{"id":"https://openalex.org/W4404792202","doi":"https://doi.org/10.22037/uj.v21i.8268","title":"The Association between Systemic Inflammation and the Prostate Cancer: based on the National Health and Nutrition Examination Survey and Mendelian Randomization Analysis.","display_name":"The Association between Systemic Inflammation and the Prostate Cancer: based on the National Health and Nutrition Examination Survey and Mendelian Randomization Analysis.","publication_year":2025,"publication_date":"2025-09-09","ids":{"openalex":"https://openalex.org/W4404792202","doi":"https://doi.org/10.22037/uj.v21i.8268","pmid":"https://pubmed.ncbi.nlm.nih.gov/39601049"},"language":"en","primary_location":{"id":"pmh:oai:journals.sbmu.ac.ir/urolj:article/8268","doi":null,"is_oa":true,"landing_page_url":"https://journals.sbmu.ac.ir/urolj/index.php/uj/article/view/8268","pdf_url":"https://journals.sbmu.ac.ir/urolj/index.php/uj/article/download/8268/4327","source":{"id":"https://openalex.org/S95342291","display_name":"Urology journal./Urology jornal.","issn_l":"1735-1308","issn":["1735-1308","1735-546X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","medline","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319135","host_organization_name":"Shahid Beheshti University of Medical Sciences","host_organization_lineage":["https://openalex.org/P4310319135"],"host_organization_lineage_names":["Shahid Beheshti University of Medical Sciences"],"type":"journal"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.22037/uj.v22i03","raw_type":"info:eu-repo/semantics/article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://journals.sbmu.ac.ir/urolj/index.php/uj/article/download/8268/4327","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Rijian Guan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27781120","display_name":"Wenzhou Medical University","ror":"https://ror.org/00rd5t069","country_code":"CN","type":"education","lineage":["https://openalex.org/I27781120"]},{"id":"https://openalex.org/I4210088331","display_name":"Quzhou City People's Hospital","ror":"https://ror.org/004qehs09","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210088331"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Rijian Guan","raw_affiliation_strings":["1. Department of Urology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China. guanrijian@wmu.edu.cn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1. Department of Urology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China. guanrijian@wmu.edu.cn","institution_ids":["https://openalex.org/I27781120","https://openalex.org/I4210088331"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Lijun Wan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27781120","display_name":"Wenzhou Medical University","ror":"https://ror.org/00rd5t069","country_code":"CN","type":"education","lineage":["https://openalex.org/I27781120"]},{"id":"https://openalex.org/I4210088331","display_name":"Quzhou City People's Hospital","ror":"https://ror.org/004qehs09","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210088331"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lijun Wan","raw_affiliation_strings":["1. Department of Urology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China. qywanlijun@wmu.edu.cn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1. Department of Urology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China. qywanlijun@wmu.edu.cn","institution_ids":["https://openalex.org/I27781120","https://openalex.org/I4210088331"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062465822","display_name":"Changshui Zhuang","orcid":"https://orcid.org/0000-0001-9989-1840","observed_orcids":["https://orcid.org/0000-0001-9989-1840","https://orcid.org/0009-0000-8865-7741"]},"institutions":[{"id":"https://openalex.org/I2801769982","display_name":"First Affiliated Hospital of Wenzhou Medical University","ror":"https://ror.org/03cyvdv85","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2801769982"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Changshui Zhuang","raw_affiliation_strings":["2. Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China. zhuang_cs6216@wmu.edu.cn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"2. Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China. zhuang_cs6216@wmu.edu.cn","institution_ids":["https://openalex.org/I2801769982"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0004023,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"22","issue":"3","first_page":"139","last_page":"146"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11355","display_name":"Inflammatory Biomarkers in Disease Prognosis","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"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/T11355","display_name":"Inflammatory Biomarkers in Disease Prognosis","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"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/T10543","display_name":"Prostate Cancer Treatment and Research","score":0.0026000000070780516,"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/T11313","display_name":"Immune cells in cancer","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2403","display_name":"Immunology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/systemic-inflammation","display_name":"systemic