{"id":"https://openalex.org/W7213792201","doi":"https://doi.org/10.1177/10966218261486531","title":"Distress Screening and Pediatric Palliative Care Referral: A Retrospective Case\u2013Control Study in Supportive Cancer Care Delivery","display_name":"Distress Screening and Pediatric Palliative Care Referral: A Retrospective Case\u2013Control Study in Supportive Cancer Care Delivery","publication_year":2026,"publication_date":"2026-09-20","ids":{"openalex":"https://openalex.org/W7213792201","doi":"https://doi.org/10.1177/10966218261486531","pmid":"https://pubmed.ncbi.nlm.nih.gov/42764417"},"language":"en","primary_location":{"id":"doi:10.1177/10966218261486531","doi":"https://doi.org/10.1177/10966218261486531","is_oa":false,"landing_page_url":"https://doi.org/10.1177/10966218261486531","pdf_url":null,"source":{"id":"https://openalex.org/S155536936","display_name":"Journal of Palliative Medicine","issn_l":"1096-6218","issn":["1096-6218","1557-7740"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Palliative Medicine","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/A5047003893","display_name":"Jonathan S. Ebelhar","orcid":"https://orcid.org/0000-0003-1971-1315","observed_orcids":["https://orcid.org/0000-0003-1971-1315"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]},{"id":"https://openalex.org/I4210146983","display_name":"Children's Healthcare of Atlanta","ror":"https://ror.org/050fhx250","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210146983"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jonathan Ebelhar","raw_affiliation_strings":["Aflac Cancer and Blood Disorders Center of Children\u2019s Healthcare of Atlanta, Atlanta, Georgia, USA","Division of Hematology/Oncology, Department of Pediatrics, Emory University, Atlanta, Georgia, USA","Division of Pediatric Palliative Care, Department of Pediatrics, Emory University, Atlanta, Georgia, USA"],"raw_orcid":"https://orcid.org/0000-0003-1971-1315","affiliations":[{"raw_affiliation_string":"Aflac Cancer and Blood Disorders Center of Children\u2019s Healthcare of Atlanta, Atlanta, Georgia, USA","institution_ids":["https://openalex.org/I4210146983"]},{"raw_affiliation_string":"Division of Hematology/Oncology, Department of Pediatrics, Emory University, Atlanta, Georgia, USA","institution_ids":["https://openalex.org/I150468666"]},{"raw_affiliation_string":"Division of Pediatric Palliative Care, Department of Pediatrics, Emory University, Atlanta, Georgia, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068775605","display_name":"Katherine A. Yeager","orcid":"https://orcid.org/0000-0001-5076-3151","observed_orcids":["https://orcid.org/0000-0001-5076-3151"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Katherine Yeager","raw_affiliation_strings":["Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008604330","display_name":"Jordan Gilleland Marchak","orcid":"https://orcid.org/0000-0002-8747-7375","observed_orcids":["https://orcid.org/0000-0002-8747-7375"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]},{"id":"https://openalex.org/I4210146983","display_name":"Children's Healthcare of Atlanta","ror":"https://ror.org/050fhx250","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210146983"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jordan Gilleland-Marchak","raw_affiliation_strings":["Aflac Cancer and Blood Disorders Center of Children\u2019s Healthcare of Atlanta, Atlanta, Georgia, USA","Division of Hematology/Oncology, Department of Pediatrics, Emory University, Atlanta, Georgia, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aflac Cancer and Blood Disorders Center of Children\u2019s Healthcare of Atlanta, Atlanta, Georgia, USA","institution_ids":["https://openalex.org/I4210146983"]},{"raw_affiliation_string":"Division of Hematology/Oncology, Department of Pediatrics, Emory University, Atlanta, Georgia, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004229495","display_name":"Dio Kavalieratos","orcid":"https://orcid.org/0000-0001-5283-0792","observed_orcids":["https://orcid.org/0000-0001-5283-0792"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dio Kavalieratos","raw_affiliation_strings":["Division of Hospice and Palliative Medicine, Department of Family and Preventive Medicine, Emory University, Atlanta, Georgia, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Hospice and Palliative Medicine, Department of Family and Preventive Medicine, Emory University, Atlanta, Georgia, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054935658","display_name":"Zhulin He","orcid":"https://orcid.org/0000-0002-5852-8065","observed_orcids":["https://orcid.org/0000-0002-5852-8065"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Zhulin He","raw_affiliation_strings":["Department of Pediatrics, Pediatric Biostatistics Core, Emory University School of Medicine, Atlanta, Georgia, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Pediatric Biostatistics Core, Emory University School of Medicine, Atlanta, Georgia, USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081473405","display_name":"Rebecca Williamson Lewis","orcid":"https://orcid.org/0000-0003-1722-0547","observed_orcids":["https://orcid.org/0000-0003-1722-0547"]},"institutions":[{"id":"https://openalex.org/I4210146983","display_name":"Children's Healthcare of Atlanta","ror":"https://ror.org/050fhx250","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210146983"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rebecca