{"id":"https://openalex.org/W7223159587","doi":"https://doi.org/10.1016/j.htct.2026.108157","title":"PERFIL EPIDEMIOL\u00d3GICO DA NEUTROPENIA FEBRIL E DA MUCOSITE EM PACIENTES ONCO-HEMATOL\u00d3GICOS SUBMETIDOS \u00c0 QUIMIOTERAPIA: ESTUDO OBSERVACIONAL COM DADOS SECUND\u00c1RIOS","display_name":"PERFIL EPIDEMIOL\u00d3GICO DA NEUTROPENIA FEBRIL E DA MUCOSITE EM PACIENTES ONCO-HEMATOL\u00d3GICOS SUBMETIDOS \u00c0 QUIMIOTERAPIA: ESTUDO OBSERVACIONAL COM DADOS SECUND\u00c1RIOS","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223159587","doi":"https://doi.org/10.1016/j.htct.2026.108157"},"language":"en","primary_location":{"id":"doi:10.1016/j.htct.2026.108157","doi":"https://doi.org/10.1016/j.htct.2026.108157","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.htct.2026.108157","pdf_url":null,"source":{"id":"https://openalex.org/S2898598332","display_name":"Hematology Transfusion and Cell Therapy","issn_l":"2531-1379","issn":["2531-1379","2531-1387"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3","scielo"],"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":"Hematology, Transfusion and Cell Therapy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.1016/j.htct.2026.108157","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5144177478","display_name":"Tatyane Oliveira Rebou\u00e7as Brito","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tatyane Oliveira Rebou\u00e7as BRITO","raw_affiliation_strings":["Instituto Prohemo Sa\u00fade, Fortaleza, CE, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Instituto Prohemo Sa\u00fade, Fortaleza, CE, Brasil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159213911","display_name":"Deivide Sousa OLIVEIRA","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Deivide Sousa OLIVEIRA","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057798935","display_name":"L\u00edvia Souza de Oliveira","orcid":"https://orcid.org/0000-0003-2099-2927","observed_orcids":["https://orcid.org/0000-0003-2099-2927"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Livia Souza OLIVEIRA","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159220840","display_name":"Amanda Gomes SILVA","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Amanda Gomes SILVA","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159187141","display_name":"Jos\u00e9 Renen SOUZA CRUZ","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jos\u00e9 Renen SOUZA CRUZ","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159219352","display_name":"Maria Gabriele Santos SOUSA","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Maria Gabriele Santos SOUSA","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159214144","display_name":"Adrian Henrique Silva SOUSA","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Adrian Henrique Silva SOUSA","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159190232","display_name":"Vit\u00f3ria Lino LEITE","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vit\u00f3ria Lino LEITE","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002113526","display_name":"Andrea Bezerra Rodrigues","orcid":"https://orcid.org/0000-0002-2137-0663","observed_orcids":["https://orcid.org/0000-0002-2137-0663"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Andrea Bezerra RODRIGUES","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5159203294","display_name":"Janaina Soares ALVES","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jana\u00edna Soares ALVES","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":0,"currency":"USD","value_usd":0},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.77861824,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"48","issue":null,"first_page":"108157","last_page":"108157"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12172","display_name":"Neutropenia and Cancer Infections","score":0.986299991607666,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12172","display_name":"Neutropenia and Cancer Infections","score":0.986299991607666,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12198","display_name":"Oral health in cancer treatment","score":0.01140000019222498,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"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/T12429","display_name":"Chemotherapy-induced organ toxicity mitigation","score":0.0006000000284984708,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/febrile-neutropenia","display_name":"febrile neutropenia","score":0.9120000004768372},{"id":"https://openalex.org/keywords/mucositis","display_name":"mucositis","score":0.8100000023841858},{"id":"https://openalex.org/keywords/chemotherapy-toxicity","display_name":"chemotherapy