{"id":"https://openalex.org/W4388199554","doi":"https://doi.org/10.1200/op.2023.19.11_suppl.242","title":"Effect of removing an oncologist-directed behavioral nudge on sustaining rates of serious illness conversations: An interrupted time series analysis.","display_name":"Effect of removing an oncologist-directed behavioral nudge on sustaining rates of serious illness conversations: An interrupted time series analysis.","publication_year":2023,"publication_date":"2023-10-26","ids":{"openalex":"https://openalex.org/W4388199554","doi":"https://doi.org/10.1200/op.2023.19.11_suppl.242"},"language":"en","primary_location":{"id":"doi:10.1200/op.2023.19.11_suppl.242","doi":"https://doi.org/10.1200/op.2023.19.11_suppl.242","is_oa":true,"landing_page_url":"http://dx.doi.org/10.1200/op.2023.19.11_suppl.242","pdf_url":"https://ascopubs.org/doi/pdfdirect/10.1200/OP.2023.19.11_suppl.242","source":{"id":"https://openalex.org/S4210202425","display_name":"JCO Oncology Practice","issn_l":"2688-1527","issn":["2688-1527","2688-1535"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-3"],"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":"JCO Oncology Practice","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://ascopubs.org/doi/pdfdirect/10.1200/OP.2023.19.11_suppl.242","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5011037439","display_name":"Ryan O\u02bcKeefe","orcid":"https://orcid.org/0000-0002-8599-9815","observed_orcids":["https://orcid.org/0000-0002-8599-9815"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ryan M O'Keefe","raw_affiliation_strings":["Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061994382","display_name":"E. Paul Wileyto","orcid":"https://orcid.org/0000-0002-4389-1128","observed_orcids":["https://orcid.org/0000-0002-4389-1128"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"E. Paul Wileyto","raw_affiliation_strings":["Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069741414","display_name":"Peter Edward Gabriel","orcid":"https://orcid.org/0000-0002-3772-9669","observed_orcids":["https://orcid.org/0000-0002-3772-9669"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Peter Edward Gabriel","raw_affiliation_strings":["Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001045238","display_name":"Daniel Blumenthal","orcid":"https://orcid.org/0000-0002-9207-5848","observed_orcids":["https://orcid.org/0000-0002-9207-5848"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel Blumenthal","raw_affiliation_strings":["Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104730100","display_name":"Sharon Tejada","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sharon Tejada","raw_affiliation_strings":["Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004895406","display_name":"Rinad S. Beidas","orcid":"https://orcid.org/0000-0001-6056-6071","observed_orcids":["https://orcid.org/0000-0001-6056-6071"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rinad S Beidas","raw_affiliation_strings":["Feinberg School of Medicine, Northwestern University, Chicago, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Feinberg School of Medicine, Northwestern University, Chicago, IL","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082109429","display_name":"Robert A. Schnoll","orcid":"https://orcid.org/0000-0002-4089-856X","observed_orcids":["https://orcid.org/0000-0002-4089-856X"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert Schnoll","raw_affiliation_strings":["Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043470257","display_name":"Justin E. Bekelman","orcid":"https://orcid.org/0000-0002-7624-0188","observed_orcids":["https://orcid.org/0000-0002-7624-0188"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Justin E. Bekelman","raw_affiliation_strings":["Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031769250","display_name":"Ravi Bharat Parikh","orcid":"https://orcid.org/0000-0003-2692-6306","observed_orcids":["https://orcid.org/0000-0003-2692-6306"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ravi Bharat Parikh","raw_affiliation_strings":["Perelman School of Medicine, at the University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Perelman School of Medicine, at the University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5029046207","display_name":"Samuel U Takvorian","orcid":"https://orcid.org/0000-0002-1173-3846","observed_orcids":["https://orcid.org/0000-0002-1173-3846"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Samuel U