{"id":"https://openalex.org/W3029867355","doi":"https://doi.org/10.1002/hep4.1524","title":"Health Care Use and Costs Among Patients With Nonalcoholic Steatohepatitis With Advanced Fibrosis Using the Fibrosis\u20104 Score","display_name":"Health Care Use and Costs Among Patients With Nonalcoholic Steatohepatitis With Advanced Fibrosis Using the Fibrosis\u20104 Score","publication_year":2020,"publication_date":"2020-05-26","ids":{"openalex":"https://openalex.org/W3029867355","doi":"https://doi.org/10.1002/hep4.1524","mag":"3029867355","pmid":"https://pubmed.ncbi.nlm.nih.gov/32626832","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7327220"},"language":"en","primary_location":{"id":"doi:10.1002/hep4.1524","doi":"https://doi.org/10.1002/hep4.1524","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hep4.1524","pdf_url":null,"source":{"id":"https://openalex.org/S4210228550","display_name":"Hepatology Communications","issn_l":"2471-254X","issn":["2471-254X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-1"],"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":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hepatology Communications","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1002/hep4.1524","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046835105","display_name":"Stuart C. Gordon","orcid":"https://orcid.org/0000-0001-8666-3849","observed_orcids":["https://orcid.org/0000-0001-8666-3849"]},"institutions":[{"id":"https://openalex.org/I185443292","display_name":"Wayne State University","ror":"https://ror.org/01070mq45","country_code":"US","type":"education","lineage":["https://openalex.org/I185443292"]},{"id":"https://openalex.org/I2803043754","display_name":"Henry Ford Hospital","ror":"https://ror.org/0193sb042","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I154057602","https://openalex.org/I2803043754"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Stuart C. Gordon","raw_affiliation_strings":["Department of Gastroenterology and Hepatology,Henry Ford Hospital,Wayne State University School of Medicine,Detroit,MI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology and Hepatology,Henry Ford Hospital,Wayne State University School of Medicine,Detroit,MI","institution_ids":["https://openalex.org/I185443292","https://openalex.org/I2803043754"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027074563","display_name":"Nandita Kachru","orcid":"https://orcid.org/0000-0002-2754-0723","observed_orcids":["https://orcid.org/0000-0002-2754-0723"]},"institutions":[{"id":"https://openalex.org/I4210140816","display_name":"Gilead Sciences (United States)","ror":"https://ror.org/056546b03","country_code":"US","type":"company","lineage":["https://openalex.org/I4210140816"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nandita Kachru","raw_affiliation_strings":["Gilead Sciences,Health Economics Outcomes Research,Foster City,CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gilead Sciences,Health Economics Outcomes Research,Foster City,CA","institution_ids":["https://openalex.org/I4210140816"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023938106","display_name":"Emily D. Parker","orcid":"https://orcid.org/0000-0002-6219-4360","observed_orcids":["https://orcid.org/0000-0002-6219-4360"]},"institutions":[{"id":"https://openalex.org/I4210124242","display_name":"Optum (United States)","ror":"https://ror.org/0370sjj75","country_code":"US","type":"company","lineage":["https://openalex.org/I4210124242"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Emily Parker","raw_affiliation_strings":["OptumEden PrairieMN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"OptumEden PrairieMN","institution_ids":["https://openalex.org/I4210124242"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108687162","display_name":"Stephanie Korrer","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210124242","display_name":"Optum (United States)","ror":"https://ror.org/0370sjj75","country_code":"US","type":"company","lineage":["https://openalex.org/I4210124242"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephanie Korrer","raw_affiliation_strings":["OptumEden PrairieMN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"OptumEden PrairieMN","institution_ids":["https://openalex.org/I4210124242"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063732780","display_name":"Ahmet