{"id":"https://openalex.org/W4409747274","doi":"https://doi.org/10.3389/fdgth.2025.1523953","title":"Using artificial intelligence to develop a measure of orthopaedic treatment success from clinical notes","display_name":"Using artificial intelligence to develop a measure of orthopaedic treatment success from clinical notes","publication_year":2025,"publication_date":"2025-04-24","ids":{"openalex":"https://openalex.org/W4409747274","doi":"https://doi.org/10.3389/fdgth.2025.1523953","pmid":"https://pubmed.ncbi.nlm.nih.gov/40343216"},"language":"en","primary_location":{"id":"doi:10.3389/fdgth.2025.1523953","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2025.1523953","pdf_url":"https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2025.1523953/pdf","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2025.1523953/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5037362272","display_name":"Sarah B. Floyd","orcid":"https://orcid.org/0000-0001-7412-8136"},"institutions":[{"id":"https://openalex.org/I8078737","display_name":"Clemson University","ror":"https://ror.org/037s24f05","country_code":"US","type":"education","lineage":["https://openalex.org/I8078737"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sarah B. Floyd","raw_affiliation_strings":["Department of Public Health Sciences, Clemson University, Clemson, SC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health Sciences, Clemson University, Clemson, SC, United States","institution_ids":["https://openalex.org/I8078737"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117284967","display_name":"Ahmed G Almeldien","orcid":null},"institutions":[{"id":"https://openalex.org/I8078737","display_name":"Clemson University","ror":"https://ror.org/037s24f05","country_code":"US","type":"education","lineage":["https://openalex.org/I8078737"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ahmed G. Almeldien","raw_affiliation_strings":["Biomedical Data Science and Informatics Program, Clemson University, Clemson, SC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Biomedical Data Science and Informatics Program, Clemson University, Clemson, SC, United States","institution_ids":["https://openalex.org/I8078737"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049781122","display_name":"D. Hudson Smith","orcid":"https://orcid.org/0000-0003-3041-4602"},"institutions":[{"id":"https://openalex.org/I8078737","display_name":"Clemson University","ror":"https://ror.org/037s24f05","country_code":"US","type":"education","lineage":["https://openalex.org/I8078737"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"D. Hudson Smith","raw_affiliation_strings":["Department of Mathematical and Statistical Sciences, Clemson University, Clemson, SC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Mathematical and Statistical Sciences, Clemson University, Clemson, SC, United States","institution_ids":["https://openalex.org/I8078737"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000505548","display_name":"Benjamin L. Judkins","orcid":"https://orcid.org/0000-0002-1119-116X"},"institutions":[{"id":"https://openalex.org/I1283654650","display_name":"Prisma Health","ror":"https://ror.org/03n7vd314","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283654650"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Benjamin Judkins","raw_affiliation_strings":["Department of Orthopaedic Surgery, Prisma Health, Greenville, SC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Prisma Health, Greenville, SC, United States","institution_ids":["https://openalex.org/I1283654650"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117284968","display_name":"Claire E Krohn","orcid":null},"institutions":[{"id":"https://openalex.org/I1283654650","display_name":"Prisma Health","ror":"https://ror.org/03n7vd314","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283654650"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Claire E. Krohn","raw_affiliation_strings":["Department of Orthopaedic Surgery, Prisma Health, Greenville, SC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Prisma Health, Greenville, SC, United States","institution_ids":["https://openalex.org/I1283654650"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026392777","display_name":"Zachary Cole Reynolds","orcid":null},"institutions":[{"id":"https://openalex.org/I1283654650","display_name":"Prisma Health","ror":"https://ror.org/03n7vd314","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283654650"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Zachary Cole Reynolds","raw_affiliation_strings":["Department of Orthopaedic Surgery, Prisma Health, Greenville, SC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Prisma Health, Greenville, SC, United States","institution_ids":["https://openalex.org/I1283654650"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083232882","display_name":"Kyle J. Jeray","orcid":"https://orcid.org/0000-0002-3603-3344"},"institutions":[{"id":"https://openalex.org/I1283654650","display_name":"Prisma Health","ror":"https://ror.org/03n7vd314","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283654650"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kyle Jeray","raw_affiliation_strings":["Department of Orthopaedic Surgery, Prisma Health, Greenville, SC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Prisma Health, Greenville, SC, United States","institution_ids":["https://openalex.org/I1283654650"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5026367973","display_name":"Jihad S. Obeid","orcid":"https://orcid.org/0000-0002-7193-7779"},"institutions":[{"id":"https://openalex.org/I153297377","display_name":"Medical