{"id":"https://openalex.org/W7223679765","doi":"https://doi.org/10.21037/tp-2026-0565","title":"Clinical characteristics of endoscopic tympanoplasty in young children","display_name":"Clinical characteristics of endoscopic tympanoplasty in young children","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223679765","doi":"https://doi.org/10.21037/tp-2026-0565","pmid":"https://pubmed.ncbi.nlm.nih.gov/42996724","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13739843"},"language":"en","primary_location":{"id":"doi:10.21037/tp-2026-0565","doi":"https://doi.org/10.21037/tp-2026-0565","is_oa":true,"landing_page_url":"https://doi.org/10.21037/tp-2026-0565","pdf_url":null,"source":{"id":"https://openalex.org/S2764863491","display_name":"Translational Pediatrics","issn_l":"2224-4336","issn":["2224-4336","2224-4344"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"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":"Translational Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.21037/tp-2026-0565","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5121940868","display_name":"Kun Ni","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183067930","display_name":"Shanghai Jiao Tong University","ror":"https://ror.org/0220qvk04","country_code":"CN","type":"education","lineage":["https://openalex.org/I183067930"]},{"id":"https://openalex.org/I4210159420","display_name":"Shanghai Children's Hospital","ror":"https://ror.org/05pea1m70","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210159420"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Kun Ni","raw_affiliation_strings":["Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China","institution_ids":["https://openalex.org/I183067930","https://openalex.org/I4210159420"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039320270","display_name":"\u9093\u745e","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183067930","display_name":"Shanghai Jiao Tong University","ror":"https://ror.org/0220qvk04","country_code":"CN","type":"education","lineage":["https://openalex.org/I183067930"]},{"id":"https://openalex.org/I4210159420","display_name":"Shanghai Children's Hospital","ror":"https://ror.org/05pea1m70","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210159420"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Rui Deng","raw_affiliation_strings":["Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China","institution_ids":["https://openalex.org/I183067930","https://openalex.org/I4210159420"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159720106","display_name":"Jia Fang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183067930","display_name":"Shanghai Jiao Tong University","ror":"https://ror.org/0220qvk04","country_code":"CN","type":"education","lineage":["https://openalex.org/I183067930"]},{"id":"https://openalex.org/I4210159420","display_name":"Shanghai Children's Hospital","ror":"https://ror.org/05pea1m70","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210159420"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jia Fang","raw_affiliation_strings":["Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China","institution_ids":["https://openalex.org/I183067930","https://openalex.org/I4210159420"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100400044","display_name":"Fang Chen","orcid":"https://orcid.org/0009-0008-6594-8026","observed_orcids":["https://orcid.org/0009-0008-6594-8026"]},"institutions":[{"id":"https://openalex.org/I183067930","display_name":"Shanghai Jiao Tong University","ror":"https://ror.org/0220qvk04","country_code":"CN","type":"education","lineage":["https://openalex.org/I183067930"]},{"id":"https://openalex.org/I4210159420","display_name":"Shanghai Children's Hospital","ror":"https://ror.org/05pea1m70","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210159420"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Fang Chen","raw_affiliation_strings":["Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China","institution_ids":["https://openalex.org/I183067930","https://openalex.org/I4210159420"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159678696","display_name":"Xiaoyan Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183067930","display_name":"Shanghai Jiao Tong University","ror":"https://ror.org/0220qvk04","country_code":"CN","type":"education","lineage":["https://openalex.org/I183067930"]},{"id":"https://openalex.org/I4210159420","display_name":"Shanghai Children's Hospital","ror":"https://ror.org/05pea1m70","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210159420"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Xiaoyan Li","raw_affiliation_strings":["Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China","institution_ids":["https://openalex.org/I183067930","https://openalex.org/I4210159420"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101182967","display_name":"Wenyan Fan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183067930","display_name":"Shanghai Jiao Tong University","ror":"https://ror.org/0220qvk04","country_code":"CN","type":"education","lineage":["https://openalex.org/I183067930"]},{"id":"https://openalex.org/I4210159420","display_name":"Shanghai Children's Hospital","ror":"https://ror.org/05pea1m70","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210159420"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Wenyan