{"id":"https://openalex.org/W7219495604","doi":null,"title":"\u0e23\u0e32\u0e22\u0e07\u0e32\u0e19\u0e40\u0e1a\u0e37\u0e49\u0e2d\u0e07\u0e15\u0e49\u0e19 \u0e1b\u0e23\u0e30\u0e2a\u0e34\u0e17\u0e18\u0e34\u0e20\u0e32\u0e1e\u0e41\u0e25\u0e30\u0e1c\u0e25\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32\u0e02\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e43\u0e0a\u0e49\u0e40\u0e01\u0e25\u0e47\u0e14\u0e40\u0e25\u0e37\u0e2d\u0e14\u0e40\u0e02\u0e49\u0e21\u0e02\u0e49\u0e19 \u0e2a\u0e33\u0e2b\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32\u0e42\u0e23\u0e04\u0e02\u0e49\u0e2d\u0e40\u0e02\u0e48\u0e32\u0e40\u0e2a\u0e37\u0e48\u0e2d\u0e21","display_name":"\u0e23\u0e32\u0e22\u0e07\u0e32\u0e19\u0e40\u0e1a\u0e37\u0e49\u0e2d\u0e07\u0e15\u0e49\u0e19 \u0e1b\u0e23\u0e30\u0e2a\u0e34\u0e17\u0e18\u0e34\u0e20\u0e32\u0e1e\u0e41\u0e25\u0e30\u0e1c\u0e25\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32\u0e02\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e43\u0e0a\u0e49\u0e40\u0e01\u0e25\u0e47\u0e14\u0e40\u0e25\u0e37\u0e2d\u0e14\u0e40\u0e02\u0e49\u0e21\u0e02\u0e49\u0e19 \u0e2a\u0e33\u0e2b\u0e23\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e23\u0e31\u0e01\u0e29\u0e32\u0e42\u0e23\u0e04\u0e02\u0e49\u0e2d\u0e40\u0e02\u0e48\u0e32\u0e40\u0e2a\u0e37\u0e48\u0e2d\u0e21","publication_year":2025,"publication_date":"2025-10-29","ids":{"openalex":"https://openalex.org/W7219495604"},"language":"th","primary_location":{"id":"pmh:oai:he02.tci-thaijo.org:article/272760","doi":null,"is_oa":true,"landing_page_url":"https://he02.tci-thaijo.org/index.php/jcra/article/view/272760","pdf_url":"https://he02.tci-thaijo.org/index.php/jcra/article/download/272760/188668","source":{"id":"https://openalex.org/S7407067151","display_name":"The Journal of Chulabhorn Royal Academy","issn_l":"3027-7418","issn":["3027-7418"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"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":"3027-7418","raw_type":"info:eu-repo/semantics/article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://he02.tci-thaijo.org/index.php/jcra/article/download/272760/188668","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5036573688","display_name":"Warayos Trathitephun","orcid":"https://orcid.org/0000-0002-3255-9605","observed_orcids":["https://orcid.org/0000-0002-3255-9605"]},"institutions":[{"id":"https://openalex.org/I4210106686","display_name":"Chulabhorn Hospital","ror":"https://ror.org/01qc5zk84","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I4210106686"]},{"id":"https://openalex.org/I4405255716","display_name":"Chulabhorn Royal Academy","ror":"https://ror.org/03b5p6e80","country_code":"TH","type":"education","lineage":["https://openalex.org/I4405255716"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Trathitephun, Warayos","raw_affiliation_strings":["Orthopedic Center, Chulabhorn Hospital, Chulabhorn Royal Academy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedic Center, Chulabhorn Hospital, Chulabhorn Royal Academy","institution_ids":["https://openalex.org/I4210106686","https://openalex.org/I4405255716"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5156573414","display_name":"Tanawan Summa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210106686","display_name":"Chulabhorn Hospital","ror":"https://ror.org/01qc5zk84","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I4210106686"]},{"id":"https://openalex.org/I4405255716","display_name":"Chulabhorn Royal Academy","ror":"https://ror.org/03b5p6e80","country_code":"TH","type":"education","lineage":["https://openalex.org/I4405255716"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Summa, Tanawan","raw_affiliation_strings":["Central laboratory unit, Chulabhorn Hospital, Chulabhorn Royal Academy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Central laboratory unit, Chulabhorn Hospital, Chulabhorn Royal Academy","institution_ids":["https://openalex.org/I4210106686","https://openalex.org/I4405255716"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5156393224","display_name":"Visa Sumranthiwawon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210106686","display_name":"Chulabhorn Hospital","ror":"https://ror.org/01qc5zk84","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I4210106686"]},{"id":"https://openalex.org/I4405255716","display_name":"Chulabhorn Royal