{"id":"https://openalex.org/W7225609153","doi":"https://doi.org/10.1007/s11910-026-01529-8","title":"Neurological and Medical Complications in Brain Tumor Patients. 2026 Update","display_name":"Neurological and Medical Complications in Brain Tumor Patients. 2026 Update","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225609153","doi":"https://doi.org/10.1007/s11910-026-01529-8","pmid":"https://pubmed.ncbi.nlm.nih.gov/43002329"},"language":"en","primary_location":{"id":"doi:10.1007/s11910-026-01529-8","doi":"https://doi.org/10.1007/s11910-026-01529-8","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11910-026-01529-8","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11910-026-01529-8.pdf","source":{"id":"https://openalex.org/S136388143","display_name":"Current Neurology and Neuroscience Reports","issn_l":"1528-4042","issn":["1528-4042","1534-6293"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Current Neurology and Neuroscience Reports","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s11910-026-01529-8.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010318271","display_name":"Guneet Sarai","orcid":"https://orcid.org/0009-0007-3237-0689","observed_orcids":["https://orcid.org/0009-0007-3237-0689"]},"institutions":[{"id":"https://openalex.org/I142740786","display_name":"University of Louisville","ror":"https://ror.org/01ckdn478","country_code":"US","type":"education","lineage":["https://openalex.org/I142740786"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Guneet Sarai","raw_affiliation_strings":["Department of Neurosurgery, Division of Hematology Oncology, University of Louisville, Louisville, KY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Division of Hematology Oncology, University of Louisville, Louisville, KY, USA","institution_ids":["https://openalex.org/I142740786"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023905352","display_name":"David Schiff","orcid":"https://orcid.org/0000-0002-1896-2502","observed_orcids":["https://orcid.org/0000-0002-1896-2502","https://orcid.org/0000-0003-1561-9220"]},"institutions":[{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"David Schiff","raw_affiliation_strings":["Neurological Surgery and Medicine, University of Virginia, 1215 Lee Street, Room 6225, Charlottesville, 22908-0432, VA, USA. DS4JD@uvahealth.org"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurological Surgery and Medicine, University of Virginia, 1215 Lee Street, Room 6225, Charlottesville, 22908-0432, VA, USA. DS4JD@uvahealth.org","institution_ids":["https://openalex.org/I51556381"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5023905352"],"corresponding_institution_ids":["https://openalex.org/I51556381"],"apc_list":{"value":5590,"currency":"USD","value_usd":5590},"apc_paid":{"value":5590,"currency":"USD","value_usd":5590},"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":"26","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10129","display_name":"Glioma Diagnosis and Treatment","score":0.9883000254631042,"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/T10129","display_name":"Glioma Diagnosis and Treatment","score":0.9883000254631042,"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/T11600","display_name":"Brain Metastases and Treatment","score":0.00570000009611249,"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/T10178","display_name":"Cancer survivorship and care","score":0.0013000000035390258,"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/brain-tumors","display_name":"brain tumors","score":0.9729999899864197},{"id":"https://openalex.org/keywords/treatment-related-complications","display_name":"treatment complications","score":0.6629999876022339},{"id":"https://openalex.org/keywords/tumor-related-epilepsy","display_name":"tumor-related epilepsy","score":0.925000011920929},{"id":"https://openalex.org/keywords/vasogenic-edema","display_name":"vasogenic edema","score":0.75},{"id":"https://openalex.org/keywords/infection","display_name":"infection","score":0.6480000019073486},{"id":"https://openalex.org/keywords/thromboembolism","display_name":"thromboembolism","score":0.9819999933242798},{"id":"https://openalex.org/keywords/endocrine-disorders","display_name":"endocrine disorders","score":0.9120000004768372},{"id":"https://openalex.org/keywords/cognitive-impairment","display_name":"cognitive