org/W1965523766","https://openalex.org/W1967164400","https://openalex.org/W1970038107","https://openalex.org/W1970513232","https://openalex.org/W1971348077","https://openalex.org/W1975154827","https://openalex.org/W1980552705","https://openalex.org/W1982475440","https://openalex.org/W1982487072","https://openalex.org/W1982864832","https://openalex.org/W1984827188","https://openalex.org/W1985799950","https://openalex.org/W1987997525","https://openalex.org/W1989547598","https://openalex.org/W1991521059","https://openalex.org/W1992027756","https://openalex.org/W1996879944","https://openalex.org/W1999467540","https://openalex.org/W2002693002","https://openalex.org/W2003037544","https://openalex.org/W2003061911","https://openalex.org/W2004923074","https://openalex.org/W2006307705","https://openalex.org/W2007471231","https://openalex.org/W2010383256","https://openalex.org/W2011517504","https://openalex.org/W2013745961","https://openalex.org/W2017320295","https://openalex.org/W2018652020","https://openalex.org/W2018718506","https://openalex.org/W2018731327","https://openalex.org/W2019129605","https://openalex.org/W2021526957","https://openalex.org/W2022235629","https://openalex.org/W2025583890","https://openalex.org/W2025835587","https://openalex.org/W2027118140","https://openalex.org/W2027729198","https://openalex.org/W2032899417","https://openalex.org/W2035664125","https://openalex.org/W2039456166","https://openalex.org/W2041539809","https://openalex.org/W2049360202","https://openalex.org/W2051407607","https://openalex.org/W2054892006","https://openalex.org/W2058303007","https://openalex.org/W2058430160","https://openalex.org/W2063361544","https://openalex.org/W2064608964","https://openalex.org/W2071906474","https://openalex.org/W2072925558","https://openalex.org/W2075275980","https://openalex.org/W2075596171","https://openalex.org/W2076232475","https://openalex.org/W2077207700","https://openalex.org/W2077532128","https://openalex.org/W2081783651","https://openalex.org/W2085198274","https://openalex.org/W2086087894","https://openalex.org/W2087201644","https://openalex.org/W2089873366","https://openalex.org/W2093038967","https://openalex.org/W2093439403","https://openalex.org/W2094816731","https://openalex.org/W2097525623","https://openalex.org/W2097950056","https://openalex.org/W2102525024","https://openalex.org/W2104523971","https://openalex.org/W2105582580","https://openalex.org/W2106755981","https://openalex.org/W2107276914","https://openalex.org/W2107638293","https://openalex.org/W2110132004","https://openalex.org/W2110396808","https://openalex.org/W2110450558","https://openalex.org/W2116760759","https://openalex.org/W2117092285","https://openalex.org/W2122231541","https://openalex.org/W2123278373","https://openalex.org/W2124239698","https://openalex.org/W2126816995","https://openalex.org/W2129980989","https://openalex.org/W2134634199","https://openalex.org/W2137106918","https://openalex.org/W2137591261","https://openalex.org/W2138255049","https://openalex.org/W2139900098","https://openalex.org/W2142283194","https://openalex.org/W2144944657","https://openalex.org/W2146098215","https://openalex.org/W2147493587","https://openalex.org/W2151209660","https://openalex.org/W2151414671","https://openalex.org/W2151836898","https://openalex.org/W2153639418","https://openalex.org/W2164559170","https://openalex.org/W2166240555","https://openalex.org/W2167796922","https://openalex.org/W2171162368","https://openalex.org/W2171208462","https://openalex.org/W2189916683","https://openalex.org/W2218225172","https://openalex.org/W2275990936","https://openalex.org/W2278664743","https://openalex.org/W2282949234","https://openalex.org/W2321307016","https://openalex.org/W2322048719","https://openalex.org/W2346280244","https://openalex.org/W2400150910","https://openalex.org/W2468996569","https://openalex.org/W2576440140","https://openalex.org/W2613101052","https://openalex.org/W3020992444","https://openalex.org/W3188025321","https://openalex.org/W4236077303","https://openalex.org/W4236195741","https://openalex.org/W4243298673","https://openalex.org/W4244162115","https://openalex.org/W4245219653","https://openalex.org/W4247307739","https://openalex.org/W4251050426","https://openalex.org/W4254070585","https://openalex.org/W4254711549","https://openalex.org/W4292229870"],"related_works":["https://openalex.org/W7097926733","https://openalex.org/W2166240555","https://openalex.org/W6940280147","https://openalex.org/W2954395284","https://openalex.org/W2972427603","https://openalex.org/W2802813459","https://openalex.org/W2789380217","https://openalex.org/W2085792939","https://openalex.org/W4411758829","https://openalex.org/W2790626756"],"abstract_inverted_index":{"Low":[0,36],"back":[1,37,275,307,811],"pain":[2,38,308,639,642,812],"is":[3,15,30,39,71,79,99,132,181],"a":[4,58,62,89,92,167,284,298,313,322,464,518,530,543,571,596,677,708,735,745,757,785,807],"common":[5,20],"problem":[6],"that":[7,126,212,520,570,588,601,643,661,688,700,715,728,847],"can":[8,121,663,848],"be":[9,47,112,122,384,606,664,849],"seriously":[10],"or":[11,68,108,577,625,640,740,782,817],"chronically":[12],"disabling.":[13],"It":[14],"one":[16],"of":[17,57,76,88,97,118,129,156,169,178,196,201,209,237,244,259,280,287,305,324,343,380,390,462,490,537,545,573,591,638,703,714,737,747,803,809,829],"the":[18,54,86,127,160,173,194,207,215,235,241,256,303,325,329,350,355,360,416,422,460,479,487,491,546,551,589,602,701,712,724,751,799,826],"most":[19,385],"reasons":[21],"for":[22,82,267,297,302,396,404,426,439,448,501,505,561,617,628,648,778,838],"people":[23],"to":[24,49,65,84,101,151,205,233,254,265,332,359,377,402,443,516,525,533,554,659,721,798,815,836,851,857,868],"visit":[25],"their":[26,191,538],"general":[27],"practitioner":[28],"and":[29,135,163,176,184,224,228,232,328,335,375,471,482,509,529,557,630,801,854,862,866],"associated":[31],"with":[32,61,124,153,273,469,756,859],"high":[33],"healthcare":[34],"costs.":[35],"frequently":[40],"benign,":[41],"but":[42],"in":[43,159,166,226,240,270,399,407,415,421,478,550,595,599,707,711,788],"rare":[44],"cases":[45,131],"may":[46,111,383],"due":[48],"underlying":[50],"serious":[51,63,93,119,157,210,238,268,344,391,428,465,804,839],"pathology.":[52,94],"However,":[53,172,459],"actual":[55],"likelihood":[56,582,679,696,759],"patient":[59,90,870],"presenting":[60,272,814],"pathology":[64,466,604,716],"primary,":[66],"secondary,":[67],"tertiary":[69,229,336,408,417,818],"care":[70,230,334,337,401,418,424],"largely":[72],"unknown.":[73],"Without":[74],"knowledge":[75,96],"prevalence":[77,208,318,330,389,411,556,800],"it":[78],"not":[80,136],"possible":[81],"clinicians":[83],"estimate":[85],"probability":[87,600,713,856],"having":[91],"Additionally,":[95],"incidence":[98,236,342,432,802],"required":[100,515],"understand":[102],"disease":[103],"aetiology,":[104],"including":[105],"which":[106,381],"age":[107,372,470,612,620,631],"ethnic":[109],"groups":[110,382],"more":[113],"at":[114,386,473],"risk.":[115,387],"Clinical":[116],"identification":[117],"pathologies":[120,158,211,239,269,345,392,528,805],"difficult,":[123],"evidence":[125],"diagnosis":[128,865],"these":[130,179,562,592,652,704,765],"often":[133],"delayed":[134],"uncommonly":[137],"missed.":[138],"Therefore,":[139],"screening":[140,667],"questions,":[141,146,496],"known":[142],"as":[143,321,666,771],"\u2018red":[144],"flag\u2019":[145],"have":[147,187,655,767],"been":[148],"widely":[149],"recommended":[150,493,832],"assist":[152,858],"early":[154,864],"recognition":[155],"lumbar":[161,216,289,299],"spine":[162,217],"are":[164],"included":[165,549],"number":[168,572],"international":[170],"guidelines.":[171],"diagnostic":[174,257,488,657,769,827],"accuracy":[175,258,489,658,828],"utility":[177,770],"questions":[180,262,523,576,693,777,835],"poorly":[182],"understood,":[183],"several":[185],"authors":[186],"expressed":[188],"concerns":[189],"regarding":[190],"use,":[192],"given":[193],"lack":[195],"supportive":[197],"evidence.":[198],"The":[199,277,341,388,410,430],"aims":[200],"this":[202,281,730,822,842],"thesis":[203,251,791,823],"were":[204,295,309,507,514],"determine":[206,234,255,486,555,852],"commonly":[213,263,492,831],"affect":[214],"(vertebral":[218],"fracture,":[219,619,723],"malignancy,":[220,629],"cauda":[221,440,