{"id":"https://openalex.org/W2883589697","doi":"https://doi.org/10.1056/nejmsa1801569","title":"Evaluation of Medicare\u2019s Bundled Payments Initiative for Medical Conditions","display_name":"Evaluation of Medicare\u2019s Bundled Payments Initiative for Medical Conditions","publication_year":2018,"publication_date":"2018-07-18","ids":{"openalex":"https://openalex.org/W2883589697","doi":"https://doi.org/10.1056/nejmsa1801569","mag":"2883589697","pmid":"https://pubmed.ncbi.nlm.nih.gov/30021090"},"language":"en","primary_location":{"id":"doi:10.1056/nejmsa1801569","doi":"https://doi.org/10.1056/nejmsa1801569","is_oa":true,"landing_page_url":"https://doi.org/10.1056/nejmsa1801569","pdf_url":"https://www.nejm.org/doi/pdf/10.1056/NEJMsa1801569?articleTools=true","source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://www.nejm.org/doi/pdf/10.1056/NEJMsa1801569?articleTools=true","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014829089","display_name":"Karen E. Joynt Maddox","orcid":"https://orcid.org/0000-0003-3779-8653","observed_orcids":["https://orcid.org/0000-0003-3779-8653"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Karen E. Joynt Maddox","raw_affiliation_strings":["From Washington University School of Medicine, St. Louis (K.E.J.M.); and Brigham and Women\u2019s Hospital (E.J.O., A.M.E.) and Harvard T.H. Chan School of Public Health (E.J.O., J.Z., A.M.E.) \u2014 both in Boston","Washington University School of Medicine, St. Louis"],"raw_orcid":"https://orcid.org/0000-0003-3779-8653","affiliations":[{"raw_affiliation_string":"From Washington University School of Medicine, St. Louis (K.E.J.M.); and Brigham and Women\u2019s Hospital (E.J.O., A.M.E.) and Harvard T.H. Chan School of Public Health (E.J.O., J.Z., A.M.E.) \u2014 both in Boston","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Washington University School of Medicine, St. Louis","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033742702","display_name":"Endel John Orav","orcid":"https://orcid.org/0000-0002-8886-7252","observed_orcids":["https://orcid.org/0000-0002-8886-7252"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"E. John Orav","raw_affiliation_strings":["From Washington University School of Medicine, St. Louis (K.E.J.M.); and Brigham and Women\u2019s Hospital (E.J.O., A.M.E.) and Harvard T.H. Chan School of Public Health (E.J.O., J.Z., A.M.E.) \u2014 both in Boston","Brigham and Women's Hospital","Harvard T.H. Chan School of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Washington University School of Medicine, St. Louis (K.E.J.M.); and Brigham and Women\u2019s Hospital (E.J.O., A.M.E.) and Harvard T.H. Chan School of Public Health (E.J.O., J.Z., A.M.E.) \u2014 both in Boston","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Brigham and Women's Hospital","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Harvard T.H. Chan School of Public Health","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100645741","display_name":"Jie Zheng","orcid":"https://orcid.org/0000-0002-9640-1604","observed_orcids":["https://orcid.org/0000-0002-9640-1604","https://orcid.org/0000-0001-9211-2875"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jie Zheng","raw_affiliation_strings":["From Washington University School of Medicine, St. Louis (K.E.J.M.); and Brigham and Women\u2019s Hospital (E.J.O., A.M.E.) and Harvard T.H. Chan School of Public Health (E.J.O., J.Z., A.M.E.) \u2014 both in Boston","Harvard T.H. Chan School of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Washington University School of Medicine, St. Louis (K.E.J.M.); and Brigham and Women\u2019s Hospital (E.J.O., A.M.E.) and Harvard T.H. Chan School of Public Health (E.J.O., J.Z., A.M.E.) \u2014 both in Boston","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Harvard T.H. Chan School of Public Health","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5078864191","display_name":"Arnold M. Epstein","orcid":"https://orcid.org/0000-0003-2374-0311","observed_orcids":["https://orcid.org/0000-0003-2374-0311"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Arnold M. Epstein","raw_affiliation_strings":["From Washington University School of Medicine, St. Louis (K.E.J.M.); and Brigham and Women\u2019s Hospital (E.J.O., A.M.E.) and Harvard T.H. Chan School of Public Health (E.J.O., J.Z., A.M.E.) \u2014 both in Boston","Brigham and Women's Hospital","Harvard T.H. Chan School of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Washington