Journal of palliative medicine最新文献

{"title":"How Was Work?","authors":"Meredith A King","doi":"10.1177/10966218261491486","DOIUrl":"https://doi.org/10.1177/10966218261491486","url":null,"abstract":"","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"10966218261491486"},"PeriodicalIF":1.8,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061876","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":"Top Ten Tips Palliative Care Clinicians Should Know About Collaborating with Consultation-Liaison Psychiatry.","authors":"Ann C Schwartz, Paul Noufi, Damien M Miran, Katiuska J Ramirez, Paul A Riordan, Elizabeth Hale, Craig Libman, Annmarie Earnhardt, Phyllis Rosen, Karen E Salerno, Daniel Shalev, Gregg A Robbins-Welty","doi":"10.1177/10966218261492390","DOIUrl":"https://doi.org/10.1177/10966218261492390","url":null,"abstract":"<p><p>Palliative care (PC) and consultation-liaison (CL) psychiatry are complementary clinical disciplines that frequently care for the same patients facing serious illness complicated by psychiatric symptoms, psychological distress, neuropsychiatric syndromes, and high-stakes medical decisions. Yet structured collaboration between the two fields remains variable, and PC clinicians may be uncertain when and how to engage CL psychiatry colleagues. In this article, an interdisciplinary group of PC and CL psychiatry clinicians offers 10 practical tips to strengthen collaboration across inpatient and outpatient settings. Topics include models of collaboration, shared biopsychosocial-spiritual formulation, care of patients with serious mental illness, psychotropic management, diagnostic clarification, psychosocial and behavioral interventions, and collaboration around decision-making and end-of-life concerns. Together, these tips provide a practical framework for integrating CL psychiatric expertise into serious illness care while drawing on the psychological, social, and spiritual expertise already embedded within interdisciplinary PC teams.</p>","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"10966218261492390"},"PeriodicalIF":1.8,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061916","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":"When Bias Gets Personal.","authors":"Jessica Zitter","doi":"10.1177/10966218261490963","DOIUrl":"https://doi.org/10.1177/10966218261490963","url":null,"abstract":"","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"10966218261490963"},"PeriodicalIF":1.8,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149025060","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":"Health Plan Incentive Program to Improve Access to and Treatment of Palliative Appropriate Patients.","authors":"Emily Jaffe, Kirsten McHugh, Alexandra Aiello, Sylvia Rieker, Amber Shergill, Tyson Barrett","doi":"10.1177/10966218261469456","DOIUrl":"https://doi.org/10.1177/10966218261469456","url":null,"abstract":"<p><strong>Background: </strong>Health plans utilize various strategies, including benefits, network design, incentive programs, payment reform, and medical policy, to enhance the quality of medical care for their members.</p><p><strong>Objectives: </strong>Determine the benefits of palliative care, particularly within the context of an incentive-driven program for a sicker Medicare Advantage (MA) population.</p><p><strong>Design: </strong>Retrospective cohort analysis to assess differences in outcomes between those receiving palliative care and a matched comparison. The sample consisted of Highmark MA members. The treatment group included members who had a palliative consultation during an inpatient admission, while the control group comprised members who had an eligible admission but did not receive a consultation. Patients were propensity score matched.</p><p><strong>Setting/subjects: </strong>A total of 2095 matched Highmark MA members receiving care in the eastern United States between January 2020 and December 2023.</p><p><strong>Measurements: </strong>Claims-derived total cost of care was assessed using a difference-in-differences analysis. Process measures included the number of referrals to a community-based palliative care program.</p><p><strong>Results: </strong>The treatment group consistently had reduced costs relative to the matched controls (difference ranging from $4,485 to $4,827). Furthermore, referrals to community-based palliative care dramatically increased, with a 650% rise in 2022 and a 147% increase in 2023 compared to 2021.</p><p><strong>Conclusions: </strong>These findings suggest that incentive-based programs, particularly when targeting sicker populations through redesigned eligibility, can effectively align financial incentives with improved palliative care delivery. This contributes to both significant cost-efficiency and enhanced patient care coordination, as evidenced by reduced costs and a substantial increase in palliative care referrals.</p>","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"10966218261469456"},"PeriodicalIF":1.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149024150","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":"Evaluating the Palliative Performance Scale and Palliative Prognostic Index as Objective Tools to Support Eligibility Decisions for End-of-Life Care.","authors":"Wim J J Jansen, Bregje A A Huisman, Karolina M Szadek, Patrick Schober, Sana Otten, Monique A H Steegers","doi":"10.1177/10966218261483466","DOIUrl":"https://doi.org/10.1177/10966218261483466","url":null,"abstract":"<p><strong>Background: </strong>In the Netherlands, eligibility for reimbursed end-of-life care is based on an estimated life expectancy of less than three months, despite the well-recognized difficulty of predicting survival. Objective measures such as the Palliative Performance Scale (PPS) and Palliative Prognostic Index (PPI) may better reflect patients' functional status and care needs, but their role in supporting eligibility decisions has not been evaluated.