Journal of Occupational Rehabilitation最新文献

{"title":"Experiences of Rehabilitation Professionals in Guiding Rehabilitation for People with Persistent Spinal Pain Syndrome Type 2: A Qualitative Study.","authors":"Dries Ceulemans, Lisa Goudman, Michiel Reneman, Maarten Moens, Ann De Smedt, Lode Godderis, Olivia Lavreysen, Jonas Callens, Vicky Van de Velde, Dominique Van de Velde","doi":"10.1007/s10926-026-10445-0","DOIUrl":"https://doi.org/10.1007/s10926-026-10445-0","url":null,"abstract":"<p><strong>Purpose: </strong>People with chronic low back pain, or more specifically, Persistent Spinal Pain Syndrome Type 2, experience decreased functionality and quality of life, resulting in a heavy personal and societal burden worldwide. Increasing the capacity of a person to participate in meaningful activities, including return to work, has gained substantial attention, but results remain suboptimal. Gaining more insight into stakeholder experiences is crucial to enhance outcomes. This study aims to investigate the lived experiences of rehabilitation professionals in guiding rehabilitation for people with Persistent Spinal Pain Syndrome type 2 in a research context.</p><p><strong>Methods: </strong>An interpretative hermeneutic-phenomenological study was conducted to generate an interpretative understanding of rehabilitation professionals' lived experience in delivering an intervention within a structured research context. Data were collected during semi-structured interviews with 10 rehabilitation professionals. Data analysis followed an interpretative hermeneutic process.</p><p><strong>Results: </strong>The following experiences were identified: (1) a structured balance between capacity and demand; (2) leaving the current pain-oriented approach; (3) a catalyst for work-oriented reasoning beyond workability; (4) the emerging need for building towards interdisciplinarity; and (5) multiple layers of personalisation.</p><p><strong>Conclusion: </strong>Personalisation is most effective when embedded within a multimodal rehabilitation framework that addresses the physical, psychological, occupational, and contextual domains of functioning. However, it remains a concept that is hard to grasp. Workability-focused protocols may function not only as treatment frameworks but also as catalysts for broader return-to-work reasoning. Although multidisciplinarity is a solid structure, interdisciplinarity is preferred.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907651","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 of Adherence to a videoconference-Based Therapeutic Exercise Intervention in Eldercare Workers: A Secondary Analysis of Participants in the ReViEEW Randomized Controlled Trial.","authors":"Sabrina C Teno, Ana Rodriguez-Larrad, Jon Irazusta, Iñaki Echeverria, Nora Ugalde-Aranzabal, Álvaro Mosquera-Lajas, Pedro B Júdice, Ander Espin","doi":"10.1007/s10926-026-10449-w","DOIUrl":"https://doi.org/10.1007/s10926-026-10449-w","url":null,"abstract":"<p><strong>Purpose: </strong>To identify predictors of adherence to a videoconference-based therapeutic exercise intervention in eldercare workers.</p><p><strong>Methods: </strong>This exploratory secondary analysis of the ReViEEW randomized controlled trial included 105 eldercare professionals who completed a 12-week supervised exercise program delivered via real-time videoconference, consisting of two weekly sessions lasting 45 min each. Adherence was defined as the percentage of sessions completed at the prescribed intensity. Baseline variables included sociodemographic, lifestyle, anthropometric, muscle performance, low back pain, psychological, and work-related factors. Associations with adherence were examined using bivariate analyses and multivariable linear regression.</p><p><strong>Results: </strong>Mean adherence was 64% (± 27). In multivariable analysis (R²=0.226; p<0.001), adherence was positively associated with compliance with physical activity guidelines (β=0.199; p=0.032), regular resistance training (β=0.182; p=0.050), and greater personal accomplishment (β=0.216; p=0.017), and negatively associated with hypnotic or anxiolytic medication use (β=-0.209; p=0.023) and rotating work shifts (β=-0.182; p=0.047). Other variables were not significant after adjustment.</p><p><strong>Conclusions: </strong>Adherence to videoconference-based workplace exercise was associated with behavioral, psychosocial, and occupational factors in eldercare workers. Prior physical activity and resistance training experience, as well as higher personal accomplishment, facilitated adherence, whereas rotating shifts and medication use represented barriers. These findings highlight the importance of integrating exercise programs within organizational structures and tailoring interventions to workers' behavioral and psychosocial profiles to enhance participation and sustainability. However, future studies are needed to confirm these findings in other populations and workplace settings.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov, NCT05050526. Registered 20 September 2021-Prospectively registered, https://www.</p><p><strong>Clinicaltrials: </strong>gov/study/NCT05050526.