International Urogynecology Journal最新文献

{"title":"Understanding Past and Present Surgical Registries for Patients with Uterovaginal Prolapse and Planning the Development of a Global Registry.","authors":"Sarah Collins, Ladin Yurteri-Kaplan, Sascha Vereeck, Ashlee Weaver, J Ryan Stewart, Luiza Russo de Morais, David Sheyn, Fiona Lindo, Catherine Bradley","doi":"10.1007/s00192-026-06904-0","DOIUrl":"https://doi.org/10.1007/s00192-026-06904-0","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Registries following patients who undergo surgery for uterovaginal pelvic organ prolapse provide real-world postoperative evidence. We aimed to identify characteristics of successful registries that could be used to develop a sustainable global registry for these patients.</p><p><strong>Methods: </strong>We performed a systematic review of the literature to identify existing and past registries on the surgical management of primary uterovaginal pelvic organ prolapse. Once identified, key characteristics of the registries were collected, and consensus statements about future efforts to develop a global registry were created. These statements were evaluated through a modified Delphi process.</p><p><strong>Results: </strong>One hundred and eleven articles were identified and reviewed, published from 17 registries. Consensus was achieved for the following three statements: surgeons treating patients for uterovaginal pelvic organ prolapse should standardize baseline, surgical, and postoperative objective and subjective data to facilitate the development of a universal registry; urogynecological surgeons and researchers should seek to minimize cost and maximize feasibility by automating data collection through emerging technologies; urogynecological surgeons and researchers should seek the input of key stakeholders to iteratively improve the registry and ensure that it remains evidence-based and current.</p><p><strong>Conclusions: </strong>Understanding past and present surgical registries prepares us for the multifaceted efforts that will be required to develop a sustainable, global registry for the surgical management of uterovaginal pelvic organ prolapse.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Perspective from the Editorial Board About Reviewing and Artificial Intelligence in the Review Process.","authors":"Cornelia Betschart","doi":"10.1007/s00192-026-06956-2","DOIUrl":"https://doi.org/10.1007/s00192-026-06956-2","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pelvic Floor Knowledge, Toileting Behaviors, and Lower Urinary Tract Symptoms in Women with Multiple Sclerosis.","authors":"Humeyra Kiloatar, Aylin Aydogdu Delibay, Cimen Olçay Demir, Dursun Ceylan, Afife Orucu","doi":"10.1007/s00192-026-06946-4","DOIUrl":"https://doi.org/10.1007/s00192-026-06946-4","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Lower urinary tract symptoms (LUTS) are common in women with multiple sclerosis (MS) and may be influenced by neurological involvement as well as behavioral and knowledge-related factors. This study aimed to compare LUTS, pelvic floor health knowledge, and toileting behaviors between women with MS and demographically matched women without MS, examine their associations, and identify predictors of LUTS.</p><p><strong>Methods: </strong>This cross-sectional survey included 59 women with MS and 60 demographically matched women without MS. LUTS were assessed using Urogenital Distress Inventory-6 (UDI-6) and Bristol Women's Lower Urinary Tract Symptoms Questionnaire (BFLUTS). Pelvic floor health knowledge and toileting behaviors were evaluated using Pelvic Floor Health Knowledge Quiz and Toileting Behavior-Women's Elimination Behaviors Scale, respectively.</p><p><strong>Results: </strong>Women with MS had higher UDI-6 scores, lower pelvic floor health knowledge, and more negative toileting behaviors compared to women without MS (p < 0.05). After adjustment for potential confounders, group differences remained significant for UDI-6, BFLUTS, and premature voiding (p < 0.05), whereas pelvic floor health knowledge was no longer significant (p > 0.05). In both groups, LUTS severity was positively associated mainly with premature voiding and straining voiding (p < 0.05). The final regression model explained 52.2% of the variance in UDI-6 scores; straining to void, premature voiding, and place preference for voiding were significant predictors.</p><p><strong>Conclusion: </strong>Women with MS had higher LUTS and more negative toileting behaviors, while pelvic floor health knowledge was more closely associated with sociodemographic factors than MS status. These findings underscore the relevance of considering LUTS and toileting behaviors in women with MS.