Academy","ror":"https://ror.org/03b5p6e80","country_code":"TH","type":"education","lineage":["https://openalex.org/I4405255716"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Sumranthiwawon, Visa","raw_affiliation_strings":["Central laboratory unit, Chulabhorn Hospital, Chulabhorn Royal Academy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Central laboratory unit, Chulabhorn Hospital, Chulabhorn Royal Academy","institution_ids":["https://openalex.org/I4210106686","https://openalex.org/I4405255716"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5156821940","display_name":"Yutthana Triprom","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210106686","display_name":"Chulabhorn Hospital","ror":"https://ror.org/01qc5zk84","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I4210106686"]},{"id":"https://openalex.org/I4405255716","display_name":"Chulabhorn Royal Academy","ror":"https://ror.org/03b5p6e80","country_code":"TH","type":"education","lineage":["https://openalex.org/I4405255716"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Triprom, Yutthana","raw_affiliation_strings":["Outpatient clinic department, Chulabhorn Hospital, Chulabhorn Royal Academy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Outpatient clinic department, Chulabhorn Hospital, Chulabhorn Royal Academy","institution_ids":["https://openalex.org/I4210106686","https://openalex.org/I4405255716"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5156741058","display_name":"Kwandaow Inchuay","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210106686","display_name":"Chulabhorn Hospital","ror":"https://ror.org/01qc5zk84","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I4210106686"]},{"id":"https://openalex.org/I4405255716","display_name":"Chulabhorn Royal Academy","ror":"https://ror.org/03b5p6e80","country_code":"TH","type":"education","lineage":["https://openalex.org/I4405255716"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Inchuay, Kwandaow","raw_affiliation_strings":["Outpatient clinic department, Chulabhorn Hospital, Chulabhorn Royal Academy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Outpatient clinic department, Chulabhorn Hospital, Chulabhorn Royal Academy","institution_ids":["https://openalex.org/I4210106686","https://openalex.org/I4405255716"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5034274754","display_name":"Siravich Suvithayasiri","orcid":"https://orcid.org/0000-0001-5597-701X","observed_orcids":["https://orcid.org/0000-0001-5597-701X"]},"institutions":[{"id":"https://openalex.org/I4210106686","display_name":"Chulabhorn Hospital","ror":"https://ror.org/01qc5zk84","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I4210106686"]},{"id":"https://openalex.org/I4405255716","display_name":"Chulabhorn Royal Academy","ror":"https://ror.org/03b5p6e80","country_code":"TH","type":"education","lineage":["https://openalex.org/I4405255716"]},{"id":"https://openalex.org/I4405277374","display_name":"Thonburi Hospital","ror":"https://ror.org/02fpc7j07","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I4405277374"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Suvithayasiri, Siravich","raw_affiliation_strings":["Orthopedic Center, Chulabhorn Hospital, Chulabhorn Royal Academy, Bone and Joint Excellence Center, Thonburi Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedic Center, Chulabhorn Hospital, Chulabhorn Royal Academy, Bone and Joint Excellence Center, Thonburi Hospital","institution_ids":["https://openalex.org/I4210106686","https://openalex.org/I4405255716","https://openalex.org/I4405277374"]}]}],"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":0.57770231,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11570","display_name":"Periodontal Regeneration and Treatments","score":0.9940999746322632,"subfield":{"id":"https://openalex.org/subfields/3506","display_name":"Periodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11570","display_name":"Periodontal Regeneration and Treatments","score":0.9940999746322632,"subfield":{"id":"https://openalex.org/subfields/3506","display_name":"Periodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10105","display_name":"Osteoarthritis Treatment and Mechanisms","score":0.004900000058114529,"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/T11068","display_name":"Tendon Structure and Treatment","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"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/platelet-rich-plasma","display_name":"platelet-rich