Journal of Occupational Rehabilitation最新文献

{"title":"Return to Work and Employment Outcomes in Survivors of Differentiated Thyroid Cancer: A Systematic Review.","authors":"Anca-Maria Sirbu, Corina Oancea, Octavian-Mihai Sirbu, Anicuta Cernamoriti, Diana Loreta Paun","doi":"10.1007/s10926-026-10430-7","DOIUrl":"https://doi.org/10.1007/s10926-026-10430-7","url":null,"abstract":"<p><strong>Purpose: </strong>Differentiated thyroid cancer (DTC) predominantly affects individuals of working age and is characterized by excellent long-term survival. However, occupational recovery after treatment has received limited and fragmented attention in the literature. The objective is to systematically review the available evidence on return to work and employment-related outcomes among survivors of differentiated thyroid cancer.</p><p><strong>Methods: </strong>PubMed/MEDLINE, Scopus, and Web of Science Core Collection were searched from database inception to December 2025 in accordance with PRISMA guidelines. Observational and qualitative studies reporting work- or employment-related outcomes in adult DTC survivors were included. Given the substantial heterogeneity of study designs and outcome measures, a narrative synthesis was performed.</p><p><strong>Results: </strong>Twenty-three studies met the inclusion criteria. Although many DTC survivors returned to work relatively early, incomplete occupational recovery was frequently reported, including reduced working hours, prolonged sick leave, income loss, or long-term employment difficulties. Work-related outcomes varied widely across studies and were influenced by nononcological factors such as fatigue, psychological distress, and sociodemographic characteristics. Importantly, several studies highlighted a mismatch between actual return to work and readiness to return to work, indicating that work resumption often occurred before full functional and psychological recovery.</p><p><strong>Conclusions: </strong>Despite excellent oncological outcomes, survivors of differentiated thyroid cancer may experience persistent challenges in employment. Return to work should be regarded as a multidimensional process rather than a binary outcome, highlighting the need for standardized assessment and targeted vocational support in survivorship care.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438412","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 Impact of Prostate Cancer Treatment on Work Participation: A Systematic Review.","authors":"Dunya Tomic, Sophie K Schellack, Lisa Abdel-Malek, Caron Jander, Supun T Hettige, Ewan MacFarlane, Jeremy Millar, Karen Walker-Bone","doi":"10.1007/s10926-026-10435-2","DOIUrl":"10.1007/s10926-026-10435-2","url":null,"abstract":"<p><strong>Purpose: </strong>Prostate cancer is the most common cancer amongst men, yet how its treatment affects work participation remains poorly understood. This systematic review synthesised quantitative evidence on work participation following prostate cancer treatment, comparing treatments and identifying associated factors and evidence gaps.</p><p><strong>Methods: </strong>Five databases (MEDLINE, Embase, PsycINFO, CINAHL, Google Scholar) were searched (May 2025) for English-language, peer-reviewed articles reporting treatment-specific work outcomes amongst men with prostate cancer. The review followed PRISMA and was registered with PROSPERO (CRD420251061347). Risk of bias was assessed using Joanna Briggs Institute tools, and certainty of evidence using GRADE.</p><p><strong>Results: </strong>Twenty-eight articles (24 studies, 39,966 men) were included. Most were cohort (n = 15) or cross-sectional (n = 6) studies; 15 compared ≥ 2 treatments. Median time to return to work (RTW) ranged from 14 to 56 days. Amongst low risk of bias studies reporting adjusted estimates, RTW was faster (adjusted hazard ratio 2.13, 95%CI 1.62-2.80) and long-term absenteeism less likely (adjusted odds ratio 0.53, 95%CI 0.42-0.68) after robot-assisted than open radical prostatectomy. Absenteeism ranged from < 14 to > 50 days and was longer with advanced disease and physically demanding work. The only randomised trial found no RTW difference between treatments (p = 0.49). No studies evaluated outcomes by occupation. Most used self-reported measures with limited confounder adjustment.</p><p><strong>Conclusion: </strong>Very low-certainty evidence suggests that work participation after prostate cancer treatment varies by treatment type and disease severity, although heterogeneity and methodological limitations constrain interpretation. Standardised, validated measures and adequate confounder adjustment are needed to inform treatment decisions, survivorship care, and workplace support.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438475","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":"Needed and Received Work Accommodations During Return to Work Among Employees with Common Mental Disorders and Relationships with Depressive Symptoms and Work Ability.","authors":"Alexandra Sikora, Laura Seufert, Fiona Starke, Ralf Stegmann, Uta Wegewitz, Ute Bültmann","doi":"10.1007/s10926-026-10427-2","DOIUrl":"https://doi.org/10.1007/s10926-026-10427-2","url":null,"abstract":"<p><strong>Purpose: </strong>Work accommodations can facilitate return to work (RTW), but little is known about work accommodation needs and practices among employees with common mental disorders (CMDs). This study examines (1) needed work accommodations for RTW, (2) received work accommodations during RTW, and (3) the longitudinal relationships between received work accommodations and both depressive symptoms and work ability after RTW.