Williamson Lewis","raw_affiliation_strings":["Aflac Cancer and Blood Disorders Center of Children\u2019s Healthcare of Atlanta, Atlanta, Georgia, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aflac Cancer and Blood Disorders Center of Children\u2019s Healthcare of Atlanta, Atlanta, Georgia, USA","institution_ids":["https://openalex.org/I4210146983"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052147164","display_name":"Katharine E. Brock","orcid":"https://orcid.org/0000-0001-6125-3077","observed_orcids":["https://orcid.org/0000-0001-6125-3077"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]},{"id":"https://openalex.org/I4210146983","display_name":"Children's Healthcare of Atlanta","ror":"https://ror.org/050fhx250","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210146983"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Katharine E. Brock","raw_affiliation_strings":["Aflac Cancer and Blood Disorders Center of Children\u2019s Healthcare of Atlanta, Atlanta, Georgia, USA","Division of Hematology/Oncology, Department of Pediatrics, Emory University, Atlanta, Georgia, USA","Division of Pediatric Palliative Care, Department of Pediatrics, Emory University, Atlanta, Georgia, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aflac Cancer and Blood Disorders Center of Children\u2019s Healthcare of Atlanta, Atlanta, Georgia, USA","institution_ids":["https://openalex.org/I4210146983"]},{"raw_affiliation_string":"Division of Hematology/Oncology, Department of Pediatrics, Emory University, Atlanta, Georgia, USA","institution_ids":["https://openalex.org/I150468666"]},{"raw_affiliation_string":"Division of Pediatric Palliative Care, Department of Pediatrics, Emory University, Atlanta, Georgia, USA","institution_ids":["https://openalex.org/I150468666"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5047003893"],"corresponding_institution_ids":["https://openalex.org/I150468666","https://openalex.org/I4210146983"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.7243698,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"10966218261486531","last_page":"10966218261486531"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.8657000064849854,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.8657000064849854,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.10580000281333923,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11141","display_name":"Childhood Cancer Survivors' Quality of Life","score":0.010900000110268593,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pediatric-palliative-care","display_name":"pediatric palliative care","score":0.9869999885559082},{"id":"https://openalex.org/keywords/palliative-care-referral","display_name":"palliative care referral","score":0.8199999928474426},{"id":"https://openalex.org/keywords/distress-screening","display_name":"distress screening","score":0.8629999756813049},{"id":"https://openalex.org/keywords/pediatric-cancer","display_name":"childhood cancer","score":0.6949999928474426},{"id":"https://openalex.org/keywords/caregiver-distress","display_name":"caregiver distress","score":0.972000002861023},{"id":"https://openalex.org/keywords/emotional-problems","display_name":"emotional problems","score":0.5770000219345093},{"id":"https://openalex.org/keywords/spiritual-concerns","display_name":"spiritual problems","score":0.9179999828338623},{"id":"https://openalex.org/keywords/practical-problems","display_name":"practical problems","score":0.7889999747276306},{"id":"https://openalex.org/keywords/supportive-cancer-care","display_name":"cancer supportive care","score":0.8019999861717224}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8989999890327454},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.777400016784668},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.6890000104904175},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6236000061035156},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5774000287055969},{"id":"https://openalex.org/C2993561819","wikidata":"https://www.wikidata.org/wiki/Q5097977","display_name":"Pediatric cancer","level":3,"score":0.5573999881744385},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.5565000176429749},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5519999861717224},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.5429999828338623},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5098999738693237},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.4417000114917755},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.43700000643730164},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.42739999294281006},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.41100001335144043},{"id":"https://openalex.org/C2909143077","wikidata":"https://www.wikidata.org/wiki/Q5097977","display_name":"Pediatric oncology","level":3,"score":0.38029998540878296},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3711000084877014},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.3443000018596649},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.2964000105857849},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2736999988555908},{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.2712000012397766},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.25049999356269836}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1177/10966218261486531","doi":"https://doi.org/10.1177/10966218261486531","is_oa":false,"landing_page_url":"https://doi.org/10.1177/10966218261486531","pdf_url":null,"source":{"id":"https://openalex.org/S155536936","display_name":"Journal