</p><p><strong>Objective: </strong>To evaluate the potential value of the PPS and PPI as objective tools to support eligibility decisions for reimbursed end-of-life care in the Dutch health care system.</p><p><strong>Design: </strong>Prospective multicenter cohort study of patients admitted to high-care residential hospices.</p><p><strong>Setting: </strong>Thirteen high-care residential hospices were asked to include 15 consecutive patients per hospice in this study.</p><p><strong>Results: </strong>A total of 194 patients were included, of whom 179 died during hospice admission. Kaplan-Meier analysis showed significantly longer survival among patients with PPS > 40% than among those with PPS ≤ 40% (median 20 versus 8 days; <i>p</i> < 0.001). Both PPS and PPI were independently associated with survival. Agreement between clinicians' estimated survival and observed survival was poor (weighted Cohen's κ = 0.191).</p><p><strong>Conclusion: </strong>Estimated life expectancy alone appears insufficient to support eligibility decisions for end-of-life care. PPS and PPI may provide objective, standardized information to complement clinical judgment by focusing on patients' functional status and care needs. Because the PPS is simpler and applicable across disease groups, it may be the more practical tool for supporting eligibility decisions within the Dutch health care system.</p>","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"10966218261483466"},"PeriodicalIF":1.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149025255","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":"Predictors and Outcomes of Palliative Care Consultation in Veterans Hospitalized with Alcohol-Associated Hepatitis.","authors":"Olivia Belliveau, Catherine Mezzacappa, Arpan Patel, Jennifer Kapo, David Kaplan, Tamar Taddei","doi":"10.1177/10966218261488082","DOIUrl":"10.1177/10966218261488082","url":null,"abstract":"<p><strong>Background: </strong>Acute alcohol-associated hepatitis (AH) carries a high mortality risk. Little is known about utilization of specialty palliative care (PC) consultation in AH.</p><p><strong>Objectives: </strong>In a cohort of Veterans hospitalized with AH, we aimed to characterize predictors of PC consultation and short-term mortality.</p><p><strong>Design/setting/subjects: </strong>This was a national retrospective cohort study (United States) of Veterans Health Administration patients with abnormal liver enzyme measurements hospitalized between 2008 and 2022. We used a validated algorithm to identify first hospitalizations with AH.</p><p><strong>Measurements: </strong>Descriptive statistics were tabulated. In multivariable analyses, we identified factors associated with PC consultation, in-hospital mortality, and post-discharge mortality.</p><p><strong>Results: </strong>We identified 3907 first AH hospitalizations. Overall, 670 patients (17.2%) received a PC consult, with no significant temporal trend in PC consult use between 2008 and 2022. Most consults (71.9%) occurred late, after three days of hospitalization. In multivariable analysis, predictors of receiving PC included older age (odds ratio [OR:] for a five-year increase: 1.26, <i>p</i> < 0.001), another or unknown race or ethnicity (OR: 1.38, <i>p</i> = 0.016), and higher MELD 3.0 score (OR: for a five-point increase: 2.22, <i>p</i> < 0.001). Black Veterans were less likely to receive a PC consult compared to White Veterans (OR: 0.53, <i>p</i> < 0.001). Veterans who received a specialty PC consult were more likely to die while hospitalized (30.2% vs. 3.7%, <i>p</i> < 0.001) and within 60 days of discharge (38.7% vs. 11.4%, <i>p</i> < 0.001). In multivariable analysis, PC consultation (OR: 4.30, <i>p</i> < 0.001), age (OR: for a five-year increase: 1.20, <i>p</i> < 0.001), another race or ethnicity (OR: 1.47, <i>p</i> = 0.001), and MELD 3.0 score (OR: 1.49, <i>p</i> < 0.001) were associated with 60-day post-discharge mortality.</p><p><strong>Conclusion: </strong>Inpatient PC services may be underutilized in AH. PC consultation was associated with more comorbid illness and mortality, suggesting PC services are targeted toward patients nearing death. Black patients were less likely to receive PC.</p>","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"10966218261488082"},"PeriodicalIF":1.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149024085","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":"Distress Screening and Pediatric Palliative Care Referral: A Retrospective Case-Control Study in Supportive Cancer Care Delivery.","authors":"Jonathan Ebelhar, Katherine Yeager, Jordan Gilleland-Marchak, Dio Kavalieratos, Zhulin He, Rebecca Williamson Lewis, Katharine E Brock","doi":"10.1177/10966218261486531","DOIUrl":"https://doi.org/10.1177/10966218261486531","url":null,"abstract":"<p><strong>Background/objectives: </strong>Pediatric palliative care (PPC) reduces distressing symptoms and improves quality of life for children with cancer and their caregivers. This study assesses whether patient and caregiver distress is associated with PPC referral. Utilizing screening tools to identify families experiencing high distress could lead to earlier access to PPC.