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Authors' Response to Comments for: Impact of Implantable Tibial Neuromodulation on Quality-of-Life in Patients with Urgency Urinary Incontinence.","authors":"Suzette E Sutherland, John P F A Heesakkers, Kimberly L Ferrante, Roger R Dmochowski","doi":"10.1007/s00192-026-06711-7","DOIUrl":"https://doi.org/10.1007/s00192-026-06711-7","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biological Grafts for the Surgical Management of Uterovaginal Prolapse: A Narrative Overview of the Evolution of Biomaterials.","authors":"Marianna Alperin, Pamela Moalli, Eboni Acoff, May Alarab, Sunil Balgobin, Sylvia Botros-Brey, Tamutenda Chidawanyika, Kaylee Ferrara, David Hennes, Adonis Hijaz, Moshe Gillor, Cassandra Kisby, Valentin Manriquez, Luiza Morais, Shayanti Mukherjee, Anna Rosamilia, Hannah Ruetten, David Shaker, Karishma Thariani, Stephen Walker, Maria Bortolini","doi":"10.1007/s00192-026-06926-8","DOIUrl":"https://doi.org/10.1007/s00192-026-06926-8","url":null,"abstract":"<p><p>Uterovaginal prolapse (U-POP) affects the lives of millions of women worldwide. This narrative review was performed as part of the Global Consensus on controversies and best practices in the surgical management of U-POP. The committee on augmenting and alternative materials for primary U-POP repair addressed three questions: (1) Is there a preferred material for augmentation of primary uterovaginal prolapse repair? (2) What are the critical outcomes for the assessment of augmented repair? and (3) Could novel biomaterials be used preventatively, to avoid the need for surgical intervention for U-POP? We provide a narrative overview of the evolution of biomaterials used in POP repair, from autologous grafts, allografts and xenografts to synthetic mesh and to the engineering and preclinical validation of next-generation smart biomaterials. Each option available today requires a trade-off. Native-tissue repair avoids graft-related complications, but recurrence remains an important problem for some patients. Permanent synthetic implants provide durable structural support, but can cause material-specific complications. Biological grafts have not consistently improved long-term outcomes. New materials are therefore needed that balance mechanical support, tissue integration, and biologic compatibility. We conclude by focusing the attention of the clinical and scientific communities on the scarcity of rigorous comparative trials and on this unmet need in the field of female pelvic medicine.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urinary Incontinence, Pelvic Floor Care, and Support Preferences Among Parous Women: A Cross-Sectional Online Survey.","authors":"Yukimasa Ide, Nobutaka Shimizu, Yuki Hyohdoh, Michi Urata, Kayoko Hamada, Sakura Kohno, Rie Yoshimura, Yoshitaka Kurano, Tsutomu Shimamoto, Satoshi Fukata, Yoko Ishioka, Motoaki Saito, Keiji Inoue","doi":"10.1007/s00192-026-06942-8","DOIUrl":"https://doi.org/10.1007/s00192-026-06942-8","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Urinary incontinence (UI) is common after childbirth, but uptake of care may be limited. We aimed to describe UI burden, pelvic floor muscle training (PFMT), care-seeking, and support preferences among parous women in Japan.</p><p><strong>Methods: </strong>In March 2026, 1000 parous women aged 20-49 years completed a cross-sectional online survey with equal age-decade quotas. This unweighted, non-probability sample was not nationally representative. Current UI was operationalized as an International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) total score ≥ 1. Modified Poisson regression estimated adjusted prevalence ratios (aPRs).</p><p><strong>Results: </strong>Overall, 55.8% met this inclusive criterion (558/1000; 95% confidence interval [CI] 52.7-58.9), while 28.1% had moderate-to-severe UI (281/1000; 95% CI 25.4-31.0). Only 1.7% reported a hospital visit specifically for UI; among 416 women reporting leakage on the ICIQ-UI SF frequency item, 56.2% had no intention of seeking care. Overall, 20.7% reported performing PFMT after the most recent delivery and 16.3% reported receiving PFMT instruction. Among women perceiving PFMT as important (51.6%), those who did not report performing it (35.8% overall) less often reported receiving instruction than those who did (6.4% vs 58.9%). Self-reported UI during pregnancy showed the strongest association with current UI (aPR 1.85, 95% CI 1.66-2.07). PFMT instruction was the most frequently selected support option (45.0%).</p><p><strong>Conclusions: </strong>In this unweighted, non-probability Japanese online-panel sample, UI symptoms coexisted with limited healthcare contact; only a minority reported performing PFMT. The findings support prospective evaluation of accessible PFMT assessment and instruction but not population-level or causal inference.