{"id":"https://openalex.org/W4290930474","doi":"https://doi.org/10.1097/prs.0000000000009516","title":"Ethical Considerations in Palliative Reconstruction","display_name":"Ethical Considerations in Palliative Reconstruction","publication_year":2022,"publication_date":"2022-08-12","ids":{"openalex":"https://openalex.org/W4290930474","doi":"https://doi.org/10.1097/prs.0000000000009516","pmid":"https://pubmed.ncbi.nlm.nih.gov/35960920"},"language":"en","primary_location":{"id":"doi:10.1097/prs.0000000000009516","doi":"https://doi.org/10.1097/prs.0000000000009516","is_oa":false,"landing_page_url":"https://doi.org/10.1097/prs.0000000000009516","pdf_url":null,"source":{"id":"https://openalex.org/S100736837","display_name":"Plastic & Reconstructive Surgery","issn_l":"0032-1052","issn":["0032-1052","1076-5751","1529-4242"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"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":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Plastic &amp; Reconstructive Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"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/A5087841469","display_name":"Lyndsay A. Kandi","orcid":"https://orcid.org/0000-0003-2583-2789","observed_orcids":["https://orcid.org/0000-0003-2583-2789"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I4210127938","display_name":"Mayo Clinic Hospital","ror":"https://ror.org/03660jn93","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099","https://openalex.org/I4210127938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lyndsay A. Kandi","raw_affiliation_strings":["Division of Plastic and Reconstructive Surgery, Department of Surgery","Department of Surgery","Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, Ariz"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery","institution_ids":[]},{"raw_affiliation_string":"Department of Surgery","institution_ids":[]},{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, Ariz","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I4210127938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074887392","display_name":"Jacob B. Hammond","orcid":"https://orcid.org/0000-0001-9224-1255","observed_orcids":["https://orcid.org/0000-0001-9224-1255"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I4210127938","display_name":"Mayo Clinic Hospital","ror":"https://ror.org/03660jn93","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099","https://openalex.org/I4210127938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jacob B. Hammond","raw_affiliation_strings":["Department of Surgery","Division of Plastic and Reconstructive Surgery, Department of Surgery","Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, Ariz"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery","institution_ids":[]},{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery","institution_ids":[]},{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, Ariz","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I4210127938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042128328","display_name":"Sara L. Struve","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I4210127938","display_name":"Mayo Clinic Hospital","ror":"https://ror.org/03660jn93","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099","https://openalex.org/I4210127938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sara L. Struve","raw_affiliation_strings":["Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, Ariz","Department of Surgery","Division of Plastic and Reconstructive Surgery, Department of Surgery"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, Ariz","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I4210127938"]},{"raw_affiliation_string":"Department of Surgery","institution_ids":[]},{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5079353525","display_name":"Chad M. Teven","orcid":"https://orcid.org/0000-0002-2835-9942","observed_orcids":["https://orcid.org/0000-0002-2835-9942"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I4210127938","display_name":"Mayo Clinic Hospital","ror":"https://ror.org/03660jn93","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099","https://openalex.org/I4210127938"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Chad M. Teven","raw_affiliation_strings":["Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, Ariz","Department of Surgery","Division of Plastic and Reconstructive Surgery, Department of Surgery"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, Ariz","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I4210127938"]},{"raw_affiliation_string":"Department of Surgery","institution_ids":[]},{"raw_affiliation_string":"Division of Plastic and Reconstructive Surgery, Department of Surgery","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5079353525"],"corresponding_institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I4210127938"],"apc_list":null,"apc_paid":null,"fwci":0.2004,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.44908536,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"150","issue":"4","first_page":"938e","last_page":"939e"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.4950999915599823,"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/T13340","display_name":"Palliative and Oncologic