Takvorian","raw_affiliation_strings":["Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"19","issue":"11_suppl","first_page":"242","last_page":"242"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9678000211715698,"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/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9678000211715698,"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/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.0035000001080334187,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.0031999999191612005,"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/serious-illness-conversations","display_name":"serious illness conversations","score":0.9269999861717224},{"id":"https://openalex.org/keywords/nudging","display_name":"nudging","score":0.9240000247955322},{"id":"https://openalex.org/keywords/clinician-behavior-change","display_name":"clinician behavior change","score":0.6980000138282776},{"id":"https://openalex.org/keywords/performance-feedback","display_name":"performance feedback","score":0.7699999809265137},{"id":"https://openalex.org/keywords/high-risk-patient-identification","display_name":"high-risk patient identification","score":0.6000000238418579},{"id":"https://openalex.org/keywords/cancer-care","display_name":"cancer care","score":0.46799999475479126},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.5090000033378601},{"id":"https://openalex.org/keywords/sustainability-of-behavior-change","display_name":"sustainability of behavior change","score":0.5659999847412109},{"id":"https://openalex.org/keywords/medical-oncology","display_name":"medical oncology","score":0.36500000953674316},{"id":"https://openalex.org/keywords/quality-improvement-initiative","display_name":"quality improvement intervention","score":0.39100000262260437},{"id":"https://openalex.org/keywords/text-message-reminders","display_name":"SMS reminders","score":0.42399999499320984},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.4129999876022339},{"id":"https://openalex.org/keywords/advance-care-planning","display_name":"advance care planning","score":0.48500001430511475},{"id":"https://openalex.org/keywords/palliative-care","display_name":"palliative care","score":0.47999998927116394}],"concepts":[{"id":"https://openalex.org/C8858961","wikidata":"https://www.wikidata.org/wiki/Q7068367","display_name":"Nudge theory","level":2,"score":0.8571621179580688},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6099437475204468},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.48812136054039},{"id":"https://openalex.org/C2780920918","wikidata":"https://www.wikidata.org/wiki/Q7280361","display_name":"Radiation oncologist","level":3,"score":0.486723929643631},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4418708086013794},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.31275588274002075},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.28412073850631714},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.12238484621047974},{"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/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1200/op.2023.19.11_suppl.242","doi":"https://doi.org/10.1200/op.2023.19.11_suppl.242","is_oa":true,"landing_page_url":"http://dx.doi.org/10.1200/op.2023.19.11_suppl.242","pdf_url":"https://ascopubs.org/doi/pdfdirect/10.1200/OP.2023.19.11_suppl.242","source":{"id":"https://openalex.org/S4210202425","display_name":"JCO Oncology Practice","issn_l":"2688-1527","issn":["2688-1527","2688-1535"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-3"],"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":"JCO Oncology Practice","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1200/op.2023.19.11_suppl.242","doi":"https://doi.org/10.1200/op.2023.19.11_suppl.242","is_oa":true,"landing_page_url":"http://dx.doi.org/10.1200/op.2023.19.11_suppl.242","pdf_url":"https://ascopubs.org/doi/pdfdirect/10.1200/OP.2023.19.11_suppl.242","source":{"id":"https://openalex.org/S4210202425","display_name":"JCO Oncology Practice","issn_l":"2688-1527","issn":["2688-1527","2688-1535"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-3"],"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":"JCO Oncology Practice","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9922999739646912,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4388199554.pdf","grobid_xml":"https://content.openalex.org/works/W4388199554.