{"id":"https://openalex.org/W4388300544","doi":"https://doi.org/10.1177/00031348231212590","title":"Extracorporeal Membrane Oxygenation During Surgical Stabilization of Rib Fractures in Successful Management of Severe Blunt Chest Trauma","display_name":"Extracorporeal Membrane Oxygenation During Surgical Stabilization of Rib Fractures in Successful Management of Severe Blunt Chest Trauma","publication_year":2023,"publication_date":"2023-11-02","ids":{"openalex":"https://openalex.org/W4388300544","doi":"https://doi.org/10.1177/00031348231212590","pmid":"https://pubmed.ncbi.nlm.nih.gov/38124319"},"language":"en","primary_location":{"id":"doi:10.1177/00031348231212590","doi":"https://doi.org/10.1177/00031348231212590","is_oa":false,"landing_page_url":"https://doi.org/10.1177/00031348231212590","pdf_url":null,"source":{"id":"https://openalex.org/S113474406","display_name":"The American Surgeon","issn_l":"0003-1348","issn":["0003-1348","1555-9823"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Surgeon\u2122","raw_type":"journal-article"},"volume":null,"type":"article","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/A5073254506","display_name":"Stephanie Jensen","orcid":"https://orcid.org/0000-0002-4384-4444","observed_orcids":["https://orcid.org/0000-0002-4384-4444"]},"institutions":[{"id":"https://openalex.org/I2802101240","display_name":"Carolinas Medical Center","ror":"https://ror.org/0483mr804","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334069289","https://openalex.org/I2802101240"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephanie Jensen","raw_affiliation_strings":["Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA","institution_ids":["https://openalex.org/I2802101240"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059090573","display_name":"Hannah Dabagian","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405269449","display_name":"Wake Forest University Health Sciences","ror":"https://ror.org/046r1r105","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]},{"id":"https://openalex.org/I47251452","display_name":"Wake Forest University","ror":"https://ror.org/0207ad724","country_code":"US","type":"education","lineage":["https://openalex.org/I47251452"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hannah Olson Dabagian","raw_affiliation_strings":["Wake Forest School of Medicine, Winston-Salem, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wake Forest School of Medicine, Winston-Salem, NC, USA","institution_ids":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102659416","display_name":"Kierstin Porter","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I94975175","display_name":"Des Moines University","ror":"https://ror.org/058w59113","country_code":"US","type":"education","lineage":["https://openalex.org/I94975175"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kierstin Porter","raw_affiliation_strings":["Des Moines University Medical School, Des Moines, IA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Des Moines University Medical School, Des Moines, IA, USA","institution_ids":["https://openalex.org/I94975175"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026141189","display_name":"Bradley W. Thomas","orcid":"https://orcid.org/0000-0002-3490-2550","observed_orcids":["https://orcid.org/0000-0002-3490-2550","https://orcid.org/0000-0001-9332-0908"]},"institutions":[{"id":"https://openalex.org/I2802101240","display_name":"Carolinas Medical Center","ror":"https://ror.org/0483mr804","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334069289","https://openalex.org/I2802101240"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bradley Thomas","raw_affiliation_strings":["Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA","institution_ids":["https://openalex.org/I2802101240"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054815638","display_name":"Sean T. Dieffenbaugher","orcid":"https://orcid.org/0000-0002-4647-7651","observed_orcids":["https://orcid.org/0000-0002-4647-7651"]},"institutions":[{"id":"https://openalex.org/I2802101240","display_name":"Carolinas Medical Center","ror":"https://ror.org/0483mr804","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334069289","https://openalex.org/I2802101240"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sean Dieffenbaugher","raw_affiliation_strings":["Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA","institution_ids":["https://openalex.org/I2802101240"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017079238","display_name":"Kyle William Cunningham","orcid":"https://orcid.org/0000-0002-6526-183X","observed_orcids":["https://orcid.org/0000-0002-6526-183X"]},"institutions":[{"id":"https://openalex.org/I2802101240","display_name":"Carolinas Medical Center","ror":"https://ror.org/0483mr804","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334069289","https://openalex.org/I2802101240"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kyle Cunningham","raw_affiliation_strings":["Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA","institution_ids":["https://openalex.org/I2802101240"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086321390","display_name":"John M. Green","orcid":"https://orcid.org/0000-0002-5295-2148","observed_orcids":["https://orcid.org/0000-0002-5295-2148"]},"institutions":[{"id":"https://openalex.org/I2802101240","display_name":"Carolinas Medical