{"id":"https://openalex.org/W7203977765","doi":"https://doi.org/10.1016/j.xjon.2026.101980","title":"Comparison of the performance of clinical classification systems for myasthenia gravis relapse after thymoma resection","display_name":"Comparison of the performance of clinical classification systems for myasthenia gravis relapse after thymoma resection","publication_year":2026,"publication_date":"2026-08-22","ids":{"openalex":"https://openalex.org/W7203977765","doi":"https://doi.org/10.1016/j.xjon.2026.101980","pmid":"https://pubmed.ncbi.nlm.nih.gov/42948408","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13711190"},"language":"en","primary_location":{"id":"doi:10.1016/j.xjon.2026.101980","doi":"https://doi.org/10.1016/j.xjon.2026.101980","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.xjon.2026.101980","pdf_url":null,"source":{"id":"https://openalex.org/S4210197350","display_name":"JTCVS Open","issn_l":"2666-2736","issn":["2666-2736"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"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":"JTCVS Open","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.xjon.2026.101980","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5147829257","display_name":"Zhiheng Yao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I129708740","display_name":"Fujian Medical University","ror":"https://ror.org/050s6ns64","country_code":"CN","type":"education","lineage":["https://openalex.org/I129708740"]},{"id":"https://openalex.org/I4210163933","display_name":"Union Hospital","ror":"https://ror.org/055gkcy74","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210163933"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhiheng Yao","raw_affiliation_strings":["Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I4210163933"]},{"raw_affiliation_string":"Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I129708740"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051784243","display_name":"Hongmu Li","orcid":"https://orcid.org/0009-0004-2753-1589","observed_orcids":["https://orcid.org/0009-0004-2753-1589","https://orcid.org/0000-0002-7194-4274"]},"institutions":[{"id":"https://openalex.org/I129708740","display_name":"Fujian Medical University","ror":"https://ror.org/050s6ns64","country_code":"CN","type":"education","lineage":["https://openalex.org/I129708740"]},{"id":"https://openalex.org/I4210163933","display_name":"Union Hospital","ror":"https://ror.org/055gkcy74","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210163933"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Hongmu Li","raw_affiliation_strings":["Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I4210163933"]},{"raw_affiliation_string":"Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I129708740"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025829723","display_name":"Zhenyuan Yang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I129708740","display_name":"Fujian Medical University","ror":"https://ror.org/050s6ns64","country_code":"CN","type":"education","lineage":["https://openalex.org/I129708740"]},{"id":"https://openalex.org/I4210163933","display_name":"Union Hospital","ror":"https://ror.org/055gkcy74","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210163933"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhenyuan Yang","raw_affiliation_strings":["Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I4210163933"]},{"raw_affiliation_string":"Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I129708740"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108137006","display_name":"Yu Huang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I129708740","display_name":"Fujian Medical University","ror":"https://ror.org/050s6ns64","country_code":"CN","type":"education","lineage":["https://openalex.org/I129708740"]},{"id":"https://openalex.org/I4210163933","display_name":"Union Hospital","ror":"https://ror.org/055gkcy74","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210163933"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yu Huang","raw_affiliation_strings":["Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I4210163933"]},{"raw_affiliation_string":"Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I129708740"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028238327","display_name":"Leqi Zhong","orcid":"https://orcid.org/0000-0002-0672-0741","observed_orcids":["https://orcid.org/0000-0002-0672-0741"]},"institutions":[{"id":"https://openalex.org/I157773358","display_name":"Sun Yat-sen University","ror":"https://ror.org/0064kty71","country_code":"CN","type":"education","lineage":["https://openalex.org/I157773358"]},{"id":"https://openalex.org/I4210146711","display_name":"Sun Yat-sen University Cancer Center","ror":"https://ror.org/0400g8r85","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210146711"]},{"id":"https://openalex.org/I4391768007","display_name":"State Key Laboratory of Oncology in South China","ror":"https://ror.org/04dn2ax39","country_code":"CN","type":"facility","lineage":["https://openalex.org/I157773358","https://openalex.org/I4391768007"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Leqi Zhong","raw_affiliation_strings":["Department of