Care","score":0.4950999915599823,"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/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.42309999465942383,"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/T13147","display_name":"Ethics and bioethics in healthcare","score":0.026100000366568565,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/palliative-surgery","display_name":"palliative surgery","score":0.8669999837875366},{"id":"https://openalex.org/keywords/terminal-cancer","display_name":"terminal cancer","score":0.7739999890327454},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.7559999823570251},{"id":"https://openalex.org/keywords/moral-justification","display_name":"moral justification","score":0.6290000081062317},{"id":"https://openalex.org/keywords/patient-selection","display_name":"patient selection","score":0.8190000057220459},{"id":"https://openalex.org/keywords/quality-of-life-at-end-of-life","display_name":"quality of life at end of life","score":0.5630000233650208},{"id":"https://openalex.org/keywords/chest-wall-reconstruction","display_name":"chest wall reconstruction","score":0.5400000214576721},{"id":"https://openalex.org/keywords/mandibular-reconstruction","display_name":"mandibular reconstruction","score":0.7879999876022339},{"id":"https://openalex.org/keywords/free-flap","display_name":"free flap","score":0.5120000243186951},{"id":"https://openalex.org/keywords/pain-and-suffering","display_name":"pain and suffering","score":0.4320000112056732},{"id":"https://openalex.org/keywords/social-stigma","display_name":"social stigma","score":0.34299999475479126},{"id":"https://openalex.org/keywords/multidisciplinary-care","display_name":"multidisciplinary care","score":0.4269999861717224},{"id":"https://openalex.org/keywords/informed-consent","display_name":"informed consent","score":0.6729999780654907},{"id":"https://openalex.org/keywords/palliative-care","display_name":"palliative care","score":0.3529999852180481},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.39500001072883606}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9401302337646484},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.7464858293533325},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.725253701210022},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.6881195306777954},{"id":"https://openalex.org/C133925201","wikidata":"https://www.wikidata.org/wiki/Q188419","display_name":"Life expectancy","level":3,"score":0.6179627776145935},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5786207318305969},{"id":"https://openalex.org/C2778749371","wikidata":"https://www.wikidata.org/wiki/Q3043172","display_name":"Disfigurement","level":2,"score":0.5024480819702148},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.44604387879371643},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.4203595519065857},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1302245855331421},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009014","descriptor_name":"Morals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/prs.0000000000009516","doi":"https://doi.org/10.1097/prs.0000000000009516","is_oa":false,"landing_page_url":"https://doi.org/10.1097/prs.0000000000009516","pdf_url":null,"source":{"id":"https://openalex.org/S100736837","display_name":"Plastic & Reconstructive Surgery","issn_l":"0032-1052","issn":["0032-1052","1076-5751","1529-4242"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"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":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Plastic &amp; Reconstructive Surgery","raw_type":"journal-article"},{"id":"pmid:35960920","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35960920","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":"Plastic and reconstructive surgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":5,"referenced_works":["https://openalex.org/W2138747093","https://openalex.org/W2188174797","https://openalex.org/W2999417355","https://openalex.org/W3152072393","https://openalex.org/W3201705960"],"related_works":["https://openalex.org/W2055948692","https://openalex.org/W4388616147","https://openalex.org/W3025669615","https://openalex.org/W4251263362","https://openalex.org/W3203528794","https://openalex.org/W4231140914","https://openalex.org/W46960108","https://openalex.org/W1993048750","https://openalex.org/W3162000569","https://openalex.org/W4244518832"],"abstract_inverted_index":{"Palliative":[0,368,465],"surgery":[1,108],"is":[2,75,109,373,399,474,503,538],"an":[3,150,321],"intervention":[4,289],"borne":[5],"from":[6,230],"the":[7,44,78,94,104,114,136,146,173,186,198,214,236,267,281,287,332,336,386,407,424,432,450,514,524,565,585,591],"concept":[8],"of":[9,34,46,72,81,96,106,117,138,145,183,201,211,216,221,224,235,245,261,269,273,294,307,317,338,344,416,429,435,452,496,510,517,523,587],"death":[10],"without":[11],"indignity,":[12],"where":[13],"\u201cindignity\u201d":[14],"may":[15,41,54],"refer":[16],"to":[17,62,76,155,188,204,335,391,423,476,492,513,543,583,600],"undue":[18],"pain":[19,58,88],"and":[20,32,87,98,121,162,168,185,194,208,283,389,413,437,449,521,540,551,576],"suffering.1":[21],"Such":[22],"extreme":[23],"duress":[24],"can":[25],"negatively":[26],"impact":[27],"a":[28,139,393,497,518,528,577],"patient\u2019s":[29,79,387],"daily":[30],"functioning":[31],"quality":[33,80,182,210,293,316,428],"life;":[35],"however,":[36],"their":[37,482],"limited":[38,404],"life":[39,83,184,212,295,318,405],"expectancy":[40],"be":[42,55,63,419,440,509],"in":[