</p><p><strong>Methods: </strong>A retrospective case-control study compared children with cancer referred to a PPC clinic at a large pediatric cancer center in the United States from 2019 to 2021 to a matched sample of nonreferred patients. Distress scores and emotional, practical, family/social, and spiritual concerns were routinely measured for patients and caregivers using the Pediatric Distress Thermometer (Peds DT). Conditional logistic regression was utilized to assess the association between PPC referral and (1) high Peds DT scores and (2) Peds DT domains. Van Elteren test was used to compare overall Peds DT scores between the cohorts.</p><p><strong>Results: </strong>PPC-referred patients (<i>n</i> = 135) were matched to 257 nonreferred patients. Patients ever reporting high distress had higher odds of PPC referral (odds ratio [OR] 1.89, 95% confidence interval [CI] 1.05-3.39). Median Peds DT scores did not differ for patients (1.36 vs. 1.44; <i>p</i> = 0.29) or caregivers (2.52 vs. 2.48; <i>p</i> = 0.30). Caregivers reporting family/social concerns had lower odds of PPC referral (OR 0.56, 95% CI 0.33-0.97).</p><p><strong>Conclusion: </strong>Patients reporting high distress had higher odds of PPC referral. Caregiver DT scores were not associated with PPC referral. High patient distress scores could serve as a screening criterion for PPC referral. Further research could evaluate the impact PPC has on patient and caregiver distress.</p>","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"10966218261486531"},"PeriodicalIF":1.8,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012495","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":"Strengthening Capacity in Primary Palliative Care: A Scoping Review from Latin America and the Caribbean.","authors":"Rebecca L Edwards, Luís Carlos Lopes-Júnior, Francisca Marquez Doren, Regina Aparecida Garcia de Lima, Aintzane Gallastegui-Braña, Kanchana Bandara-Coore, Karen Cox, Barbara Reville, Lisa Theus, Rebecca Billings, Mark Stoltenberg, Adelais Markaki","doi":"10.1177/10966218261486731","DOIUrl":"https://doi.org/10.1177/10966218261486731","url":null,"abstract":"<p><strong>Introduction: </strong>Primary palliative care (PPC) is widely recognized as essential for equitable palliative care access, yet evidence on its integration across Latin America and the Caribbean (LAC) remains limited. This scoping review synthesized evidence on strategies, opportunities, and challenges shaping PPC integration throughout the region.</p><p><strong>Methods: </strong>Guided by the PRISMA Extension for Scoping Reviews and Joanna Briggs Institute methodology, peer-reviewed and gray literature published from 2014 to February 2025 were searched across eight databases and relevant sources. Using population-concept-context criteria, articles addressing PPC integration within primary health care (PHC) in LAC were included. Directed content analysis was framed by the World Health Organization (WHO) Conceptual Model of Palliative Care Development.</p><p><strong>Results: </strong>Forty-six articles representing 30 LAC countries met inclusion criteria. Available evidence suggested uneven progress in PPC integration across settings. Common strategies included workforce development and task-sharing approaches; nurse- and community health worker-led care models; incorporation of PPC into chronic disease management and home-based care pathways; and evolving policy frameworks supporting PHC-based delivery. Persistent barriers involved limited workforce capacity; fragmentation between primary and specialist services; restricted availability of essential palliative medicines, particularly opioids; and sociocultural and regulatory constraints. Although findings mapped onto all domains of the WHO model, several region-specific subcomponents emerged: (a) tailored and structured caregiver engagement, (b) academic-policy partnerships and benchmarking mechanisms, (c) telehealth-enabled and networked PPC models, (d) advanced practice nurse- and nurse-led mentoring structures, (e) standardized screening linked to actionable PHC responses, and (f) early PPC pathways adapted to regional disease burden.</p><p><strong>Conclusions: </strong>Integration of PPC is progressing yet remains constrained by structural, regulatory, and implementation gaps. Bridging policy commitments with routine PHC delivery requires strengthened workforce capacity, improved access to essential medicines, and implementation-focused research to inform scalable, context-sensitive, and equitable PPC models across diverse LAC health systems.</p>","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"10966218261486731"},"PeriodicalIF":1.8,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148989705","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":"Palliative Social Workers' Contributions to Cultivating Prognostic Awareness: A Qualitative Study Using the Prognostic Awareness Impact Scale Framework.","authors":"Arden E O'Donnell, Juliet Jacobsen, Rennie Bimman, Sarah Stone, Taylor B Wensley, Judith G Gonyea","doi":"10.1177/10966218261486296","DOIUrl":"https://doi.org/10.1177/10966218261486296","url":null,"abstract":"<p><strong>Background: </strong>Prognostic awareness is central to informed, value-concordant care for patients with serious illness. Although often conceptualized as cognitive understanding of a time-based prognosis, emerging research highlights prognostic awareness as a multidimensional process involving cognitive understanding, emotional coping, and adaptive response. Palliative social workers may be especially well positioned to support this process, yet their specific skills and strategies remain understudied.