plasma","score":0.996999979019165},{"id":"https://openalex.org/keywords/knee-osteoarthritis","display_name":"knee osteoarthritis","score":0.996999979019165},{"id":"https://openalex.org/keywords/prp-preparation-standardization","display_name":"PRP preparation standardization","score":0.9760000109672546},{"id":"https://openalex.org/keywords/platelet-concentration","display_name":"platelet concentration","score":0.8230000138282776},{"id":"https://openalex.org/keywords/pain-relief","display_name":"analgesia","score":0.800000011920929},{"id":"https://openalex.org/keywords/knee-function","display_name":"knee function","score":0.7649999856948853},{"id":"https://openalex.org/keywords/womac-score","display_name":"WOMAC score","score":0.984000027179718},{"id":"https://openalex.org/keywords/treatment-efficacy","display_name":"treatment efficacy","score":0.5370000004768372},{"id":"https://openalex.org/keywords/anti-inflammatory-activity","display_name":"anti-inflammatory activity","score":0.4429999887943268},{"id":"https://openalex.org/keywords/growth-factors","display_name":"growth factors","score":0.9039999842643738},{"id":"https://openalex.org/keywords/advanced-osteoarthritis","display_name":"advanced osteoarthritis","score":0.6779999732971191},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.7120000123977661},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.5270000100135803},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.43299999833106995},{"id":"https://openalex.org/keywords/follow-up-care","display_name":"follow-up care","score":0.47200000286102295}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8510000109672546},{"id":"https://openalex.org/C2779286237","wikidata":"https://www.wikidata.org/wiki/Q3569749","display_name":"WOMAC","level":4,"score":0.8411999940872192},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.7177000045776367},{"id":"https://openalex.org/C14184104","wikidata":"https://www.wikidata.org/wiki/Q1362526","display_name":"Visual analogue scale","level":2,"score":0.7129999995231628},{"id":"https://openalex.org/C2780076745","wikidata":"https://www.wikidata.org/wiki/Q613879","display_name":"Platelet-rich plasma","level":3,"score":0.510699987411499},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.46219998598098755},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.42399999499320984},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3262999951839447},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2989000082015991},{"id":"https://openalex.org/C111278954","wikidata":"https://www.wikidata.org/wiki/Q17069312","display_name":"Minimal clinically important difference","level":3,"score":0.29760000109672546},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.28700000047683716},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.2847000062465668},{"id":"https://openalex.org/C89560881","wikidata":"https://www.wikidata.org/wiki/Q101026","display_name":"Platelet","level":2,"score":0.26589998602867126},{"id":"https://openalex.org/C2992669165","wikidata":"https://www.wikidata.org/wiki/Q1131635","display_name":"Pain score","level":2,"score":0.2603999972343445},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.2596000134944916},{"id":"https://openalex.org/C2779279471","wikidata":"https://www.wikidata.org/wiki/Q6421876","display_name":"Knee pain","level":4,"score":0.2563000023365021},{"id":"https://openalex.org/C102652120","wikidata":"https://www.wikidata.org/wiki/Q2419430","display_name":"Therapeutic effect","level":2,"score":0.2547999918460846}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:he02.tci-thaijo.org:article/272760","doi":null,"is_oa":true,"landing_page_url":"https://he02.tci-thaijo.org/index.php/jcra/article/view/272760","pdf_url":"https://he02.tci-thaijo.org/index.php/jcra/article/download/272760/188668","source":{"id":"https://openalex.org/S7407067151","display_name":"The Journal of Chulabhorn Royal Academy","issn_l":"3027-7418","issn":["3027-7418"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"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":"3027-7418","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"pmh:oai:he02.tci-thaijo.org:article/272760","doi":null,"is_oa":true,"landing_page_url":"https://he02.tci-thaijo.org/index.php/jcra/article/view/272760","pdf_url":"https://he02.tci-thaijo.org/index.php/jcra/article/download/272760/188668","source":{"id":"https://openalex.org/S7407067151","display_name":"The