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical-Urodynamic Phenotyping of Female Voiding Disorders: A Narrative Review.","authors":"Kenji Kuroda, Keiichi Ito","doi":"10.1007/s00192-026-06938-4","DOIUrl":"https://doi.org/10.1007/s00192-026-06938-4","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Female voiding disorders comprise a heterogeneous group of conditions with overlapping lower urinary tract symptoms but distinct underlying pathophysiological mechanisms. Accurate differentiation among these disorders is challenging because symptom-based evaluation alone often fails to identify the underlying cause. We aimed to review the clinical and urodynamic characteristics of the major phenotypes of female voiding disorders and propose a practical clinical-urodynamic phenotyping framework for diagnosis and management.</p><p><strong>Methods: </strong>A narrative literature review was conducted using the PubMed database through July 2026. An initial search identified 710 publications, of which 29 representative publications were selected following title, abstract, and full-text screening. Landmark studies, international consensus reports, and recent investigations were qualitatively synthesized to summarize the clinical presentation and urodynamic characteristics of detrusor underactivity, bladder outlet obstruction, dysfunctional voiding, primary bladder neck obstruction, and Fowler syndrome.</p><p><strong>Results: </strong>The reviewed evidence supports a hierarchical approach in which initial clinical assessment and noninvasive testing are followed by pressure-flow studies when the mechanism remains uncertain. Detrusor underactivity is characterized by low-pressure, low-flow voiding, whereas bladder outlet obstruction is associated with increased outlet resistance and may be anatomical/mechanical or functional. Functional obstruction includes dysfunctional voiding, primary bladder neck obstruction, and Fowler syndrome. Videourodynamics and electromyography provide additional information when the site or mechanism of obstruction requires clarification. Recent female-specific nomograms and clinical prediction models may facilitate quantitative risk stratification, but do not yet replace urodynamic phenotyping.</p><p><strong>Conclusions: </strong>Female voiding disorders should be approached through a stepwise clinical-urodynamic framework rather than symptom assessment alone. Initial noninvasive evaluation can identify women who may require further investigation, whereas pressure-flow studies and, when indicated, videourodynamics or electromyography can distinguish mechanisms that have different therapeutic implications.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Infection Risk in Sacrocolpopexy: Single vs Dual Antibiotic Prophylaxis.","authors":"Susana Mustafa Mikhail, Yara Nakhleh Francis, Jawad Karram, Zvi Y Polishook, Gefen Levy, Ala Aiob, Lior Lowenstein","doi":"10.1007/s00192-026-06901-3","DOIUrl":"https://doi.org/10.1007/s00192-026-06901-3","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The optimal antibiotic prophylaxis for mesh-based prolapse surgery remains uncertain. Although cefazolin is widely used, its limited anaerobic coverage may increase the risk of postoperative infections, particularly in women undergoing concomitant hysterectomy. Evidence from hysterectomy cohorts suggests that adding metronidazole reduces surgical-site infections, prompting evaluation of this approach in laparoscopic mesh-augmented apical prolapse repair. The objective was to compare postoperative infection rates in women receiving single-agent versus dual-agent prophylactic antibiotics.</p><p><strong>Methods: </strong>This retrospective cohort study included women with pelvic organ prolapse who underwent laparoscopic mesh-augmented apical prolapse repair between 2021 and 2025. Patients received either cefazolin alone or cefazolin plus metronidazole according to the routine practice of the operating urogynecologist. Demographic, operative, and postoperative data were extracted from electronic medical records. The primary outcome was composite postoperative infection within 30 days, including postoperative fever, surgical site or trocar site infection, mesh infection, pelvic abscess, or urinary tract infection. Associations between prophylactic regimen and postoperative infection were evaluated using univariable analyses. The antibiotic prophylaxis regimen was surgeon dependent, with one surgeon routinely administering cefazolin alone and the other cefazolin plus metronidazole. Multivariable logistic regression was performed to adjust for baseline differences between the groups.</p><p><strong>Results: </strong>A total of 523 women met the inclusion criteria; 204 (39.0%) received dual prophylaxis and 319 (61.0%) received cefazolin alone. Overall composite postoperative infection outcome occurred in 18 out of 523 patients (3.4%). Infection rates of the single-agent and dual-prophylaxis groups were similar (3.7% vs 2.9%, p = 0.64). Rates of postoperative fever, surgical-site infection, and urinary tract infection did not differ significantly between groups. No mesh-related infections or pelvic abscesses were observed. After adjustment for baseline differences, the antibiotic regimen was not significantly associated with the composite postoperative infection outcome (aOR 1.30, 95% CI 0.36-4.64; p = 0.689).