</p><p><strong>Objective: </strong>To describe the strategies hospital-based specialty-level palliative social workers use to cultivate prognostic awareness, using the Prognostic Awareness Impact Scale (PAIS) framework of cognitive understanding, emotional coping, and adaptive response.</p><p><strong>Methods: </strong>Using a qualitative interpretive description approach, interviews were conducted with 17 Advanced Palliative and Hospice Social Work-Certified (APHSW-C) social workers on hospital-based interprofessional palliative care teams. Participants were purposively selected to provide a specialty-practice perspective. Interviews explored clinical roles and strategies used to cultivate prognostic awareness. Data were analyzed using inductive coding, followed by categorization into the domains of cognitive understanding, emotional coping, and adaptive response. Rigor was supported by team coding, reflexive memoing, and member checking.</p><p><strong>Results: </strong>Cognitive understanding was supported through mapping values and decision-making contexts, identifying gaps in understanding of illness, translating medical information, and reinforcing physician-delivered prognostic information. Distinctive contributions emerged in the emotional coping domain, including assessing emotional capacity, pacing conversations, holding space, centering emotion, applying trauma-informed approaches, and attending to total pain. The adaptive response was bolstered by providing anticipatory guidance and supporting legacy work by fostering the dual awareness of hope and planning, as well as longitudinal reflection during and across admissions.</p><p><strong>Conclusions: </strong>APHSW-C SWs play an important role in supporting patients' and families' understanding of the likely disease trajectory and prognosis, viewing their work as an ongoing, relational, and emotionally mediated process. Findings suggest that the PAIS may offer a useful framework for identifying profession-specific contributions to this process.</p>","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"10966218261486296"},"PeriodicalIF":1.8,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148982896","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":"Interventions Promoting Goals of Care Conversations in Serious Illness: A Narrative Review.","authors":"Teresa Hagan Thomas, Lu Chen, Ryan D Nipp, Yael Schenker","doi":"10.1177/10966218261485018","DOIUrl":"https://doi.org/10.1177/10966218261485018","url":null,"abstract":"<p><strong>Background: </strong>Goals of care (GOC) discussions are critical conversations between patients, families, and clinicians to ensure medical treatment aligns with patients' values/preferences, especially in the context of serious illness. Despite their importance in enhancing patients' quality of life (QOL) and aligning care plans with values/preferences, GOC discussions occur infrequently due to systemic, clinician, and patient-level barriers. We sought to conduct an updated review of the literature highlighting recent interventions aimed at improving GOC discussions, as summarizing these advancements could help inform clinical practice.</p><p><strong>Methods: </strong>We conducted a robust, systematic narrative review to analyze clinical trials from 2010 to 2025 focused on improving GOC discussions among seriously ill patients (defined as individuals with life-limiting illness). Eligible studies included randomized and nonrandomized trials that reported patient-level outcomes. We identified relevant articles by searching PubMed, Web of Science, CINAHL, and Embase databases, extracting data regarding study design, setting, sample, intervention details, and outcomes (mapped in a tabular format to facilitate comparison).</p><p><strong>Results: </strong>We identified 41 eligible studies conducted in diverse settings (<i>n</i> = 21, 51.2% across hospitals) and serious illness types (<i>n</i> = 21, 51.2% across multiple serious illness), predominantly from the United States (<i>n</i> = 31, 75.6%). Most studies were randomized controlled trials (<i>n</i> = 28; 68.3%), focusing on patient, clinician, system, or combined interventions to enhance GOC discussions. Patient-focused interventions increased readiness and documentation but showed mixed results on clinical outcomes, such as QOL. Clinician and system interventions improved documentation and conversation quality but had inconsistent impacts on healthcare utilization. Combined interventions showed improvements in communication but not consistently in QOL or healthcare utilization.</p><p><strong>Conclusions: </strong>This review highlights the robustness and diversity of GOC interventions, emphasizing the trade-offs between scalability, depth, and patient-centeredness. While interventions appeared to increase GOC discussions and documentation, their impact on downstream patient and caregiver outcomes remains limited. Future research should refine measures and quality indicators to better capture the impact of GOC discussions on patient and family well-being, while considering proximal process outcomes and downstream health outcomes.</p>","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":"10966218261485018"},"PeriodicalIF":1.8,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148969473","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}