{"id":"https://openalex.org/W3135601550","doi":"https://doi.org/10.1159/000513471","title":"A Retrospective Cohort Study Comparing In-Person and Telemedicine-Based Opioid Agonist Treatment in Ontario, Canada, Using Administrative Health Data","display_name":"A Retrospective Cohort Study Comparing In-Person and Telemedicine-Based Opioid Agonist Treatment in Ontario, Canada, Using Administrative Health Data","publication_year":2021,"publication_date":"2021-01-01","ids":{"openalex":"https://openalex.org/W3135601550","doi":"https://doi.org/10.1159/000513471","mag":"3135601550","pmid":"https://pubmed.ncbi.nlm.nih.gov/33706309","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/8259071"},"language":"en","primary_location":{"id":"doi:10.1159/000513471","doi":"https://doi.org/10.1159/000513471","is_oa":true,"landing_page_url":"https://doi.org/10.1159/000513471","pdf_url":null,"source":{"id":"https://openalex.org/S98083841","display_name":"European Addiction Research","issn_l":"1022-6877","issn":["1022-6877","1421-9891"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310317820","host_organization_name":"Karger Publishers","host_organization_lineage":["https://openalex.org/P4310317820"],"host_organization_lineage_names":["Karger Publishers"],"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":"European Addiction Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1159/000513471","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010910449","display_name":"Kristen A. Morin","orcid":"https://orcid.org/0009-0001-4059-3475","observed_orcids":["https://orcid.org/0009-0001-4059-3475"]},"institutions":[{"id":"https://openalex.org/I7899908","display_name":"NOSM University","ror":"https://ror.org/05yb43k62","country_code":"CA","type":"education","lineage":["https://openalex.org/I7899908"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Kristen A. Morin","raw_affiliation_strings":["Northern Ontario School of Medicine Sudbury, Sudbury, Ontario, Canada","Northern Ontario School of Medicine Sudbury, Sudbury, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northern Ontario School of Medicine Sudbury, Sudbury, Ontario, Canada","institution_ids":["https://openalex.org/I7899908"]},{"raw_affiliation_string":"Northern Ontario School of Medicine Sudbury, Sudbury, ON, Canada","institution_ids":["https://openalex.org/I7899908"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029456733","display_name":"Matthiew D. Parrotta","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I7899908","display_name":"NOSM University","ror":"https://ror.org/05yb43k62","country_code":"CA","type":"education","lineage":["https://openalex.org/I7899908"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Matthiew D. Parrotta","raw_affiliation_strings":["Northern Ontario School of Medicine Sudbury, Sudbury, Ontario, Canada","Northern Ontario School of Medicine Sudbury, Sudbury, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northern Ontario School of Medicine Sudbury, Sudbury, Ontario, Canada","institution_ids":["https://openalex.org/I7899908"]},{"raw_affiliation_string":"Northern Ontario School of Medicine Sudbury, Sudbury, ON, Canada","institution_ids":["https://openalex.org/I7899908"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029084776","display_name":"Joseph Karl Eibl","orcid":"https://orcid.org/0000-0002-1755-6481","observed_orcids":["https://orcid.org/0000-0002-1755-6481"]},"institutions":[{"id":"https://openalex.org/I2802851750","display_name":"Health Sciences North","ror":"https://ror.org/04br0rs05","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2802851750"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Joseph K. Eibl","raw_affiliation_strings":["Health Sciences North Research Institute, Sudbury, Ontario, Canada","Health Sciences North Research Institute, Sudbury, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Sciences North Research Institute, Sudbury, Ontario, Canada","institution_ids":["https://openalex.org/I2802851750"]},{"raw_affiliation_string":"Health Sciences North Research Institute, Sudbury, ON, Canada","institution_ids":["https://openalex.org/I2802851750"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5005839687","display_name":"David C. Marsh","orcid":"https://orcid.org/0000-0002-8769-1785","observed_orcids":["https://orcid.org/0000-0002-8769-1785"]},"institutions":[{"id":"https://openalex.org/I2802851750","display_name":"Health Sciences North","ror":"https://ror.org/04br0rs05","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I2802851750"]},{"id":"https://openalex.org/I7899908","display_name":"NOSM University","ror":"https://ror.org/05yb43k62","country_code":"CA","type":"education","lineage":["https://openalex.org/I7899908"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"David C. Marsh","raw_affiliation_strings":["Canadian Addiction Treatment Centres, Markham, Ontario, Canada, dmarsh@nosm.ca","Health Sciences North Research Institute, Sudbury, Ontario, Canada, dmarsh@nosm.ca","ICES North, Sudbury, Ontario, Canada, dmarsh@nosm.ca","Northern Ontario School of Medicine Sudbury, Sudbury, Ontario, Canada, dmarsh@nosm.ca","Canadian Addiction Treatment Centres, Markham, ON, Canada","Health Sciences North Research Institute, Sudbury, ON, Canada","ICES