{"id":"https://openalex.org/W7225759173","doi":"https://doi.org/10.1167/tvst.15.11.9","title":"Visual and Topographic Outcomes of Accelerated Corneal Cross-Linking for Keratoconus in Indigenous and Non-Indigenous Children in Australia","display_name":"Visual and Topographic Outcomes of Accelerated Corneal Cross-Linking for Keratoconus in Indigenous and Non-Indigenous Children in Australia","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225759173","doi":"https://doi.org/10.1167/tvst.15.11.9","pmid":"https://pubmed.ncbi.nlm.nih.gov/43006993"},"language":"en","primary_location":{"id":"doi:10.1167/tvst.15.11.9","doi":"https://doi.org/10.1167/tvst.15.11.9","is_oa":true,"landing_page_url":"https://doi.org/10.1167/tvst.15.11.9","pdf_url":null,"source":{"id":"https://openalex.org/S2764591444","display_name":"Translational Vision Science & Technology","issn_l":"2164-2591","issn":["2164-2591"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310315919","host_organization_name":"Association for Research in Vision and Ophthalmology","host_organization_lineage":["https://openalex.org/P4310315919"],"host_organization_lineage_names":["Association for Research in Vision and Ophthalmology"],"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 Vision Science & Technology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1167/tvst.15.11.9","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161417895","display_name":"Adrianna Elzbieta Klejnotowska","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210167058","display_name":"Children's Health Queensland Hospital and Health Service","ror":"https://ror.org/02t3p7e85","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2801244131","https://openalex.org/I4210167058"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Adrianna Elzbieta Klejnotowska","raw_affiliation_strings":["Department of Ophthalmology, Queensland Children's Hospital, South Brisbane, QLD, Australia","https://orcid.org/0000-0003-1900-6210"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Queensland Children's Hospital, South Brisbane, QLD, Australia","institution_ids":["https://openalex.org/I4210167058"]},{"raw_affiliation_string":"https://orcid.org/0000-0003-1900-6210","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064631996","display_name":"Rylan A. Hayes","orcid":"https://orcid.org/0000-0002-0581-4316","observed_orcids":["https://orcid.org/0000-0002-0581-4316"]},"institutions":[{"id":"https://openalex.org/I4210167058","display_name":"Children's Health Queensland Hospital and Health Service","ror":"https://ror.org/02t3p7e85","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2801244131","https://openalex.org/I4210167058"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Rylan Hayes","raw_affiliation_strings":["Department of Ophthalmology, Queensland Children's Hospital, South Brisbane, QLD, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Queensland Children's Hospital, South Brisbane, QLD, Australia","institution_ids":["https://openalex.org/I4210167058"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137913210","display_name":"Vivien Nguyen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210167058","display_name":"Children's Health Queensland Hospital and Health Service","ror":"https://ror.org/02t3p7e85","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2801244131","https://openalex.org/I4210167058"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Vivien Nguyen","raw_affiliation_strings":["Department of Ophthalmology, Queensland Children's Hospital, South Brisbane, QLD, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Queensland Children's Hospital, South Brisbane, QLD, Australia","institution_ids":["https://openalex.org/I4210167058"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012358413","display_name":"Shaheen Pravin Shah","orcid":"https://orcid.org/0000-0003-4717-9629","observed_orcids":["https://orcid.org/0000-0003-4717-9629"]},"institutions":[{"id":"https://openalex.org/I4210167058","display_name":"Children's Health Queensland Hospital and Health Service","ror":"https://ror.org/02t3p7e85","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2801244131","https://openalex.org/I4210167058"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Shaheen P. Shah","raw_affiliation_strings":["Department of Ophthalmology, Queensland Children's Hospital, South Brisbane, QLD, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Queensland Children's Hospital, South Brisbane, QLD, Australia","institution_ids":["https://openalex.org/I4210167058"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5009530285","display_name":"David J. Gunn","orcid":"https://orcid.org/0000-0001-8056-927X","observed_orcids":["https://orcid.org/0000-0001-8056-927X"]},"institutions":[{"id":"https://openalex.org/I165143802","display_name":"The University of Queensland","ror":"https://ror.org/00rqy9422","country_code":"AU","type":"education","lineage":["https://openalex.org/I165143802"]},{"id":"https://openalex.org/I4210167058","display_name":"Children's Health Queensland Hospital and Health Service","ror":"https://ror.org/02t3p7e85","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2801244131","https://openalex.org/I4210167058"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"David Gunn","raw_affiliation_strings":["Department of Ophthalmology, Queensland Children's Hospital, South Brisbane, QLD, Australia","Faculty of Medicine, University of Queensland, Herston, QLD, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Queensland Children's Hospital, South