of Palliative Medicine","issn_l":"1096-6218","issn":["1096-6218","1557-7740"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Palliative Medicine","raw_type":"journal-article"},{"id":"pmid:42764417","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42764417","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":"Journal of palliative medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"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":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":41,"referenced_works":["https://openalex.org/W1550209613","https://openalex.org/W1964442854","https://openalex.org/W1965152750","https://openalex.org/W1970725651","https://openalex.org/W1986400500","https://openalex.org/W2062667190","https://openalex.org/W2087399048","https://openalex.org/W2093274439","https://openalex.org/W2150291618","https://openalex.org/W2152045194","https://openalex.org/W2174084065","https://openalex.org/W2186169289","https://openalex.org/W2200267645","https://openalex.org/W2314298383","https://openalex.org/W2328550201","https://openalex.org/W2368906399","https://openalex.org/W2394851383","https://openalex.org/W2397623993","https://openalex.org/W2473482943","https://openalex.org/W2594900021","https://openalex.org/W2754765807","https://openalex.org/W2757221644","https://openalex.org/W2785379598","https://openalex.org/W2792912943","https://openalex.org/W2900967487","https://openalex.org/W2905398263","https://openalex.org/W2944434778","https://openalex.org/W2979513009","https://openalex.org/W2980412333","https://openalex.org/W2983497664","https://openalex.org/W3005493065","https://openalex.org/W3087662236","https://openalex.org/W3111741921","https://openalex.org/W3136221630","https://openalex.org/W3194273150","https://openalex.org/W3194737829","https://openalex.org/W4205363586","https://openalex.org/W4206841660","https://openalex.org/W4224285836","https://openalex.org/W4309099737","https://openalex.org/W4376610089"],"related_works":["https://openalex.org/W7203839363","https://openalex.org/W1965152750","https://openalex.org/W3045026237","https://openalex.org/W1560769006","https://openalex.org/W2933158456","https://openalex.org/W2894008325","https://openalex.org/W3092616201","https://openalex.org/W7125184914","https://openalex.org/W3194303389","https://openalex.org/W3012950053"],"abstract_inverted_index":{"Background/Objectives:":[0],"Pediatric":[1,102],"palliative":[2],"care":[3],"(PPC)":[4],"reduces":[5],"distressing":[6],"symptoms":[7],"and":[8,17,25,86,90,98,119,125,258],"improves":[9],"quality":[10],"of":[11,81,165,207,223],"life":[12],"for":[13,96,184,245],"children":[14,55],"with":[15,30,56,232],"cancer":[16,57,67],"their":[18],"caregivers.":[19],"This":[20],"study":[21,53],"assesses":[22],"whether":[23],"patient":[24,236,257],"caregiver":[26,259],"distress":[27,41,161,219,237],"is":[28],"associated":[29,231],"PPC":[31,61,117,166,208,224,233,246,254],"referral.":[32,225,234,247],"Utilizing":[33],"screening":[34,243],"tools":[35],"to":[36,44,47,59,75,77,112,135,153],"identify":[37],"families":[38],"experiencing":[39],"high":[40,121,160,218],"could":[42,239,250],"lead":[43],"earlier":[45],"access":[46],"PPC.":[48],"Methods:":[49],"A":[50],"retrospective":[51],"case\u2013control":[52],"compared":[54],"referred":[58],"a":[60,64,78,242],"clinic":[62],"at":[63],"large":[65],"pediatric":[66],"center":[68],"in":[69],"the":[70,101,114,142,252],"United":[71],"States":[72],"from":[73],"2019":[74],"2021":[76],"matched":[79,152],"sample":[80],"nonreferred":[82,155],"patients.":[83,156],"Distress":[84,103],"scores":[85,124,140,180,228,238],"emotional,":[87],"practical,":[88],"family/social,":[89],"spiritual":[91],"concerns":[92,203],"were":[93,151,229],"routinely":[94],"measured":[95],"patients":[97,146,185],"caregivers":[99,193],"using":[100],"Thermometer":[104],"(Peds":[105],"DT).":[106],"Conditional":[107],"logistic":[108],"regression":[109],"was":[110,133],"utilized":[111],"assess":[113],"association":[115],"between":[116,141],"referral":[118,167,209],"(1)":[120],"Peds":[122,127,138,178],"DT":[123,128,139,179,227],"(2)":[126],"domains.":[129],"Van":[130],"Elteren":[131],"test":[132],"used":[134],"compare":[136],"overall":[137],"cohorts.":[143],"Results:":[144],"PPC-referred":[145],"(":[147],"n":[148],"=":[149,190,198],"135)":[150],"257":[154],"Patients":[157,216],"ever":[158],"reporting":[159,201,217],"had":[162,204,220],"higher":[163,221],"odds":[164,206,222],"(odds":[168],"ratio":[169],"[OR]":[170],"1.89,":[171],"95%":[172,212],"confidence":[173],"interval":[174],"[CI]":[175],"1.05\u20133.39).":[176],"Median":[177],"did":[181],"not":[182,230],"differ":[183],"(1.36":[186],"vs.":[187,195],"1.44;":[188],"p":[189,197],"0.29)":[191],"or":[192],"(2.52":[194],"2.48;":[196],"0.30).":[199],"Caregivers":[200],"family/social":[202],"lower":[205],"(OR":[210],"0.56,":[211],"CI":[213],"0.33\u20130.97).":[214],"Conclusion:":[215],"Caregiver":[226],"High":[235],"serve":[240],"as":[241],"criterion":[244],"Further":[248],"research":[249],"evaluate":[251],"impact":[253],"has":[255],"on":[256],"distress.":[260]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2026-09-21T00:00:00"}