inflammation","score":0.9259999990463257},{"id":"https://openalex.org/keywords/prostate-cancer","display_name":"prostate cancer","score":0.953000009059906},{"id":"https://openalex.org/keywords/systemic-immune-inflammation-index","display_name":"systemic immune-inflammation index","score":0.9850000143051147},{"id":"https://openalex.org/keywords/causal-relationship","display_name":"causal relationship","score":0.5230000019073486},{"id":"https://openalex.org/keywords/monocytes","display_name":"monocytes","score":0.6909999847412109},{"id":"https://openalex.org/keywords/dendritic-cells","display_name":"dendritic cells","score":0.8970000147819519},{"id":"https://openalex.org/keywords/myeloid-derived-suppressor-cells","display_name":"myeloid-derived suppressor cells","score":0.9700000286102295},{"id":"https://openalex.org/keywords/regulatory-t-cells","display_name":"regulatory T cells","score":0.9660000205039978},{"id":"https://openalex.org/keywords/immune-cells","display_name":"immune cells","score":0.5580000281333923},{"id":"https://openalex.org/keywords/cancer-risk-factors","display_name":"cancer risk factors","score":0.6100000143051147},{"id":"https://openalex.org/keywords/nhanes","display_name":"NHANES","score":0.7639999985694885}],"concepts":[{"id":"https://openalex.org/C2779901538","wikidata":"https://www.wikidata.org/wiki/Q6816584","display_name":"Mendelian randomization","level":5,"score":0.9053443670272827},{"id":"https://openalex.org/C2779874844","wikidata":"https://www.wikidata.org/wiki/Q1967281","display_name":"National Health and Nutrition Examination Survey","level":3,"score":0.7033407688140869},{"id":"https://openalex.org/C2780192828","wikidata":"https://www.wikidata.org/wiki/Q181257","display_name":"Prostate cancer","level":3,"score":0.6819119453430176},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5896902680397034},{"id":"https://openalex.org/C2776914184","wikidata":"https://www.wikidata.org/wiki/Q101991","display_name":"Inflammation","level":2,"score":0.5256805419921875},{"id":"https://openalex.org/C2776252253","wikidata":"https://www.wikidata.org/wiki/Q7663815","display_name":"Systemic inflammation","level":3,"score":0.5140670537948608},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.49844789505004883},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.43573784828186035},{"id":"https://openalex.org/C175783326","wikidata":"https://www.wikidata.org/wiki/Q185055","display_name":"Mendelian inheritance","level":3,"score":0.430691659450531},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3974625766277313},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.3613872230052948},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.22705799341201782},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.1913267970085144},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.15155214071273804},{"id":"https://openalex.org/C104317684","wikidata":"https://www.wikidata.org/wiki/Q7187","display_name":"Gene","level":2,"score":0.14066115021705627},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.12067589163780212},{"id":"https://openalex.org/C135763542","wikidata":"https://www.wikidata.org/wiki/Q106016","display_name":"Genotype","level":3,"score":0.09729331731796265},{"id":"https://openalex.org/C2993967602","wikidata":"https://www.wikidata.org/wiki/Q5532932","display_name":"Genetic variants","level":4,"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/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","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":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","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":"D007249","descriptor_name":"Inflammation","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D007249","descriptor_name":"Inflammation","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D007249","descriptor_name":"Inflammation","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":true},{"descriptor_ui":"D007249","descriptor_name":"Inflammation","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","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":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009749","descriptor_name":"Nutrition Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009749","descriptor_name":"Nutrition Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011471","descriptor_name":"Prostatic Neoplasms","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D011471","descriptor_name":"Prostatic Neoplasms","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D011471","descriptor_name":"Prostatic Neoplasms","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":true},{"descriptor_ui":"D011471","descriptor_name":"Prostatic Neoplasms","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":true},{"descriptor_ui":"D011471","descriptor_name":"Prostatic Neoplasms","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D011471","descriptor_name":"Prostatic Neoplasms","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D057182","descriptor_name":"Mendelian Randomization Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057182","descriptor_name":"Mendelian