{"id":"https://openalex.org/W2931890739","doi":"https://doi.org/10.5009/gnl18469","title":"Effects of Preoperative Malnutrition on Postoperative Surgical Outcomes and Quality of Life of Elderly Patients with Periampullary Neoplasms: A Single-Center Prospective Cohort Study","display_name":"Effects of Preoperative Malnutrition on Postoperative Surgical Outcomes and Quality of Life of Elderly Patients with Periampullary Neoplasms: A Single-Center Prospective Cohort Study","publication_year":2019,"publication_date":"2019-03-28","ids":{"openalex":"https://openalex.org/W2931890739","doi":"https://doi.org/10.5009/gnl18469","mag":"2931890739","pmid":"https://pubmed.ncbi.nlm.nih.gov/30970428","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6860041"},"language":"en","primary_location":{"id":"doi:10.5009/gnl18469","doi":"https://doi.org/10.5009/gnl18469","is_oa":true,"landing_page_url":"https://doi.org/10.5009/gnl18469","pdf_url":"http://www.gutnliver.org/journal/download_pdf.php?doi=10.5009/gnl18469","source":{"id":"https://openalex.org/S114420980","display_name":"Gut and Liver","issn_l":"1976-2283","issn":["1976-2283","2005-1212"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","kci-registered","medline","norway-1","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310319460","host_organization_name":"Korean Association for the Study of the Liver","host_organization_lineage":["https://openalex.org/P4310319460"],"host_organization_lineage_names":["Korean Association for the Study of the Liver"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gut and Liver","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"http://www.gutnliver.org/journal/download_pdf.php?doi=10.5009/gnl18469","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5100462666","display_name":"Eun-Jung Kim","orcid":"https://orcid.org/0000-0001-6727-1065","observed_orcids":["https://orcid.org/0000-0001-6727-1065"]},"institutions":[{"id":"https://openalex.org/I35928602","display_name":"Kyung Hee University","ror":"https://ror.org/01zqcg218","country_code":"KR","type":"education","lineage":["https://openalex.org/I35928602"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Eunjung Kim","raw_affiliation_strings":["Department of Nursing, Graduate School, Kyung Hee University, Seoul, Korea"],"raw_orcid":"https://orcid.org/0000-0001-6727-1065","affiliations":[{"raw_affiliation_string":"Department of Nursing, Graduate School, Kyung Hee University, Seoul, Korea","institution_ids":["https://openalex.org/I35928602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014852442","display_name":"Doo\u2010Ho Lee","orcid":"https://orcid.org/0000-0002-9939-207X","observed_orcids":["https://orcid.org/0000-0002-9939-207X"]},"institutions":[{"id":"https://openalex.org/I139264467","display_name":"Seoul National University","ror":"https://ror.org/04h9pn542","country_code":"KR","type":"education","lineage":["https://openalex.org/I139264467"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Doo-Ho Lee","raw_affiliation_strings":["Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea"],"raw_orcid":"https://orcid.org/0000-0002-9939-207X","affiliations":[{"raw_affiliation_string":"Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea","institution_ids":["https://openalex.org/I139264467"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5078630835","display_name":"Jin\u2010Young Jang","orcid":"https://orcid.org/0000-0003-3312-0503","observed_orcids":["https://orcid.org/0000-0003-3312-0503","https://orcid.org/0000-0001-6587-9579"]},"institutions":[{"id":"https://openalex.org/I139264467","display_name":"Seoul National University","ror":"https://ror.org/04h9pn542","country_code":"KR","type":"education","lineage":["https://openalex.org/I139264467"]}],"countries":["KR"],"is_corresponding":true,"raw_author_name":"Jin-Young Jang","raw_affiliation_strings":["Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea"],"raw_orcid":"https://orcid.org/0000-0003-3312-0503","affiliations":[{"raw_affiliation_string":"Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea","institution_ids":["https://openalex.org/I139264467"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5078630835"],"corresponding_institution_ids":["https://openalex.org/I139264467"],"apc_list":null,"apc_paid":null,"fwci":3.1514,"has_fulltext":true,"cited_by_count":41,"citation_normalized_percentile":{"value":0.91482292,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"13","issue":"6","first_page":"690","last_page":"697"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10397","display_name":"Nutrition and Health in Aging","score":0.5985999703407288,"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"}},"topics":[{"id":"https://openalex.org/T10397","display_name":"Nutrition and Health in Aging","score":0.5985999703407288,"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/T10231","display_name":"Pancreatic and Hepatic Oncology Research","score":0.16050000488758087,"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/T12020","display_name":"Enhanced Recovery After Surgery","score":0.12349999696016312,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/preoperative-malnutrition","display_name":"preoperative