</p><p><strong>Methods: </strong>Data were collected in two German longitudinal studies among employees with CMDs on long-term sickness absence: (I) an observational cohort study (F2385; N = 286; 30-month follow-up); and (II) a randomized controlled trial (RTW-PIA; N = 424; 24-month follow-up). Needed and received work accommodations were described and compared. Multiple regression analyses were conducted to examine the longitudinal relationships between received work accommodations and both depressive symptoms and work ability after RTW.</p><p><strong>Results: </strong>Before RTW, 91-99% of the employees reported work accommodation needs, most frequently a gradual RTW (54-78%), workload reduction (35-45%), improvement of work organisation (31-55%), and regular feedback talks with supervisors (29-42%). During RTW, 64% of participants in both datasets received at least one work accommodation, most often a gradual RTW (48-49%), job change (28-29%), or workload reduction (11-19%). Only 13-16% had all work accommodation needs met. Receiving ≥ 1 work accommodation was related to reduced depressive symptoms and increased work ability after RTW.</p><p><strong>Conclusion: </strong>More frequent and systematic provision of work accommodations, particularly regarding the improvement of working conditions, is essential to support recovery and RTW for employees with CMDs.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430448","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 Socioeconomic Vulnerability Index for Persons with Disabilities via Machine Learning Approach.","authors":"Emre Umucu, Alfonso JRojas Alvarez, Teresa Granger, Aylin Celik Zencir, Alicia Swan, Seeun Park, Beatrice Lee","doi":"10.1007/s10926-026-10423-6","DOIUrl":"https://doi.org/10.1007/s10926-026-10423-6","url":null,"abstract":"<p><p>Employment is a key social determinant of health, yet people with disabilities (PWDs) face persistent disparities in vocational rehabilitation (VR) services and outcomes. Federally funded Vocational Rehabilitation (VR) programs serve individuals whose disabilities create barriers to competitive integrated employment, yet service allocation and outcomes vary widely across socioeconomic contexts. Understanding how cumulative socioeconomic disadvantage shapes VR service delivery and employment outcomes is essential for advancing equity. Using Rehabilitation Service Administration (RSA-9/11) data (n = 182,266), machine learning methods, including principal component analysis (PCA), were applied to develop a Socioeconomic Vulnerability Index, which was then used to examine associations with VR service delivery and employment outcomes. Results revealed that higher vulnerability was linked to increased likelihood of receiving basic support services but lower odds of career-oriented services. Higher vulnerability index scores correlated with higher expenditures (+ $246) yet substantially lower wages (- $3.13/hour). Findings suggest that an intake‑level vulnerability screening tool could support risk stratification and more targeted, equity‑focused VR service planning.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430295","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":"Correction: Determinants of Sustainable Return to Work After Burnout or Depression: A Longitudinal Cohort Study.","authors":"Anke Deprez, Isabelle Boets, Sofie Vandenbroeck, Lode Godderis","doi":"10.1007/s10926-026-10425-4","DOIUrl":"https://doi.org/10.1007/s10926-026-10425-4","url":null,"abstract":"","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377413","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":"Are There Differences in Return-to-Work Experiences for Workers Who Acquired COVID-19 at Work Compared to Workers who Sustained a Non-COVID-19 Work-Related Injury or Illness?","authors":"Peter Smith, Colette Severin, Victoria Nadalin, Nancy Carnide, Arif Jetha, Mieke Koehoorn, Cheryl E Peters, Cameron Mustard","doi":"10.1007/s10926-026-10426-3","DOIUrl":"10.1007/s10926-026-10426-3","url":null,"abstract":"<p><strong>Purpose: </strong>To compare rates of return to work (RTW), at 18 months post-injury/infection, between workers with an absence from work due to COVID-19 and those with non-COVID injuries and illnesses, and to examine if RTW differences are explained by different factors in the RTW process.</p><p><strong>Methods: </strong>Telephone interviews were conducted among 1,000 workers with accepted lost-time workers' compensation claims 18 months after their claim acceptance: 607 with work-related COVID-19 infections (oversampled) and 393 with other work-related injuries/illnesses. Potential outcome mediation models examined factors at the individual, workplace, healthcare provider, and system level involved in differences in RTW between workers with COVID-19 and non-COVID-19 claims, adjusting for a range of confounders.