Thoracic Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China","State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thoracic Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China","institution_ids":["https://openalex.org/I4210146711"]},{"raw_affiliation_string":"State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, China","institution_ids":["https://openalex.org/I157773358","https://openalex.org/I4210146711","https://openalex.org/I4391768007"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147829471","display_name":"Zhenyu Zhao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I139660479","display_name":"Central South University","ror":"https://ror.org/00f1zfq44","country_code":"CN","type":"education","lineage":["https://openalex.org/I139660479"]},{"id":"https://openalex.org/I4210153856","display_name":"Second Xiangya Hospital of Central South University","ror":"https://ror.org/053v2gh09","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210153856"]},{"id":"https://openalex.org/I4210159865","display_name":"Xiangya Hospital Central South University","ror":"https://ror.org/05c1yfj14","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210159865"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhenyu Zhao","raw_affiliation_strings":["Department of Thoracic Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thoracic Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China","institution_ids":["https://openalex.org/I139660479","https://openalex.org/I4210153856","https://openalex.org/I4210159865"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147849013","display_name":"Yiling Cai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I129708740","display_name":"Fujian Medical University","ror":"https://ror.org/050s6ns64","country_code":"CN","type":"education","lineage":["https://openalex.org/I129708740"]},{"id":"https://openalex.org/I4210163933","display_name":"Union Hospital","ror":"https://ror.org/055gkcy74","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210163933"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yiling Cai","raw_affiliation_strings":["Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I4210163933"]},{"raw_affiliation_string":"Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I129708740"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100373359","display_name":"Chun Chen","orcid":"https://orcid.org/0000-0001-9264-8020","observed_orcids":["https://orcid.org/0000-0001-9264-8020","https://orcid.org/0000-0002-3255-7597","https://orcid.org/0009-0001-6813-5732"]},"institutions":[{"id":"https://openalex.org/I129708740","display_name":"Fujian Medical University","ror":"https://ror.org/050s6ns64","country_code":"CN","type":"education","lineage":["https://openalex.org/I129708740"]},{"id":"https://openalex.org/I4210163933","display_name":"Union Hospital","ror":"https://ror.org/055gkcy74","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210163933"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Chun Chen","raw_affiliation_strings":["Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I4210163933"]},{"raw_affiliation_string":"Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I129708740"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100638209","display_name":"Bin Zheng","orcid":"https://orcid.org/0000-0001-8429-5384","observed_orcids":["https://orcid.org/0000-0001-8429-5384"]},"institutions":[{"id":"https://openalex.org/I129708740","display_name":"Fujian Medical University","ror":"https://ror.org/050s6ns64","country_code":"CN","type":"education","lineage":["https://openalex.org/I129708740"]},{"id":"https://openalex.org/I4210163933","display_name":"Union Hospital","ror":"https://ror.org/055gkcy74","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210163933"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Bin Zheng","raw_affiliation_strings":["Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China"],"raw_orcid":"https://orcid.org/0000-0001-8429-5384","affiliations":[{"raw_affiliation_string":"Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I4210163933"]},{"raw_affiliation_string":"Fujian Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fuzhou, Fujian, China","institution_ids":["https://openalex.org/I129708740"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5100373359","https://openalex.org/A5100638209"],"corresponding_institution_ids":["https://openalex.org/I129708740","https://openalex.org/I4210163933"],"apc_list":{"value":2431,"currency":"USD","value_usd":2431},"apc_paid":{"value":2431,"currency":"USD","value_usd":2431},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.58728322,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"33","issue":null,"first_page":"101980","last_page":"101980"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11271","display_name":"Myasthenia Gravis and Thymoma","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"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/T11271","display_name":"Myasthenia Gravis and Thymoma","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"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/T11538","display_name":"Ophthalmology and