Brisbane, QLD, Australia","institution_ids":["https://openalex.org/I4210167058"]},{"raw_affiliation_string":"Faculty of Medicine, University of Queensland, Herston, QLD, Australia","institution_ids":["https://openalex.org/I165143802"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5161417895"],"corresponding_institution_ids":["https://openalex.org/I4210167058"],"apc_list":{"value":1850,"currency":"USD","value_usd":1850},"apc_paid":{"value":1850,"currency":"USD","value_usd":1850},"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":"15","issue":"11","first_page":"9","last_page":"9"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10563","display_name":"Corneal surgery and disorders","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"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/T10563","display_name":"Corneal surgery and disorders","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"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/T10381","display_name":"Ophthalmology and Visual Impairment Studies","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"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/T11826","display_name":"Ocular Infections and Treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C2778918178","wikidata":"https://www.wikidata.org/wiki/Q611984","display_name":"Keratoconus","level":3,"score":0.8809000253677368},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8460000157356262},{"id":"https://openalex.org/C2781053140","wikidata":"https://www.wikidata.org/wiki/Q3501232","display_name":"Corneal topography","level":3,"score":0.6202999949455261},{"id":"https://openalex.org/C118487528","wikidata":"https://www.wikidata.org/wiki/Q161437","display_name":"Ophthalmology","level":1,"score":0.5947999954223633},{"id":"https://openalex.org/C2778257484","wikidata":"https://www.wikidata.org/wiki/Q555066","display_name":"Visual acuity","level":2,"score":0.5928000211715698},{"id":"https://openalex.org/C109821595","wikidata":"https://www.wikidata.org/wiki/Q177895","display_name":"Astigmatism","level":2,"score":0.5766000151634216},{"id":"https://openalex.org/C2776731418","wikidata":"https://www.wikidata.org/wiki/Q598876","display_name":"Corneal pachymetry","level":4,"score":0.5185999870300293},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4259999990463257},{"id":"https://openalex.org/C119767625","wikidata":"https://www.wikidata.org/wiki/Q618211","display_name":"Optometry","level":1,"score":0.38839998841285706},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.361299991607666},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.35409998893737793},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.32499998807907104},{"id":"https://openalex.org/C2781135284","wikidata":"https://www.wikidata.org/wiki/Q470427","display_name":"Refractive error","level":3,"score":0.3163999915122986},{"id":"https://openalex.org/C2780161092","wikidata":"https://www.wikidata.org/wiki/Q284411","display_name":"Refractive surgery","level":3,"score":0.2971000075340271},{"id":"https://openalex.org/C2776882836","wikidata":"https://www.wikidata.org/wiki/Q168291","display_name":"Cornea","level":2,"score":0.29670000076293945},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.28380000591278076},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.27959999442100525},{"id":"https://openalex.org/C2779247740","wikidata":"https://www.wikidata.org/wiki/Q3698646","display_name":"Corneal collagen cross-linking","level":4,"score":0.27239999175071716},{"id":"https://openalex.org/C3020318244","wikidata":"https://www.wikidata.org/wiki/Q4812187","display_name":"Large sample","level":2,"score":0.26840001344680786},{"id":"https://openalex.org/C2776148792","wikidata":"https://www.wikidata.org/wiki/Q3041498","display_name":"Eye disease","level":2,"score":0.2667999863624573}],"mesh":[{"descriptor_ui":"D000094504","descriptor_name":"Corneal Cross-Linking","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001315","descriptor_name":"Australia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003094","descriptor_name":"Collagen","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003315","descriptor_name":"Cornea","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D003432","descriptor_name":"Cross-Linking Reagents","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007640","descriptor_name":"Keratoconus","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D007640","descriptor_name":"Keratoconus","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D007640","descriptor_name":"Keratoconus","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012256","descriptor_name":"Riboflavin","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D014466","descriptor_name":"Ultraviolet Rays","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014792","descriptor_name":"Visual Acuity","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017319","descriptor_name":"Photosensitizing Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D019781","descriptor_name":"Corneal Topography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D063171","descriptor_name":"Corneal Pachymetry","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1167/tvst.15.11.9","doi":"https://doi.org/10.1167/tvst.15.11.9","is_oa":true,"landing_page_url":"https://doi.org/10.1167/tvst.15.11.9","pdf_url":null,"source":{"id":"https://openalex.org/S2764591444","display_name":"Translational Vision Science & Technology","issn_l":"2164-2591","issn":["2164-2591"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310315919","host_organization_name":"Association for Research in Vision and