{"id":"https://openalex.org/W2976166156","doi":"https://doi.org/10.1177/1129729819877323","title":"The incidence and risk of infusion phlebitis with peripheral intravenous catheters: A meta-analysis","display_name":"The incidence and risk of infusion phlebitis with peripheral intravenous catheters: A meta-analysis","publication_year":2019,"publication_date":"2019-09-23","ids":{"openalex":"https://openalex.org/W2976166156","doi":"https://doi.org/10.1177/1129729819877323","mag":"2976166156","pmid":"https://pubmed.ncbi.nlm.nih.gov/31547791"},"language":"en","primary_location":{"id":"doi:10.1177/1129729819877323","doi":"https://doi.org/10.1177/1129729819877323","is_oa":false,"landing_page_url":"https://doi.org/10.1177/1129729819877323","pdf_url":null,"source":{"id":"https://openalex.org/S86674104","display_name":"The Journal of Vascular Access","issn_l":"1129-7298","issn":["1129-7298","1724-6032"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Vascular Access","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"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/A5042272487","display_name":"Luyu Lv","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210128317","display_name":"Changchun Children's Hospital","ror":"https://ror.org/03x43h020","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210128317"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Luyu Lv","raw_affiliation_strings":["Venous Blood Collection Room, Changchun Children\u2019s Hospital, Changchun, China","Venous Blood Collection Room, Changchun Children's Hospital, Changchun, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Venous Blood Collection Room, Changchun Children\u2019s Hospital, Changchun, China","institution_ids":["https://openalex.org/I4210128317"]},{"raw_affiliation_string":"Venous Blood Collection Room, Changchun Children's Hospital, Changchun, China","institution_ids":["https://openalex.org/I4210128317"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023738697","display_name":"Jiaqian Zhang","orcid":"https://orcid.org/0000-0003-4696-4211","observed_orcids":["https://orcid.org/0000-0003-4696-4211"]},"institutions":[{"id":"https://openalex.org/I194450716","display_name":"Jilin University","ror":"https://ror.org/00js3aw79","country_code":"CN","type":"education","lineage":["https://openalex.org/I194450716"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Jiaqian Zhang","raw_affiliation_strings":["Department of Cardiology, Sino-Japanese Friendship Hospital, Jilin University, Changchun, China"],"raw_orcid":"https://orcid.org/0000-0003-4696-4211","affiliations":[{"raw_affiliation_string":"Department of Cardiology, Sino-Japanese Friendship Hospital, Jilin University, Changchun, China","institution_ids":["https://openalex.org/I194450716"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5023738697"],"corresponding_institution_ids":["https://openalex.org/I194450716"],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":null,"fwci":3.2396,"has_fulltext":false,"cited_by_count":137,"citation_normalized_percentile":{"value":0.93548387,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":100},"biblio":{"volume":"21","issue":"3","first_page":"342","last_page":"349"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"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/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"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/T14189","display_name":"Intravenous Infusion Technology and Safety","score":0.002099999925121665,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T12937","display_name":"Chemotherapy-related skin toxicity","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"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/infusion-phlebitis","display_name":"infusion phlebitis","score":0.9520000219345093},{"id":"https://openalex.org/keywords/peripheral-intravenous-catheters","display_name":"peripheral intravenous catheters","score":0.9980000257492065},{"id":"https://openalex.org/keywords/phlebitis-incidence","display_name":"phlebitis incidence","score":0.9100000262260437},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.8970000147819519},{"id":"https://openalex.org/keywords/teflon-catheter","display_name":"Teflon catheter","score":0.7990000247955322},{"id":"https://openalex.org/keywords/catheter-dwell-time","display_name":"catheter dwell time","score":0.8519999980926514},{"id":"https://openalex.org/keywords/antibiotic-infusion","display_name":"antibiotic infusion","score":0.8019999861717224},{"id":"https://openalex.org/keywords/female-sex","display_name":"female