Eye Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"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/T11724","display_name":"Inflammatory Myopathies and Dermatomyositis","score":0.0,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/myasthenia-gravis","display_name":"myasthenia gravis","score":0.9399999976158142},{"id":"https://openalex.org/keywords/thymoma","display_name":"thymoma","score":0.8100000023841858},{"id":"https://openalex.org/keywords/thymectomy","display_name":"thymectomy","score":0.925000011920929},{"id":"https://openalex.org/keywords/exacerbations","display_name":"exacerbations","score":0.8169999718666077},{"id":"https://openalex.org/keywords/risk-stratification","display_name":"risk stratification","score":0.8629999756813049},{"id":"https://openalex.org/keywords/clinical-classification-system","display_name":"clinical classification systems","score":0.7870000004768372},{"id":"https://openalex.org/keywords/mgfa-classification","display_name":"MGFA classification","score":0.5989999771118164},{"id":"https://openalex.org/keywords/immunosuppression-withdrawal","display_name":"immunosuppression withdrawal","score":0.8420000076293945},{"id":"https://openalex.org/keywords/postoperative-remission","display_name":"postoperative remission","score":0.6200000047683716}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9243999719619751},{"id":"https://openalex.org/C2779159893","wikidata":"https://www.wikidata.org/wiki/Q1429863","display_name":"Thymoma","level":2,"score":0.854200005531311},{"id":"https://openalex.org/C2778105408","wikidata":"https://www.wikidata.org/wiki/Q8285","display_name":"Myasthenia gravis","level":2,"score":0.8335000276565552},{"id":"https://openalex.org/C88879693","wikidata":"https://www.wikidata.org/wiki/Q217690","display_name":"Cumulative incidence","level":3,"score":0.7473000288009644},{"id":"https://openalex.org/C2779615886","wikidata":"https://www.wikidata.org/wiki/Q3090790","display_name":"Thymectomy","level":3,"score":0.7386999726295471},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.5820000171661377},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5435000061988831},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.49390000104904175},{"id":"https://openalex.org/C2780252810","wikidata":"https://www.wikidata.org/wiki/Q1455316","display_name":"Immunosuppression","level":2,"score":0.4691999852657318},{"id":"https://openalex.org/C207103383","wikidata":"https://www.wikidata.org/wiki/Q3930246","display_name":"Hazard ratio","level":3,"score":0.42559999227523804},{"id":"https://openalex.org/C151032500","wikidata":"https://www.wikidata.org/wiki/Q5194182","display_name":"Cumulative dose","level":2,"score":0.4115000069141388},{"id":"https://openalex.org/C159110652","wikidata":"https://www.wikidata.org/wiki/Q17078201","display_name":"Resection","level":2,"score":0.40700000524520874},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.3743000030517578},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3465999960899353},{"id":"https://openalex.org/C2994039464","wikidata":"https://www.wikidata.org/wiki/Q217690","display_name":"Cumulative risk","level":2,"score":0.3422999978065491},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.32109999656677246},{"id":"https://openalex.org/C203092338","wikidata":"https://www.wikidata.org/wiki/Q1340863","display_name":"Clinical endpoint","level":3,"score":0.30790001153945923},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.30720001459121704},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.30660000443458557},{"id":"https://openalex.org/C2778720950","wikidata":"https://www.wikidata.org/wiki/Q424972","display_name":"Prednisone","level":2,"score":0.3052999973297119},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.28040000796318054},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.26829999685287476},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.26510000228881836},{"id":"https://openalex.org/C10515644","wikidata":"https://www.wikidata.org/wiki/Q543310","display_name":"Survival analysis","level":2,"score":0.2635999917984009},{"id":"https://openalex.org/C2779399171","wikidata":"https://www.wikidata.org/wiki/Q1483951","display_name":"Malignancy","level":2,"score":0.2551000118255615},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.2517000138759613}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.xjon.2026.101980","doi":"https://doi.org/10.1016/j.xjon.2026.101980","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.xjon.2026.101980","pdf_url":null,"source":{"id":"https://openalex.org/S4210197350","display_name":"JTCVS Open","issn_l":"2666-2736","issn":["2666-2736"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"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":"JTCVS Open","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13711190","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13711190/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13711190/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"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":"JTCVS Open","raw_type":"Text"},{"id":"pmid:42948408","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42948408","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":"JTCVS