</p><p><strong>Results: </strong>At 18 months post-injury, approximately 13 more workers with COVID-19 infections were at work, per 100 workers, compared to those with other injuries or illnesses. Differences in self-rated health, experiencing financial difficulties, and disagreement with the workers' compensation agency, explained between 12 and 21% of these total differences (between 1 and 2 more workers returning to work per 100 workers). Other mediators explained relatively little of the total effect.</p><p><strong>Conclusion: </strong>Workers with work-related COVID-19 infections have better RTW rates, 18 months post-injury, compared to workers with other types of work-related injuries. The results of our study suggest that factors identified as important for RTW at the workplace and healthcare provider level may not be generalizable to the context of COVID-19 infections, within the context of the COVID pandemic.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346972","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":"Association Between Mental Health of Patients with Work-Related Injury and Their Compensation Claim Status: Exploratory Findings from the IMPRovE Trial.","authors":"Vera Camões-Costa, Karen Nolidin, Alex Collie, Samantha Chakraborty, Justin Kenardy, Bianca Brijnath, Duncan Mortimer, Joanne Enticott, Danielle Mazza","doi":"10.1007/s10926-026-10422-7","DOIUrl":"https://doi.org/10.1007/s10926-026-10422-7","url":null,"abstract":"<p><strong>Purpose: </strong>Workers' compensation claims processes may exacerbate mental health symptoms for individuals with work-related mental health conditions (WR-MHCs). This study examined associations between mental health outcomes and contemporaneous claim status.</p><p><strong>Methods: </strong>Data of this cohort study were drawn from 153 general practice patients with WR-MHCs providing 422 observations, enrolled in the IMPRovE trial across Australia. Workers' compensation claim status (accepted, rejected, being assessed, or no claim), working status, and mental health outcomes (Depression Anxiety Stress Scale-21 (DASS-21) and Short-form health survey) were assessed via 3-monthly surveys. Mixed-effects linear regression models were used to assess the relationship between claim status and outcomes, adjusting for intervention status, working status, time-point, state, clinic size, location, age, and gender.</p><p><strong>Results: </strong>On the DASS-21, patients with a claim application being assessed reported significantly poorer overall mental health outcomes than those with accepted claims (e.g. stress: β = 5.73, 95% CI 1.69-9.77), rejected claims (e.g. depression: β = 5.88, 95% CI 1.12-10.63), or no claim (e.g. overall mental health: β = 6.14, 95% CI 2.87-9.42). No significant differences were found between patients with accepted, rejected, or no claim.</p><p><strong>Conclusion: </strong>In this cohort, poorer mental health outcomes were observed amongst individuals with work-related mental health conditions whose workers' compensation claims were being assessed, compared with other claim statuses. No differences were observed between accepted, rejected, or no-claim groups. These findings indicate that the adjudication phase of the claims process may be particularly challenging for some individuals and warrant targeted clinical and system-level attention. Further research is needed to establish causality and design interventions that can address causal mechanisms.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340586","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":"Longterm Persistence and Scalability of a Coordinated Return to Work Model in Healthcare: A Registry-Based Study Across Clinical Pathways.","authors":"Piia Lavikainen, Jari Heiskanen, Pauliina Kangas, Janne Martikainen","doi":"10.1007/s10926-026-10421-8","DOIUrl":"https://doi.org/10.1007/s10926-026-10421-8","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the long-term persistence of an individualized coordinated return to work (CRTW) model on the return-to-work (RTW) duration among hip and knee arthroplasty patients and the immediate effectiveness of the model after implementation in cardiology patients.</p><p><strong>Methods: </strong>Electronic health records (EHRs) from five regions in Finland were used to identify working-age employees. Long-term sickness absence days were calculated between the date of admission and the final day of full-time sickness absence. Fixed effects linear models were used for region-level comparisons in hip and knee arthroplasty patients and difference-in-difference approach for cardiology patients.</p><p><strong>Results: </strong>Mean RTW was 74.7 (SD 48.5) days in hip and 89.3 (55.1) days in knee arthroplasty in the CRTW region over the follow-up. Mean difference in RTW between the CRTW and control regions was - 9.8 days (95% CI: - 15.8, - 3.9; p = 0.001) for hip and - 6.9 days (95% CI: - 12.6, - 1.2; p = 0.018) for knee arthroplasty patients. Mean RTW days among cardiology patients were 57.4 (67.1) in pre- and 46.1 (51.5) in post-implementation period in the CRTW region. No statistically significant difference in RTW duration between the CRTW and control region was observed in cardiology patients.