North, Sudbury, ON, Canada","Northern Ontario School of Medicine Sudbury, Sudbury, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Canadian Addiction Treatment Centres, Markham, Ontario, Canada, dmarsh@nosm.ca","institution_ids":[]},{"raw_affiliation_string":"Health Sciences North Research Institute, Sudbury, Ontario, Canada, dmarsh@nosm.ca","institution_ids":["https://openalex.org/I2802851750","https://openalex.org/I7899908"]},{"raw_affiliation_string":"ICES North, Sudbury, Ontario, Canada, dmarsh@nosm.ca","institution_ids":[]},{"raw_affiliation_string":"Northern Ontario School of Medicine Sudbury, Sudbury, Ontario, Canada, dmarsh@nosm.ca","institution_ids":["https://openalex.org/I7899908"]},{"raw_affiliation_string":"Canadian Addiction Treatment Centres, Markham, ON, Canada","institution_ids":[]},{"raw_affiliation_string":"Health Sciences North Research Institute, Sudbury, ON, Canada","institution_ids":["https://openalex.org/I2802851750"]},{"raw_affiliation_string":"ICES North, Sudbury, ON, Canada","institution_ids":[]},{"raw_affiliation_string":"Northern Ontario School of Medicine Sudbury, Sudbury, ON, Canada","institution_ids":["https://openalex.org/I7899908"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.2725,"has_fulltext":false,"cited_by_count":16,"citation_normalized_percentile":{"value":0.87060274,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"27","issue":"4","first_page":"268","last_page":"276"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10576","display_name":"Opioid Use Disorder Treatment","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10576","display_name":"Opioid Use Disorder Treatment","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10043","display_name":"Substance Abuse Treatment and Outcomes","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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/opioid-substitution-therapy","display_name":"opioid substitution therapy","score":0.9390000104904175},{"id":"https://openalex.org/keywords/telemedicine","display_name":"telemedicine","score":0.984000027179718},{"id":"https://openalex.org/keywords/in-person-care","display_name":"in-person care","score":0.8600000143051147},{"id":"https://openalex.org/keywords/opioid-use-disorder","display_name":"opioid use disorder","score":0.8410000205039978},{"id":"https://openalex.org/keywords/treatment-retention","display_name":"treatment retention","score":0.7129999995231628},{"id":"https://openalex.org/keywords/all-cause-mortality","display_name":"all-cause mortality","score":0.8949999809265137},{"id":"https://openalex.org/keywords/emergency-department-visits","display_name":"emergency department visits","score":0.972000002861023},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.8059999942779541},{"id":"https://openalex.org/keywords/harm-reduction","display_name":"harm reduction","score":0.5490000247955322}],"concepts":[{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.6400931477546692},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.6288328766822815},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5427915453910828},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.46880844235420227},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4629455804824829},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.42934268712997437},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3663260340690613},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.18523499369621277},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.08920088410377502},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C170493617","wikidata":"https://www.wikidata.org/wiki/Q208467","display_name":"Receptor","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000067575","descriptor_name":"Administrative Claims, Healthcare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","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":"D000701","descriptor_name":"Analgesics, Opioid","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D000701","descriptor_name":"Analgesics, Opioid","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","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":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","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":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009293","descriptor_name":"Opioid-Related Disorders","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D009293","descriptor_name":"Opioid-Related Disorders","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D009864","descriptor_name":"Ontario","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","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":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1159/000513471","doi":"https://doi.org/10.1159/000513471","is_oa":true,"landing_page_url":"https://doi.org/10.1159/000513471","pdf_url":null,"source":{"id":"https://openalex.org/S98083841","display_name":"European Addiction Research","issn_l":"1022-6877","issn":["1022-6877","1421-9891"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310317820","host_organization_name":"Karger Publishers","host_organization_lineage":["https://openalex.org/P4310317820"],"host_organization_lineage_names":["Karger