Burak Ozbay","orcid":"https://orcid.org/0000-0002-8624-6313","observed_orcids":["https://orcid.org/0000-0002-8624-6313"]},"institutions":[{"id":"https://openalex.org/I4210140816","display_name":"Gilead Sciences (United States)","ror":"https://ror.org/056546b03","country_code":"US","type":"company","lineage":["https://openalex.org/I4210140816"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"A. Burak Ozbay","raw_affiliation_strings":["Gilead Sciences,Health Economics Outcomes Research,Foster City,CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gilead Sciences,Health Economics Outcomes Research,Foster City,CA","institution_ids":["https://openalex.org/I4210140816"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015959578","display_name":"Robert J. Wong","orcid":"https://orcid.org/0000-0002-8923-2806","observed_orcids":["https://orcid.org/0000-0002-8923-2806","https://orcid.org/0009-0003-6092-2541"]},"institutions":[{"id":"https://openalex.org/I2800769186","display_name":"Alameda Health System","ror":"https://ror.org/04hcg0q34","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800769186"]},{"id":"https://openalex.org/I4210096489","display_name":"Highland Hospital","ror":"https://ror.org/00wtgx181","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800769186","https://openalex.org/I4210096489"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert J. Wong","raw_affiliation_strings":["Division of Gastroenterology and Hepatology,Alameda Health System, Highland Hospital,Oakland,CA"],"raw_orcid":"https://orcid.org/0000-0002-8923-2806","affiliations":[{"raw_affiliation_string":"Division of Gastroenterology and Hepatology,Alameda Health System, Highland Hospital,Oakland,CA","institution_ids":["https://openalex.org/I2800769186","https://openalex.org/I4210096489"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5046835105"],"corresponding_institution_ids":["https://openalex.org/I185443292","https://openalex.org/I2803043754"],"apc_list":{"value":2500,"currency":"USD","value_usd":2500},"apc_paid":{"value":2500,"currency":"USD","value_usd":2500},"fwci":0.9904,"has_fulltext":false,"cited_by_count":25,"citation_normalized_percentile":{"value":0.73732078,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"4","issue":"7","first_page":"998","last_page":"1011"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10351","display_name":"Liver Disease Diagnosis and Treatment","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"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/T10351","display_name":"Liver Disease Diagnosis and Treatment","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"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/T11834","display_name":"Liver Diseases and Immunity","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"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/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.0005000000237487257,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/non-alcoholic-steatohepatitis","display_name":"nonalcoholic steatohepatitis","score":0.9950000047683716},{"id":"https://openalex.org/keywords/non-alcoholic-fatty-liver-disease","display_name":"non-alcoholic fatty liver disease","score":0.9829999804496765},{"id":"https://openalex.org/keywords/advanced-liver-fibrosis","display_name":"advanced liver fibrosis","score":0.8799999952316284},{"id":"https://openalex.org/keywords/fib-4-index","display_name":"FIB-4","score":0.8009999990463257},{"id":"https://openalex.org/keywords/bridging-fibrosis","display_name":"bridging fibrosis","score":0.796999990940094},{"id":"https://openalex.org/keywords/compensated-cirrhosis","display_name":"compensated cirrhosis","score":0.9929999709129333},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.8050000071525574},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.9909999966621399},{"id":"https://openalex.org/keywords/comorbidity-burden","display_name":"comorbidity burden","score":0.8539999723434448},{"id":"https://openalex.org/keywords/hospitalization-costs","display_name":"hospital costs","score":0.8500000238418579},{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.8370000123977661},{"id":"https://openalex.org/keywords/cardiovascular-disease","display_name":"cardiovascular