toxicity","score":0.7609999775886536},{"id":"https://openalex.org/keywords/cancer-patients","display_name":"cancer patients","score":0.5080000162124634},{"id":"https://openalex.org/keywords/hematologic-malignancies","display_name":"hematologic malignancies","score":0.9300000071525574},{"id":"https://openalex.org/keywords/acute-leukemia","display_name":"acute leukemia","score":0.7950000166893005},{"id":"https://openalex.org/keywords/myelodysplastic-syndrome","display_name":"myelodysplastic syndrome","score":0.925000011920929},{"id":"https://openalex.org/keywords/myeloproliferative-syndromes","display_name":"myeloproliferative syndromes","score":0.8899999856948853},{"id":"https://openalex.org/keywords/aplastic-anemia","display_name":"aplastic anemia","score":0.8870000243186951},{"id":"https://openalex.org/keywords/lymphoma","display_name":"lymphoma","score":0.746999979019165},{"id":"https://openalex.org/keywords/chronic-myeloid-leukemia","display_name":"chronic myeloid leukemia","score":0.843999981880188},{"id":"https://openalex.org/keywords/myelofibrosis","display_name":"myelofibrosis","score":0.9150000214576721},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.5400000214576721},{"id":"https://openalex.org/keywords/prognostic-factors","display_name":"prognostic factors","score":0.652999997138977},{"id":"https://openalex.org/keywords/epidemiological-profile","display_name":"epidemiological profile","score":0.44600000977516174}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9894000291824341},{"id":"https://openalex.org/C2777063308","wikidata":"https://www.wikidata.org/wiki/Q1435822","display_name":"Neutropenia","level":3,"score":0.5231999754905701},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4228000044822693},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.3587999939918518},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.3075000047683716},{"id":"https://openalex.org/C2778850193","wikidata":"https://www.wikidata.org/wiki/Q3775974","display_name":"Febrile neutropenia","level":4,"score":0.2493000030517578},{"id":"https://openalex.org/C2780873365","wikidata":"https://www.wikidata.org/wiki/Q496812","display_name":"Leukopenia","level":3,"score":0.21969999372959137},{"id":"https://openalex.org/C3019917304","wikidata":"https://www.wikidata.org/wiki/Q886518","display_name":"Blood count","level":2,"score":0.19040000438690186},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.16140000522136688},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.1590999960899353}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1016/j.htct.2026.108157","doi":"https://doi.org/10.1016/j.htct.2026.108157","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.htct.2026.108157","pdf_url":null,"source":{"id":"https://openalex.org/S2898598332","display_name":"Hematology Transfusion and Cell Therapy","issn_l":"2531-1379","issn":["2531-1379","2531-1387"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3","scielo"],"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":"Hematology, Transfusion and Cell Therapy","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:409f8e14139f4e38978c50d3f94af90a","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/409f8e14139f4e38978c50d3f94af90a","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":"Hematology, Transfusion and Cell Therapy, Vol 48, Iss , Pp 108157- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.htct.2026.108157","doi":"https://doi.org/10.1016/j.htct.2026.108157","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.htct.2026.108157","pdf_url":null,"source":{"id":"https://openalex.org/S2898598332","display_name":"Hematology Transfusion and Cell Therapy","issn_l":"2531-1379","issn":["2531-1379","2531-1387"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3","scielo"],"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":"Hematology, Transfusion and Cell