Surgery for Obesity and Related Diseases最新文献

{"title":"Breastfeeding in metabolic and bariatric patients: a comprehensive guide for surgeons, patients, and the multidisciplinary team","authors":"Priya Suri M.D. ,&nbsp;Alyssa Bellini M.D. ,&nbsp;Miaoli Emilie Bloemhard B.A. ,&nbsp;Justin Yoon Choi M.D. ,&nbsp;Adrienne Hoyt-Austin D.O., M.A.S., I.B.C.L.C. ,&nbsp;Randi Janene McCreary R.D., C.N.S.C. ,&nbsp;Colleen Kennedy M.D., MBA, F.A.S.M.B.S., D.A.B.-F.P.M.B.S. ,&nbsp;Benjamin Clapp M.D., F.A.C.S., F.A.S.M.B.S., D.A.B.-F.P.M.B.S. ,&nbsp;Farah Husain M.D., F.A.C.S., F.A.S.M.B.S., D.A.B.-F.P.M.B.S. ,&nbsp;Pearl Ma M.D., F.A.C.S., F.A.S.M.B.S., D.A.B.-F.P.M.B.S. ,&nbsp;Lisa Renee Hilton-Rowe M.D., F.A.C.S., F.A.S.M.B.S., D.A.B.-F.P.M.B.S. ,&nbsp;Victoria Lyo M.D., M.T.M., F.A.C.S.","doi":"10.1016/j.soard.2024.11.017","DOIUrl":"10.1016/j.soard.2024.11.017","url":null,"abstract":"<div><div>Since nearly 40% of metabolic and bariatric surgery (MBS) patients are individuals with the ability to bear children, many may seek to become pregnant or may be currently lactating when seeking surgery. While many patients plan to breastfeed, MBS patients are at high risk for premature cessation of breastfeeding. Limited literature exists on the impact of MBS on lactation and there are no established guidelines to help clinicians support and educate MBS patients about breastfeeding. Herein, we aim to fill that gap by providing a comprehensive guide for bariatric surgeons, obstetricians, women’s health providers, lactation consultants, registered dietitians, bariatric nurse coordinators, and advanced practice providers to support breastfeeding in patients with a history of MBS or who are considering MBS. We review physician-patient discussion points on how MBS impacts lactation, the micronutrient and caloric needs for this unique population, and data to support successful breastfeeding in post-MBS patients who are lactating regarding practical, anesthetic, and imaging considerations.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 5","pages":"Pages 595-605"},"PeriodicalIF":3.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960806","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":"Comment on: Statin use trajectories post-bariatric surgery: a matched cohort analysis","authors":"Athanasios Sevdalis M.D.,&nbsp;Megan Jenkins M.D.","doi":"10.1016/j.soard.2024.11.015","DOIUrl":"10.1016/j.soard.2024.11.015","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 4","pages":"Page e6"},"PeriodicalIF":3.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901338","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":"Dental outcomes after gastric bypass and sleeve gastrectomy: a register-based study","authors":"Freja Freedman D.D.S. ,&nbsp;Richard Marsk M.D., Ph.D. ,&nbsp;Jane Yan M.Sc. ,&nbsp;Lena Karlsson R.D.H., Ph.D. ,&nbsp;Gunilla Sandborgh-Englund D.D.S., Ph.D.","doi":"10.1016/j.soard.2024.12.001","DOIUrl":"10.1016/j.soard.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Bariatric surgery has been shown to cause a negative impact on oral health, as reflected by postsurgical increase of caries-related dental interventions.</div></div><div><h3>Objectives</h3><div>The aim of this study was to compare dental intervention rates after Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG).</div></div><div><h3>Setting</h3><div>Nationwide and register-based (Sweden).</div></div><div><h3>Methods</h3><div>This 2-staged matched cohort study included all adults who underwent RYGB (n = 26,594) or SG (n = 3416) between 2011 and 2015, registered in the Scandinavian Obesity Surgery Register. Propensity score matching was used to match SG patients to RYGB patients, based on several covariates. The follow-up time was 3 years after surgery. The dental variables were collected from the Dental Health Register, including tooth extractions, restorative interventions (dental fillings), and endodontic interventions (root canal treatment).</div></div><div><h3>Results</h3><div>In total, 3317 RYGB and 3317 SG patients were included. Both groups showed increased dental event rates postoperatively. RYGB patients had significantly higher event rates compared with SG postoperatively regarding all interventions, restorative and endodontic interventions.