Publishers"],"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":"European Addiction Research","raw_type":"journal-article"},{"id":"pmid:33706309","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33706309","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":"European addiction research","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:8259071","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8259071/","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":"Eur Addict Res","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1159/000513471","doi":"https://doi.org/10.1159/000513471","is_oa":true,"landing_page_url":"https://doi.org/10.1159/000513471","pdf_url":null,"source":{"id":"https://openalex.org/S98083841","display_name":"European Addiction Research","issn_l":"1022-6877","issn":["1022-6877","1421-9891"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310317820","host_organization_name":"Karger Publishers","host_organization_lineage":["https://openalex.org/P4310317820"],"host_organization_lineage_names":["Karger Publishers"],"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":"European Addiction Research","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":34,"referenced_works":["https://openalex.org/W23437090","https://openalex.org/W1905516958","https://openalex.org/W1977821291","https://openalex.org/W1985799903","https://openalex.org/W1990529050","https://openalex.org/W2003884991","https://openalex.org/W2009515465","https://openalex.org/W2025376268","https://openalex.org/W2046457014","https://openalex.org/W2063252400","https://openalex.org/W2063343624","https://openalex.org/W2074794912","https://openalex.org/W2075516257","https://openalex.org/W2088639396","https://openalex.org/W2102989444","https://openalex.org/W2105496950","https://openalex.org/W2105625949","https://openalex.org/W2106556453","https://openalex.org/W2110102664","https://openalex.org/W2113431190","https://openalex.org/W2123787529","https://openalex.org/W2132974770","https://openalex.org/W2136759455","https://openalex.org/W2149717129","https://openalex.org/W2150115621","https://openalex.org/W2152088367","https://openalex.org/W2163008649","https://openalex.org/W2175436906","https://openalex.org/W2474648607","https://openalex.org/W2547698689","https://openalex.org/W2582805122","https://openalex.org/W2616473434","https://openalex.org/W2801936818","https://openalex.org/W4245487921"],"related_works":["https://openalex.org/W2616473434","https://openalex.org/W4404701838","https://openalex.org/W4406846146","https://openalex.org/W4400142700","https://openalex.org/W7164997543","https://openalex.org/W7024996304","https://openalex.org/W4416088817","https://openalex.org/W4407071550","https://openalex.org/W3116220786","https://openalex.org/W3127533148"],"abstract_inverted_index":{"BACKGROUND:":[0],"This":[1],"study":[2,23,89],"evaluated":[3],"how":[4],"telemedicine":[5,132,209,221],"as":[6],"a":[7,20,60,67,76,237],"modality":[8],"for":[9,200,240],"opioid":[10,28,47,127,204,243],"agonist":[11,29,48,128,205,244],"treatment":[12,30,49,129,146,206],"compares":[13],"to":[14,64,72,81,163,211,224],"in-person":[15,164,225],"care.":[16,165],"METHODS:":[17],"We":[18,42,58],"conducted":[19],"retrospective":[21],"cohort":[22],"of":[24,118,168,177,189],"patients":[25,44,201],"enrolled":[26],"in":[27,39,51,123,212],"between":[31],"January":[32],"1,":[33],"2011,":[34],"and":[35,54,75,86,106,159,186,233,235],"December":[36],"31,":[37],"2015,":[38],"Ontario,":[40],"Canada.":[41],"compared":[43,162,210],"who":[45,202],"received":[46,203],"predominantly":[50,55,131,207],"person,":[52],"mixed,":[53],"by":[56,130,208],"telemedicine.":[57],"used":[59],"logistic":[61],"regression":[62,79],"model":[63,71,80],"evaluate":[65,82],"mortality,":[66],"Cox":[68],"proportional":[69],"hazard":[70],"assess":[73],"retention,":[74,234],"negative":[77],"binomial":[78],"emergency":[83,156,169,180,230],"department":[84,157,170,181,231],"visits":[85,158,171,182,232],"hospitalizations.":[87],"The":[88,166],"was":[90,133,198],"performed":[91],"using":[92],"administrative":[93],"health":[94],"data":[95,99,108],"with":[96,136],"physician":[97],"billing":[98],"from":[100,109],"the":[101,110,124,175,187,218],"Ontario":[102,111],"Health":[103],"Insurance":[104],"Plan":[105],"prescription":[107],"Drug":[112],"Benefit":[113],"databases.":[114],"RESULTS:":[115],"A":[116],"total":[117],"55,924":[119],"individuals":[120],"were":[121],"included":[122],"study.":[125],"Receiving":[126],"not":[134],"associated":[135],"all-cause":[137],"mortality":[138,228],"(OR":[139,148],"=":[140,149,173,184,196],"0.9,":[141],"95%":[142,151],"CI:":[143,152],"0.8-1.0),":[144],"1-year":[145],"retention":[147],"1.0,":[150],"0.9-1.1),":[153],"or":[154],"opioid-related":[155,229],"hospitalizations":[160,192],"when":[161],"rate":[167,176,188],"(IRR":[172,183,195],"1.4),":[174],"mental":[178,190],"health-related":[179,191],"1.5),":[185],"per":[193],"year":[194],"1.2)":[197],"higher":[199],"person.":[213],"CONCLUSION:":[214],"Our":[215],"findings":[216],"support":[217],"conclusion":[219],"that":[220],"is":[222,236],"equal":[223],"care":[226],"regarding":[227],"viable":[238],"option":[239],"those":[241],"seeking":[242],"treatment.":[245]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2021-03-15T00:00:00"}
