{"id":"https://openalex.org/W2979632589","doi":"https://doi.org/10.2337/dc19-0428","title":"Diabetic Ketoacidosis at Diagnosis of Type 1 Diabetes in Colorado Children, 2010\u20132017","display_name":"Diabetic Ketoacidosis at Diagnosis of Type 1 Diabetes in Colorado Children, 2010\u20132017","publication_year":2019,"publication_date":"2019-10-10","ids":{"openalex":"https://openalex.org/W2979632589","doi":"https://doi.org/10.2337/dc19-0428","mag":"2979632589","pmid":"https://pubmed.ncbi.nlm.nih.gov/31601639","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6925579"},"language":"en","primary_location":{"id":"doi:10.2337/dc19-0428","doi":"https://doi.org/10.2337/dc19-0428","is_oa":false,"landing_page_url":"https://doi.org/10.2337/dc19-0428","pdf_url":null,"source":{"id":"https://openalex.org/S49878492","display_name":"Diabetes Care","issn_l":"0149-5992","issn":["0149-5992","1935-5548"],"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/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://europepmc.org/pmc/articles/PMC6925579","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5024201579","display_name":"Guy Todd Alonso","orcid":"https://orcid.org/0000-0002-5676-761X","observed_orcids":["https://orcid.org/0000-0002-5676-761X"]},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"G. Todd Alonso","raw_affiliation_strings":["Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO"],"raw_orcid":"https://orcid.org/0000-0002-5676-761X","affiliations":[{"raw_affiliation_string":"Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084773704","display_name":"Alexander Coakley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alex Coakley","raw_affiliation_strings":["Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060820457","display_name":"Laura L. Pyle","orcid":"https://orcid.org/0000-0001-5577-8221","observed_orcids":["https://orcid.org/0000-0001-5577-8221"]},"institutions":[{"id":"https://openalex.org/I151808059","display_name":"Colorado School of Public Health","ror":"https://ror.org/005x9g035","country_code":"US","type":"education","lineage":["https://openalex.org/I151808059"]},{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Laura Pyle","raw_affiliation_strings":["Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO","Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO","institution_ids":["https://openalex.org/I51713134"]},{"raw_affiliation_string":"Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO","institution_ids":["https://openalex.org/I151808059"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043102581","display_name":"Katherine Manseau","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405253614","display_name":"Burrell College of Osteopathic Medicine","ror":"https://ror.org/00wftym42","country_code":"US","type":"education","lineage":["https://openalex.org/I4405253614"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Katherine Manseau","raw_affiliation_strings":["Burrell College of Osteopathic Medicine, Las Cruces, NM"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Burrell College of Osteopathic Medicine, Las Cruces, NM","institution_ids":["https://openalex.org/I4405253614"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087045648","display_name":"Sarah Thomas","orcid":"https://orcid.org/0000-0001-6481-5733","observed_orcids":["https://orcid.org/0000-0001-6481-5733"]},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah Thomas","raw_affiliation_strings":["Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018210412","display_name":"Arleta Rewers","orcid":"https://orcid.org/0000-0002-2992-9273","observed_orcids":["https://orcid.org/0000-0002-2992-9273"]},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Arleta Rewers","raw_affiliation_strings":["Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO"],"raw_orcid":"https://orcid.org/0000-0002-2992-9273","affiliations":[{"raw_affiliation_string":"Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO","institution_ids":["https://openalex.org/I51713134"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5024201579"],"corresponding_institution_ids":["https://openalex.org/I51713134"],"apc_list":null,"apc_paid":null,"fwci":7.1154,"has_fulltext":false,"cited_by_count":127,"citation_normalized_percentile":{"value":0.98919866,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"43","issue":"1","first_page":"117","last_page":"121"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.9785000085830688,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"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/T10560","display_name":"Diabetes