</div></div><div><h3>Conclusions</h3><div>The negative effect on dental outcomes in terms of dental fillings and tooth extractions were higher after RYGB than after SG. The reasons are not clear. More research is needed to replicate these findings, to understand the mechanisms, and further delineate the significance of the surgical method.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 5","pages":"Pages 570-579"},"PeriodicalIF":3.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879222","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":"Influence of referral type and sociodemographic factors on completion of bariatric surgery","authors":"Catherine S. Valukas M.D., M.S. ,&nbsp;Joseph Sanchez M.D., M.S. ,&nbsp;Dominic J. Vitello M.D. ,&nbsp;Whitney Jones M.D. ,&nbsp;Eric S. Hungness M.D. ,&nbsp;Ezra N. Teitelbaum M.D., M.Ed.","doi":"10.1016/j.soard.2024.11.002","DOIUrl":"10.1016/j.soard.2024.11.002","url":null,"abstract":"<div><h3>Background</h3><div>The impact of referral type and socioeconomic status on completion of the bariatric surgery process is not well understood.</div></div><div><h3>Objectives</h3><div>This study aims to 1) describe how sociodemographic characteristics influence referral type and 2) identify predictors of completion of surgery.</div></div><div><h3>Setting</h3><div>Large multihospital health care system, including a large academic medical center.</div></div><div><h3>Methods</h3><div>A retrospective study was performed using data from 2017 to 2022. Patients with a primary care physician within the hospital system who met criteria for bariatric surgery were included. The primary outcome was completion of bariatric surgery; the predictor was referral type (i.e., physician referral versus patient self-referral). Bivariate analysis and multivariable logistic regression were performed.</div></div><div><h3>Results</h3><div>Of 133,882 overall patients who met criteria for bariatric surgery, 41,387 had physician referrals for bariatric surgery or obesity medicine, 4702 self-referred, and 2740 underwent surgery. Patients who were Black, Hispanic, Medicaid insured, or in the most socially vulnerable zip codes were more likely to be self-referred (all <em>P</em> &lt; .01). In a multivariable logistic regression, self-referred patients were more likely to undergo surgery (2.22 [1.82, 2.73]). Hispanic patients, while less likely to be referred overall, were more likely to undergo surgery if they were referred (1.29 [1.13, 1.47]). Patients with Medicare, Medicaid, and who were more socially vulnerable had lower odds of undergoing surgery.</div></div><div><h3>Conclusions</h3><div>Underserved groups are less likely to be referred by physicians for bariatric surgery. However, those patients who do self-refer are more likely to proceed to surgery, demonstrating the barrier is one of access not motivation.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 4","pages":"Pages 497-503"},"PeriodicalIF":3.5,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928918","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":"Bariatric surgery prior to pancreas transplantation: a retrospective matched case-control study","authors":"Abraham J. Matar M.D. ,&nbsp;Matthew Wright M.D. ,&nbsp;Michael Megaly M.D. ,&nbsp;Michael Dryden M.D. ,&nbsp;Karthik Ramanathan M.D. ,&nbsp;Vanessa Humphreville M.D. ,&nbsp;David V. Mathews M.D., Ph.D. ,&nbsp;Heidi Sarumi B.S. ,&nbsp;Kristi Kopacz ,&nbsp;Daniel Leslie M.D. ,&nbsp;Sayeed Ikramuddin M.D. ,&nbsp;Erik B. Finger M.D., Ph.D. ,&nbsp;Raja Kandaswamy M.D.","doi":"10.1016/j.soard.2024.11.001","DOIUrl":"10.1016/j.soard.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>The clinical impact of bariatric surgery (BS) prior to pancreas transplantation (PTx) is unclear.</div><div>Setting: University of Minnesota Hospital, Minneapolis, MN.</div></div><div><h3>Methods</h3><div>This was a single center retrospective case-controlled study of all patients January 1, 1998 and May 1, 2024 with a history of BS prior to PTx. Patients were matched (1:3) with control patients by recipient age, body mass index (BMI) at PTx, type of transplant, primary versus retransplant, and year of PTx.