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3202540152","https://openalex.org/W4315706235","https://openalex.org/W4379283890","https://openalex.org/W4281857358","https://openalex.org/W3092799097","https://openalex.org/W3214729920","https://openalex.org/W3168987025","https://openalex.org/W4400196685","https://openalex.org/W3029860990","https://openalex.org/W4410815449"],"abstract_inverted_index":{"242":[0],"Background:":[1],"Behavorial":[2],"economic":[3],"nudges":[4,52,365],"are":[5,398],"increasingly":[6],"used":[7,212],"in":[8,44,68,170,245,298,304,322,348,399],"oncology":[9],"settings":[10],"to":[11,40,56,77,93,190,226,251,370,386],"encourage":[12],"evidence-based":[13,372],"practices,":[14],"such":[15,51,374],"as":[16,176,178,375],"serious":[17],"illness":[18],"conversations":[19],"(SIC).":[20],"Prior":[21],"work":[22],"demonstrated":[23],"the":[24,79,131,143,171,202,223,228,246],"effectiveness":[25],"of":[26,35,73,81,103,118,133,155,204,291,338,354],"an":[27,83,167,191,217,275,360],"oncologist-directed":[28,84],"nudge":[29,85,101,231,252,341],"identifying":[30,114],"patients":[31,115,147],"at":[32,116,130,153,222],"high":[33],"risk":[34],"180-day":[36,119],"mortality,":[37],"which":[38],"led":[39],"a":[41,100,123,150,182,309,319,339,345,352],"3-fold":[42],"increase":[43],"SIC":[45,88,108,168,234,276,349],"documentation.":[46],"It":[47],"is":[48],"unknown":[49],"whether":[50,62],"must":[53],"continue":[54],"indefinitely":[55,369],"sustain":[57],"effective":[58],"behavior":[59,64,357],"change,":[60],"or":[61],"clinician":[63,340,356],"change":[65,358],"would":[66],"persist":[67],"their":[69,377],"absence.":[70],"The":[71,198],"objective":[72],"this":[74,137,141],"analysis":[75,221,248],"was":[76,201,342],"examine":[78],"effect":[80],"removing":[82],"on":[86,107,122],"overall":[87],"rates.":[89,235],"Methods:":[90],"From":[91],"2019":[92],"2022,":[94,129],"clinicians":[95],"within":[96,195,278],"our":[97],"institution":[98],"received":[99],"consisting":[102],"weekly":[104],"performance":[105],"feedback":[106],"completion":[109],"and":[110,161,216,233,286,383,395],"opt-out":[111],"text":[112],"messages":[113],"high-risk":[117],"mortality":[120],"based":[121],"validated":[124],"machine-learning":[125],"algorithm.":[126],"In":[127],"March":[128],"conclusion":[132],"clinical":[134],"trial":[135],"NCT04867850,":[136],"program":[138],"ended.":[139],"For":[140],"analysis,":[142,394],"population":[144],"included":[145,244],"adult":[146],"seen":[148],"by":[149],"medical":[151],"oncologist":[152],"one":[154],"11":[156],"practices":[157,373],"between":[158,230],"Sept":[159,162],"2021":[160],"2022.":[163],"Patient":[164],"encounters":[165,242,273,297,327],"with":[166,274,282,344],"documented":[169,194,206,277,323],"previous":[172],"year":[173],"were":[174,188,238,243,270,293],"excluded,":[175],"well":[177],"those":[179],"occurring":[180],"during":[181],"washout":[183],"period":[184],"(March-April":[185],"2022).":[186],"SICs":[187,205,292,324],"attributed":[189],"encounter":[192],"if":[193],"30":[196,279],"days.":[197],"primary":[199],"outcome":[200],"number":[203],"per":[207,295,325],"1000":[208,296,326],"patient":[209],"encounters.":[210],"We":[211],"linear":[213],"probability":[214],"models":[215],"interrupted":[218,314],"time":[219,315],"series":[220,316],"patient-encounter":[224],"level":[225],"analyze":[227],"association":[229],"cessation":[232],"All":[236],"analyses":[237,317,397],"unadjusted.":[239],"Results:":[240],"111,459":[241],"final":[247],"(56.9%":[249],"prior":[250],"cessation).":[253],"Demographic":[254],"data":[255],"showed":[256,318],"mean":[257],"age":[258],"64.16":[259],"(SD":[260],"13.29),":[261],"57.02%":[262],"female,":[263],"75.25%":[264],"non-Hispanic":[265],"white,":[266],"61.88%":[267],"Medicare.":[268],"There":[269],"1,517":[271],"unique":[272],"days":[280],"(1.36%),":[281],"1,030":[283],"pre-cessation":[284],"(1.62%)":[285],"487":[287],"post-cessation":[288],"(1.01%).":[289],"Rates":[290],"15.3":[294],"February":[299],"2022":[300,306],"(pre-cessation)":[301],"vs.":[302],"9.7":[303],"May":[305],"(post-cessation),":[307],"representing":[308],"37%":[310],"decline":[311,347],"(Table).":[312],"Unadjusted":[313],"significant":[320,346],"decrease":[321],"(odds":[328],"ratio":[329],"0.64,":[330],"95%":[331],"CI":[332],"0.57":[333],"-":[334],"0.71).":[335],"Conclusions:":[336],"Removal":[337],"associated":[343],"rates,":[350],"suggesting":[351],"lack":[353],"sustained":[355],"without":[359],"ongoing":[361],"behavioral":[362],"nudge.":[363],"Because":[364],"may":[366],"be":[367,380],"required":[368],"promote":[371],"SICs,":[376],"design":[378],"should":[379],"minimally":[381],"intrusive":[382],"easily":[384],"adaptable":[385],"evolving":[387],"care":[388],"standards.":[389],"Adjusted":[390],"analyses,":[391],"marginal":[392],"effects":[393],"time-to-event":[396],"progress.[Table:":[400],"see":[401],"text]":[402]},"counts_by_year":[],"updated_date":"2026-10-01T08:54:57.152042","created_date":"2023-11-02T00:00:00"}