43,93,103,149,296,301,331,342,348,421,427,464,527,569],"context":[45,105],"terminal":[47,233,358],"cancer.":[48],"Under":[49],"certain":[50],"circumstances,":[51],"surgical":[52,73,101,226,288,362,588],"palliation":[53,74,102],"indicated":[56],"if":[57],"or":[59,248,278,562,567],"symptoms":[60],"fail":[61],"controlled":[64],"through":[65,84],"more":[66,353],"conservative":[67],"measures.":[68],"An":[69],"important":[70,199],"goal":[71],"improve":[77],"remaining":[82],"symptomatic":[85,206],"management":[86,337],"reduction.2":[89],"Although":[90],"commonly":[91],"used":[92],"fields":[95],"gynecologic":[97],"general":[99],"surgery,":[100],"plastic":[107],"rarely":[110],"used,":[111],"even":[112],"despite":[113],"increasing":[115],"availability":[116],"numerous":[118],"flap":[119],"options":[120],"other":[122,195],"techniques.":[123],"Few":[124],"examples":[125,196],"exist,":[126],"however.":[127],"A":[128,486,571],"recent":[129],"report":[130],"by":[131,252],"Gasteratos":[132],"et":[133],"al.3":[134],"discussed":[135],"case":[137,343],"15-year-old":[140],"girl":[141],"with":[142,164,256,286,309,357,403,488,494,530,548,573],"recurrent":[143],"osteosarcoma":[144],"mandible":[147],"resulting":[148,347],"expanding":[151],"exophytic":[152],"mass":[153,499,520,579],"resistant":[154],"chemotherapy.":[156],"She":[157],"underwent":[158],"wide":[159],"mandibular":[160],"resection":[161,244,495,589],"reconstruction":[163,203,227,255,522,556],"free":[165],"fibular":[166],"osteocutaneous":[167],"anterolateral":[169],"thigh":[170],"flaps":[171,257],"for":[172,259],"enlarging":[174],"lesion.":[175],"Before":[176],"her":[177],"death,":[178],"she":[179],"reported":[180],"improved":[181,209],"ability":[187,390],"enjoy":[189],"food":[190],"consumption":[191],"again.":[192],"This":[193],"demonstrate":[197],"role":[200],"palliative":[202,225,366,444],"provide":[205],"relief":[207],"at":[213,291],"end":[215],"life.1,3":[217],"Another":[218],"salient":[219],"example":[220],"appropriate":[222],"use":[223],"has":[228,319],"come":[229],"authors":[231,595],"managing":[232],"cancers":[234],"chest":[237,253],"wall.":[238],"Other":[239],"studies":[240],"have":[241,596],"found":[242],"that":[243,364,378],"painful,":[246],"malodorous,":[247],"bleeding":[249],"tumors":[250],"followed":[251],"wall":[254],"allows":[258],"mitigation":[260],"social":[262,276,534],"isolation.4":[263],"In":[264,401],"many":[265],"cases,":[266],"level":[268],"suffering,":[270],"whether":[271],"because":[272],"functional":[274,411],"impairment,":[275],"stigmatization,":[277],"pain,":[279],"justifies":[280],"risks":[282,592],"costs":[284],"associated":[285],"aimed":[290],"improving":[292],"these":[297],"patients.":[298],"As":[299],"advancements":[300],"cancer":[302,339],"treatment":[303],"continue,":[304],"survival":[305],"rates":[306],"patients":[308,356,402,545,547],"significant":[310,345],"tumor":[311],"burden":[312],"are":[313,327,360,454,554],"increasing.5":[314],"Similarly,":[315,446],"become":[320],"increasingly":[322],"prominent":[323],"concern.":[324],"Plastic":[325],"surgeons":[326,380],"often":[328],"key":[329,455],"partners":[330],"interdisciplinary":[333],"approach":[334],"patients,":[340],"especially":[341],"extirpation":[346],"large,":[349],"complex":[350],"defects.":[351],"Now":[352],"than":[354],"ever,":[355],"disease":[359,490,532,550,575],"undergoing":[361],"resections":[363],"require":[365],"reconstruction.":[367,445],"reconstruction,":[369],"when":[370,442],"performed":[371],"appropriately,":[372],"indeed":[374],"ethically":[375],"justified.":[376],"To":[377],"end,":[379],"must":[381,418,439],"consider":[382],"all":[383,544],"factors,":[384],"including":[385,410],"condition":[388],"tolerate":[392],"large":[394],"operation.":[395],"Careful":[396],"patient":[397,447,473,487,515,529,566,572],"selection":[398],"paramount.":[400],"expectancy,":[406],"perioperative":[408],"recovery,":[409],"impairment":[412],"hospital":[414],"length":[415],"stay,":[417],"considered":[420,441],"relation":[422],"expected":[425],"improvement":[426],"life.":[430],"Indeed,":[431],"ethical":[433],"principles":[434],"beneficence":[436],"nonmaleficence":[438],"offering":[443],"autonomy":[448],"principle":[451],"justice":[453],"concerns":[456],"(Table":[457],"1).":[458],"Table":[459],"1.":[460],"-":[461],"Ethical":[462,467],"Principles":[463],"Reconstruction":[466],"Principle":[468],"Definition":[469],"Example":[470],"Autonomy":[471],"The":[472,506,558,594],"empowered":[475],"make":[477],"fully":[478],"informed":[479,501],"decisions":[480],"regarding":[481],"own":[483],"health":[484],"care":[485],"metastatic":[489,531,549,574],"elects":[491],"proceed":[493],"fungating":[498,519,552,578],"after":[500],"consent":[502],"obtained":[504],"Beneficence":[505],"procedure":[507,559],"will":[508],"net":[511],"benefit":[512],"Removal":[516],"subsequent":[525],"defect":[526],"mitigates":[533],"isolation":[535],"Justice":[536],"Treatment":[537],"fair":[539],"equally":[541],"available":[542],"All":[546],"masses":[553],"offered":[555],"Nonmaleficence":[557],"does":[560],"not":[561],"minimally":[563],"harms":[564],"others":[568],"society":[570],"undergoes":[580],"preoperative":[581],"assessment":[582],"ensure":[584],"benefits":[586],"outweigh":[590],"DISCLOSURE":[593],"no":[597],"financial":[598],"interests":[599],"declare.":[601]},"counts_by_year":[{"year":2023,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2022-08-13T00:00:00"}