malnutrition","score":0.9980000257492065},{"id":"https://openalex.org/keywords/periampullary-neoplasms","display_name":"periampullary neoplasms","score":0.9739999771118164},{"id":"https://openalex.org/keywords/pancreaticoduodenectomy","display_name":"pancreaticoduodenectomy","score":0.9580000042915344},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.9940000176429749},{"id":"https://openalex.org/keywords/postoperative-morbidity","display_name":"postoperative morbidity","score":0.9120000004768372},{"id":"https://openalex.org/keywords/postoperative-pancreatic-fistula","display_name":"postoperative pancreatic fistula","score":0.9290000200271606},{"id":"https://openalex.org/keywords/intraoperative-blood-loss","display_name":"intraoperative blood loss","score":0.8510000109672546},{"id":"https://openalex.org/keywords/nutritional-status","display_name":"nutritional status","score":0.6480000019073486},{"id":"https://openalex.org/keywords/mini-nutritional-assessment","display_name":"Mini Nutritional Assessment","score":0.8889999985694885},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.8899999856948853}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9734454154968262},{"id":"https://openalex.org/C2909874672","wikidata":"https://www.wikidata.org/wiki/Q260688","display_name":"Periampullary cancer","level":4,"score":0.7807501554489136},{"id":"https://openalex.org/C551997983","wikidata":"https://www.wikidata.org/wiki/Q12167","display_name":"Malnutrition","level":2,"score":0.6913408637046814},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.657313346862793},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.5521379113197327},{"id":"https://openalex.org/C2779463800","wikidata":"https://www.wikidata.org/wiki/Q5062222","display_name":"Center (category theory)","level":2,"score":0.5463765263557434},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.47679948806762695},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.45518869161605835},{"id":"https://openalex.org/C2780073493","wikidata":"https://www.wikidata.org/wiki/Q7523837","display_name":"Single Center","level":2,"score":0.412492960691452},{"id":"https://openalex.org/C2778975757","wikidata":"https://www.wikidata.org/wiki/Q1266423","display_name":"Pancreaticoduodenectomy","level":3,"score":0.3972143530845642},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3931959271430969},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3690299093723297},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3516782522201538},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.18761566281318665},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.07628008723258972},{"id":"https://openalex.org/C159110652","wikidata":"https://www.wikidata.org/wiki/Q17078201","display_name":"Resection","level":2,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C8010536","wikidata":"https://www.wikidata.org/wiki/Q160398","display_name":"Crystallography","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000367","descriptor_name":"Age Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","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":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015596","descriptor_name":"Nutrition Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016577","descriptor_name":"Pancreaticoduodenectomy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D044342","descriptor_name":"Malnutrition","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D044342","descriptor_name":"Malnutrition","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.5009/gnl18469","doi":"https://doi.org/10.5009/gnl18469","is_oa":true,"landing_page_url":"https://doi.org/10.5009/gnl18469","pdf_url":"http://www.gutnliver.org/journal/download_pdf.php?doi=10.5009/gnl18469","source":{"id":"https://openalex.org/S114420980","display_name":"Gut and Liver","issn_l":"1976-2283","issn":["1976-2283","2005-1212"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","kci-registered","medline","norway-1","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310319460","host_organization_name":"Korean Association for the Study of the Liver","host_organization_lineage":["https://openalex.org/P4310319460"],"host_organization_lineage_names":["Korean Association for the Study of the Liver"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gut and Liver","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5835182","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6860041","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":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:30970428","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30970428","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":"Gut and liver","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6860041","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6860041/","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":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gut Liver","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:90902deb24974df9bffe0e50fbd8d16e","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/90902deb24974df9bffe0e50fbd8d16e","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Gut and Liver, Vol 