Management and Research","score":0.9785000085830688,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"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/T11171","display_name":"Diabetes and associated disorders","score":0.02019999921321869,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"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/diabetic-ketoacidosis","display_name":"diabetic ketoacidosis","score":0.9980000257492065},{"id":"https://openalex.org/keywords/type-1-diabetes","display_name":"type 1 diabetes","score":0.9679999947547913},{"id":"https://openalex.org/keywords/pediatric-diabetes","display_name":"pediatric diabetes","score":0.7329999804496765},{"id":"https://openalex.org/keywords/newly-diagnosed-diabetes","display_name":"newly diagnosed diabetes","score":0.7080000042915344},{"id":"https://openalex.org/keywords/health-insurance-coverage","display_name":"health insurance coverage","score":0.6389999985694885},{"id":"https://openalex.org/keywords/affordable-care-act","display_name":"Affordable Care Act","score":0.8320000171661377},{"id":"https://openalex.org/keywords/rural-residence","display_name":"rural residence","score":0.7419999837875366},{"id":"https://openalex.org/keywords/hba1c","display_name":"HbA1c","score":0.8920000195503235},{"id":"https://openalex.org/keywords/glycemic-control","display_name":"glycemic control","score":0.796999990940094},{"id":"https://openalex.org/keywords/insurance-status","display_name":"insurance status","score":0.3580000102519989},{"id":"https://openalex.org/keywords/colorado","display_name":"Colorado","score":0.5699999928474426}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9241938591003418},{"id":"https://openalex.org/C2781283889","wikidata":"https://www.wikidata.org/wiki/Q1130148","display_name":"Diabetic ketoacidosis","level":3,"score":0.7928203344345093},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.653762936592102},{"id":"https://openalex.org/C2781232474","wikidata":"https://www.wikidata.org/wiki/Q124407","display_name":"Type 1 diabetes","level":3,"score":0.6216261386871338},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5538710355758667},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5456888675689697},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.48584887385368347},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.43313175439834595},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3941173851490021},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.369107186794281},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3222612142562866},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.20893028378486633},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003120","descriptor_name":"Colorado","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D005006","descriptor_name":"Ethnicity","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","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":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","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":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016883","descriptor_name":"Diabetic Ketoacidosis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D016883","descriptor_name":"Diabetic Ketoacidosis","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.2337/dc19-0428","doi":"https://doi.org/10.2337/dc19-0428","is_oa":false,"landing_page_url":"https://doi.org/10.2337/dc19-0428","pdf_url":null,"source":{"id":"https://openalex.org/S49878492","display_name":"Diabetes Care","issn_l":"0149-5992","issn":["0149-5992","1935-5548"],"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/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes Care","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:6683039","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6925579","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":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6925579","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6925579","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":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes Care","raw_type":"Text"},{"id":"pmid:31601639","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31601639","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":"Diabetes care","raw_type":"Journal