Therapy","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2589270445","https://openalex.org/W7042780811","https://openalex.org/W7221474110","https://openalex.org/W7063976096","https://openalex.org/W6993056264","https://openalex.org/W4416557102","https://openalex.org/W2883980262","https://openalex.org/W4253852701","https://openalex.org/W2953043890","https://openalex.org/W4320180143"],"abstract_inverted_index":{"Introdu\u00e7\u00e3o":[0],"A":[1,39,303,330],"neutropenia":[2,63,123,204,253,304],"febril":[3,64,124,205,254,305],"e":[4,32,49,65,75,81,120,125,145,165,175,195,207,240,255,290,306,322,347],"a":[5,20,30,35,51,54,84,234,252,256,269,286,307,315,328],"mucosite":[6,67,210,257,308],"est\u00e3o":[7],"entre":[8],"as":[9],"principais":[10],"toxicidades":[11,346],"associadas":[12],"\u00e0":[13,72,131],"quimioterapia":[14],"em":[15,68,105,108],"pacientes":[16,69,101,214,266],"onco-hematol\u00f3gicos,":[17],"podendo":[18,241],"comprometer":[19],"continuidade":[21],"do":[22,92,142,291],"tratamento,":[23],"aumentar":[24],"o":[25,59,262,349],"risco":[26],"de":[27,37,47,88,94,96,122,148,203,209,265,272,282,317,324],"infec\u00e7\u00f5es,":[28],"prolongar":[29],"hospitaliza\u00e7\u00e3o":[31],"impactar":[33],"negativamente":[34],"qualidade":[36,333],"vida.":[38],"caracteriza\u00e7\u00e3o":[40],"epidemiol\u00f3gica":[41,299],"dessas":[42,220,345],"complica\u00e7\u00f5es":[43,221,259,310],"pode":[44],"subsidiar":[45],"estrat\u00e9gias":[46,325],"preven\u00e7\u00e3o":[48],"aprimorar":[50],"assist\u00eancia":[52],"prestada":[53],"essa":[55],"popula\u00e7\u00e3o.":[56],"Objetivo":[57],"Analisar":[58],"perfil":[60],"epidemiol\u00f3gico":[61],"da":[62,66,86,236,288,293,332,343],"onco-hematol\u00f3gicos":[70],"submetidos":[71,130],"quimioterapia.":[73,329],"Material":[74],"M\u00e9todos":[76],"Estudo":[77],"epidemiol\u00f3gico,":[78],"observacional,":[79],"retrospectivo":[80],"quantitativo,":[82],"desenvolvido":[83],"partir":[85],"an\u00e1lise":[87,132],"dados":[89,95,129,283],"secund\u00e1rios":[90],"provenientes":[91],"banco":[93],"uma":[97,297],"disserta\u00e7\u00e3o.":[98],"Foram":[99,136,199],"inclu\u00eddos":[100],"com":[102,140,274],"doen\u00e7as":[103],"onco-hematol\u00f3gicas":[104],"tratamento":[106,263],"quimioter\u00e1pico":[107,264],"um":[109],"servi\u00e7o":[110],"especializado.":[111],"As":[112,151],"vari\u00e1veis":[113],"analisadas":[114],"compreenderam":[115],"caracter\u00edsticas":[116],"sociodemogr\u00e1ficas,":[117],"diagn\u00f3stico":[118,320],"hematol\u00f3gico":[119],"ocorr\u00eancia":[121,237,344],"mucosite,":[126],"sendo":[127],"os":[128,155],"estat\u00edstica":[133],"descritiva.":[134],"Resultados":[135],"avaliados":[137],"98":[138],"pacientes,":[139],"predomin\u00e2ncia":[141],"sexo":[143],"masculino":[144],"idade":[146],"m\u00e9dia":[147],"41":[149],"anos.":[150],"leucemias":[152],"agudas":[153],"representaram":[154,309],"diagn\u00f3sticos":[156],"mais":[157,300,341],"frequentes,":[158],"destacando-se":[159],"leucemia":[160,166,190],"mieloide":[161,191],"aguda":[162,168],"(30;":[163],"30,6%)":[164],"linfoide":[167],"(28;":[169],"28,6%),":[170],"seguidas":[171],"por":[172],"s\u00edndromes":[173],"mielodispl\u00e1sicas":[174],"mieloproliferativas":[176],"(16;":[177],"16,3%),":[178],"aplasia":[179],"medular":[180],"ou":[181],"anemia":[182],"apl\u00e1stica":[183],"grave":[184],"(8;":[185],"8,2%),":[186],"linfomas":[187],"(7;":[188],"7,1%),":[189],"cr\u00f4nica":[192],"(6;":[193],"6,1%)":[194],"mielofibrose":[196],"(3;":[197],"3,1%).":[198],"identificados":[200],"25":[201],"epis\u00f3dios":[202],"(25,5%)":[206],"14":[208],"(14,3%).":[211],"Em":[212],"59":[213],"(60,2%)":[215],"n\u00e3o":[216],"foram":[217],"encontrados":[218],"registros":[219,275,335],"nos":[222],"prontu\u00e1rios.":[223],"Al\u00e9m":[224],"disso,":[225],"18":[226],"prontu\u00e1rios":[227,273],"(18,4%)":[228],"apresentavam":[229],"informa\u00e7\u00f5es":[230],"cl\u00ednicas":[231],"incompletas,":[232],"limitando":[233],"avalia\u00e7\u00e3o":[235],"desses":[238],"eventos":[239],"ter":[242],"contribu\u00eddo":[243],"para":[244,296,339,348],"sua":[245],"subestima\u00e7\u00e3o.":[246],"Discuss\u00e3o":[247],"Os":[248],"resultados":[249],"demonstram":[250],"que":[251],"constituem":[258],"frequentes":[260],"durante":[261,327],"onco-hematol\u00f3gicos.":[267],"Entretanto,":[268],"elevada":[270],"propor\u00e7\u00e3o":[271],"incompletos":[276],"evidencia":[277],"limita\u00e7\u00f5es":[278],"inerentes":[279],"ao":[280],"uso":[281],"secund\u00e1rios,":[284],"ressaltando":[285],"import\u00e2ncia":[287],"padroniza\u00e7\u00e3o":[289],"aprimoramento":[292],"documenta\u00e7\u00e3o":[294],"cl\u00ednica":[295],"vigil\u00e2ncia":[298],"precisa.":[301],"Conclus\u00e3o":[302],"relevantes":[311],"nesta":[312],"popula\u00e7\u00e3o,":[313],"refor\u00e7ando":[314],"necessidade":[316],"monitoramento":[318],"sistem\u00e1tico,":[319],"precoce":[321],"implementa\u00e7\u00e3o":[323],"preventivas":[326],"melhoria":[331],"dos":[334,351],"cl\u00ednicos":[336],"poder\u00e1":[337],"contribuir":[338],"estimativas":[340],"precisas":[342],"aperfei\u00e7oamento":[350],"protocolos":[352],"assistenciais.":[353]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-22T00:00:00"}