Ophthalmology","host_organization_lineage":["https://openalex.org/P4310315919"],"host_organization_lineage_names":["Association for Research in Vision and Ophthalmology"],"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 Vision Science & Technology","raw_type":"journal-article"},{"id":"pmid:43006993","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43006993","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 vision science & technology","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1167/tvst.15.11.9","doi":"https://doi.org/10.1167/tvst.15.11.9","is_oa":true,"landing_page_url":"https://doi.org/10.1167/tvst.15.11.9","pdf_url":null,"source":{"id":"https://openalex.org/S2764591444","display_name":"Translational Vision Science & Technology","issn_l":"2164-2591","issn":["2164-2591"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310315919","host_organization_name":"Association for Research in Vision and Ophthalmology","host_organization_lineage":["https://openalex.org/P4310315919"],"host_organization_lineage_names":["Association for Research in Vision and Ophthalmology"],"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 Vision Science & Technology","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":35,"referenced_works":["https://openalex.org/W309230673","https://openalex.org/W1965893000","https://openalex.org/W1994662274","https://openalex.org/W2010412136","https://openalex.org/W2044391578","https://openalex.org/W2118369612","https://openalex.org/W2331602297","https://openalex.org/W2517261026","https://openalex.org/W2580700412","https://openalex.org/W2753860873","https://openalex.org/W2776178886","https://openalex.org/W2808605148","https://openalex.org/W2810192727","https://openalex.org/W2887442638","https://openalex.org/W2889383466","https://openalex.org/W2889876956","https://openalex.org/W2997311854","https://openalex.org/W3000356952","https://openalex.org/W3014115107","https://openalex.org/W3085167989","https://openalex.org/W3095555582","https://openalex.org/W3114680921","https://openalex.org/W3155053333","https://openalex.org/W3172135064","https://openalex.org/W3207985303","https://openalex.org/W3214102906","https://openalex.org/W4214721668","https://openalex.org/W4280633543","https://openalex.org/W4313379588","https://openalex.org/W4320484367","https://openalex.org/W4376279645","https://openalex.org/W4377042331","https://openalex.org/W4387707274","https://openalex.org/W4391580911","https://openalex.org/W4391649047"],"related_works":[],"abstract_inverted_index":{"Purpose:":[0],"To":[1],"review":[2],"outcomes":[3,163],"in":[4,19,86,101,126,192,231,283],"visual":[5,51,110],"acuity,":[6,52],"astigmatism,":[7,53],"keratometry,":[8],"and":[9,57,62,92,154,160,167,255,267],"pachymetry":[10,93,248],"following":[11,244],"an":[12,33,83,179],"accelerated":[13,34,74,176],"corneal":[14,218,232],"cross-linking":[15],"(CXL)":[16],"epithelium-off":[17],"procedure":[18,36,181,203],"children":[20],"with":[21,205,217,221,278],"keratoconus.":[22],"Methods:":[23],"Single-center,":[24],"retrospective":[25],"cohort":[26],"study":[27],"of":[28,69,124,186,200],"all":[29],"patients":[30,71],"who":[31,72],"underwent":[32,73],"CXL":[35,75,177,211,282],"from":[37],"November":[38],"2018":[39],"to":[40,281],"June":[41],"2023.":[42],"Data":[43],"were":[44,76,150],"collected":[45],"on":[46],"baseline":[47],"metrics":[48],"(corrected":[49],"distance":[50,109],"pachymetry,":[54],"maximum":[55],"keratometry)":[56],"follow-up":[58],"changes":[59,100,249],"at":[60,138,188,225],"6":[61,79,189,226],"12":[63,116,139],"months":[64,140,190],"postprocedure.":[65],"Results:":[66],"Fifty-nine":[67],"eyes":[68],"43":[70],"reviewed.":[77],"At":[78,115],"months,":[80,117,227],"there":[81,118],"was":[82,119,133,215],"overall":[84],"reduction":[85,230],"the":[87,130,136,161,165,184,198,246,268],"Kmax":[88,223],"(P":[89,94,104,112],"=":[90,95,105,113],"0.029)":[91],"0.012)":[96],"but":[97,129],"no":[98,120,261],"significant":[99,122,148,222,262],"topographic":[102,219],"astigmatism":[103],"0.751)":[106],"or":[107],"corrected":[108],"acuity":[111],"0.613).":[114],"statistically":[121,147],"evidence":[123],"change":[125],"any":[127],"outcome,":[128],"analyzable":[131],"sample":[132],"small,":[134],"so":[135],"results":[137],"should":[141,250],"be":[142,251],"interpreted":[143],"as":[144],"inconclusive.":[145],"No":[146],"associations":[149,263],"identified":[151],"between":[152,264],"Aboriginal":[153],"Torres":[155],"Strait":[156],"Islander":[157],"(ATSI)":[158],"status":[159,266,274],"four":[162],"across":[164],"6-":[166],"12-month":[168],"time":[169],"points.":[170],"Conclusions:":[171],"The":[172],"findings":[173,235],"revealed":[174],"that":[175,182,237,272],"is":[178,275],"effective":[180],"halts":[183],"progression":[185,241],"keratoconus":[187,214],"postprocedure":[191],"a":[193,201,229],"pediatric":[194,213],"population.":[195],"It":[196],"provides":[197],"advantage":[199],"shorter-duration":[202],"compared":[204],"standard":[206],"CXL.":[207],"Translational":[208],"Relevance:":[209],"Accelerated":[210],"for":[212],"associated":[216,277],"stabilization,":[220],"improvement":[224],"despite":[228],"thickness.":[233],"These":[234],"suggest":[236],"when":[238],"assessing":[239],"disease":[240],"versus":[242],"stabilization":[243],"CXL,":[245],"postoperative":[247],"reviewed":[252],"alongside":[253],"clinical":[254,279],"tomographic":[256],"changes.":[257],"Additionally,":[258],"we":[259],"observed":[260],"ATSI":[265,273],"measured":[269],"outcomes,":[270],"suggesting":[271],"not":[276],"response":[280],"this":[284],"cohort.":[285]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}