University School of Medicine, St. Louis (K.E.J.M.); and Brigham and Women\u2019s Hospital (E.J.O., A.M.E.) and Harvard T.H. Chan School of Public Health (E.J.O., J.Z., A.M.E.) \u2014 both in Boston","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Brigham and Women's Hospital","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Harvard T.H. Chan School of Public Health","institution_ids":["https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":33.7233,"has_fulltext":true,"cited_by_count":173,"citation_normalized_percentile":{"value":0.9974594,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"379","issue":"3","first_page":"260","last_page":"269"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"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/T12871","display_name":"Healthcare Quality and Management","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/bundled-payments-for-care-improvement","display_name":"Bundled Payments for Care Improvement","score":0.9539999961853027},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.6620000004768372},{"id":"https://openalex.org/keywords/medical-conditions","display_name":"health conditions","score":0.49900001287460327},{"id":"https://openalex.org/keywords/congestive-heart-failure","display_name":"congestive heart failure","score":0.9760000109672546},{"id":"https://openalex.org/keywords/pneumonia","display_name":"pneumonia","score":0.9980000257492065},{"id":"https://openalex.org/keywords/chronic-obstructive-pulmonary-disease","display_name":"chronic obstructive pulmonary disease","score":0.9990000128746033},{"id":"https://openalex.org/keywords/sepsis","display_name":"sepsis","score":1.0},{"id":"https://openalex.org/keywords/acute-myocardial-infarction","display_name":"acute myocardial infarction","score":1.0},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.5619999766349792},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.7850000262260437},{"id":"https://openalex.org/keywords/emergency-department-use","display_name":"emergency department utilization","score":0.9269999861717224},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.6140000224113464},{"id":"https://openalex.org/keywords/medical-complexity","display_name":"clinical complexity","score":0.6439999938011169}],"concepts":[{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.6502709984779358},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.49268847703933716},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.4486531913280487},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.16924157738685608}],"mesh":[{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014487","descriptor_name":"Centers for Medicare and Medicaid Services, U.S.","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017050","descriptor_name":"Episode of Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017721","descriptor_name":"Hospital Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D064872","descriptor_name":"Patient Care Bundles","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1056/nejmsa1801569","doi":"https://doi.org/10.1056/nejmsa1801569","is_oa":true,"landing_page_url":"https://doi.org/10.1056/nejmsa1801569","pdf_url":"https://www.nejm.org/doi/pdf/10.1056/NEJMsa1801569?articleTools=true","source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},{"id":"pmid:30021090","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30021090","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 New England journal of medicine","raw_type":"Journal Article"},{"id":"pmh:oai:digitalcommons.wustl.edu:open_access_pubs-7991","doi":null,"is_oa":false,"landing_page_url":"https://digitalcommons.wustl.edu/open_access_pubs/6985","pdf_url":null,"source":{"id":"https://openalex.org/S4306400764","display_name":"Digital Commons@Becker (Washington University School of Medicine)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I204465549","host_organization_name":"Washington University in St. Louis","host_organization_lineage":["https://openalex.org/I204465549"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Open Access Publications","raw_type":"text"}],"best_oa_location":{"id":"doi:10.1056/nejmsa1801569","doi":"https://doi.org/10.1056/nejmsa1801569","is_oa":true,"landing_page_url":"https://doi.org/10.1056/nejmsa1801569","pdf_url":"https://www.nejm.org/doi/pdf/10.1056/NEJMsa1801569?articleTools=true","source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306176","display_name":"Commonwealth