Fan","raw_affiliation_strings":["Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology-Head & Neck Surgery, Shanghai Children's Hospital, Jiao Tong University School of Medicine, Shanghai, China","institution_ids":["https://openalex.org/I183067930","https://openalex.org/I4210159420"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5101182967","https://openalex.org/A5159678696"],"corresponding_institution_ids":["https://openalex.org/I183067930","https://openalex.org/I4210159420"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"15","issue":"10","first_page":"400","last_page":"400"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10861","display_name":"Ear Surgery and Otitis Media","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"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/T10861","display_name":"Ear Surgery and Otitis Media","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"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/T11866","display_name":"Reconstructive Facial Surgery Techniques","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"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/T14326","display_name":"Ear and Head Tumors","score":9.999999747378752e-05,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/endoscopic-tympanoplasty","display_name":"endoscopic tympanoplasty","score":1.0},{"id":"https://openalex.org/keywords/pediatric-tympanoplasty","display_name":"pediatric tympanoplasty","score":0.9120000004768372},{"id":"https://openalex.org/keywords/tympanic-membrane-perforation","display_name":"tympanic membrane perforation","score":0.9139999747276306},{"id":"https://openalex.org/keywords/tympanic-membrane-healing","display_name":"tympanic membrane healing","score":0.8790000081062317},{"id":"https://openalex.org/keywords/age-differences","display_name":"age differences","score":0.6710000038146973},{"id":"https://openalex.org/keywords/eustachian-tube-function","display_name":"Eustachian tube function","score":0.9900000095367432},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.7870000004768372},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.41100001335144043}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9696000218391418},{"id":"https://openalex.org/C2779012872","wikidata":"https://www.wikidata.org/wiki/Q9363646","display_name":"Tympanoplasty","level":2,"score":0.9120000004768372},{"id":"https://openalex.org/C2780487920","wikidata":"https://www.wikidata.org/wiki/Q320561","display_name":"Eustachian tube","level":3,"score":0.6966999769210815},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6498000025749207},{"id":"https://openalex.org/C2778456384","wikidata":"https://www.wikidata.org/wiki/Q1508510","display_name":"Perforation","level":3,"score":0.604200005531311},{"id":"https://openalex.org/C2910531384","wikidata":"https://www.wikidata.org/wiki/Q2562623","display_name":"Tympanic Membrane Perforation","level":3,"score":0.4708000123500824},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4442000091075897},{"id":"https://openalex.org/C2778451229","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopy","level":2,"score":0.436599999666214},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4352000057697296},{"id":"https://openalex.org/C139812875","wikidata":"https://www.wikidata.org/wiki/Q3704821","display_name":"Dehiscence","level":2,"score":0.4072999954223633},{"id":"https://openalex.org/C2777846895","wikidata":"https://www.wikidata.org/wiki/Q501553","display_name":"Middle ear","level":2,"score":0.3804999887943268},{"id":"https://openalex.org/C2776439223","wikidata":"https://www.wikidata.org/wiki/Q480700","display_name":"Otitis","level":2,"score":0.3709000051021576},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3605000078678131},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.31040000915527344},{"id":"https://openalex.org/C2779812621","wikidata":"https://www.wikidata.org/wiki/Q258328","display_name":"Ear canal","level":2,"score":0.2840000092983246},{"id":"https://openalex.org/C3019630126","wikidata":"https://www.wikidata.org/wiki/Q258328","display_name":"Auditory canal","level":2,"score":0.26440000534057617},{"id":"https://openalex.org/C2909951594","wikidata":"https://www.wikidata.org/wiki/Q223254","display_name":"Chronic Suppurative Otitis Media","level":2,"score":0.26260000467300415},{"id":"https://openalex.org/C2986834420","wikidata":"https://www.wikidata.org/wiki/Q5932254","display_name":"Age groups","level":2,"score":0.25099998712539673}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.21037/tp-2026-0565","doi":"https://doi.org/10.21037/tp-2026-0565","is_oa":true,"landing_page_url":"https://doi.org/10.21037/tp-2026-0565","pdf_url":null,"source":{"id":"https://openalex.org/S2764863491","display_name":"Translational Pediatrics","issn_l":"2224-4336","issn":["2224-4336","2224-4344"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"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":"Translational Pediatrics","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13739843","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13739843/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13739843/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":"Transl