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907639","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":"The Global Challenge of Work Disability Prevention Research.","authors":"Cristiane H Gallasch, Tauhid Hossain Khan, Rosimeire Simprini Padula, William Shaw, Patricia A Findley, Douglas P Gross","doi":"10.1007/s10926-026-10448-x","DOIUrl":"https://doi.org/10.1007/s10926-026-10448-x","url":null,"abstract":"","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901200","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":"Antecedents of Long‑Term Work Disability After Mental Health-Related Sickness Absence: The Role of Occupational Health Care Pathways.","authors":"Pekka Varje, Ilkka Kivimäki, Ari Väänänen, Simo Taimela, Olli Haavisto, Matti Joensuu, Tiina Kalliomäki-Levanto","doi":"10.1007/s10926-026-10443-2","DOIUrl":"https://doi.org/10.1007/s10926-026-10443-2","url":null,"abstract":"<p><strong>Purpose: </strong>The relationship between specific occupational health care (OHC) pathways and subsequent work disability following an initial mental health-related sickness absence (SA) is poorly understood. This study aimed to predict long-term SA outcomes by modeling the timing and composition of OHC pathways among employees absent due to mood disorders or anxiety.</p><p><strong>Methods: </strong>We conducted a register‑based observational cohort study using structured occupational health records from a major Finnish OHC provider (2015-2023, N = 35 385). Following a 12‑month washout period, the first mental health-related SA (ICD‑10 F30-F48) occurring in 2016-2021 was defined as the index episode. The OHC pathways were characterized within a 3-month window. XGBoost was employed to predict 24‑month recurrence of mental health-related SA and cumulative SA days using care pathway features and socio‑demographic variables. Model interpretability was assessed using Shapley Additive Explanations (SHAP) values.</p><p><strong>Results: </strong>SA patterns emerged as the most potent predictors of long‑term outcomes. The accumulation of absence days, particularly between days 61 and 90, and internal recurrence within the index period markedly increased the predicted risk of future mental health-related SA. In contrast, specific OHC pathway elements and the timing of clinical contacts contributed less to overall model performance.</p><p><strong>Conclusions: </strong>Our findings suggest that long‑term work disability risk is most strongly predicted by indicators of condition severity rather than the specific composition of early OHC interventions. To improve outcomes, timely identification of workers whose recovery trajectories deviate from expected norms may allow more targeted and sustained support for work ability.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882170","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":"The Experience of Return to Work Among People with Persistent Symptoms Following a Concussion: An Interview Study.","authors":"Karin Vierø, Lisbeth Lund Pedersen, Jan Hartvigsen, Jette Primdahl","doi":"10.1007/s10926-025-10305-3","DOIUrl":"10.1007/s10926-025-10305-3","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore the experiences of Danish adults experiencing persistent symptoms following a concussion with a focus on their return to work (RTW) process.</p><p><strong>Methods: </strong>We employed a phenomenological-hermeneutic approach, using semi-structured interviews with seven persons with persistent symptoms following a concussion from two Danish municipalities. Data were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>The analysis derived four main themes: (1) The importance of understanding and consideration from others. The participant's quality of life and RTW outcomes were influenced by the level of understanding and consideration they received from others. (2) Balancing needs and limitations. The participants struggled to balance their desire to work with their limited ability, which resulted in feelings of pressure and guilt towards their families. (3) Experiencing random support. The participants experienced random support from stakeholders and lack of guidance from the healthcare system. (4) A sense of loneliness, due to their inability to tolerate being around others.</p><p><strong>Conclusion: </strong>Recognition in daily life seem to play a key role in the RTW process for individuals with persistent symptoms following a concussion. They struggle to balance their limitations to match their desire to both work and family life. The support they received was often random and they felt lonely. The findings reflect the participant's desire for structured and recognition-based rehabilitation and support to enhance their daily lives and facilitate the RTW process.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"713-728"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cluster Analysis Reveals Subgroups with Different Risk Profiles and Sickness Absence Patterns in an Occupational Health Cohort.","authors":"Anniina Anttila, Mikko Nuutinen, Riikka-Leena Leskelä, Mark van Gils, Anu Pekki, Riitta Sauni","doi":"10.1007/s10926-025-10319-x","DOIUrl":"10.1007/s10926-025-10319-x","url":null,"abstract":"<p><strong>Purpose: </strong>Using unsupervised and supervised machine learning methods, we aimed to identify clinically relevant groups of employees with similar characteristics and analyze the association of long and short sickness absence periods with these groups.