Journal of Chulabhorn Royal Academy","issn_l":"3027-7418","issn":["3027-7418"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"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":"3027-7418","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7219495604.pdf","grobid_xml":"https://content.openalex.org/works/W7219495604.grobid-xml"},"referenced_works_count":8,"referenced_works":["https://openalex.org/W2969656698","https://openalex.org/W3013063339","https://openalex.org/W3128996487","https://openalex.org/W3168403170","https://openalex.org/W4205970766","https://openalex.org/W4221035936","https://openalex.org/W4379375630","https://openalex.org/W4402787933"],"related_works":["https://openalex.org/W4411067464","https://openalex.org/W7162320447","https://openalex.org/W7131840150","https://openalex.org/W7166678001","https://openalex.org/W2922052126","https://openalex.org/W4411623276","https://openalex.org/W4312677007","https://openalex.org/W4385776642","https://openalex.org/W3126306296","https://openalex.org/W4220779423"],"abstract_inverted_index":{"Introduction:":[0],"Platelet-rich":[1],"plasma":[2],"(PRP)":[3],"is":[4,265],"an":[5,272],"alternative":[6],"treatment":[7,17,72,274,280],"for":[8,65,276,293],"osteoarthritis":[9],"of":[10,48,138,147,197,223,238,289],"the":[11,46,49,61,71,101,117,132,187,228,255,261],"knee":[12,287],"(OA":[13],"Knee).":[14],"While":[15],"PRP":[16,62,93,164,262],"has":[18],"shown":[19],"promising":[20],"clinical":[21],"outcomes":[22,102,112],"through":[23],"its":[24,35,55],"anti-inflammatory":[25],"mechanisms":[26],"and":[27,37,45,69,100,106,127,208,215,221,250,270,285],"growth":[28],"factors,":[29],"literature":[30],"reviews":[31],"reveal":[32],"debates":[33],"regarding":[34],"short-":[36],"long-term":[38],"efficacy,":[39],"as":[40,42,225],"well":[41],"safety":[43],"concerns":[44],"complexity":[47],"preparation":[50,63,263],"process,":[51],"which":[52],"may":[53],"hinder":[54],"therapeutic":[56],"outcomes.":[57,73],"Objective:":[58],"To":[59],"standardize":[60],"process":[64,264],"treating":[66],"OA":[67,83,156,277],"Knee":[68,84,219],"evaluate":[70],"Methods:":[74],"The":[75,110,152,235,279],"study":[76],"was":[77,94],"conducted":[78],"on":[79],"50":[80],"patients":[81,140],"with":[82,143],"from":[85,194],"December":[86],"1,":[87,104,213],"2021,":[88],"to":[89,97,173,201,243,295],"November":[90],"30,":[91],"2022.":[92],"prepared":[95],"according":[96],"standardized":[98],"protocols,":[99],"at":[103,212,254],"3,":[105,214],"6":[107,216,296],"months":[108,297],"post-treatment.":[109,298],"primary":[111],"included":[113],"platelet":[114],"concentration":[115,162],"in":[116,163,267],"PRP,":[118],"pain":[119,283],"intensity":[120],"measured":[121,185],"by":[122,131,167,186,227],"Visual":[123,188],"Analogue":[124,189],"Scale":[125,190],"(VAS),":[126],"functional":[128],"improvement":[129],"assessed":[130,226],"WOMAC":[133,229],"score.":[134],"Results:":[135],"A":[136],"total":[137],"47":[139],"completed":[141],"follow-up,":[142],"a":[144,195],"mean":[145],"age":[146],"64.76":[148],"\u00b1":[149,176,180,199,203,206,210,240,245,248,252],"7.3":[150],"years.":[151],"majority":[153],"had":[154],"advanced":[155],"(stage":[157],"3-4;":[158],"41":[159],"patients).":[160],"Platelet":[161],"significantly":[165,192],"increased":[166],"2.7":[168],"times":[169],"after":[170],"centrifugation":[171],"compared":[172],"baseline":[174,196,236],"(258,562":[175],"78,204":[177],"vs.":[178],"702,621":[179],"718,621":[181],"platelets/mm\u00b3).":[182],"Pain":[183],"levels":[184],"(VAS)":[191],"decreased":[193,242],"6.7":[198],"1.19":[200],"3.7":[202],"1.38,":[204],"2.77":[205],"1.20,":[207],"2.68":[209],"1.2":[211],"months,":[217],"respectively.":[218],"function":[220],"quality":[222,288],"life,":[224],"score,":[230],"also":[231],"showed":[232],"significant":[233,282],"improvement.":[234],"score":[237],"43.32":[239],"14.91":[241],"31.00":[244],"16.26,":[246],"26.80":[247],"15.41,":[249],"25.31":[251],"13.74":[253],"same":[256],"time":[257],"intervals.":[258],"Conclusion:":[259],"Standardizing":[260],"feasible":[266],"hospital":[268],"settings":[269],"offers":[271],"effective":[273],"option":[275],"Knee.":[278],"demonstrated":[281],"reduction":[284],"improved":[286],"life":[290],"(WOMAC":[291],"score)":[292],"up":[294]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-04T00:00:00"}
