{"id":"https://openalex.org/W4410823402","doi":"https://doi.org/10.1002/jvc2.70046","title":"A Survey on Methotrexate Prescribing and Monitoring Practices in Ireland","display_name":"A Survey on Methotrexate Prescribing and Monitoring Practices in Ireland","publication_year":2025,"publication_date":"2025-05-28","ids":{"openalex":"https://openalex.org/W4410823402","doi":"https://doi.org/10.1002/jvc2.70046"},"language":"en","primary_location":{"id":"doi:10.1002/jvc2.70046","doi":"https://doi.org/10.1002/jvc2.70046","is_oa":true,"landing_page_url":"https://doi.org/10.1002/jvc2.70046","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jvc2.70046","source":{"id":"https://openalex.org/S4210221814","display_name":"JEADV Clinical Practice","issn_l":"2768-6566","issn":["2768-6566"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JEADV Clinical Practice","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jvc2.70046","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5105159043","display_name":"Ji Fung Yong","orcid":"https://orcid.org/0009-0000-5243-7413","observed_orcids":["https://orcid.org/0009-0000-5243-7413"]},"institutions":[{"id":"https://openalex.org/I2803035300","display_name":"Tallaght University Hospital","ror":"https://ror.org/01fvmtt37","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2803035300"]}],"countries":["IE"],"is_corresponding":true,"raw_author_name":"Ji Fung Yong","raw_affiliation_strings":["Department of Dermatology Tallaght University Hospital Dublin Ireland","Department of Dermatology, Tallaght University Hospital, Dublin, Ireland"],"raw_orcid":"https://orcid.org/0009-0000-5243-7413","affiliations":[{"raw_affiliation_string":"Department of Dermatology Tallaght University Hospital Dublin Ireland","institution_ids":["https://openalex.org/I2803035300"]},{"raw_affiliation_string":"Department of Dermatology, Tallaght University Hospital, Dublin, Ireland","institution_ids":["https://openalex.org/I2803035300"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002101525","display_name":"Fei Ya Lai","orcid":"https://orcid.org/0009-0001-2730-7390","observed_orcids":["https://orcid.org/0009-0001-2730-7390"]},"institutions":[{"id":"https://openalex.org/I2803035300","display_name":"Tallaght University Hospital","ror":"https://ror.org/01fvmtt37","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2803035300"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Fei Lai","raw_affiliation_strings":["Department of Dermatology Tallaght University Hospital Dublin Ireland","Department of Dermatology, Tallaght University Hospital, Dublin, Ireland"],"raw_orcid":"https://orcid.org/0009-0001-2730-7390","affiliations":[{"raw_affiliation_string":"Department of Dermatology Tallaght University Hospital Dublin Ireland","institution_ids":["https://openalex.org/I2803035300"]},{"raw_affiliation_string":"Department of Dermatology, Tallaght University Hospital, Dublin, Ireland","institution_ids":["https://openalex.org/I2803035300"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050682761","display_name":"Claire Quigley","orcid":"https://orcid.org/0000-0002-9687-6351","observed_orcids":["https://orcid.org/0000-0002-9687-6351"]},"institutions":[{"id":"https://openalex.org/I2803035300","display_name":"Tallaght University Hospital","ror":"https://ror.org/01fvmtt37","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2803035300"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Claire Quigley","raw_affiliation_strings":["Department of Dermatology Tallaght University Hospital Dublin Ireland","Department of Dermatology, Tallaght University Hospital, Dublin, Ireland"],"raw_orcid":"https://orcid.org/0000-0002-9687-6351","affiliations":[{"raw_affiliation_string":"Department of Dermatology Tallaght University Hospital Dublin Ireland","institution_ids":["https://openalex.org/I2803035300"]},{"raw_affiliation_string":"Department of Dermatology, Tallaght University Hospital, Dublin, Ireland","institution_ids":["https://openalex.org/I2803035300"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045624812","display_name":"Li Jie Helena Yoo","orcid":"https://orcid.org/0000-0002-0635-8172","observed_orcids":["https://orcid.org/0000-0002-0635-8172"]},"institutions":[{"id":"https://openalex.org/I2803035300","display_name":"Tallaght University Hospital","ror":"https://ror.org/01fvmtt37","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2803035300"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Li Jie Helena Yoo","raw_affiliation_strings":["Department of Dermatology Tallaght University Hospital Dublin Ireland","Department of Dermatology, Tallaght University