Center","ror":"https://ror.org/0483mr804","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334069289","https://openalex.org/I2802101240"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John Green","raw_affiliation_strings":["Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA","institution_ids":["https://openalex.org/I2802101240"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064945618","display_name":"Samuel Wade Ross","orcid":"https://orcid.org/0000-0003-2923-3521","observed_orcids":["https://orcid.org/0000-0003-2923-3521"]},"institutions":[{"id":"https://openalex.org/I2802101240","display_name":"Carolinas Medical Center","ror":"https://ror.org/0483mr804","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334069289","https://openalex.org/I2802101240"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Samuel W. Ross","raw_affiliation_strings":["Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA","institution_ids":["https://openalex.org/I2802101240"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5002876354","display_name":"Gaurav Sachdev","orcid":"https://orcid.org/0000-0003-4779-8681","observed_orcids":["https://orcid.org/0000-0003-4779-8681"]},"institutions":[{"id":"https://openalex.org/I2802101240","display_name":"Carolinas Medical Center","ror":"https://ror.org/0483mr804","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334069289","https://openalex.org/I2802101240"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Gaurav Sachdev","raw_affiliation_strings":["Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA"],"raw_orcid":"https://orcid.org/0000-0003-4779-8681","affiliations":[{"raw_affiliation_string":"Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA","institution_ids":["https://openalex.org/I2802101240"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5002876354"],"corresponding_institution_ids":["https://openalex.org/I2802101240"],"apc_list":{"value":3750,"currency":"USD","value_usd":3750},"apc_paid":null,"fwci":0.7238,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.71458543,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"90","issue":"2","first_page":"303","last_page":"305"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11951","display_name":"Trauma Management and Diagnosis","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"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/T11951","display_name":"Trauma Management and Diagnosis","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"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/T10322","display_name":"Respiratory Support and Mechanisms","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"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/T10675","display_name":"Mechanical Circulatory Support Devices","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/extracorporeal-membrane-oxygenation","display_name":"extracorporeal membrane oxygenation","score":0.9539999961853027},{"id":"https://openalex.org/keywords/veno-venous-ecmo","display_name":"veno-venous ECMO","score":0.9620000123977661},{"id":"https://openalex.org/keywords/surgical-stabilization-of-rib-fractures","display_name":"surgical stabilization of rib fractures","score":0.8920000195503235},{"id":"https://openalex.org/keywords/rib-fractures","display_name":"rib fractures","score":0.7110000252723694},{"id":"https://openalex.org/keywords/blunt-chest-trauma","display_name":"blunt chest trauma","score":0.9319999814033508},{"id":"https://openalex.org/keywords/flail-chest","display_name":"flail chest","score":0.9020000100135803},{"id":"https://openalex.org/keywords/respiratory-failure","display_name":"respiratory failure","score":0.652999997138977},{"id":"https://openalex.org/keywords/decannulation","display_name":"decannulation","score":0.7210000157356262},{"id":"https://openalex.org/keywords/damage-control-surgery","display_name":"damage control surgery","score":0.7549999952316284},{"id":"https://openalex.org/keywords/chest-wall-trauma","display_name":"chest wall injury","score":0.7049999833106995},{"id":"https://openalex.org/keywords/pulmonary-mechanics","display_name":"lung mechanics","score":0.699999988079071}],"concepts":[{"id":"https://openalex.org/C2776858399","wikidata":"https://www.wikidata.org/wiki/Q1385195","display_name":"Extracorporeal membrane oxygenation","level":2,"score":0.8795504570007324},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8704848885536194},{"id":"https://openalex.org/C2778217840","wikidata":"https://www.wikidata.org/wiki/Q1061988","display_name":"Flail chest","level":2,"score":0.8183224201202393},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.577728271484375},{"id":"https://openalex.org/C105698618","wikidata":"https://www.wikidata.org/wiki/Q886371","display_name":"Blunt","level":2,"score":0.5560725927352905},{"id":"https://openalex.org/C2779890223","wikidata":"https://www.wikidata.org/wiki/Q368370","display_name":"Chest injury","level":3,"score":0.5487233400344849},{"id":"https://openalex.org/C2780229392","wikidata":"https://www.wikidata.org/wiki/Q1682965","display_name":"Pulmonary contusion","level":3,"score":0.4792221188545227},{"id":"https://openalex.org/C2777080012","wikidata":"https://www.wikidata.org/wiki/Q3766250","display_name":"Mechanical ventilation","level":2,"score":0.462216317653656},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.35770753026008606}],"mesh":[{"descriptor_ui":"D005409","descriptor_name":"Flail