sex","score":0.6330000162124634},{"id":"https://openalex.org/keywords/catheter-related-complications","display_name":"catheter-related complications","score":0.6290000081062317},{"id":"https://openalex.org/keywords/nursing-interventions","display_name":"nursing interventions","score":0.33000001311302185},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.42899999022483826},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.39399999380111694},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.46700000762939453}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9110511541366577},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.8250006437301636},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.7983434200286865},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.7049878835678101},{"id":"https://openalex.org/C2781267111","wikidata":"https://www.wikidata.org/wiki/Q652297","display_name":"Catheter","level":2,"score":0.5305291414260864},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4567171335220337},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.27371713519096375},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","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":"D000368","descriptor_name":"Aged","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":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002406","descriptor_name":"Catheterization, Peripheral","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D002406","descriptor_name":"Catheterization, Peripheral","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D002406","descriptor_name":"Catheterization, Peripheral","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","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":"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":"D006801","descriptor_name":"Humans","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":"D007262","descriptor_name":"Infusions, Intravenous","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007262","descriptor_name":"Infusions, Intravenous","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007262","descriptor_name":"Infusions, Intravenous","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":"D008297","descriptor_name":"Male","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":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010689","descriptor_name":"Phlebitis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D010689","descriptor_name":"Phlebitis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D010689","descriptor_name":"Phlebitis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D010689","descriptor_name":"Phlebitis","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D010689","descriptor_name":"Phlebitis","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D010689","descriptor_name":"Phlebitis","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D010689","descriptor_name":"Phlebitis","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D010689","descriptor_name":"Phlebitis","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D010689","descriptor_name":"Phlebitis","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1177/1129729819877323","doi":"https://doi.org/10.1177/1129729819877323","is_oa":false,"landing_page_url":"https://doi.org/10.1177/1129729819877323","pdf_url":null,"source":{"id":"https://openalex.org/S86674104","display_name":"The Journal of Vascular Access","issn_l":"1129-7298","issn":["1129-7298","1724-6032"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Vascular Access","raw_type":"journal-article"},{"id":"pmid:31547791","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31547791","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The journal of vascular access","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":0.5899999737739563,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"},{"display_name":"Meta-Analysis","id":"https://openalex.org/study-designs/meta-analysis"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":51,"referenced_works":["https://openalex.org/W32558830","https://openalex.org/W139006827","https://openalex.org/W1496039079","https://openalex.org/W1967779399","https://openalex.org/W1971520081","https://openalex.org/W1977807175","https://openalex.org/W1980163106","https://openalex.org/W1980493140","https://openalex.org/W1993320924","https://openalex.org/W1993433396","https://openalex.org/W1995284768","https://openalex.org/W2002400867","https://openalex.org/W2005964189","https://openalex.org/W2010209552","https://openalex.org/W2013975703","https://openalex.org/W2018161580","https://openalex.org/W2023885206","https://openalex.org/W2032808071","https://openalex.org/W2064869382","https://openalex.org/W2075901402","https://openalex.org/W2083259293","https://openalex.org/W2084475085","https://openalex.org/W2085986887","https://openalex.org/W2086120166","https://openalex.org/W2088875727","https://openalex.org/W2098062678","https://openalex.org/W2099588605","https://openalex.org/W2104851340","https://openalex.org/W2114188435","https://openalex.org/W2118526454","https://openalex.org/W2118596135","https://openalex.org/W2129057929","https://openalex.org/W2132440745","https://openalex.org/W2139300055","https://openalex.org/W2139645857","https://openalex.org/W2157748009","https://openalex.org/W2162294391","https://openalex.org/W2163436491","https://openalex.org/W2216361519","https://openalex.org/W2316900027","https://openalex.org/W2322190292","https://openalex.org/W2398221271","https://openalex.org/W2460852257","https://openalex.org/W2473738903","https://openalex.org/W2523397783","https://openalex.org/W2552986068","https://openalex.org/W2590524203","https://openalex.org/W2883051510","https://openalex.org/W4244016390","https://openalex.org/W4248646342","https://openalex.org/W4384211830"],"related_works":["https://openalex.org/W1982619745","https://openalex.org/W4393387432","https://openalex.org/W4238363529","https://openalex.org/W2114056959","https://openalex.org/W2002325000","https://openalex.org/W2076929529","https://openalex.org/W2417545465","https://openalex.org/W1843463370","https://openalex.org/W2018589250","https://openalex.org/W2011867183"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Phlebitis":[1],"is":[2,249],"a":[3],"common":[4],"complication":[5],"associated":[6],"with":[7,26,171,240],"the":[8,22,233,241],"use":[9,30,242],"of":[10,16,24,124,137,148,190,238,243,256,260],"peripheral":[11,27,61,244],"intravenous":[12,28,62,245],"catheters.":[13],"The":[14],"aim":[15],"this":[17],"study":[18],"was":[19,42,126,140,150,193],"to":[20,32,79],"estimate":[21],"incidence":[23,72,85],"phlebitis":[25,37,71,84,95,125,139,149,192,229,239,252,261],"catheter":[29,63,223],"and":[31,52,54,69,82,87,92,170,221],"identify":[33],"risk":[34,226],"factors":[35,227],"for":[36,64,105,228],"development.":[38],"METHOD:":[39],"Literature":[40],"survey":[41],"conducted":[43],"in":[44,94,152,161,196,254],"electronic":[45],"databases":[46],"(CINAHL,":[47],"Embase,":[48],"Google":[49],"Scholar,":[50],"Ovid,":[51],"PubMed),":[53],"studies":[55,99],"were":[56,77,100],"included":[57,101,234],"if":[58],"they":[59],"used":[60,104],"therapeutic":[65],"or":[66],"volumetric":[67],"infusion":[68,248],"reported":[70],"rates.":[73],"Random":[74],"effects":[75],"meta-analyses":[76],"performed":[78],"obtain":[80],"overall":[81],"subgroup":[83],"rates":[86],"odds":[88],"ratio":[89,199],"between":[90],"males":[91,117],"females":[93,197],"incidence.":[96],"RESULTS:":[97],"Thirty-five":[98],"(20,697":[102],"catheters":[103,130,246],"15,791":[106],"patients;":[107],"age":[108],"57.1":[109],"years":[110],"(95%":[111,118,131,142,155,164,174,182,202],"confidence":[112,119,132,143,156,165,175,183,203],"interval:":[113,120,133,144,157,166,176,184,204],"55.0,":[114],"59.2);":[115],"53.9%":[116],"42.3,":[121],"65.5)).":[122],"Incidence":[123,136,147,237],"30.7":[127],"per":[128],"100":[129],"27.2,":[134],"34.2).":[135],"severe":[138],"3.6%":[141],"2.7%,":[145],"4.6%).":[146],"higher":[151,195],"non-intervened":[153],"(30%":[154],"27%,":[158],"33%))":[159],"than":[160,179],"intervened":[162],"(21%":[163],"15%,":[167],"27%))":[168],"groups,":[169],"Teflon":[172,222],"(33%":[173],"25%,":[177],"41%))":[178],"Vialon":[180],"(27%":[181],"21%,":[185],"32%))":[186],"cannula":[187],"use.":[188],"Odds":[189],"developing":[191],"significantly":[194],"(odds":[198],"=":[200,208],"1.42":[201],"1.05,":[205],"1.93);":[206],"p":[207],"0.02).":[209],"Longer":[210],"dwelling":[211],"time,":[212],"antibiotics":[213],"infusion,":[214],"female":[215],"gender,":[216],"forearm":[217],"insertion,":[218],"infectious":[219],"disease,":[220],"are":[224],"important":[225],"development":[230,262],"identified":[231],"by":[232,266],"studies.":[235],"CONCLUSION:":[236],"during":[247],"31%.":[250],"Severe":[251],"develops":[253],"4%":[255],"all":[257],"patients.":[258],"Risk":[259],"can":[263],"be":[264],"reduced":[265],"adapting":[267],"appropriate":[268],"interventions.":[269]},"counts_by_year":[{"year":2026,"cited_by_count":17},{"year":2025,"cited_by_count":20},{"year":2024,"cited_by_count":25},{"year":2023,"cited_by_count":34},{"year":2022,"cited_by_count":18},{"year":2021,"cited_by_count":17},{"year":2020,"cited_by_count":6}],"updated_date":"2026-10-08T09:06:37.294493","created_date":"2025-10-10T00:00:00"}