impairment","score":0.9959999918937683},{"id":"https://openalex.org/keywords/idh-mutant-glioma","display_name":"IDH-mutant glioma","score":0.8579999804496765},{"id":"https://openalex.org/keywords/d-2-hydroxyglutarate","display_name":"D-2-hydroxyglutarate","score":0.9710000157356262},{"id":"https://openalex.org/keywords/idh-inhibitors","display_name":"IDH inhibitors","score":0.9039999842643738},{"id":"https://openalex.org/keywords/pneumocystis-prophylaxis","display_name":"Pneumocystis prophylaxis","score":0.9100000262260437},{"id":"https://openalex.org/keywords/temozolomide","display_name":"temozolomide","score":0.7799999713897705},{"id":"https://openalex.org/keywords/radiotherapy","display_name":"radiotherapy","score":0.6259999871253967},{"id":"https://openalex.org/keywords/podoplanin","display_name":"podoplanin","score":0.9890000224113464},{"id":"https://openalex.org/keywords/venous-thromboembolism","display_name":"venous thromboembolism","score":0.8339999914169312},{"id":"https://openalex.org/keywords/direct-oral-anticoagulants","display_name":"direct oral anticoagulants","score":0.9580000042915344},{"id":"https://openalex.org/keywords/cancer-associated-thrombosis","display_name":"cancer-associated thrombosis","score":0.8090000152587891},{"id":"https://openalex.org/keywords/extracellular-vesicles","display_name":"extracellular vesicles","score":0.8180000185966492},{"id":"https://openalex.org/keywords/neurocognitive-rehabilitation","display_name":"neurocognitive rehabilitation","score":0.7080000042915344},{"id":"https://openalex.org/keywords/corticosteroids","display_name":"corticosteroids","score":0.972000002861023}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9065999984741211},{"id":"https://openalex.org/C2777389519","wikidata":"https://www.wikidata.org/wiki/Q425088","display_name":"Temozolomide","level":3,"score":0.5123999714851379},{"id":"https://openalex.org/C2779130545","wikidata":"https://www.wikidata.org/wiki/Q233309","display_name":"Brain tumor","level":2,"score":0.4925999939441681},{"id":"https://openalex.org/C16568411","wikidata":"https://www.wikidata.org/wiki/Q83042","display_name":"Neurology","level":2,"score":0.44769999384880066},{"id":"https://openalex.org/C172467417","wikidata":"https://www.wikidata.org/wiki/Q1670397","display_name":"Neurocognitive","level":3,"score":0.444599986076355},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.43220001459121704},{"id":"https://openalex.org/C2776694085","wikidata":"https://www.wikidata.org/wiki/Q974135","display_name":"Chemotherapy","level":2,"score":0.3978999853134155},{"id":"https://openalex.org/C2779788671","wikidata":"https://www.wikidata.org/wiki/Q998803","display_name":"Tumor lysis syndrome","level":3,"score":0.3939000070095062},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3831999897956848},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.38100001215934753},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.3779999911785126},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.37040001153945923},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.36390000581741333},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.36010000109672546},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.3433000147342682},{"id":"https://openalex.org/C207886595","wikidata":"https://www.wikidata.org/wiki/Q1456138","display_name":"Pathological","level":2,"score":0.3111000061035156},{"id":"https://openalex.org/C2781362458","wikidata":"https://www.wikidata.org/wiki/Q1588755","display_name":"Thrombus","level":2,"score":0.30399999022483826},{"id":"https://openalex.org/C2780011451","wikidata":"https://www.wikidata.org/wiki/Q2751330","display_name":"Venous thrombosis","level":3,"score":0.28859999775886536},{"id":"https://openalex.org/C2778227246","wikidata":"https://www.wikidata.org/wiki/Q1365309","display_name":"Glioma","level":2,"score":0.2773999869823456},{"id":"https://openalex.org/C2777288759","wikidata":"https://www.wikidata.org/wiki/Q4164182","display_name":"Dosing","level":2,"score":0.27379998564720154},{"id":"https://openalex.org/C2779256057","wikidata":"https://www.wikidata.org/wiki/Q16909647","display_name":"Tumor progression","level":3,"score":0.2632000148296356},{"id":"https://openalex.org/C2778164965","wikidata":"https://www.wikidata.org/wiki/Q1620196","display_name":"Brain