Chest","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D005409","descriptor_name":"Flail Chest","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D005409","descriptor_name":"Flail Chest","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D005409","descriptor_name":"Flail Chest","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D005409","descriptor_name":"Flail Chest","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D005409","descriptor_name":"Flail Chest","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012253","descriptor_name":"Rib Fractures","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D012253","descriptor_name":"Rib Fractures","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D012253","descriptor_name":"Rib Fractures","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D012253","descriptor_name":"Rib Fractures","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D012253","descriptor_name":"Rib Fractures","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D012253","descriptor_name":"Rib Fractures","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D013898","descriptor_name":"Thoracic Injuries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013898","descriptor_name":"Thoracic Injuries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013898","descriptor_name":"Thoracic Injuries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014949","descriptor_name":"Wounds, Nonpenetrating","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D014949","descriptor_name":"Wounds, Nonpenetrating","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D014949","descriptor_name":"Wounds, Nonpenetrating","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D014949","descriptor_name":"Wounds, Nonpenetrating","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D014949","descriptor_name":"Wounds, Nonpenetrating","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D014949","descriptor_name":"Wounds, Nonpenetrating","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D015199","descriptor_name":"Extracorporeal Membrane Oxygenation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015199","descriptor_name":"Extracorporeal Membrane Oxygenation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015199","descriptor_name":"Extracorporeal Membrane Oxygenation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1177/00031348231212590","doi":"https://doi.org/10.1177/00031348231212590","is_oa":false,"landing_page_url":"https://doi.org/10.1177/00031348231212590","pdf_url":null,"source":{"id":"https://openalex.org/S113474406","display_name":"The American Surgeon","issn_l":"0003-1348","issn":["0003-1348","1555-9823"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Surgeon\u2122","raw_type":"journal-article"},{"id":"pmid:38124319","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38124319","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":"The American surgeon","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.979200005531311}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.800000011920929}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":3,"referenced_works":["https://openalex.org/W3086267359","https://openalex.org/W3160771402","https://openalex.org/W4308612037"],"related_works":["https://openalex.org/W2000125673","https://openalex.org/W2419665641","https://openalex.org/W2040794503","https://openalex.org/W1997965395","https://openalex.org/W2412346074","https://openalex.org/W2379227136","https://openalex.org/W2972332570","https://openalex.org/W4225387388","https://openalex.org/W2750487568","https://openalex.org/W3019309906"],"abstract_inverted_index":{"Early":[0],"surgical":[1],"stabilization":[2],"of":[3,22,50,56],"rib":[4],"fracture":[5],"(SSRF)":[6],"improves":[7],"outcomes":[8],"in":[9],"patients":[10,23,43],"with":[11,24,134],"flail":[12,30],"physiology":[13],"and":[14,28,76,78,91,100,108,131,142],"severely":[15],"displaced":[16],"fractures.":[17],"We":[18],"present":[19],"two":[20],"cases":[21,113],"severe":[25],"chest":[26,58,85,129],"injury":[27,60],"large":[29],"segment":[31],"who":[32],"underwent":[33],"SSRF":[34,69,122,135],"while":[35,79,125],"on":[36,72,80,96,126],"veno-venous":[37],"extracorporeal":[38],"membrane":[39],"oxygenation":[40],"(VV-ECMO).":[41],"The":[42,54],"developed":[44],"respiratory":[45],"failure":[46],"within":[47],"24":[48],"hours":[49],"admission":[51],"requiring":[52],"VV-ECMO.":[53,67,127],"extent":[55],"their":[57],"wall":[59,86],"limited":[61],"pulmonary":[62,132],"mechanics":[63,133],"prohibiting":[64],"transition":[65,139],"off":[66,140],"Therefore,":[68],"was":[70],"performed":[71,124],"hospital":[73],"days":[74,98],"2":[75],"3":[77,99],"VV-ECMO":[81,95,141],"support.":[82],"Stabilizing":[83],"the":[84],"allowed":[87,136],"for":[88,137],"improved":[89],"ventilation":[90],"successful":[92],"decannulation":[93],"from":[94],"postoperative":[97],"4.":[101],"Ultimately,":[102],"both":[103],"achieved":[104,143],"a":[105,115,144],"functional":[106],"recovery":[107],"were":[109],"discharged":[110],"home.":[111],"These":[112],"demonstrate":[114],"unique":[116],"thoracic":[117],"damage":[118],"control":[119],"strategy":[120],"wherein":[121],"is":[123],"Improving":[128],"stability":[130],"safe":[138],"favorable":[145],"long-term":[146],"outcome.":[147]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1}],"updated_date":"2026-09-27T08:07:27.782135","created_date":"2025-10-10T00:00:00"}