Randomization Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmh:oai:journals.sbmu.ac.ir/urolj:article/8268","doi":null,"is_oa":true,"landing_page_url":"https://journals.sbmu.ac.ir/urolj/index.php/uj/article/view/8268","pdf_url":"https://journals.sbmu.ac.ir/urolj/index.php/uj/article/download/8268/4327","source":{"id":"https://openalex.org/S95342291","display_name":"Urology journal./Urology jornal.","issn_l":"1735-1308","issn":["1735-1308","1735-546X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","medline","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319135","host_organization_name":"Shahid Beheshti University of Medical Sciences","host_organization_lineage":["https://openalex.org/P4310319135"],"host_organization_lineage_names":["Shahid Beheshti University of Medical Sciences"],"type":"journal"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.22037/uj.v22i03","raw_type":"info:eu-repo/semantics/article"},{"id":"pmid:39601049","doi":"https://doi.org/10.22037/uj.v21i.8268","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39601049","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":"Urology journal","raw_type":"Journal Article"}],"best_oa_location":{"id":"pmh:oai:journals.sbmu.ac.ir/urolj:article/8268","doi":null,"is_oa":true,"landing_page_url":"https://journals.sbmu.ac.ir/urolj/index.php/uj/article/view/8268","pdf_url":"https://journals.sbmu.ac.ir/urolj/index.php/uj/article/download/8268/4327","source":{"id":"https://openalex.org/S95342291","display_name":"Urology journal./Urology jornal.","issn_l":"1735-1308","issn":["1735-1308","1735-546X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","medline","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319135","host_organization_name":"Shahid Beheshti University of Medical Sciences","host_organization_lineage":["https://openalex.org/P4310319135"],"host_organization_lineage_names":["Shahid Beheshti University of Medical Sciences"],"type":"journal"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.22037/uj.v22i03","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4404792202.pdf","grobid_xml":"https://content.openalex.org/works/W4404792202.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2901309888","https://openalex.org/W2169283889","https://openalex.org/W4210703904","https://openalex.org/W2052821216","https://openalex.org/W2036527494","https://openalex.org/W2610080820","https://openalex.org/W4294125588","https://openalex.org/W2416849719","https://openalex.org/W2015148400","https://openalex.org/W1604069670"],"abstract_inverted_index":{"PURPOSE:":[0],"The":[1,134],"purpose":[2],"of":[3,18,103,131,151,176],"this":[4],"combination":[5,218],"research":[6],"was":[7,88,140],"to":[8,50,77,90],"examine":[9],"the":[10,16,23,47,79,111,114,146,155,160],"relationship":[11,185,226],"between":[12,81,94,186,227],"systemic":[13,55,59,228,236],"inflammation":[14,229,237],"and":[15,26,33,63,67,72,83,98,213,230,238],"risk":[17,245],"prostate":[19],"cancer":[20],"(PCa)":[21],"through":[22],"National":[24],"Health":[25],"Nutrition":[27],"Examination":[28],"Survey":[29],"(NHANES)":[30],"cross-sectional":[31,115],"study":[32],"two-sample":[34,86],"Mendelian":[35],"randomization":[36],"(MR)":[37],"analysis.":[38],"MATERIALS":[39],"AND":[40],"METHODS:":[41],"We":[42],"incorporated":[43],"NHANES":[44],"data":[45],"spanning":[46],"years":[48],"2001":[49],"2010,":[51],"with":[52,128,167,173],"exposure":[53],"as":[54,65,242],"inflammation,":[56],"evaluated":[57],"using":[58],"immune-inflammation":[60],"index":[61],"(SII)":[62],"outcome":[64],"PCa,":[66],"performed":[68],"multivariate":[69],"logistic":[70],"regression":[71],"restricted":[73],"cubic":[74],"spline":[75],"(RCS)":[76],"test":[78],"correlation":[80],"SII":[82,124,152,168],"PCa.":[84,99,177,248],"Further,":[85],"MR":[87,180],"used":[89],"identify":[91],"causal":[92,184,225],"associations":[93],"specific":[95],"immune":[96,240],"cells":[97],"RESULTS:":[100],"A":[101],"total":[102],"7706":[104],"participants":[105],"(age\u226540":[106],"years)":[107],"were":[108,126],"included":[109],"in":[110,113,154],"analysis":[112,162,219],"study,":[116],"including":[117],"350":[118],"PCa":[119,132,139,214,231],"cases,":[120],"7356":[121],"controls.":[122],"Higher":[123],"levels":[125,153,169],"associated":[127,172],"increased":[129,174],"odds":[130,135,175],"(P<.05).":[133,215],"ratio":[136],"(OR)":[137],"for":[138,145,222,247],"1.51":[141],"(95%":[142],"CI":[143],"1.09-2.08)":[144],"highest":[147],"versus":[148],"lowest":[149],"quartile":[150],"fully":[156],"adjusted":[157],"model.":[158],"Also,":[159],"RCS":[161],"showed":[163],"a":[164,183,223],"threshold":[165],"effect,":[166],"above":[170],"8.90":[171],"In":[178],"addition,":[179],"results":[181],"suggested":[182],"CD62L-":[187,189,196],"monocyte,":[188,192,195],"HLA":[190],"DR+":[191],"CD14+":[193],"CD16+":[194],"Dendritic":[197],"Cell,":[198,202],"Monocytic":[199],"Myeloid-Derived":[200],"Suppressor":[201],"CD28-":[203],"CD8dim":[204],"T":[205,211],"cell,":[206],"CD39+":[207],"resting":[208],"CD4":[209],"regulatory":[210],"cell":[212],"CONCLUSION:":[216],"This":[217],"provides":[220],"evidence":[221],"significant":[224],"risk.":[232],"These":[233],"findings":[234],"highlight":[235],"inflammatory":[239],"responses":[241],"potential":[243],"modifiable":[244],"factors":[246]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2025-10-10T00:00:00"}
