{"id":"https://openalex.org/W7225333138","doi":"https://doi.org/10.3390/healthcare14213784","title":"Complete Symptom Resolution After Rest in Acute Dizziness: Implications for Selective Magnetic Resonance Imaging Use and Patient Out-of-Pocket Costs in Japan","display_name":"Complete Symptom Resolution After Rest in Acute Dizziness: Implications for Selective Magnetic Resonance Imaging Use and Patient Out-of-Pocket Costs in Japan","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225333138","doi":"https://doi.org/10.3390/healthcare14213784"},"language":"en","primary_location":{"id":"doi:10.3390/healthcare14213784","doi":"https://doi.org/10.3390/healthcare14213784","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare14213784","pdf_url":null,"source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/healthcare14213784","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110338541","display_name":"Kazuki Kikuchi","orcid":"https://orcid.org/0009-0001-2419-1193","observed_orcids":["https://orcid.org/0009-0001-2419-1193"]},"institutions":[{"id":"https://openalex.org/I119182057","display_name":"SHOWA Medical University","ror":"https://ror.org/04mzk4q39","country_code":"JP","type":"education","lineage":["https://openalex.org/I119182057"]},{"id":"https://openalex.org/I4210160413","display_name":"SHOWA Medical University Hospital","ror":"https://ror.org/04wn7d698","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210160413"]},{"id":"https://openalex.org/I4387155513","display_name":"SHOWA Medical University Karasuyama Hospital","ror":"https://ror.org/01k86s411","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4387155513"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kazuki Kikuchi","raw_affiliation_strings":["Clinical Research Institute for Clinical Pharmacology and Therapeutics, Showa Medical University Karasuyama Hospital, 6-11-11 Kitakarasuyama, Setagaya-ku, Tokyo 157-8577, Japan","Department of Emergency, Critical Care and Disaster Medicine, Showa Medical University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan"],"raw_orcid":"https://orcid.org/0009-0001-2419-1193","affiliations":[{"raw_affiliation_string":"Clinical Research Institute for Clinical Pharmacology and Therapeutics, Showa Medical University Karasuyama Hospital, 6-11-11 Kitakarasuyama, Setagaya-ku, Tokyo 157-8577, Japan","institution_ids":["https://openalex.org/I4387155513"]},{"raw_affiliation_string":"Department of Emergency, Critical Care and Disaster Medicine, Showa Medical University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan","institution_ids":["https://openalex.org/I119182057","https://openalex.org/I4210160413"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021647937","display_name":"Keisuke Suzuki","orcid":"https://orcid.org/0000-0002-2099-1345","observed_orcids":["https://orcid.org/0000-0002-2099-1345"]},"institutions":[{"id":"https://openalex.org/I119182057","display_name":"SHOWA Medical University","ror":"https://ror.org/04mzk4q39","country_code":"JP","type":"education","lineage":["https://openalex.org/I119182057"]},{"id":"https://openalex.org/I4210160413","display_name":"SHOWA Medical University Hospital","ror":"https://ror.org/04wn7d698","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210160413"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Keisuke Suzuki","raw_affiliation_strings":["Department of Emergency, Critical Care and Disaster Medicine, Showa Medical University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan"],"raw_orcid":"https://orcid.org/0000-0002-2099-1345","affiliations":[{"raw_affiliation_string":"Department of Emergency, Critical Care and Disaster Medicine, Showa Medical University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan","institution_ids":["https://openalex.org/I119182057","https://openalex.org/I4210160413"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003275335","display_name":"Kaede Hiruma","orcid":"https://orcid.org/0000-0003-4724-0063","observed_orcids":["https://orcid.org/0000-0003-4724-0063","https://orcid.org/0009-0003-8467-6904"]},"institutions":[{"id":"https://openalex.org/I119182057","display_name":"SHOWA Medical University","ror":"https://ror.org/04mzk4q39","country_code":"JP","type":"education","lineage":["https://openalex.org/I119182057"]},{"id":"https://openalex.org/I4210160413","display_name":"SHOWA Medical University