670,779],"equina":[222,441,671,780],"syndrome,":[223,672],"infection)":[225],"secondary":[227,333,400,423,816],"settings,":[231],"geographic":[242],"region":[243,358],"Counties":[245,356],"Manukau,":[246],"Auckland,":[247],"New":[248],"Zealand.":[249],"This":[250,540,567,684,790],"also":[252,339,686],"aimed":[253],"red":[260,494,574,691,753,775,833],"flag":[261,495,575,692,754,776,834],"used":[264,665,850],"screen":[266,837],"patients":[271,813],"low":[274,306,810],"pain.":[276],"primary":[278],"component":[279],"research":[282],"was":[283,319,338,346,369,412,453,542,734,750],"retrospective":[285],"audit":[286],"2,383":[288],"MRI":[290,300,503],"scans.":[291],"Adult":[292],"participants":[293,499,513],"who":[294],"referred":[296,500],"scan":[301,504],"investigation":[304,379],"consecutively":[310,508],"recruited":[311],"over":[312,483],"10-month":[314],"period.":[315],"Target":[316],"condition":[317],"calculated":[320],"percentage":[323],"study":[326,552,568,685,843],"population":[327,808],"specific":[331,526],"calculated.":[340],"determined":[347,825],"by":[348],"comparing":[349],"2013":[351],"census":[352],"results":[353,594,706],"from":[354,363,394,434,646],"Manukau":[357],"data":[361],"collected":[362],"Middlemore":[364],"Hospital":[365],"(tertiary":[366],"care).":[367],"Data":[368,559],"subcategorised":[370],"into":[371],"groups,":[373],"gender,":[374],"ethnicity,":[376],"allow":[378],"varied":[393,433],"0.12%":[395],"spinal":[397,527,649,743],"infection":[398],"6.7%":[403],"vertebral":[405,449,618,722],"fractures":[406],"care.":[409,819],"significantly":[413,468],"higher":[414],"setting":[419,425],"than":[420,585,614,622,633,682,762],"all":[427,830],"pathologies.":[429,840],"total":[431],"2.5":[435],"per":[436,445,475],"100,000":[437,446,476],"person-years":[438,447,477],"syndrome":[442,781],"12.9":[444],"fracture.":[450],"Overall":[451],"there":[452],"no":[454,673],"significant":[455],"difference":[456],"between":[457],"genders.":[458],"risk":[461,772],"developing":[463],"increased":[467],"peaked":[472],"249":[474],"85":[480],"years":[481,616,624],"group.":[484],"To":[485],"552":[497],"consecutive":[498],"an":[502],"LBP":[506],"prospectively":[510],"recruited.":[511],"All":[512],"complete":[517],"questionnaire":[519],"contained":[521],"37":[522],"related":[524,797],"body":[531],"chart":[532],"provide":[534],"further":[535],"detail":[536],"symptoms.":[539],"cohort":[541,548],"subgroup":[544],"full":[547],"designed":[553],"incidence.":[558],"collection":[560],"two":[563,690],"studies":[564],"occurred":[565],"concurrently.":[566],"demonstrated":[569,687],"index":[578,609,653,674,726],"tests":[579,610,654,766],"had":[580,676,694],"negative":[581,678],"ratios":[583,697],"less":[584,681],"0.1,":[586],"indicating":[587,699],"absence":[590],"findings":[593,705],"conclusive":[597,709,786],"shift":[598,710],"target":[603],"will":[605],"absent.":[607],"These":[608],"were:":[611],"greater":[613,621,632,761],"35":[615],"42":[623],"\u2018worsening":[626],"pain\u2019":[627],"55":[634],"years,":[635],"insidious":[636],"onset":[637],"\u2018night":[641],"wakes":[644],"you":[645],"sleep\u2019":[647],"infection.":[650],"Hence,":[651,764,841],"sufficient":[656],"suggest":[660],"they":[662],"tests.":[668],"For":[669,742],"test":[675,727],"ratio":[680,760],"0.1.":[683],"only":[689,725,752],"positive":[695,758],">10,":[698],"presence":[702],"being":[717],"present.":[718],"With":[719],"respect":[720],"met":[729],"criteria":[731],"(LR+":[732],">10)":[733],"history":[736,746],"concomitant":[738],"HIV":[739],"AIDS.":[741],"infection,":[744],"immunosuppressant":[748],"use":[749],"question":[755],"10..":[763],"potential":[768],"factors.":[773],"No":[774],"malignancy":[783],"displayed":[784],"increase":[787],"probability.":[789],"has":[792,824,844],"provided":[793,845],"important":[794],"new":[795],"information":[796,846],"within":[806],"In":[820],"addition,":[821],"pre":[853],"post-test":[855],"clinical":[860],"decision-making,":[861],"facilitate":[863],"treatment":[867],"improve":[869],"outcomes.":[871]},"counts_by_year":[{"year":2020,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-11-30T00:00:00"}