metastasis","level":4,"score":0.26019999384880066},{"id":"https://openalex.org/C2776256026","wikidata":"https://www.wikidata.org/wiki/Q47912","display_name":"Lung cancer","level":2,"score":0.2542000114917755},{"id":"https://openalex.org/C58693492","wikidata":"https://www.wikidata.org/wiki/Q551875","display_name":"Neuroimaging","level":2,"score":0.2540000081062317},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2531000077724457},{"id":"https://openalex.org/C2779160599","wikidata":"https://www.wikidata.org/wiki/Q369157","display_name":"Meningioma","level":2,"score":0.2513999938964844}],"mesh":[{"descriptor_ui":"D001932","descriptor_name":"Brain Neoplasms","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D001932","descriptor_name":"Brain Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D004700","descriptor_name":"Endocrine System Diseases","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D004827","descriptor_name":"Epilepsy","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013923","descriptor_name":"Thromboembolism","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D060825","descriptor_name":"Cognitive Dysfunction","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1007/s11910-026-01529-8","doi":"https://doi.org/10.1007/s11910-026-01529-8","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11910-026-01529-8","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11910-026-01529-8.pdf","source":{"id":"https://openalex.org/S136388143","display_name":"Current Neurology and Neuroscience Reports","issn_l":"1528-4042","issn":["1528-4042","1534-6293"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Current Neurology and Neuroscience Reports","raw_type":"journal-article"},{"id":"pmid:43002329","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43002329","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":"Current neurology and neuroscience reports","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1007/s11910-026-01529-8","doi":"https://doi.org/10.1007/s11910-026-01529-8","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11910-026-01529-8","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11910-026-01529-8.pdf","source":{"id":"https://openalex.org/S136388143","display_name":"Current Neurology and Neuroscience Reports","issn_l":"1528-4042","issn":["1528-4042","1534-6293"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Current Neurology and Neuroscience Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225609153.pdf","grobid_xml":"https://content.openalex.org/works/W7225609153.grobid-xml"},"referenced_works_count":74,"referenced_works":["https://openalex.org/W252999267","https://openalex.org/W837505075","https://openalex.org/W1847137107","https://openalex.org/W1974570952","https://openalex.org/W1979295696","https://openalex.org/W2010692176","https://openalex.org/W2014526583","https://openalex.org/W2029194776","https://openalex.org/W2048177385","https://openalex.org/W2051107088","https://openalex.org/W2060244048","https://openalex.org/W2091956563","https://openalex.org/W2092544539","https://openalex.org/W2098757634","https://openalex.org/W2111406583","https://openalex.org/W2115958043","https://openalex.org/W2117606080","https://openalex.org/W2126014543","https://openalex.org/W2126552090","https://openalex.org/W2128540560","https://openalex.org/W2131019689","https://openalex.org/W2136238758","https://openalex.org/W2139594424","https://openalex.org/W2141604895","https://openalex.org/W2154563173","https://openalex.org/W2156330848","https://openalex.org/W2225975747","https://openalex.org/W2226443404","https://openalex.org/W2256711934","https://openalex.org/W2326769799","https://openalex.org/W2377375842","https://openalex.org/W2413068329","https://openalex.org/W2460724181","https://openalex.org/W2523489572","https://openalex.org/W2619357519","https://openalex.org/W2767103404","https://openalex.org/W2801851087","https://openalex.org/W2887716978","https://openalex.org/W2888599070","https://openalex.org/W2889881378","https://openalex.org/W2898011092","https://openalex.org/W2913423563","https://openalex.org/W2920536168","https://openalex.org/W2940426635","https://openalex.org/W2946403381","https://openalex.org/W2951535531","https://openalex.org/W2952666958","https://openalex.org/W2966354200","https