{"id":"https://openalex.org/W2906884191","doi":"https://doi.org/10.1200/jco.2014.32.15_suppl.4127","title":"Association of recurrence patterns following resection of pancreatic adenocarcinoma with overall survival.","display_name":"Association of recurrence patterns following resection of pancreatic adenocarcinoma with overall survival.","publication_year":2014,"publication_date":"2014-05-20","ids":{"openalex":"https://openalex.org/W2906884191","doi":"https://doi.org/10.1200/jco.2014.32.15_suppl.4127","mag":"2906884191"},"language":"en","primary_location":{"id":"doi:10.1200/jco.2014.32.15_suppl.4127","doi":"https://doi.org/10.1200/jco.2014.32.15_suppl.4127","is_oa":false,"landing_page_url":"https://doi.org/10.1200/jco.2014.32.15_suppl.4127","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["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/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078198832","display_name":"Jin Peng He","orcid":"https://orcid.org/0000-0001-9149-2247","observed_orcids":["https://orcid.org/0000-0001-9149-2247"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jin He","raw_affiliation_strings":["The Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077604478","display_name":"Neda Rezaee","orcid":"https://orcid.org/0000-0002-2016-5908","observed_orcids":["https://orcid.org/0000-0002-2016-5908"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Neda Rezaee","raw_affiliation_strings":["The Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101784378","display_name":"Wenchuan Wu","orcid":"https://orcid.org/0000-0002-8408-885X","observed_orcids":["https://orcid.org/0000-0002-8408-885X","https://orcid.org/0000-0001-6317-3417"]},"institutions":[{"id":"https://openalex.org/I24943067","display_name":"Fudan University","ror":"https://ror.org/013q1eq08","country_code":"CN","type":"education","lineage":["https://openalex.org/I24943067"]},{"id":"https://openalex.org/I4210127074","display_name":"Zhongshan Hospital","ror":"https://ror.org/032x22645","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210127074"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Wenchuan Wu","raw_affiliation_strings":["Zhongshan Hospital, Fudan University, Shanghai, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Zhongshan Hospital, Fudan University, Shanghai, China","institution_ids":["https://openalex.org/I24943067","https://openalex.org/I4210127074"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103804691","display_name":"John L. Cameron","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John L. Cameron","raw_affiliation_strings":["The Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114001695","display_name":"Nita Ahuja","orcid":"https://orcid.org/0000-0001-8293-1893","observed_orcids":["https://orcid.org/0000-0001-8293-1893"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nita Ahuja","raw_affiliation_strings":["The Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058146274","display_name":"Timothy Michael Pawlik","orcid":"https://orcid.org/0000-0002-7994-9870","observed_orcids":["https://orcid.org/0000-0002-7994-9870","https://orcid.org/0000-0002-4828-8096","https://orcid.org/0000-0002-4715-5937","https://orcid.org/0000-0002-6011-374X","https://orcid.org/0000-0002-8432-9086"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Timothy M. Pawlik","raw_affiliation_strings":["The Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089299130","display_name":"Joseph M. Herman","orcid":"https://orcid.org/0000-0002-9933-5227","observed_orcids":["https://orcid.org/0000-0002-9933-5227"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I4210164401","display_name":"Sidney Kimmel Comprehensive Cancer Center","ror":"https://ror.org/05m5b8x20","country_code":"US","type":"facility","lineage":["https://openalex.org/I2799853436","https://openalex.org/I4210164401"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph M. Herman","raw_affiliation_strings":["The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210164401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001682484","display_name":"Ralph H. Hruban","orcid":"https://orcid.org/0000-0003-4554-5672","observed_orcids":["https://orcid.org/0000-0003-4554-5672"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ralph H. Hruban","raw_affiliation_strings":["The Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014748431","display_name":"Matthew John Weiss","orcid":"https://orcid.org/0000-0003-0553-248X","observed_orcids":["https://orcid.org/0000-0003-0553-248X"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthew Weiss","raw_affiliation_strings":["The Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100415060","display_name":"Lei Zheng","orcid":"https://orcid.org/0000-0003-4163-2541","observed_orcids":["https://orcid.org/0000-0003-4163-2541"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lei Zheng","raw_affiliation_strings":["The Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103031010","display_name":"Christopher Lee Wolfgang","orcid":"https://orcid.org/0000-0002-8717-0373","observed_orcids":["https://orcid.org/0000-0002-8717-0373","https://orcid.org/0009-0000-5817-6146"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher Lee Wolfgang","raw_affiliation_strings":["The Johns Hopkins University School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Johns Hopkins University School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I145311948"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"32","issue":"15_suppl","first_page":"4127","last_page":"4127"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10231","display_name":"Pancreatic and Hepatic Oncology Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10231","display_name":"Pancreatic and Hepatic Oncology Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"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/T11364","display_name":"Cholangiocarcinoma and Gallbladder Cancer Studies","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"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/T11885","display_name":"MRI in cancer diagnosis","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"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/pancreatic-ductal-adenocarcinoma","display_name":"pancreatic ductal adenocarcinoma","score":0.996999979019165},{"id":"https://openalex.org/keywords/recurrence-patterns","display_name":"recurrence patterns","score":0.6710000038146973},{"id":"https://openalex.org/keywords/pancreatectomy","display_name":"pancreatic resection","score":0.9340000152587891},{"id":"https://openalex.org/keywords/local-recurrence","display_name":"local recurrence","score":0.8349999785423279},{"id":"https://openalex.org/keywords/liver-recurrence","display_name":"liver recurrence","score":0.9620000123977661},{"id":"https://openalex.org/keywords/lung-recurrence","display_name":"lung recurrence","score":0.9670000076293945},{"id":"https://openalex.org/keywords/overall-survival","display_name":"overall survival","score":0.9100000262260437},{"id":"https://openalex.org/keywords/tumor-heterogeneity","display_name":"tumor heterogeneity","score":0.6150000095367432},{"id":"https://openalex.org/keywords/time-to-recurrence","display_name":"time to recurrence","score":0.5680000185966492},{"id":"https://openalex.org/keywords/personalized-treatment-selection","display_name":"personalized treatment selection","score":0.5929999947547913},{"id":"https://openalex.org/keywords/lymph-node-recurrence","display_name":"lymph node recurrence","score":0.47200000286102295},{"id":"https://openalex.org/keywords/peritoneal-recurrence","display_name":"peritoneal recurrence","score":0.8370000123977661},{"id":"https://openalex.org/keywords/supraclavicular-lymph-node-recurrence","display_name":"supraclavicular lymph node recurrence","score":0.7409999966621399},{"id":"https://openalex.org/keywords/pelvic-recurrence","display_name":"pelvic recurrence","score":0.41100001335144043}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9550039768218994},{"id":"https://openalex.org/C2778494859","wikidata":"https://www.wikidata.org/wiki/Q3361964","display_name":"Pancreatectomy","level":3,"score":0.6363093852996826},{"id":"https://openalex.org/C2781182431","wikidata":"https://www.wikidata.org/wiki/Q356033","display_name":"Adenocarcinoma","level":3,"score":0.5582801699638367},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.43042439222335815},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.42145973443984985},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4181559681892395},{"id":"https://openalex.org/C159110652","wikidata":"https://www.wikidata.org/wiki/Q17078201","display_name":"Resection","level":2,"score":0.3497227132320404},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3227125406265259},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.3179987072944641},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2644815444946289},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1200/jco.2014.32.15_suppl.4127","doi":"https://doi.org/10.1200/jco.2