</p><p><strong>Conclusion: </strong>Composite postoperative infection outcome rates after laparoscopic sacrocolpopexy were low, with no significant difference observed between cefazolin alone and combined cefazolin-metronidazole prophylaxis.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a Risk-Adjustment Model for Stress Urinary Incontinence Procedures Using Australasian Pelvic Floor Procedure Registry Data.","authors":"Stanley Johnson, Mohammad Amin Honardoost, Susannah Ahern, Rasa Ruseckaite, Rhiannon Whale, Bayley Matthews, Fiona Bach, Ailsa Wilson Edwards, Arul Earnest","doi":"10.1007/s00192-026-06914-y","DOIUrl":"https://doi.org/10.1007/s00192-026-06914-y","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Surgical outcomes for stress urinary incontinence (SUI) procedures are influenced by factors beyond the surgeon's control. Using Australasian Pelvic Floor Procedure Registry data, this study is aimed at developing a risk-adjustment model for equitable benchmarking of clinician-reported outcomes for female SUI procedures.</p><p><strong>Methods: </strong>Logistic regression was used to create multivariate models for clinician-reported outcomes of primary SUI procedures. Risk factors such as age, body mass index (BMI), diabetic status, and symptoms of bladder disease were selected for adjustment after consultation with clinicians. Sensitivity analysis was conducted to ensure the robustness of the primary model.</p><p><strong>Results: </strong>The multivariate model for clinician-reported improvement indicated that age over 80 years (OR 3.09, 95% CI 1.55 to 6.16, p = 0.001), BMI within the obese range (OR 2.67, 95% CI 1.03 to 6.98, p = 0.044), and a history of overactive bladder (OR 2.08, 95% CI 1.19 to 3.63, p = 0.010) were significantly associated with poorer outcomes. The model showed an acceptable fit, with an area under the curve of 68.38%.</p><p><strong>Conclusions: </strong>Clinician-reported outcomes for primary SUI procedures in women are significantly affected by age, BMI and pre-existing bladder disease. This model can be used to statistically adjust for differences in case-mix across different clinical facilities, allowing for unbiased and equitable benchmarking of surgical outcomes.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pelvic Floor Muscle Training Outperforms Pilates in Women with Stress Urinary Incontinence: A Randomized Controlled Trial.","authors":"Fernanda Araújo Borges, Eleusa Pascoal Rodrigues, Wanessa Silva Oliveira, Luciene Aparecida José-Vaz, Bruno Teixeira Bernardes, Ana Paula Magalhães Resende","doi":"10.1007/s00192-026-06900-4","DOIUrl":"https://doi.org/10.1007/s00192-026-06900-4","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The objective was to compare the effects of a Pilates exercise program performed with or without voluntary pelvic floor muscle contraction versus pelvic floor muscle training (PFMT) on urinary incontinence impact and pelvic floor muscle function in women with stress urinary incontinence.</p><p><strong>Methods: </strong>A randomized controlled trial with three parallel groups: Pilates, Pilates + voluntary pelvic floor muscle contraction (Pilates + VPFMC), and PFMT was conducted. The primary outcome was the impact of urinary incontinence assessed by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Secondary outcomes included pelvic floor muscle strength (Modified Oxford Scale) and vaginal squeeze pressure (Peritron manometry). Participants completed 12 supervised sessions over 6 weeks. Outcomes were assessed by a blinded evaluator.</p><p><strong>Results: </strong>A significant overall effect of time was observed for ICIQ-SF scores, pelvic floor muscle strength, and vaginal squeeze pressure (p < 0.001). The mean reduction in ICIQ-SF was -0.7 for Pilates, -0.7 for Pilates + VPFMC, and -4.4 for PFMT. PFMT demonstrated superior outcomes compared with both Pilates groups across all the outcomes assessed. Pelvic floor muscle strength increased by 0.3, 0.7, and 1.7 points (Modified Oxford Scale), and peak vaginal squeeze pressure increased by 5.7, 6.1, and 24.4 mmHg in the Pilates, Pilates + VPFMC, and PFMT groups respectively. Between the Pilates groups, a difference was observed only in muscle strength, favoring the Pilates + VPFMC group.</p><p><strong>Conclusions: </strong>Pelvic floor muscle training was superior to Pilates in reducing the impact of urinary incontinence and improving pelvic floor muscle function, regardless of the inclusion of voluntary pelvic floor muscle contraction.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}