Hospital, Dublin, Ireland"],"raw_orcid":"https://orcid.org/0000-0002-0635-8172","affiliations":[{"raw_affiliation_string":"Department of Dermatology Tallaght University Hospital Dublin Ireland","institution_ids":["https://openalex.org/I2803035300"]},{"raw_affiliation_string":"Department of Dermatology, Tallaght University Hospital, Dublin, Ireland","institution_ids":["https://openalex.org/I2803035300"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025411330","display_name":"Claudine Howard\u2010James","orcid":"https://orcid.org/0000-0002-9301-852X","observed_orcids":["https://orcid.org/0000-0002-9301-852X"]},"institutions":[{"id":"https://openalex.org/I2803035300","display_name":"Tallaght University Hospital","ror":"https://ror.org/01fvmtt37","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2803035300"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Claudine Howard\u2010James","raw_affiliation_strings":["Department of Dermatology Tallaght University Hospital Dublin Ireland","Department of Dermatology, Tallaght University Hospital, Dublin, Ireland"],"raw_orcid":"https://orcid.org/0000-0002-9301-852X","affiliations":[{"raw_affiliation_string":"Department of Dermatology Tallaght University Hospital Dublin Ireland","institution_ids":["https://openalex.org/I2803035300"]},{"raw_affiliation_string":"Department of Dermatology, Tallaght University Hospital, Dublin, Ireland","institution_ids":["https://openalex.org/I2803035300"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001807216","display_name":"Fatma al-Hosni","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2803035300","display_name":"Tallaght University Hospital","ror":"https://ror.org/01fvmtt37","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2803035300"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Fatma Al Hosni","raw_affiliation_strings":["Department of Dermatology Tallaght University Hospital Dublin Ireland","Department of Dermatology, Tallaght University Hospital, Dublin, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology Tallaght University Hospital Dublin Ireland","institution_ids":["https://openalex.org/I2803035300"]},{"raw_affiliation_string":"Department of Dermatology, Tallaght University Hospital, Dublin, Ireland","institution_ids":["https://openalex.org/I2803035300"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050214570","display_name":"Gregg Murray","orcid":"https://orcid.org/0000-0003-3724-268X","observed_orcids":["https://orcid.org/0000-0003-3724-268X"]},"institutions":[{"id":"https://openalex.org/I2803035300","display_name":"Tallaght University Hospital","ror":"https://ror.org/01fvmtt37","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2803035300"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Gregg Murray","raw_affiliation_strings":["Department of Dermatology Tallaght University Hospital Dublin Ireland","Department of Dermatology, Tallaght University Hospital, Dublin, Ireland"],"raw_orcid":"https://orcid.org/0000-0003-3724-268X","affiliations":[{"raw_affiliation_string":"Department of Dermatology Tallaght University Hospital Dublin Ireland","institution_ids":["https://openalex.org/I2803035300"]},{"raw_affiliation_string":"Department of Dermatology, Tallaght University Hospital, Dublin, Ireland","institution_ids":["https://openalex.org/I2803035300"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5011687408","display_name":"Anne\u2010Marie Tobin","orcid":"https://orcid.org/0000-0003-2730-9561","observed_orcids":["https://orcid.org/0000-0003-2730-9561"]},"institutions":[{"id":"https://openalex.org/I205274468","display_name":"Trinity College Dublin","ror":"https://ror.org/02tyrky19","country_code":"IE","type":"education","lineage":["https://openalex.org/I205274468"]},{"id":"https://openalex.org/I2803035300","display_name":"Tallaght University Hospital","ror":"https://ror.org/01fvmtt37","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2803035300"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Anne\u2010Marie Tobin","raw_affiliation_strings":["Department of Dermatology Tallaght University Hospital Dublin Ireland","Trinity College Dublin Dublin Ireland","Department of Dermatology, Tallaght University Hospital, Dublin, Ireland","Trinity College Dublin, Dublin, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology Tallaght University Hospital Dublin Ireland","institution_ids":["https://openalex.org/I2803035300"]},{"raw_affiliation_string":"Trinity College Dublin Dublin Ireland","institution_ids":["https://openalex.org/I205274468"]},{"raw_affiliation_string":"Department of Dermatology, Tallaght University Hospital, Dublin, Ireland","institution_ids":["https://openalex.org/I2803035300"]},{"raw_affiliation_string":"Trinity College