disease","score":0.9890000224113464},{"id":"https://openalex.org/keywords/renal-dysfunction","display_name":"renal dysfunction","score":0.8519999980926514},{"id":"https://openalex.org/keywords/noninvasive-fibrosis-assessment","display_name":"noninvasive fibrosis assessment","score":0.6850000023841858}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8122121691703796},{"id":"https://openalex.org/C2776954865","wikidata":"https://www.wikidata.org/wiki/Q1546498","display_name":"Nonalcoholic fatty liver disease","level":4,"score":0.6864291429519653},{"id":"https://openalex.org/C2780559512","wikidata":"https://www.wikidata.org/wiki/Q605709","display_name":"Fibrosis","level":2,"score":0.6427769660949707},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6402462720870972},{"id":"https://openalex.org/C2777214474","wikidata":"https://www.wikidata.org/wiki/Q147778","display_name":"Cirrhosis","level":2,"score":0.6016513705253601},{"id":"https://openalex.org/C2777075537","wikidata":"https://www.wikidata.org/wiki/Q929737","display_name":"Liver disease","level":2,"score":0.46599188446998596},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.44445478916168213},{"id":"https://openalex.org/C2778772119","wikidata":"https://www.wikidata.org/wiki/Q6058862","display_name":"Fatty liver","level":3,"score":0.43307721614837646},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.39222225546836853},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.3614059090614319}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1002/hep4.1524","doi":"https://doi.org/10.1002/hep4.1524","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hep4.1524","pdf_url":null,"source":{"id":"https://openalex.org/S4210228550","display_name":"Hepatology Communications","issn_l":"2471-254X","issn":["2471-254X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-1"],"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":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hepatology Communications","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7327220","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7327220","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-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hepatol Commun","raw_type":"Text"},{"id":"pmid:32626832","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32626832","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":"Hepatology communications","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:5ebb08df34224bd4980f1ca703531b8f","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/5ebb08df34224bd4980f1ca703531b8f","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":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Hepatology Communications, Vol 4, Iss 7, Pp 998-1011 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1002/hep4.1524","doi":"https://doi.org/10.1002/hep4.1524","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hep4.1524","pdf_url":null,"source":{"id":"https://openalex.org/S4210228550","display_name":"Hepatology Communications","issn_l":"2471-254X","issn":["2471-254X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-20","russia-white-list-1"],"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":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hepatology Communications","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":44,"referenced_works":["https://openalex.org/W1153748316","https://openalex.org/W1495710087","https://openalex.org/W1540165847","https://openalex.org/W1576613118","https://openalex.org/W1622799587","https://openalex.org/W1963683487","https://openalex.org/W1964572117","https://openalex.org/W1985958297","https://openalex.org/W1996559225","https://openalex.org/W2010662354","https://openalex.org/W2022419155","https://openalex.org/W2024596485","https://openalex.org/W2045084840","https://openalex.org/W2063027176","https://openalex.org/W2063437798","https://openalex.org/W2064387090","https://openalex.org/W2081324449","https://openalex.org/W2087265885","https://openalex.org/W2104797979","https://openalex.org/W2110934550","https://openalex.org/W2112496618","https://openalex.org/W2121656227","https://openalex.org/W2129275826","https://openalex.org/W2149669030","https://openalex.org/W2156792510","https://openalex.org/W2157162247","https://openalex.org