</p><p><strong>Methods: </strong>The participants were 12,099 employees of various occupations in Finnish companies. The data comprised 104 variables from medical records including data on sickness absences and a questionnaire used between 2011 and 2019 in health examinations. The latent dimensions for the employees were defined by principal component analysis to reduce the number of variables. Clusters were calculated using the K-means algorithm from datapoints expressed by the resulting five principal components. Logistic regression analyses were used to assess the associations of the clusters with long (> 30 days) and repetitive short (1-10 days) sickness absence (SA) episodes.</p><p><strong>Results: </strong>Employees in cluster one indicated positive managerial performance and workplace atmosphere, and employees had the least of both short and long SA. Cluster two indicated deficiencies related to managerial performance and workplace atmosphere. Cluster three had deficiencies mainly related to mood and depression and cluster four had cardiovascular diseases. Employees in cluster five reported many symptoms, especially dizziness and sensory symptoms, and had the highest occurrence of repetitive short SA. Cluster six indicated deficiencies related to work ability and had the highest occurrence of a long SA episode during follow-up.</p><p><strong>Conclusion: </strong>Unsupervised and supervised machine learning methods identified six clinically coherent employee clusters, providing information on typical combinations of characteristics and risk profiles of sickness absence.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"852-862"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return to Work or Not: The Paths to Psychiatric Disability and Back.","authors":"Päivi Rissanen, Sami Pirkola, Turkka Näppilä, Tino Karolaakso, Helena Leppänen, Sari Fröjd, Reija Autio","doi":"10.1007/s10926-025-10312-4","DOIUrl":"10.1007/s10926-025-10312-4","url":null,"abstract":"<p><strong>Objectives: </strong>Mental health-related work disability has increased in Europe, despite efforts to promote individuals´ work ability. We examined individuals´ occupational status before and after a psychiatric disability pension (DP).</p><p><strong>Methods: </strong>The study comprises individuals granted a DP for the first time between 2010 and 2012 in Finland (N = 18,373). We used modern methods to cluster the sequences of individuals´ occupational status before and after temporary (n = 8615) or permanent (n = 9758) psychiatric DP. We compared socioeconomic, illness and health care system-related factors between nine groups, formed by sequence analysis utilizing multinominal regression analysis.</p><p><strong>Results: </strong>The analysis identified typical groups of temporary pensioners: after steady working careers, periods of unemployment and from mixed states. Severity of health and mental health problems, socioeconomic and occupational status, pension system-related factors as well as treatment or rehabilitation varied between the groups. Individuals with temporary DPs (tDP) appeared mainly to either remain disabled (74% of the study tDP) or return to the same status they had before disability: to work (17%) or unemployment (8%). A steady working career, high education and received psychotherapy and rehabilitation all promoted returning to work. Among young adults, severity of the illness and lack of occupational education were risk factors for long-term disability.</p><p><strong>Conclusions: </strong>Among those with tDP, circles of disadvantage may exist. They relate to unemployment, poor mental and somatic heath, low education, poverty, and failure of rehabilitative efforts. Especially young adults with severe mental disorders require not only rehabilitation but also educational support.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"793-805"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Works (or Doesn't) in Return to Work after Physical Injury? A Qualitative Study on the Perspectives of Trauma Patients and Health Care Professionals on Barriers and Facilitators in Return to Work.","authors":"E de Groot, A M Hermans, M A C de Jongh, R E Geuze, I M van Dongen, S Hommes, R D Vromans, E Krahmer, T Houwen, K M E Janssens, M C W Joosen","doi":"10.1007/s10926-025-10309-z","DOIUrl":"10.1007/s10926-025-10309-z","url":null,"abstract":"<p><strong>Purpose: </strong>Return to work (RTW) after physical injury may be challenging. This study aims to gain insight into barriers and facilitators in RTW, using a multi-stakeholder perspective from trauma patients with diverse injuries and health care professionals (HCPs).</p><p><strong>Methods: </strong>Three focus groups (n = 13) and four interviews were conducted with patients who sustained an extremity injury, spinal injury, or traumatic brain injury. Four focus groups (n = 19) were conducted with HCPs (e.g., occupational physicians, trauma surgeons). Data were transcribed verbatim and thematically analyzed for patients and HCPs separately.