Article"}],"best_oa_location":{"id":"pmh:oai:europepmc.org:6683039","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6925579","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":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9922999739646912}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W170863931","https://openalex.org/W1894747557","https://openalex.org/W2027624649","https://openalex.org/W2044268151","https://openalex.org/W2062621676","https://openalex.org/W2095285670","https://openalex.org/W2098825592","https://openalex.org/W2099424483","https://openalex.org/W2126288005","https://openalex.org/W2131462635","https://openalex.org/W2152951259","https://openalex.org/W2153110339","https://openalex.org/W2155063253","https://openalex.org/W2161201404","https://openalex.org/W2192162997","https://openalex.org/W2530531915","https://openalex.org/W2606106417","https://openalex.org/W2662692049","https://openalex.org/W2725181561","https://openalex.org/W2884793427","https://openalex.org/W2906031105","https://openalex.org/W2909166675","https://openalex.org/W3024284236"],"related_works":["https://openalex.org/W2948258682","https://openalex.org/W3085245447","https://openalex.org/W7096911403","https://openalex.org/W2057334042","https://openalex.org/W7204488864","https://openalex.org/W4411293454","https://openalex.org/W3194036746","https://openalex.org/W3170862402","https://openalex.org/W4392717693","https://openalex.org/W1970738207"],"abstract_inverted_index":{"OBJECTIVE":[0],"We":[1],"examined":[2],"trends":[3],"in":[4,206,211],"diabetic":[5],"ketoacidosis":[6],"(DKA)":[7],"at":[8,14,58,89,105],"diagnosis":[9],"of":[10,31,82,100,123,209,232],"type":[11,48,216],"1":[12,49,217],"diabetes":[13,18,50,218],"a":[15,230],"large":[16],"pediatric":[17],"center":[19],"between":[20],"2010":[21,52,118],"and":[22,55,84,87,182,198],"2017,":[23,120],"overlapping":[24],"with":[25,47,103,138,156,192,213,223],"the":[26,59,98,114,121,165,207,243],"Affordable":[27],"Care":[28],"Act\u2019s":[29],"overhaul":[30],"U.S.":[32],"health":[33,234],"care.":[34],"RESEARCH":[35],"DESIGN":[36],"AND":[37],"METHODS":[38],"Colorado":[39],"residents":[40],"<18":[41],"years":[42],"old":[43],"who":[44,112],"were":[45,65,70,94,109,189,201],"diagnosed":[46,215],"from":[51,126,132],"to":[53,72,96,119,128,134,241],"2017":[54],"subsequently":[56],"followed":[57],"Barbara":[60],"Davis":[61],"Center":[62],"for":[63],"Diabetes":[64],"included.":[66],"Logistic":[67],"regression":[68,92],"models":[69,93],"used":[71,95],"test":[73,97],"associations":[74],"among":[75,136,154],"age,":[76,195],"sex,":[77,197],"race/ethnicity,":[78,196],"insurance,":[79],"language,":[80],"year":[81],"diagnosis,":[83],"rural/nonrural":[85],"residence":[86],"DKA":[88,124,210],"diagnosis.":[90,106],"Linear":[91],"association":[99],"each":[101],"predictor":[102],"HbA1c":[104,183],"RESULTS":[107],"There":[108],"2,429":[110],"subjects":[111],"met":[113],"inclusion":[115],"criteria.":[116],"From":[117],"rate":[122,208],"increased":[125,131],"41":[127],"58%.":[129],"It":[130],"35.3":[133],"59.6%":[135],"patients":[137,212,222],"private":[139,224],"insurance":[140,158,169,235],"(odds":[141],"ratio":[142],"1.10":[143],"[95%":[144],"CI":[145],"1.05\u20131.15];":[146],"P":[147,161,172,179,186],"<":[148,187],"0.0001)":[149,188],"but":[150],"remained":[151],"unchanged":[152],"(52.2\u201358.8%)":[153],"children":[155],"public":[157,168],"(1.03":[159],"[0.97\u20131.09];":[160],"=":[162,173,180],"0.36).":[163],"In":[164],"multivariable":[166],"model,":[167],"(1.33":[170],"[1.08\u20131.64];":[171],"0.007),":[174],"rural":[175],"address":[176],"(1.42":[177],"[1.08\u20131.86];":[178],"0.013),":[181],"(1.32":[184],"[1.26\u20131.38];":[185],"positively":[190],"associated":[191],"DKA,":[193],"whereas":[194],"primary":[199],"language":[200],"not.":[202],"CONCLUSIONS":[203],"The":[204],"increase":[205],"newly":[214],"was":[219],"driven":[220],"by":[221],"insurance.":[225],"This":[226],"paradoxically":[227],"occurred":[228],"during":[229],"time":[231],"increasing":[233],"coverage.":[236],"More":[237],"study":[238],"is":[239],"needed":[240],"understand":[242],"factors":[244],"driving":[245],"these":[246],"changes.":[247]},"counts_by_year":[{"year":2026,"cited_by_count":21},{"year":2025,"cited_by_count":16},{"year":2024,"cited_by_count":22},{"year":2023,"cited_by_count":14},{"year":2022,"cited_by_count":14},{"year":2021,"cited_by_count":29},{"year":2020,"cited_by_count":11}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2019-10-18T00:00:00"}