Hospital","ror":"https://ror.org/04wn7d698","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210160413"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kaede Hiruma","raw_affiliation_strings":["Department of Emergency, Critical Care and Disaster Medicine, Showa Medical University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan"],"raw_orcid":"https://orcid.org/0000-0003-4724-0063","affiliations":[{"raw_affiliation_string":"Department of Emergency, Critical Care and Disaster Medicine, Showa Medical University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan","institution_ids":["https://openalex.org/I119182057","https://openalex.org/I4210160413"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023746040","display_name":"Yoko Tarumi","orcid":"https://orcid.org/0000-0001-7169-3156","observed_orcids":["https://orcid.org/0000-0001-7169-3156","https://orcid.org/0000-0001-8433-5075"]},"institutions":[{"id":"https://openalex.org/I119182057","display_name":"SHOWA Medical University","ror":"https://ror.org/04mzk4q39","country_code":"JP","type":"education","lineage":["https://openalex.org/I119182057"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yoko Tarumi","raw_affiliation_strings":["Department of General Medicine, Showa Medical University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan"],"raw_orcid":"https://orcid.org/0000-0001-7169-3156","affiliations":[{"raw_affiliation_string":"Department of General Medicine, Showa Medical University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan","institution_ids":["https://openalex.org/I119182057"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019876182","display_name":"Akihito Kato","orcid":"https://orcid.org/0000-0003-0867-9831","observed_orcids":["https://orcid.org/0000-0003-0867-9831"]},"institutions":[{"id":"https://openalex.org/I119182057","display_name":"SHOWA Medical University","ror":"https://ror.org/04mzk4q39","country_code":"JP","type":"education","lineage":["https://openalex.org/I119182057"]},{"id":"https://openalex.org/I4210160413","display_name":"SHOWA Medical University Hospital","ror":"https://ror.org/04wn7d698","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210160413"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akihito Kato","raw_affiliation_strings":["Department of Emergency, Critical Care and Disaster Medicine, Showa Medical University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan"],"raw_orcid":"https://orcid.org/0000-0003-0867-9831","affiliations":[{"raw_affiliation_string":"Department of Emergency, Critical Care and Disaster Medicine, Showa Medical University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan","institution_ids":["https://openalex.org/I119182057","https://openalex.org/I4210160413"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121328185","display_name":"Naoki Uchida","orcid":"https://orcid.org/0000-0001-5114-5283","observed_orcids":["https://orcid.org/0000-0001-5114-5283"]},"institutions":[{"id":"https://openalex.org/I4387155513","display_name":"SHOWA Medical University Karasuyama Hospital","ror":"https://ror.org/01k86s411","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4387155513"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Naoki Uchida","raw_affiliation_strings":["Clinical Research Institute for Clinical Pharmacology and Therapeutics, Showa Medical University Karasuyama Hospital, 6-11-11 Kitakarasuyama, Setagaya-ku, Tokyo 157-8577, Japan"],"raw_orcid":"https://orcid.org/0000-0001-5114-5283","affiliations":[{"raw_affiliation_string":"Clinical Research Institute for Clinical Pharmacology and Therapeutics, Showa Medical University Karasuyama Hospital, 6-11-11 Kitakarasuyama, Setagaya-ku, Tokyo 157-8577, Japan","institution_ids":["https://openalex.org/I4387155513"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5037373569","display_name":"Kenji Dohi","orcid":"https://orcid.org/0000-0002-4451-0382","observed_orcids":["https://orcid.org/0000-0002-4451-0382"]},"institutions":[{"id":"https://openalex.org/I119182057","display_name":"SHOWA Medical University","ror":"https://ror.org/04mzk4q39","country_code":"JP","type":"education","lineage":["https://openalex.org/I119182057"]},{"id":"https://openalex.org/I4210160413","display_name":"SHOWA Medical University Hospital","ror":"https://ror.org/04wn7d698","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210160413"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Kenji Dohi","raw_affiliation_strings":["Department of Emergency, Critical Care