</p><p><strong>Results: </strong>Both patients and HCPs emphasized that RTW can be influenced by the extent to which core work tasks are affected by the injury. Barriers in RTW related to lack of RTW follow-up care, limited consultation time, and lack of support in the work environment. Shared facilitators were found in work not affecting the injury, and when adequate support is provided by HCPs and the work environment. While patients and HCPs shared similar ideas, perspectives diverged on RTW follow-up care, provided by HCPs in hospital. HCPs in hospital perceive physical recovery as their core task instead of RTW follow-up care, which is perceived by patients to detract attention to life after injury.</p><p><strong>Conclusion: </strong>According to patients and HCPs, regardless of the injury, the combination of injury type and job type influences RTW. Across injuries, receiving RTW follow-up care from HCPs in hospital was often missed, while perceived to facilitate RTW. Tailored RTW information could be useful to patients in resuming life after injury.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"749-766"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitating Return to Work through a Broader Perspective on Vocational Rehabilitation: Insights from Patients with Stress-Related Disorders.","authors":"Anja Beno, Ingibjörg H Jonsdottir, Agneta Lindegård","doi":"10.1007/s10926-025-10311-5","DOIUrl":"10.1007/s10926-025-10311-5","url":null,"abstract":"<p><strong>Background: </strong>Exhaustion disorder (ED) is a prevalent cause of sick leave in Sweden, and support from employers appears to facilitate return to work (RTW). The aim of this study was to explore and highlight what patients diagnosed with ED thought would have been beneficial for their RTW, on the individual level, on the workplace level and at the organisational level.</p><p><strong>Methods: </strong>Twenty patients were invited to participate in an interview conducted seven years after they sought care. The semi-structured interviews were transcribed verbatim and analysed using inductive content analysis.</p><p><strong>Results: </strong>The analysis revealed an overarching theme \"A need for a holistic view of the RTW process\" and three main categories emerged: \"The importance of a well-prepared organisation\", \"What characterises a good leader?\" and \"Meeting the needs of each employee\". Important findings were that adjustments are warranted on an organisational level. Leadership qualities such as having a supportive approach and authority to make changes were highlighted. On an individual level, influence on their work situation and tailored adjustments was essential. For most patients change of work situation, such as change of workplace, work tasks and reduced working hours were necessary.</p><p><strong>Conclusion: </strong>To facilitate RTW for patients with ED, it is essential to have a holistic approach that recognises necessary organisational changes, management support and individually tailored adjustments.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"783-792"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators of Implementing Workplace Interventions Supporting Young Workers' Safety, Work Environment and Health: A Scoping Review of Qualitative and Mixed-Method Studies.","authors":"Emil Sundstrup, Johnny Dyreborg, Anders Dreyer Frost, Karina G V Seeberg, Lars Louis Andersen, Thomas Clausen","doi":"10.1007/s10926-025-10313-3","DOIUrl":"10.1007/s10926-025-10313-3","url":null,"abstract":"<p><strong>Purpose: </strong>Young workers face higher risks of workplace accidents, mental health issues, and physical strain. This scoping review aims to identify and summarize available research literature on barriers and facilitators to implementing workplace interventions to support young workers' safety, work environment and health.</p><p><strong>Methods: </strong>We conducted a comprehensive search in bibliographic databases including PubMed, Web of Science and PsycInfo for articles published from 2007-2022. The PICO strategy guided the assessment of relevant studies and the bibliographical search for qualitative and mixed-method studies on interventions where (1) participants were young workers (mean age 15-29 years), (2) interventions were initiated and/or carried out at the workplace, and (3) barriers or facilitators to the implementation of interventions to support young workers' safety, work environment and health were described. We employed an iterative process to identify general thematic categories in the data.</p><p><strong>Results: </strong>In total, 11 relevant studies were identified. Seven primary themes related to facilitators and barriers emerged from our analysis. Facilitators: fit the organizational context, organizational support, balance between efforts and gains, employee motivation, and employee involvement; Barriers: high workload and time pressure, shift work and irregular working hours.</p><p><strong>Conclusion: </strong>There is a lack of intervention studies on young workers focusing on factors for implementation. The studies we find, reveal several factors to be aware of when designing and implementing interventions to support young workers' safety, work environment and health. The results emphasize a need for studies evaluating factors of importance for the successful implementation of workplace-based interventions among young workers.</p><p><strong>Review registration: </strong>PROSPERO CRD42022324299 ( https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022324299 ).</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"603-616"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}