014.32.15_suppl.4127","is_oa":false,"landing_page_url":"https://doi.org/10.1200/jco.2014.32.15_suppl.4127","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["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/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.5699999928474426,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2363171232","https://openalex.org/W2100632149","https://openalex.org/W2057334354","https://openalex.org/W2980988258","https://openalex.org/W2327846462","https://openalex.org/W1501205893","https://openalex.org/W1986260198","https://openalex.org/W1998957566","https://openalex.org/W2365507823","https://openalex.org/W1985936834"],"abstract_inverted_index":{"4127":[0],"Background:":[1],"Although":[2],"recurrence":[3,45,55,61,83,105,116,122,168,184,218,229,237,247,295],"is":[4,15,210,230,248,259],"common":[5],"after":[6,172,189,300,303],"curative":[7],"resection":[8,163,190],"of":[9,20,27,44,167,206,224,246,286,293],"pancreatic":[10],"ductal":[11],"adenocarcinoma":[12],"(PDAC),":[13],"little":[14],"known":[16],"regarding":[17],"the":[18,42,63,68,107,147,162,177,207,255,275,279,283],"pattern":[19,43,219,245,296],"recurrence.":[21,145],"Methods:":[22],"We":[23],"reviewed":[24],"clinical":[25],"data":[26],"1,138":[28],"consecutive":[29],"patients":[30,98,141,148,180,225,268],"with":[31,99,106,181,194,226,234,250],"PDAC":[32,258],"who":[33,149],"underwent":[34],"pancreatectomy":[35,64,173,304],"from":[36,161],"2000":[37],"to":[38,40,192],"2010":[39],"document":[41],"based":[46,216],"on":[47,217],"CT":[48],"and/or":[49,51],"MRI":[50],"FDG-PET":[52],"scan.":[53],"Local":[54,316],"(LR)":[56],"was":[57,79,90,174],"defined":[58],"as":[59,81],"cancer":[60],"at":[62,169,297],"site.":[65],"Recurrence":[66],"in":[67,112,118,124,130,136,176,266],"omentum,":[69],"peritoneum,":[70],"liver,":[71],"lung,":[72],"spine,":[73],"pelvic":[74],"or":[75],"supraclavicular":[76],"lymph":[77],"nodes":[78],"considered":[80],"distal":[82],"(DR).":[84],"Results:":[85],"The":[86,165,201,221,244,288],"median":[87,202,222,289],"follow":[88],"up":[89],"17":[91,352],"months":[92,188],"(IQR":[93],"26":[94],"months).":[95],"Of":[96],"845":[97],"complete":[100],"follow-up,":[101],"470":[102],"(55.6%)":[103],"had":[104,142],"following":[108],"pattern:":[109],"LR":[110,195,349],"only":[111,117,123,143,183,196,228,236,317,328,339],"111":[113,333],"(23.6%),":[114],"liver":[115,182,235],"128":[119],"(27.2%),":[120],"lung":[121,227],"55":[125,346],"(11.7%),":[126],"local":[127],"and":[128,133,152,158,213,253,273,291,350],"DR":[129,351],"84":[131,358],"(17.9%),":[132],"other":[134],"recurrences":[135],"92":[137],"(19.6%).":[138],"405":[139],"(86.2%)":[140],"intra-abdominal":[144],"In":[146],"recurred,":[150],"49.8%":[151],"80.2%":[153],"recurred":[154],"within":[155,186],"1":[156],"year":[157],"2":[159],"years":[160],"respectively.":[164],"incidence":[166,292],"different":[170,294,298],"time":[171,299],"summarized":[175],"Table.":[178],"More":[179],"occurred":[185],"6":[187,307],"comparing":[191],"that":[193,233,257],"(41%":[197],"vs":[198,239],"9%,":[199],"p<0.001).":[200,242],"overall":[203],"survival":[204,252],"(OS)":[205],"entire":[208],"cohort":[209],"22.6":[211],"month":[212],"varied":[214],"significantly":[215],"(Table).":[220],"OS":[223,290,306],"longer":[231],"than":[232],"(31.6":[238],"16.7":[240],"months,":[241],"Conclusions:":[243],"associated":[249],"distinct":[251],"supports":[254],"observation":[256],"genetically":[260],"diverse.":[261],"Our":[262],"findings":[263],"are":[264],"important":[265],"selecting":[267],"for":[269,277],"personalized":[270],"treatment":[271],"combinations":[272],"laying":[274],"groundwork":[276],"defining":[278],"molecular":[280],"basis":[281],"behind":[282],"biological":[284],"diversity":[285],"PDAC.":[287],"pancreatectomy.":[301],"Time":[302],"Median":[305],"mo":[308,310,312,314],"12":[309],"24":[311],"60":[313],"(m)":[315],"10":[318],"9%":[319],"44":[320],"40%":[321],"82":[322],"74%":[323],"106":[324],"95%":[325],"25":[326],"Liver":[327],"53":[329],"41%":[330],"86":[331],"67%":[332],"87%":[334],"126":[335],"98%":[336,369],"16":[337],"Lung":[338],"7":[340],"13%":[341],"15":[342],"27%":[343],"35":[344],"64%":[345],"100%":[347,359],"32":[348],"20%":[353],"47":[354],"56%":[355],"72":[356],"86%":[357],"20":[360,370],"Other":[361],"14":[362],"15%":[363],"42":[364],"46%":[365],"75":[366],"82%":[367],"90":[368]},"counts_by_year":[{"year":2015,"cited_by_count":1}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2025-10-10T00:00:00"}