and Disaster Medicine, Showa Medical University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan"],"raw_orcid":"https://orcid.org/0000-0002-4451-0382","affiliations":[{"raw_affiliation_string":"Department of Emergency, Critical Care and Disaster Medicine, Showa Medical University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan","institution_ids":["https://openalex.org/I119182057","https://openalex.org/I4210160413"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5037373569"],"corresponding_institution_ids":["https://openalex.org/I119182057","https://openalex.org/I4210160413"],"apc_list":{"value":2700,"currency":"CHF","value_usd":3258},"apc_paid":{"value":2700,"currency":"CHF","value_usd":3258},"fwci":0.0,"has_fulltext":false,"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":"14","issue":"21","first_page":"3784","last_page":"3784"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10542","display_name":"Vestibular and auditory disorders","score":0.975600004196167,"subfield":{"id":"https://openalex.org/subfields/2808","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10542","display_name":"Vestibular and auditory disorders","score":0.975600004196167,"subfield":{"id":"https://openalex.org/subfields/2808","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.0066999997943639755,"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/T13555","display_name":"Healthcare cost, quality, practices","score":0.006000000052154064,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-dizziness","display_name":"acute dizziness","score":0.9890000224113464},{"id":"https://openalex.org/keywords/central-vestibular-lesions","display_name":"central vestibular lesions","score":0.5899999737739563},{"id":"https://openalex.org/keywords/out-of-pocket-costs","display_name":"out-of-pocket costs","score":0.843999981880188},{"id":"https://openalex.org/keywords/health-care-expenditure","display_name":"health care expenditure","score":0.6150000095367432}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.817799985408783},{"id":"https://openalex.org/C125567185","wikidata":"https://www.wikidata.org/wiki/Q3267428","display_name":"Supine position","level":2,"score":0.6517000198364258},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.6496000289916992},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.6358000040054321},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4860999882221222},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4602999985218048},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.44609999656677246},{"id":"https://openalex.org/C77265313","wikidata":"https://www.wikidata.org/wiki/Q879844","display_name":"Rest (music)","level":2,"score":0.42809998989105225},{"id":"https://openalex.org/C3020110884","wikidata":"https://www.wikidata.org/wiki/Q695416","display_name":"Outpatient clinic","level":2,"score":0.38179999589920044},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.36419999599456787},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.32820001244544983},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.32670000195503235},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.32120001316070557},{"id":"https://openalex.org/C2777854218","wikidata":"https://www.wikidata.org/wiki/Q850197","display_name":"Bed rest","level":2,"score":0.2987000048160553},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2928999960422516},{"id":"https://openalex.org/C2989005","wikidata":"https://www.wikidata.org/wiki/Q214963","display_name":"Nuclear medicine","level":1,"score":0.2897999882698059},{"id":"https://openalex.org/C31601959","wikidata":"https://www.wikidata.org/wiki/Q931309","display_name":"Medical imaging","level":2,"score":0.28380000591278076},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.2547000050544739},{"id":"https://openalex.org/C198433322","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value of