13, Iss 6, Pp 690-697 (2019)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.5009/gnl18469","doi":"https://doi.org/10.5009/gnl18469","is_oa":true,"landing_page_url":"https://doi.org/10.5009/gnl18469","pdf_url":"http://www.gutnliver.org/journal/download_pdf.php?doi=10.5009/gnl18469","source":{"id":"https://openalex.org/S114420980","display_name":"Gut and Liver","issn_l":"1976-2283","issn":["1976-2283","2005-1212"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","kci-registered","medline","norway-1","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310319460","host_organization_name":"Korean Association for the Study of the Liver","host_organization_lineage":["https://openalex.org/P4310319460"],"host_organization_lineage_names":["Korean Association for the Study of the Liver"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gut and Liver","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.40450000762939453,"id":"https://metadata.un.org/sdg/2","display_name":"Zero hunger"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G4016810199","display_name":null,"funder_award_id":"NRF-2017M3C9A5031597","funder_id":"https://openalex.org/F4320328359","funder_display_name":"Ministry of Science and ICT, South Korea"},{"id":"https://openalex.org/G7321183034","display_name":null,"funder_award_id":"NRF-2017M3C9A5031597","funder_id":"https://openalex.org/F4320322120","funder_display_name":"National Research Foundation of Korea"}],"funders":[{"id":"https://openalex.org/F4320320671","display_name":"National Research Foundation","ror":"https://ror.org/05s0g1g46"},{"id":"https://openalex.org/F4320322120","display_name":"National Research Foundation of Korea","ror":"https://ror.org/013aysd81"},{"id":"https://openalex.org/F4320328359","display_name":"Ministry of Science and ICT, South Korea","ror":"https://ror.org/01wpjm123"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2931890739.pdf","grobid_xml":"https://content.openalex.org/works/W2931890739.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W1541493055","https://openalex.org/W1823364643","https://openalex.org/W1879356413","https://openalex.org/W1969993872","https://openalex.org/W1978984217","https://openalex.org/W1979252580","https://openalex.org/W1989836423","https://openalex.org/W2014582424","https://openalex.org/W2015584911","https://openalex.org/W2035345292","https://openalex.org/W2056028385","https://openalex.org/W2091631627","https://openalex.org/W2117853299","https://openalex.org/W2129204015","https://openalex.org/W2144173184","https://openalex.org/W2167043469","https://openalex.org/W2332616015","https://openalex.org/W2339769063","https://openalex.org/W2605537420","https://openalex.org/W2944113628","https://openalex.org/W4242326713"],"related_works":["https://openalex.org/W2986315351","https://openalex.org/W2895655728","https://openalex.org/W4401888339","https://openalex.org/W2806878913","https://openalex.org/W3010244635","https://openalex.org/W4401883579","https://openalex.org/W4409230692","https://openalex.org/W4413034668","https://openalex.org/W4393991405","https://openalex.org/W4401882895"],"abstract_inverted_index":{"Background/Aims:":[0],"We":[1],"investigated":[2],"the":[3,35,68,97,116,132],"effect":[4],"of":[5,79,127],"preoperative":[6,49,152],"malnutrition":[7],"on":[8],"postoperative":[9,82,118],"surgical":[10,149,158],"outcomes":[11,159],"in":[12,120,160],"elderly":[13,121,161],"patients":[14,27,40,128,141],"undergoing":[15],"pancreatoduodenectomy":[16],"for":[17],"periampullary":[18,32],"neoplasms.":[19,33],"Methods:":[20],"This":[21],"prospective":[22],"cohort":[23],"study":[24],"enrolled":[25],"154":[26],"aged":[28],"\u226565":[29],"years":[30],"with":[31,138,142],"Using":[34],"Mini":[36],"Nutritional":[37],"Assessment":[38],"tool,":[39],"were":[41,85,129],"categorized":[42],"into":[43,131],"three":[44],"groups":[45,72,89],"according":[46],"to":[47,156],"their":[48],"nutritional":[50,143,153],"status:":[51],"well-nourished":[52,69,139],"(13.0%),":[53],"at-risk-of-malnutrition":[54,98,133],"(59.7%),":[55],"and":[56,70,92,107],"malnourished":[57,71,100,135],"(27.3%).":[58],"Results:":[59],"[malnourished],":[60],"p<0.001).":[61],"The":[62,77],"overall":[63,117,148],"morbidity":[64,119],"significantly":[65,86,114],"differed":[66],"between":[67],"(20%":[73],"vs":[74],"50.0%,":[75],"p=0.024).":[76],"rates":[78],"clinically":[80],"significant":[81],"pancreatic":[83],"fistula":[84],"different":[87],"among":[88],"(p=0.035).":[90],"Univariate":[91],"multivariate":[93],"analyses":[94],"showed":[95,145],"that":[96],"or":[99,134],"status":[101,154],"(hazard":[102],"ratio":[103],"[HR],":[104],"3.45;":[105],"p=0.037)":[106],"intraoperative":[108],"blood":[109],"loss":[110],"(HR,":[111],"1.01;":[112],"p=0.040)":[113],"affected":[115],"patients.":[122,162],"Conclusions:":[123],"Before":[124],"surgery,":[125],"87.0%":[126],"classified":[130],"group.":[136],"Compared":[137],"patients,":[140],"issues":[144],"a":[146],"higher":[147],"morbidity.":[150],"Improved":[151],"leads":[155],"favorable":[157]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":8},{"year":2021,"cited_by_count":10},{"year":2020,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2019-04-11T00:00:00"}