/W2171172585","https://openalex.org/W2189009687","https://openalex.org/W2204688218","https://openalex.org/W2288447626","https://openalex.org/W2414609903","https://openalex.org/W2421099511","https://openalex.org/W2529917894","https://openalex.org/W2580009538","https://openalex.org/W2608919261","https://openalex.org/W2734724639","https://openalex.org/W2744982526","https://openalex.org/W2767309773","https://openalex.org/W2800284953","https://openalex.org/W2801343988","https://openalex.org/W2802599192","https://openalex.org/W2804277945","https://openalex.org/W2966701995","https://openalex.org/W2982276250"],"related_works":["https://openalex.org/W2955820184","https://openalex.org/W4323035816","https://openalex.org/W4283808076","https://openalex.org/W4283818237","https://openalex.org/W2948668462","https://openalex.org/W3074292437","https://openalex.org/W3108197476","https://openalex.org/W2979196706","https://openalex.org/W3011409029","https://openalex.org/W3155837299"],"abstract_inverted_index":{"Limited":[0],"evidence":[1],"exists":[2],"on":[3,127],"the":[4,23,56,81,136,142,153,226,257,271,278],"clinical":[5,46,129],"and":[6,47,64,75,109,131,148,155,163,168,212,237,246,262,276],"economic":[7],"burden":[8],"of":[9,25,41,135,160,173,229,244,259,264,273],"advanced":[10],"fibrosis":[11,43,165,206,217,248],"in":[12,235],"patients":[13,67,96,174,202,213],"with":[14,68,70,97,176,203,214,252],"nonalcoholic":[15],"fatty":[16],"liver":[17,26,31,42],"disease/nonalcoholic":[18],"steatohepatitis":[19],"(NAFLD/NASH)":[20],"due":[21],"to":[22,54,105,113,199],"invasiveness":[24],"biopsies":[27],"for":[28,38,201],"accurately":[29],"staging":[30],"disease.":[32],"The":[33,158],"fibrosis\u20104":[34],"(FIB\u20104)":[35],"score":[36,122,140],"allows":[37],"noninvasive":[39],"assessment":[40],"by":[44],"using":[45,119],"laboratory":[48,110],"data":[49,111,255],"alone.":[50],"This":[51],"study":[52,88],"aimed":[53],"characterize":[55],"comorbidity":[57],"burden,":[58],"health":[59,192],"care":[60,193],"resource":[61],"use":[62],"(HCRU),":[63],"costs":[65,149,194,224,238],"among":[66,91,249],"NAFLD/NASH":[69,99,265],"FIB\u20104\u2010defined":[71],"F3":[72,162,178,205,245],"(bridging":[73],"fibrosis)":[74],"F4":[76,164,180,216,247],"(compensated":[77],"cirrhosis)":[78],"fibrosis.":[79],"Using":[80],"Optum":[82],"Research":[83],"Database,":[84],"a":[85],"retrospective":[86],"cohort":[87],"was":[89,166],"conducted":[90],"251,725":[92],"commercially":[93],"insured":[94],"adult":[95],"\u22651":[98],"diagnosis":[100],"from":[101,197],"January":[102],"1,":[103],"2008,":[104],"August":[106],"31,":[107],"2016,":[108],"required":[112],"calculate":[114],"FIB\u20104":[115,121,139],"scores.":[116],"Five":[117],"criteria":[118,209,220],"varying":[120],"cutoffs":[123],"were":[124,150,225,239],"identified":[125,175],"based":[126],"expert":[128],"opinion":[130],"published":[132],"literature.":[133],"Date":[134],"first":[137],"valid":[138],"marked":[141],"index":[143],"date.":[144],"Mean":[145],"annual":[146],"HCRU":[147,236],"calculated":[151],"during":[152],"pre\u2010index":[154,198],"post\u2010index":[156,200],"periods.":[157],"prevalence":[159],"FIB\u20104\u2010based":[161,177,204,215,242],"0.40%\u20102.72%":[167],"1.03%\u20101.61%,":[169],"respectively.":[170],"Almost":[171],"50%":[172],"or":[179,187,269],"had":[181],"type":[182],"2":[183],"diabetes,":[184],"cardiovascular":[185],"disease,":[186],"renal":[188],"impairment.":[189],"Total":[190],"all\u2010cause":[191],"increased":[195],"significantly":[196],"across":[207,218],"most":[208],"(17%\u201029%":[210],"increase)":[211],"all":[219],"(47%\u201048%":[221],"increase).":[222],"Inpatient":[223],"primary":[227],"drivers":[228],"this":[230],"increment.":[231],"Conclusion:":[232],"Significant":[233],"increases":[234],"observed":[240],"following":[241],"identification":[243,261],"U.S.":[250],"adults":[251],"NAFLD/NASH.":[253],"These":[254],"suggest":[256],"importance":[258],"early":[260],"management":[263],"that":[266],"may":[267],"halt":[268],"reduce":[270],"risk":[272],"disease":[274],"progression":[275],"limit":[277],"underlying":[279],"burden.":[280]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":10},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":1}],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2020-06-05T00:00:00"}