University of South Carolina","ror":"https://ror.org/012jban78","country_code":"US","type":"education","lineage":["https://openalex.org/I153297377"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jihad S. Obeid","raw_affiliation_strings":["Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, United States","institution_ids":["https://openalex.org/I153297377"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5037362272"],"corresponding_institution_ids":["https://openalex.org/I8078737"],"apc_list":{"value":1900,"currency":"USD","value_usd":1900},"apc_paid":{"value":1900,"currency":"USD","value_usd":1900},"fwci":1.8414,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":{"value":0.86828423,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"7","issue":null,"first_page":"1523953","last_page":"1523953"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.8167999982833862,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"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/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.8167999982833862,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"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/T10280","display_name":"Shoulder Injury and Treatment","score":0.04349999874830246,"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/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.015599999576807022,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/measure","display_name":"Measure (data warehouse)","score":0.7144597768783569},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.38289493322372437},{"id":"https://openalex.org/keywords/medical-physics","display_name":"Medical physics","score":0.37124326825141907},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.35294434428215027},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.3515758216381073},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.338685005903244},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3035029470920563},{"id":"https://openalex.org/keywords/data-mining","display_name":"Data mining","score":0.1365620493888855}],"concepts":[{"id":"https://openalex.org/C2780009758","wikidata":"https://www.wikidata.org/wiki/Q6804172","display_name":"Measure (data warehouse)","level":2,"score":0.7144597768783569},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.38289493322372437},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.37124326825141907},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.35294434428215027},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.3515758216381073},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.338685005903244},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3035029470920563},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.1365620493888855}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fdgth.2025.1523953","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2025.1523953","pdf_url":"https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2025.1523953/pdf","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},{"id":"pmid:40343216","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40343216","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,"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":"Frontiers in digital health","raw_type":null},{"id":"pmh:oai:doaj.org/article:63542a26681e4daca057fc539e69ecaf","is_oa":true,"landing_page_url":"https://doaj.org/article/63542a26681e4daca057fc539e69ecaf","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Digital Health, Vol 7 (2025)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12058693","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12058693","pdf_url":null,"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,"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","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Front Digit Health","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3389/fdgth.2025.1523953","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2025.1523953","pdf_url":"https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2025.1523953/pdf","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4409747274.pdf","grobid_xml":"https://content.openalex.org/works/W4409747274.grobid-xml"},"referenced_works_count":75,"referenced_works":["https://openalex.org/W16607175","https://openalex.org/W1967274588","https://openalex.org/W1984694137","https://openalex.org/W1996211074","https://openalex.org/W2005732905","https://openalex.org/W2012140353","https://openalex.org/W2068684913","https://openalex.org/W2073414293","https://openalex.org/W2082302018","https://openalex.org/W2089564180","https://openalex.org/W2093274439","https://openalex.org/W2120751691","https://openalex.org/W2154788991","https://openalex.org/W2164777277","https://openalex.org/W2181091525","https://openalex.org/W2396881363","https://openalex.org/W2408584330","https://openalex.org/W2480645619","https://openalex.org/W2560053629","https://openalex.org/W2606769376","https://openalex.org/W2626947701","https://openalex.org/W2735580341","https://openalex.org/W2755642596","https://openalex.org/W2768488789","https://openalex.org/W2800063159","https://openalex.org/W2885381858","https://openalex.org/W2891488835","https://openalex.org/W2896457183","https://openalex.org/W2898155085","https://openalex.org/W2908510526","https://openalex.org/W2911489562","https://openalex.org/W2911964244","https://openalex.org/W2925863688","https://openalex.org/W2930139824","https://openalex.org/W2963083845","https://openalex.org/W2969705914","https://openalex.org/W2979413264","https://openalex.org/W2984