Dublin, Dublin, Ireland","institution_ids":["https://openalex.org/I205274468"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5105159043"],"corresponding_institution_ids":["https://openalex.org/I2803035300"],"apc_list":{"value":2310,"currency":"USD","value_usd":2310},"apc_paid":{"value":2310,"currency":"USD","value_usd":2310},"fwci":0.6312,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.68052445,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"4","issue":"4","first_page":"774","last_page":"782"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10200","display_name":"Rheumatoid Arthritis Research and Therapies","score":0.9520999789237976,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"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/T10200","display_name":"Rheumatoid Arthritis Research and Therapies","score":0.9520999789237976,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"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/T11943","display_name":"Pharmacovigilance and Adverse Drug Reactions","score":0.012199999764561653,"subfield":{"id":"https://openalex.org/subfields/3005","display_name":"Toxicology"},"field":{"id":"https://openalex.org/fields/30","display_name":"Pharmacology, Toxicology and Pharmaceutics"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10837","display_name":"Dermatology and Skin Diseases","score":0.0032999999821186066,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"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/methotrexate","display_name":"methotrexate","score":0.9959999918937683},{"id":"https://openalex.org/keywords/prescribing-patterns","display_name":"prescribing patterns","score":0.9829999804496765},{"id":"https://openalex.org/keywords/blood-monitoring","display_name":"blood monitoring","score":0.8199999928474426},{"id":"https://openalex.org/keywords/folic-acid-supplementation","display_name":"folic acid supplementation","score":0.9359999895095825},{"id":"https://openalex.org/keywords/liver-function-tests","display_name":"liver function tests","score":0.9039999842643738},{"id":"https://openalex.org/keywords/type-iii-procollagen-peptide","display_name":"type III procollagen peptide","score":0.8230000138282776},{"id":"https://openalex.org/keywords/test-dose","display_name":"test dose","score":0.5830000042915344},{"id":"https://openalex.org/keywords/hepatotoxicity","display_name":"hepatotoxicity","score":0.6069999933242798},{"id":"https://openalex.org/keywords/infectious-disease-screening","display_name":"infectious disease screening","score":0.5609999895095825},{"id":"https://openalex.org/keywords/chronic-inflammatory-diseases","display_name":"chronic inflammatory diseases","score":0.5879999995231628},{"id":"https://openalex.org/keywords/dermatology","display_name":"dermatology","score":0.843999981880188},{"id":"https://openalex.org/keywords/rheumatology","display_name":"rheumatology","score":0.9980000257492065},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.7570000290870667},{"id":"https://openalex.org/keywords/ireland","display_name":"Ireland","score":0.6890000104904175}],"concepts":[{"id":"https://openalex.org/C2781059491","wikidata":"https://www.wikidata.org/wiki/Q422232","display_name":"Methotrexate","level":2,"score":0.4633951783180237},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.36176347732543945},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1205790638923645}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1002/jvc2.70046","doi":"https://doi.org/10.1002/jvc2.70046","is_oa":true,"landing_page_url":"https://doi.org/10.1002/jvc2.70046","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jvc2.70046","source":{"id":"https://openalex.org/S4210221814","display_name":"JEADV Clinical Practice","issn_l":"2768-6566","issn":["2768-6566"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JEADV Clinical Practice","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:74bcc64ce9374df8b6879a21ebf2e685","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/74bcc64ce9374df8b6879a21ebf2e685","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JEADV Clinical Practice, Vol 4, Iss 4, Pp 774-782 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1002/jvc2.70046","doi":"https://doi.org/10.1002/jvc2.70046","is_oa":true,"landing_page_url":"https://doi.org/10.1002/jvc2.70046","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jvc2.70046","source":{"id":"https://openalex.org/S4210221814","display_name":"JEADV Clinical Practice","issn_l":"2768-6566","issn":["2768-6566"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JEADV Clinical