tests","level":2,"score":0.25290000438690186}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3390/healthcare14213784","doi":"https://doi.org/10.3390/healthcare14213784","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare14213784","pdf_url":null,"source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3390/healthcare14213784","doi":"https://doi.org/10.3390/healthcare14213784","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare14213784","pdf_url":null,"source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9907000064849854,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":31,"referenced_works":["https://openalex.org/W980584545","https://openalex.org/W1530743965","https://openalex.org/W2028123586","https://openalex.org/W2047393274","https://openalex.org/W2075421261","https://openalex.org/W2078021281","https://openalex.org/W2139149279","https://openalex.org/W2139643735","https://openalex.org/W2153251261","https://openalex.org/W2163889626","https://openalex.org/W2275737843","https://openalex.org/W2490073661","https://openalex.org/W2573681073","https://openalex.org/W2767804208","https://openalex.org/W2771043888","https://openalex.org/W2990148401","https://openalex.org/W2998607021","https://openalex.org/W3012097956","https://openalex.org/W3029164364","https://openalex.org/W3037264289","https://openalex.org/W3104502201","https://openalex.org/W3173295451","https://openalex.org/W3179580496","https://openalex.org/W4206321249","https://openalex.org/W4224310524","https://openalex.org/W4376132268","https://openalex.org/W4387460091","https://openalex.org/W4391360664","https://openalex.org/W4394714090","https://openalex.org/W4400599184","https://openalex.org/W7127049674"],"related_works":["https://openalex.org/W1520348617","https://openalex.org/W4280516412","https://openalex.org/W2621567828","https://openalex.org/W1949624284","https://openalex.org/W4324120257","https://openalex.org/W132145173","https://openalex.org/W2400231283","https://openalex.org/W4401618489","https://openalex.org/W4413138353","https://openalex.org/W2946629403"],"abstract_inverted_index":{"Background/Objectives:":[0],"We":[1],"examined":[2,79],"the":[3,21,80,141,162,213],"association":[4],"between":[5,44],"symptom":[6,174],"resolution":[7,101,175],"after":[8,53],"rest":[9],"and":[10,20,47,108,187,204,223],"causative":[11,184],"central":[12,90,185],"lesions":[13,91,186],"on":[14],"initial":[15,134,202],"magnetic":[16],"resonance":[17],"imaging":[18],"(MRI),":[19],"patient-perspective":[22],"economic":[23],"implications":[24],"of":[25,56,82,96,110,183,215],"hypothetical":[26,83,126],"MRI":[27,43,127,198,216],"omission.":[28],"Methods:":[29],"This":[30],"exploratory,":[31],"single-center,":[32],"retrospective":[33],"observational":[34],"study":[35],"included":[36],"170":[37],"patients":[38,60,98],"with":[39,70,73,99,112,178],"dizziness":[40],"who":[41],"underwent":[42],"April":[45],"2022":[46],"March":[48],"2024.":[49],"Symptoms":[50],"were":[51,65,92],"reassessed":[52],"10":[54],"min":[55],"supine":[57],"rest.":[58],"Among":[59,122],"discharged":[61,124],"home,":[62],"MRI-related":[63],"charges":[64],"hypothetically":[66],"omitted":[67],"for":[68],"those":[69],"complete":[71,100],"resolution,":[72],"other":[74],"care":[75],"unchanged.":[76],"Sensitivity":[77],"analyses":[78,151],"impact":[81],"additional":[84,154],"outpatient":[85,155],"revisit":[86,169],"costs.":[87],"Results:":[88],"Causative":[89],"detected":[93],"in":[94,129],"0":[95],"90":[97],"(0.0%;":[102],"95%":[103,116],"confidence":[104],"interval":[105],"[CI],":[106],"0.0\u20134.0%)":[107],"12":[109],"80":[111],"residual":[113],"symptoms":[114],"(15.0%;":[115],"CI,":[117],"8.0\u201324.7%;":[118],"p":[119],"<":[120],"0.001).":[121],"89":[123],"patients,":[125],"omission":[128],"54":[130],"(60.7%)":[131],"reduced":[132,200],"estimated":[133,143,157,201],"medical":[135],"expenditures":[136,203],"by":[137],"JPY":[138,147],"909,300":[139],"(22.6%);":[140],"median":[142],"patient-payment":[144],"reduction":[145],"was":[146,176],"3552.":[148],"In":[149],"sensitivity":[150],"limited":[152],"to":[153,193],"revisits,":[156],"reductions":[158],"remained":[159],"positive":[160],"across":[161],"principal":[163],"scenarios":[164],"but":[165],"diminished":[166],"as":[167,190],"assumed":[168],"use":[170,199,226],"increased.":[171],"Conclusions:":[172],"Complete":[173],"associated":[177],"a":[179],"lower":[180],"observed":[181],"proportion":[182],"warrants":[188],"evaluation":[189],"information":[191],"complementary":[192],"established":[194],"assessment.":[195],"Hypothetical":[196],"selective":[197],"patient":[205],"payments.":[206],"These":[207],"exploratory":[208],"findings":[209],"do":[210],"not":[211],"establish":[212],"safety":[214],"omission;":[217],"prospective":[218],"validation":[219],"incorporating":[220],"clinical":[221],"outcomes":[222],"downstream":[224],"healthcare":[225],"is":[227],"required.":[228]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-11-06T00:00:00"}