180898","https://openalex.org/W3003661243","https://openalex.org/W3011483410","https://openalex.org/W3015355965","https://openalex.org/W3038061404","https://openalex.org/W3040468910","https://openalex.org/W3044845446","https://openalex.org/W3080122387","https://openalex.org/W3092282831","https://openalex.org/W3094405595","https://openalex.org/W3172139284","https://openalex.org/W3206052607","https://openalex.org/W3208426488","https://openalex.org/W4200280797","https://openalex.org/W4200544893","https://openalex.org/W4200554960","https://openalex.org/W4212925259","https://openalex.org/W4213009331","https://openalex.org/W4243562514","https://openalex.org/W4306765484","https://openalex.org/W4322493560","https://openalex.org/W4322757661","https://openalex.org/W4376121750","https://openalex.org/W4385245566","https://openalex.org/W4387880462","https://openalex.org/W4390603474","https://openalex.org/W4392578869","https://openalex.org/W4392771643","https://openalex.org/W4394840488","https://openalex.org/W4404291233","https://openalex.org/W6600660181","https://openalex.org/W6688533166","https://openalex.org/W6739901393","https://openalex.org/W6755207826","https://openalex.org/W6757817989","https://openalex.org/W6761260114","https://openalex.org/W6774858641","https://openalex.org/W6805075411"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2748952813","https://openalex.org/W4255837520","https://openalex.org/W2387011115","https://openalex.org/W4234808182","https://openalex.org/W2382043075","https://openalex.org/W2809151339","https://openalex.org/W2931662336","https://openalex.org/W4220667126","https://openalex.org/W2360673138"],"abstract_inverted_index":{"Introduction:":[0],"A":[1,220],"readily":[2],"available":[3],"outcome":[4,24,51,344],"measure":[5,52,345],"that":[6,30,303,329],"reflects":[7],"the":[8,18,48,70,181,185,202,279],"success":[9,113,126,217,268,295],"of":[10,20,43,72,111,124,136,142,224,282,312,322],"a":[11,133,140,156,338],"patient's":[12],"treatment":[13,112,125,216,267,273,294,317],"is":[14,59,326],"needed":[15],"to":[16,65,108,155,199,307,341],"demonstrate":[17],"value":[19],"orthopaedic":[21,54,128,211,347],"interventions.":[22],"Patient-reported":[23],"measures":[25],"(PROMs)":[26],"are":[27,46,310],"survey-based":[28],"instruments":[29],"collect":[31],"joint-specific":[32],"and":[33,40,75,98,120,160,175,213,229,269,296],"general":[34],"health":[35,162,255],"perceptions":[36],"on":[37,92],"symptoms,":[38,95],"functioning,":[39],"health-related":[41],"quality":[42],"life.":[44],"PROMs":[45],"considered":[47],"gold":[49],"standard":[50],"in":[53,61,117,290],"medicine,":[55],"but":[56],"their":[57,87],"use":[58],"limited":[60],"real-world":[62],"practice":[63],"due":[64],"challenges":[66],"with":[67,86,144,315,319],"technology":[68],"integration,":[69],"pace":[71],"clinic":[73],"workflows,":[74],"patient":[76],"compliance.":[77],"Clinical":[78,205],"notes":[79,119,138,206,242,264,309],"generated":[80],"during":[81],"each":[82],"encounter":[83],"patients":[84,143,153,244,314],"have":[85],"physician":[88],"contain":[89],"rich":[90],"information":[91],"current":[93],"disease":[94],"rehabilitation":[96],"progress,":[97],"unexpected":[99],"complications.":[100],"Artificial":[101],"intelligence":[102],"(AI)":[103],"methods":[104],"can":[105],"be":[106],"used":[107,180],"identify":[109],"phrases":[110],"or":[114,193,218],"failure":[115,297],"captured":[116],"clinical":[118,137,241,308,332],"discern":[121],"an":[122,145,165,210,343],"indicator":[123],"for":[127,164,188,346],"patients.":[129,348],"Methods:":[130],"This":[131,324],"was":[132,233,260],"cross-sectional":[134],"analysis":[135,223],"from":[139,184,243],"sample":[141,238,259],"acute":[146,166],"shoulder":[147,194],"injury.":[148],"The":[149,236,257,275],"study":[150,258],"included":[151,239],"adult":[152],"presenting":[154],"Level-1":[157],"Trauma":[158],"Center":[159],"regional":[161,254],"system":[163],"Proximal":[167],"Humerus":[168],"Fracture":[169],"(PHF)":[170],"between":[171,293],"January":[172],"1,":[173],"2019":[174],"December":[176],"31,":[177],"2021.":[178],"We":[179],"progress":[182],"note":[183,333],"office":[186],"visit":[187],"PHF-related":[189],"care":[190],"(ICD10:":[191,196],"S42.2XXX)":[192],"pain":[195],"M45.2XXX)":[197],"closest":[198],"1-year":[200],"after":[201],"injury":[203],"date.":[204],"were":[207],"reviewed":[208],"by":[209,246],"resident":[212],"labeled":[214,265,271],"as":[215,266,272,337],"failure.":[219,274],"structured":[221],"comparative":[222],"classifiers":[225,305],"including":[226],"both":[227],"machine":[228],"deep":[230],"learning":[231],"algorithms":[232],"performed.":[234],"Results:":[235],"final":[237],"868":[240],"treated":[245],"123":[247],"physicians":[248],"across":[249],"35":[250],"departments":[251],"within":[252],"one":[253],"system.":[256],"stratified":[261],"into":[262],"465":[263],"403":[270],"Bio-ClinicalBERT":[276],"model":[277],"had":[278],"highest":[280],"performance":[281],"87%":[283],"accuracy":[284],"(AUC":[285],"=":[286],"0.87":[287],"\u00b1":[288],"0.04)":[289],"correctly":[291],"distinguishing":[292],"notes.":[298],"Discussion:":[299],"Our":[300],"results":[301],"suggest":[302],"text":[304],"applied":[306],"capable":[311],"differentiating":[313],"successful":[316],"outcomes":[318],"high":[320],"levels":[321],"accuracy.":[323],"finding":[325],"encouraging,":[327],"signaling":[328],"routinely":[330],"collected":[331],"content":[334],"may":[335],"serve":[336],"data":[339],"source":[340],"develop":[342]},"counts_by_year":[{"year":2026,"cited_by_count":4}],"updated_date":"2026-06-03T09:05:47.796612","created_date":"2025-10-10T00:00:00"}