Pediatr","raw_type":"Text"},{"id":"pmid:42996724","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42996724","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":"Translational pediatrics","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.21037/tp-2026-0565","doi":"https://doi.org/10.21037/tp-2026-0565","is_oa":true,"landing_page_url":"https://doi.org/10.21037/tp-2026-0565","pdf_url":null,"source":{"id":"https://openalex.org/S2764863491","display_name":"Translational Pediatrics","issn_l":"2224-4336","issn":["2224-4336","2224-4344"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"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":"Translational Pediatrics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G3840352513","display_name":null,"funder_award_id":"82471159","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":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223679765.pdf","grobid_xml":"https://content.openalex.org/works/W7223679765.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W2006354247","https://openalex.org/W2076736454","https://openalex.org/W2142943096","https://openalex.org/W2317768393","https://openalex.org/W2328116023","https://openalex.org/W2415729894","https://openalex.org/W2522306619","https://openalex.org/W2604322337","https://openalex.org/W2765661804","https://openalex.org/W2792966019","https://openalex.org/W2796279542","https://openalex.org/W2996835072","https://openalex.org/W3019443850","https://openalex.org/W3042445910","https://openalex.org/W3124862775","https://openalex.org/W3132293834","https://openalex.org/W3172072207","https://openalex.org/W4297231638","https://openalex.org/W4311671371","https://openalex.org/W4378611188","https://openalex.org/W4386854114","https://openalex.org/W4394771146","https://openalex.org/W4400258171","https://openalex.org/W4411638835"],"related_works":["https://openalex.org/W2094035666","https://openalex.org/W2114947501","https://openalex.org/W2116071064","https://openalex.org/W4362450159","https://openalex.org/W2019651921","https://openalex.org/W3153283764","https://openalex.org/W4406669428","https://openalex.org/W2903086485","https://openalex.org/W2154475259","https://openalex.org/W2996835072"],"abstract_inverted_index":{"Background:":[0],"Data":[1,97],"on":[2,98],"the":[3,140,148,164,170,176,198,231,246],"clinical":[4,74],"outcomes":[5,34,227],"of":[6,175,197],"endoscopic":[7,39,56],"tympanoplasty":[8,57,214],"in":[9,32,147,200,225],"children":[10,50,202],"from":[11],"our":[12,24],"institutional":[13],"cohort":[14],"remain":[15],"limited.":[16],"In":[17],"this":[18],"study,":[19],"we":[20],"aimed":[21],"to":[22,139],"describe":[23],"single-center":[25],"experience":[26],"and":[27,61,75,90,114,128,166,233],"explore":[28],"potential":[29],"age-associated":[30],"differences":[31,160,224,240],"surgical":[33,226],"among":[35,219],"pediatric":[36],"patients":[37],"undergoing":[38],"tympanoplasty.":[40],"Methods:":[41],"This":[42],"retrospective":[43],"case":[44],"series":[45],"included":[46],"27":[47],"consecutive":[48],"eligible":[49],"aged":[51],"4-13":[52],"years":[53],"who":[54],"underwent":[55],"between":[58,230],"January":[59],"2020":[60],"December":[62],"2024.":[63],"Patients":[64],"with":[65,151],"inner":[66],"ear":[67,70],"malformation,":[68],"previous":[69],"surgery,":[71],"or":[72,187],"incomplete":[73],"follow-up":[76],"data":[77],"were":[78,81,117,130,136,161,228],"excluded.":[79],"Subjects":[80],"stratified":[82],"into":[83],"a":[84,207],"younger-age":[85],"group":[86,93],"(4-8":[87],"years,":[88,95],"n=14)":[89],"an":[91],"older-age":[92,149,234],"(9-13":[94],"n=13).":[96],"baseline":[99],"characteristics,":[100,183],"including":[101],"demographic":[102],"information,":[103],"external":[104],"auditory":[105],"canal":[106,210],"(EAC)":[107],"morphology,":[108],"perforation":[109,182],"features,":[110],"Eustachian":[111,184],"tube":[112,185],"function,":[113,186],"comorbid":[115],"conditions":[116],"collected.":[118],"The":[119,192],"primary":[120],"outcome":[121],"was":[122,203],"postoperative":[123],"tympanic":[124,180],"membrane":[125,181],"healing":[126,217],"rate,":[127],"complications":[129],"recorded.":[131],"Only":[132],"descriptive":[133],"statistical":[134],"analyses":[135],"performed":[137],"owing":[138],"small":[141],"sample":[142,248],"size.":[143,249],"Results:":[144],"69.2%":[145],"(9/13)":[146],"group,":[150],"no":[152],"statistically":[153,222],"significant":[154,158,223],"difference":[155],"(P=0.17).":[156],"No":[157,221],"inter-group":[159],"found":[162],"regarding":[163],"horizontal":[165],"vertical":[167],"diameters":[168],"at":[169],"narrowest":[171],"EAC,":[172],"protrusion":[173,195],"angle":[174,196],"EAC":[177,199],"anterior":[178],"wall,":[179],"upper-airway":[188],"status":[189],"(all":[190],"P>0.05).":[191],"mean":[193],"anterior-wall":[194],"younger":[201],"179\u00b0,":[204],"which":[205],"indicated":[206],"nearly":[208],"straight":[209],"configuration.":[211],"Conclusions:":[212],"Endoscopic":[213],"yielded":[215],"acceptable":[216],"rates":[218],"children.":[220],"detected":[229],"younger-":[232],"groups.":[235],"However,":[236],"clinically":[237],"meaningful":[238],"age-related":[239],"cannot":[241],"be":[242],"ruled":[243],"out":[244],"given":[245],"limited":[247]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-10-27T00:00:00"}