Practice","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4410823402.pdf","grobid_xml":"https://content.openalex.org/works/W4410823402.grobid-xml"},"referenced_works_count":12,"referenced_works":["https://openalex.org/W1926704568","https://openalex.org/W2024197152","https://openalex.org/W2159637561","https://openalex.org/W2505069765","https://openalex.org/W2618488851","https://openalex.org/W2904271014","https://openalex.org/W2917558736","https://openalex.org/W3116148367","https://openalex.org/W4292684063","https://openalex.org/W4308769923","https://openalex.org/W4390054540","https://openalex.org/W4402412895"],"related_works":["https://openalex.org/W2899084033","https://openalex.org/W2748952813","https://openalex.org/W3031052312","https://openalex.org/W4389568370","https://openalex.org/W3032375762","https://openalex.org/W1995515455","https://openalex.org/W2080531066","https://openalex.org/W3108674512","https://openalex.org/W1506200166","https://openalex.org/W1489783725"],"abstract_inverted_index":{"ABSTRACT":[0],"Background":[1],"Methotrexate,":[2],"originally":[3],"an":[4],"anti\u2010neoplastic":[5],"agent,":[6],"is":[7,25],"now":[8],"extensively":[9],"used":[10],"at":[11],"lower":[12],"doses":[13,226],"in":[14,34,67,105,111,138,160,223,243,278],"dermatology":[15],"and":[16,44,64,86,103,114,131,152,158,178,264,281,305],"rheumatology":[17],"for":[18,91,255,298],"chronic":[19],"inflammatory":[20],"conditions.":[21],"While":[22],"its":[23],"safety":[24],"supported":[26],"by":[27],"routine":[28],"blood":[29,146,172],"monitoring,":[30],"there":[31],"remains":[32],"variability":[33],"recommended":[35],"monitoring":[36,65,147,282],"frequency,":[37],"folic":[38,149,232],"acid":[39,150,233],"supplementation,":[40,234],"liver":[41,179,261],"function":[42,180],"testing":[43],"the":[45,76,125,132,165,224,247,289,296,310],"role":[46],"of":[47,83,89,124,128,135,210,227],"specific":[48],"biomarkers":[49],"like":[50],"Type":[51],"III":[52],"Procollagen":[53],"Peptide":[54],"(PIIINP).":[55],"Objectives":[56],"This":[57,273],"study":[58,274],"aimed":[59],"to":[60,97,107,122,188,194,288,302],"compare":[61],"methotrexate":[62,112,279,307],"prescribing":[63,113,280],"practices":[66,100,245,283],"Ireland":[68,106],"with":[69,214,235],"various":[70,290],"national":[71],"guidelines,":[72],"including":[73],"those":[74],"from":[75,268],"European":[77,87],"Medicines":[78],"Agency":[79],"(EMA),":[80],"British":[81],"Association":[82,127],"Dermatologists":[84,129,183],"(BAD)":[85],"Alliance":[88],"Associations":[90],"Rheumatology":[92,136],"(EULAR).":[93],"The":[94,141],"goal":[95],"was":[96,120,156,270],"document":[98],"current":[99],"among":[101,284],"dermatologists":[102],"rheumatologists":[104,195],"identify":[108],"any":[109],"discrepancies":[110,277],"monitoring.":[115],"Methods":[116],"An":[117],"online":[118],"survey":[119],"distributed":[121],"members":[123],"Irish":[126,133,285],"(IAD)":[130],"Society":[134],"(ISR)":[137],"July":[139],"2024.":[140,162],"questionnaire":[142],"covered":[143],"pretreatment":[144],"screening,":[145],"practices,":[148],"supplementation":[151,244],"adverse":[153],"events.":[154],"Data":[155],"finalised":[157],"analysed":[159],"September":[161],"Results":[163],"Of":[164],"52":[166],"respondents,":[167],"all":[168],"conducted":[169],"baseline":[170],"full":[171],"count":[173],"(FBC),":[174],"renal":[175],"profile":[176],"(RP)":[177],"tests":[181],"(LFTs).":[182],"were":[184],"significantly":[185],"more":[186],"likely":[187],"perform":[189],"infectious":[190],"disease":[191],"screenings":[192],"compared":[193],"(p":[196,219,239],"<":[197,220,240],"0.05).":[198],"When":[199],"initiating":[200],"methotrexate,":[201],"only":[202],"17":[203],"practitioners":[204],"(32.7%)":[205],"employed":[206],"a":[207,215,236],"test":[208],"dose":[209],"2.5\u20135":[211],"mg":[212],"weekly,":[213],"statistically":[216,237],"significant":[217,238,276],"difference":[218],"0.05)":[221,241],"observed":[222],"starting":[225],"methotrexate.":[228],"All":[229],"respondents":[230],"prescribed":[231],"noted":[242],"between":[246],"two":[248],"specialties.":[249,311],"Abnormal":[250],"LFTs/PIIINP":[251],"prompted":[252],"hepatology":[253],"referrals":[254],"48%.":[256],"Seven":[257],"(13%)":[258],"reported":[259],"irreversible":[260],"damage":[262],"cases,":[263],"one":[265],"(2%)":[266],"death":[267],"pneumonia":[269],"noted.":[271],"Conclusions":[272],"highlights":[275],"clinicians,":[286],"similar":[287],"international":[291],"guidelines.":[292],"These":[293],"variations":[294],"underscore":[295],"need":[297],"updated,":[299],"unified":[300],"guidelines":[301],"ensure":[303],"consistent":[304],"safe":[306],"use":[308],"across":[309]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2025-05-29T00:00:00"}