://openalex.org/W2974724557","https://openalex.org/W2982637342","https://openalex.org/W3016667338","https://openalex.org/W3037536833","https://openalex.org/W3113786988","https://openalex.org/W3138501536","https://openalex.org/W3159886125","https://openalex.org/W3187320905","https://openalex.org/W3187697046","https://openalex.org/W4220732082","https://openalex.org/W4286298392","https://openalex.org/W4309412886","https://openalex.org/W4310786023","https://openalex.org/W4320920744","https://openalex.org/W4366446437","https://openalex.org/W4372199729","https://openalex.org/W4386634451","https://openalex.org/W4391350294","https://openalex.org/W4393718532","https://openalex.org/W4407006411","https://openalex.org/W4409087776","https://openalex.org/W4409360046","https://openalex.org/W4412200813","https://openalex.org/W4415678781","https://openalex.org/W4416588998","https://openalex.org/W7139009003"],"related_works":["https://openalex.org/W3037536833","https://openalex.org/W2805697276","https://openalex.org/W4212844200","https://openalex.org/W2320912574","https://openalex.org/W4402147005","https://openalex.org/W3112868395","https://openalex.org/W3199277721","https://openalex.org/W2772449343","https://openalex.org/W2006639452","https://openalex.org/W2943435350"],"abstract_inverted_index":{"PURPOSE":[0],"OF":[1],"REVIEW:":[2],"Patients":[3],"with":[4,102,108,158,208,231],"brain":[5,171],"tumors":[6],"have":[7],"a":[8,164,205],"plethora":[9],"of":[10,87,94,153,161],"potential":[11],"complications":[12,44,193,233],"that":[13,45],"arise":[14],"from":[15,195],"both":[16,196],"the":[17,38,67,92,131,151,197,200,228],"tumor":[18,127,172,188,198],"and":[19,27,30,42,55,58,72,110,139,163,199,218,223],"its":[20,59,182],"therapeutic":[21],"management.":[22,60],"These":[23],"complicate":[24],"clinical":[25,177],"management":[26],"produce":[28],"morbidity":[29,229],"occasionally":[31],"mortality.":[32],"In":[33],"this":[34,97,185],"review":[35,62],"we":[36],"discuss":[37],"most":[39],"common":[40],"neurological":[41],"medical":[43],"include":[46],"tumor-related":[47],"epilepsy,":[48],"vasogenic":[49],"edema,":[50],"infection,":[51],"thromboembolism,":[52,157,217],"endocrine":[53],"abnormalities":[54],"cognitive":[56],"impairment":[57],"This":[61],"is":[63],"an":[64],"update":[65],"to":[66,142,192,235],"2020":[68],"article":[69],"by":[70,126],"Schiff":[71],"Alyahya.":[73],"RECENT":[74],"FINDINGS:":[75],"IDH":[76,88],"mutant":[77],"gliomas":[78],"cause":[79],"neuronal":[80],"hyperexcitability":[81],"via":[82,134],"D-2":[83],"-hydroxyglutarate":[84],"production;":[85],"use":[86],"inhibitors":[89],"may":[90,140],"lower":[91],"rate":[93],"seizures":[95],"in":[96,120,167,176,184],"patient":[98,237],"population.":[99,186],"Pneumocystis":[100],"prophylaxis":[101],"antibiotics":[103],"has":[104],"been":[105],"traditionally":[106],"recommended":[107],"radiation":[109],"concurrent":[111],"temozolomide":[112],"chemotherapy":[113],"but":[114],"newer":[115],"data":[116],"suggest":[117],"no":[118],"difference":[119],"hospitalization":[121],"or":[122],"survival.":[123],"Podoplanin":[124],"produced":[125],"cell":[128],"releases":[129],"into":[130],"circulation,":[132],"often":[133],"extracellular":[135],"vesicles,":[136],"activates":[137],"platelets":[138],"contribute":[141],"venous":[143,156],"thrombus":[144],"formation.":[145],"Direct":[146],"oral":[147],"Anticoagulants":[148],"(DOACs)":[149],"are":[150,190],"treatment":[152,201],"choice":[154],"for":[155,216],"high":[159],"quality":[160],"evidence":[162],"strong":[165],"recommendation":[166],"cancer-associated":[168],"thrombosis.":[169],"Though":[170],"patients":[173,189],"were":[174],"underrepresented":[175],"trials,":[178],"retrospective":[179],"studies":[180],"support":[181],"safety":[183],"Brain":[187],"prone":[191],"arising":[194],"strategies.":[202],"Management":[203],"requires":[204],"multidisciplinary":[206],"strategy":[207],"supportive":[209],"medications":[210],"including":[211],"antiseizure":[212],"medications,":[213],"corticosteroids,":[214],"anticoagulants":[215],"neurocognitive":[219],"rehabilitation.":[220],"Early":[221],"recognition":[222],"timely":[224],"intervention":[225],"can":[226],"reduce":[227],"associated":[230],"these":[232],"leading":[234],"better":[236],"outcomes.":[238]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}