</p><p><strong>Conclusion: </strong>Hip and knee arthroplasty patients in the CRTW regions continued to return to work sooner than those in the control regions even several years after the CRTW model implementation. Among cardiology patients, no evidence of systematic differences in level between the regions were seen. Future studies with larger sample sizes are needed confirm the effectiveness of the CRTW model in cardiology.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340579","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":"Supporting Work Participation in Rheumatic and Musculoskeletal Disorders: Outcomes from Work-Able Solutions a Multisite Work-Focused Occupational Therapy Intervention.","authors":"Yvonne Codd, Susan Somerville, Katie Mahon, Oriel Glennon, Trish Fitzgerald, Jane Brownlee, Tadhg Stapleton, Gary Killeen, David Kane","doi":"10.1007/s10926-026-10419-2","DOIUrl":"https://doi.org/10.1007/s10926-026-10419-2","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the implementation and outcomes of Work-Able Solutions a multisite, early access, work-focused occupational therapy intervention, adopting a transdiagnostic approach to support job retention, return to work, and work role functioning.</p><p><strong>Methods: </strong>Working-age adults with rheumatic and musculoskeletal disorders (RMDs), employed or receiving illness benefits ≤ 6 months, and reporting work difficulties were recruited across three sites. Participants received a 2 h assessment followed by individualised occupational therapy sessions, delivered face-to-face, virtually, or at the workplace. Interventions were guided by the Person-Environment-Occupation-Performance framework, incorporating biopsychosocial and person-centred strategies for symptom management, overcoming workplace barriers, self-advocacy, reasonable accommodations, and return-to-work planning. Primary outcomes were work status and illness benefit; secondary outcomes included work role functioning, future work ability, perceived job loss risk, quality of life, and symptom burden. Outcomes were collected pre-post-intervention and three-month follow-up. Non-parametric analyses included McNemar, Friedman, and Wilcoxon signed-rank tests.</p><p><strong>Results: </strong>283 participants were recruited (mean age 47.9 ± 11.7 years, 72% female); 195 completed three-month follow-up. Work status improved post-intervention (p < 0.001) and was sustained at follow-up (p = 0.003). Illness benefit usage declined (p < 0.001). Work role functioning, quality of life, coping, and symptom measures (pain, fatigue, disability) improved post-intervention and at three months (all p < 0.001). Future work concerns and perceived likelihood of job loss due to RMD decreased (p < 0.001).</p><p><strong>Conclusion: </strong>Early individualised work-focused occupational therapy supports adults with RMDs to maintain employment, enhance role functioning, improve quality of life, and symptoms, indicating real-world effectiveness for job retention and return to work.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309931","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":"Cost-Consequence Analysis of the Return to Work (RTW) Program for Workers with Disabilities in Indonesia: Health, Economic and Productivity Outcomes.","authors":"Arie Arizandi Kurnianto, Faten Amer, Ananda Dellina Putri, Ade Paranata, Zsolt Nemeskéri, István Ágoston","doi":"10.1007/s10926-026-10396-6","DOIUrl":"https://doi.org/10.1007/s10926-026-10396-6","url":null,"abstract":"<p><strong>Purpose: </strong>This study assesses the cost consequence of the Return To Work (RTW) program for disabled workers who suffered from occupational injury in Indonesia in last decade. The question was whether or not RTW programs result in improved health, economic, and productivity results compared with traditional treatments.</p><p><strong>Methods: </strong>Retrospective design was conducted to analyze the occupational injury claim records by evaluating the cost consequences of the RTW program in Indonesia. We compared 1353 RTW claims with 10,602 occupational injury claims. Cost-consequence analysis reported disaggregated outcomes (Lost Time Injury Days (LTIDs), RTW rates, medical costs, productivity losses) following CHEERS 2022 guidelines. Costs were adjusted to USD using the Indonesian Consumer Price Index and average exchange rate data in 2022.</p><p><strong>Results: </strong>Occupational injury with RTW claims had higher average direct medical treatment costs (USD 822.50 vs USD 262.25) and greater productivity losses than non RTW claims (USD 46239.60 vs USD 28261.20) due to the complex nature of the cases included in the program. RTW cases had longer LTIDs (350.3 vs 214.1 days) and higher productivity‑related costs, reflecting a more complex casemix, but also markedly higher RTW success rates than usual care where 84.0% RTW vs 20.3% non RTW cases.</p><p><strong>Conclusion: </strong>The RTW program has resulted in different patterns of costs and outcomes than traditional treatments. These differences should be considered by decision-makers when determining how to allocate resources effectively.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309988","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}