open","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:b274fb95bf934b8698e95eefdf8ec265","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/b274fb95bf934b8698e95eefdf8ec265","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":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JTCVS Open, Vol 33, Iss , Pp 101980- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.xjon.2026.101980","doi":"https://doi.org/10.1016/j.xjon.2026.101980","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.xjon.2026.101980","pdf_url":null,"source":{"id":"https://openalex.org/S4210197350","display_name":"JTCVS Open","issn_l":"2666-2736","issn":["2666-2736"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"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":"JTCVS Open","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G8878377282","display_name":null,"funder_award_id":"82503694","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"}],"funders":[{"id":"https://openalex.org/F4320321001","display_name":"National Natural Science Foundation of China","ror":"https://ror.org/01h0zpd94"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7203977765.pdf","grobid_xml":"https://content.openalex.org/works/W7203977765.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W1972156932","https://openalex.org/W2052653411","https://openalex.org/W2069973239","https://openalex.org/W2100911552","https://openalex.org/W2109351747","https://openalex.org/W2129429957","https://openalex.org/W2137544340","https://openalex.org/W2154180887","https://openalex.org/W2166339706","https://openalex.org/W2461303519","https://openalex.org/W2754160328","https://openalex.org/W2765551854","https://openalex.org/W3118199047","https://openalex.org/W3128196261","https://openalex.org/W3147115604","https://openalex.org/W7117323156"],"related_works":["https://openalex.org/W1989956009","https://openalex.org/W2765268515","https://openalex.org/W2753959769","https://openalex.org/W7221815523","https://openalex.org/W4404549208","https://openalex.org/W4406316470","https://openalex.org/W2353764454","https://openalex.org/W2390006731","https://openalex.org/W3138270687","https://openalex.org/W7220426288"],"abstract_inverted_index":{"Objective:":[0],"To":[1],"characterize":[2],"clinically":[3],"significant":[4,224],"myasthenia":[5],"gravis":[6],"(MG)":[7],"relapse/exacerbation":[8,72,105,138,209,226],"after":[9,50,162,227],"thymoma":[10,228],"resection":[11,229],"and":[12,86,107,119,125,132,159,186,193,199,203,217],"compare":[13],"classification":[14,175,247],"systems":[15],"for":[16,195],"risk":[17,253],"stratification.":[18,254],"Methods:":[19],"This":[20],"multicenter":[21],"retrospective":[22],"cohort":[23],"included":[24],"257":[25],"patients":[26,141],"with":[27,84,88,94,149,208],"thymoma-associated":[28],"MG":[29,48,71,225],"who":[30,142],"underwent":[31,143],"extended":[32],"thymectomy":[33],"at":[34,116,121],"3":[35,117,131],"centers":[36],"from":[37],"July":[38],"2009":[39],"through":[40],"November":[41],"2025.":[42],"The":[43,164,236],"end":[44],"point":[45],"was":[46,73,114],"new":[47],"symptoms":[49],"postoperative":[51,234],"complete":[52],"stable":[53],"remission,":[54,56],"pharmacologic":[55],"or":[57,66,147],"minimal":[58],"manifestation":[59],"status":[60],"plus":[61],"verifiable":[62],"MG-related":[63],"treatment":[64],"escalation":[65],"rescue":[67],"therapy.":[68],"Death":[69],"without":[70],"treated":[74],"as":[75],"a":[76],"competing":[77,109],"event.":[78],"Cumulative":[79,112],"incidence":[80,113],"functions":[81],"were":[82,92,205],"estimated":[83],"Aalen-Johansen":[85],"compared":[87],"Gray":[89],"tests;":[90],"predictors":[91],"assessed":[93],"Fine-Gray":[95],"models.":[96],"Results:":[97],"During":[98],"median":[99],"follow-up":[100],"of":[101,127,168,173,240,245],"41.6":[102],"months,":[103],"69":[104],"events":[106,128,139],"21":[108],"deaths":[110],"occurred.":[111],"20.4%":[115],"years":[118],"29.0%":[120],"5":[122,133],"years;":[123],"68%":[124],"90%":[126],"occurred":[129,155],"within":[130],"years,":[134],"respectively.":[135],"Among":[136],"52":[137],"in":[140,145,231],"surgery":[144],"2018":[146],"later":[148],"retrievable":[150],"treatment-status":[151],"data,":[152],"28":[153],"(53.8%)":[154],"during":[156],"ongoing":[157],"immunosuppression":[158],"24":[160],"(46.2%)":[161],"withdrawal.":[163],"a/b":[165,237],"phenotype-based":[166,238],"grouping":[167,239],"the":[169,178,232,241,250],"Myasthenia":[170,242],"Gravis":[171,243],"Foundation":[172,244],"America":[174,246],"(1/A/B)":[176,248],"showed":[177],"strongest":[179],"separation":[180],"(3-year":[181],"cumulative":[182,189],"incidences,":[183,190],"2.5%,":[184],"12.3%,":[185],"56.4%;":[187],"5-year":[188],"7.6%,":[191],"29.6%,":[192],"56.4%":[194],"groups":[196],"1,":[197],"A,":[198],"B).":[200],"Groups":[201],"A":[202],"B":[204],"independently":[206],"associated":[207],"(subdistribution":[210],"hazard":[211],"ratio,":[212],"2.65;":[213],"95%":[214,219],"CI,":[215,220],"1.18-5.91;":[216],"10.55;":[218],"4.55-24.47).":[221],"Conclusions:":[222],"Clinically":[223],"clustered":[230],"early":[233],"years.":[235],"provided":[249],"most":[251],"informative":[252]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-08-23T00:00:00"}