Fund","ror":"https://ror.org/049kzbj92"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2883589697.pdf","grobid_xml":"https://content.openalex.org/works/W2883589697.grobid-xml"},"referenced_works_count":12,"referenced_works":["https://openalex.org/W1750074324","https://openalex.org/W2075233803","https://openalex.org/W2111635289","https://openalex.org/W2123830992","https://openalex.org/W2176066727","https://openalex.org/W2521854653","https://openalex.org/W2560029637","https://openalex.org/W2571088309","https://openalex.org/W2583643242","https://openalex.org/W2750801412","https://openalex.org/W2783660960","https://openalex.org/W2990676409"],"related_works":["https://openalex.org/W2803829835","https://openalex.org/W6964454773","https://openalex.org/W2185457008","https://openalex.org/W3036119569","https://openalex.org/W3082776201","https://openalex.org/W4313325406","https://openalex.org/W2521854653","https://openalex.org/W3018409359","https://openalex.org/W3191708529","https://openalex.org/W2945285373"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1],"Center":[2],"for":[3,13,34,62,112,131,135,139,143,148,186],"Medicare":[4,32,53,97,154,269],"and":[5,83,118,145,249],"Medicaid":[6],"Innovation":[7],"(CMMI)":[8],"launched":[9],"the":[10,25,43,63,105,152,161,174,196,211,247,285],"Bundled":[11],"Payments":[12],"Care":[14],"Improvement":[15],"(BPCI)":[16],"initiative":[17,26],"in":[18,31,70,95,129,203,214,255,268],"2013.":[19],"A":[20,123],"subsequent":[21],"study":[22],"showed":[23],"that":[24],"was":[27,167,262],"associated":[28,264],"with":[29,265],"reductions":[30],"payments":[33,98],"total":[35,124],"joint":[36],"replacement,":[37],"but":[38],"little":[39],"is":[40],"known":[41],"about":[42],"effect":[44],"of":[45,101,125,158,189,218,274],"BPCI":[46,116,130,165,261],"on":[47],"medical":[48,68,258],"conditions.":[49],"METHODS:":[50],"We":[51,88],"used":[52,89],"claims":[54],"from":[55,208],"2013":[56],"through":[57],"2015":[58],"to":[59,92,171,193,210],"identify":[60],"admissions":[61],"five":[64,162,256],"most":[65],"commonly":[66],"selected":[67],"conditions":[69,114,163],"BPCI:":[71],"congestive":[72],"heart":[73],"failure":[74],"(CHF),":[75],"pneumonia,":[76,136],"chronic":[77],"obstructive":[78],"pulmonary":[79],"disease":[80],"(COPD),":[81],"sepsis,":[82,144],"acute":[84],"myocardial":[85],"infarction":[86],"(AMI).":[87],"difference-in-differences":[90],"analyses":[91],"assess":[93],"changes":[94,267],"standardized":[96],"per":[99,156],"episode":[100,157],"care":[102,159],"(defined":[103],"as":[104],"hospitalization":[106],"plus":[107],"90":[108,228,238],"days":[109,229,239],"after":[110,230,240],"discharge)":[111],"these":[113],"at":[115,164],"hospitals":[117,127,134,138,142,147,166,181],"matched":[119],"control":[120,250],"hospitals.":[121,251],"RESULTS:":[122],"125":[126],"participated":[128],"CHF,":[132],"105":[133],"101":[137],"COPD,":[140],"88":[141],"73":[146],"AMI.":[149],"At":[150],"baseline,":[151],"average":[153,184],"payment":[155,185],"across":[160],"$24,280,":[168],"which":[169,191],"decreased":[170,192],"$23,993":[172],"during":[173,195],"intervention":[175,197,212,248],"period":[176,198,213],"(difference,":[177,199],"-$286;":[178],"P=0.41).":[179],"Control":[180],"had":[182],"an":[183],"all":[187],"episodes":[188],"$23,901,":[190],"$23,503":[194],"-$398;":[200],"P=0.08;":[201],"difference":[202],"differences,":[204],"$112;":[205],"P=0.79).":[206],"Changes":[207],"baseline":[209],"clinical":[215,271],"complexity,":[216,272],"length":[217,273],"stay,":[219,275],"emergency":[220,276],"department":[221,277],"use":[222],"or":[223,227,233,237,281],"readmission":[224],"within":[225,235],"30":[226,236],"hospital":[231,279],"discharge,":[232],"death":[234],"admission":[241],"did":[242],"not":[243,263],"differ":[244],"significantly":[245],"between":[246],"CONCLUSIONS:":[252],"Hospital":[253],"participation":[254],"common":[257],"bundles":[259],"under":[260],"significant":[266],"payments,":[270],"use,":[278],"readmission,":[280],"mortality.":[282],"(Funded":[283],"by":[284],"Commonwealth":[286],"Fund.).":[287]},"counts_by_year":[{"year":2026,"cited_by_count":15},{"year":2025,"cited_by_count":13},{"year":2024,"cited_by_count":17},{"year":2023,"cited_by_count":16},{"year":2022,"cited_by_count":19},{"year":2021,"cited_by_count":23},{"year":2020,"cited_by_count":29},{"year":2019,"cited_by_count":32},{"year":2018,"cited_by_count":9}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2018-08-03T00:00:00"}