</div></div><div><h3>Results</h3><div>Among 1542 transplants, 17 patients had a history of BS prior to PTx, with an overall incidence of 1.1%. Eleven patients underwent roux-en-y gastric bypass, 5 underwent sleeve gastrectomy (SG), and one underwent vertical-banded gastroplasty. Eleven underwent simultaneous pancreas kidney transplant, 5 underwent pancreas transplant alone, and one underwent pancreas after kidney transplant. The median time (interquartile range [IQR]) between BS and PTx was 2.9 yrs (4.6) and ranged from .7 to 20.6 yrs. Compared to the non-BS group, patients in the BS group had similar rates of graft thrombosis (5.9% versus 3.9%, <em>P</em> = .76) and rejection (29.4% versus 29.4%, <em>P</em> &gt; .99). Length of stay following PTx (<em>P</em> = .22), number of 30-day readmissions (<em>P</em> = .24), and number of 1-year readmissions (<em>P</em> = .70) were not different between the two groups. Median death-censored graft survival (9.4 yrs versus median not reached, <em>P</em> = .23) and patient survival (9.4 yrs versus median not reached, <em>P</em> = .18) were similar between the BS and non-BS groups. Finally, six patients underwent BS with the specific intention of reaching the acceptable BMI threshold for PTx. Median BMI was reduced from 37.4 prior to BS to 26.4 at time of PTx. Median time from BS to PTx was 2.4 yrs. At 4 yr follow-up, graft and patient survival was 100%.</div></div><div><h3>Conclusions</h3><div>This represents the largest series of patients with BS prior to PTx. Perioperative complications are not increased in patients undergoing PTx with a history of prior BS and long-term outcomes are equivalent. Patients with a prohibitive BMI for PTx eligibility should be considered for BS without concern for detrimental effect on post-transplant outcomes.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 4","pages":"Pages 489-496"},"PeriodicalIF":3.5,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901331","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":"Biliopancreatic diversion with duodenal switch results in superior weight loss and diabetes remission in patients with baseline body mass index ≥50","authors":"Alvin Chang M.D.,&nbsp;Luis Pina M.D.,&nbsp;Donovan Harris M.D.,&nbsp;Craig Wood M.S.,&nbsp;Vladan Obradovic M.D.,&nbsp;David M. Parker M.D.","doi":"10.1016/j.soard.2024.11.004","DOIUrl":"10.1016/j.soard.2024.11.004","url":null,"abstract":"<div><h3>Background</h3><div>Patients with body mass index (BMI) ≥50 have more obesity-associated medical problems and often require more aggressive surgical management. Few single-institution comparative studies have been published examining this specific population.</div></div><div><h3>Objectives</h3><div>The study aims to compare the weight loss and diabetes remission effects of sleeve gastrectomy (SG), Roux-en-<span>Y</span> gastric bypass (RYGB), and biliopancreatic diversion with duodenal switch (BPD/DS).</div></div><div><h3>Setting</h3><div>Rural academic tertiary care center.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study using prospectively collected data. All patients with a BMI ≥50 who underwent an SG, RYGB, and BPD/DS were included. Comparative analysis was performed for complications, readmission rates, weight loss, and diabetes remission.</div></div><div><h3>Results</h3><div>Excess weight loss at 3 years was 40.1% for SG, 54.1% for RYGB, and 67.4% for BPD/DS, with BPD/DS performing significantly better (<em>P</em> &lt; .001). Complete diabetes remission at 5 years was 29% for SG, 61% for RYGB, and 79% for BPD/DS. BPD/DS had significantly longer operative times (<em>P</em> &lt; .001) and rates of minor complications (<em>P</em> = .02).</div></div><div><h3>Conclusions</h3><div>BPD/DS achieved superior sustained weight loss and diabetes remission compared with RYGB and SG.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 5","pages":"Pages 548-553"},"PeriodicalIF":3.5,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873665","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":"Comment on: Cancer incidence following bariatric surgery in renal transplant recipients: a retrospective multicenter analysis","authors":"Inyoung Lee M.D., M.S.,&nbsp;Yeongkeun Kwon M.D., Ph.D.,&nbsp;Sungsoo Park M.D., Ph.D.","doi":"10.1016/j.soard.2024.08.003","DOIUrl":"10.1016/j.soard.2024.08.003","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Page 1207"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142147260","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":"Sociodemographic factors related to bariatric follow-up appointment attendance and weight outcomes","authors":"Emily M. Bartholomay Ph.D. ,&nbsp;Stephanie Cox Ph.D. ,&nbsp;Lawrence Tabone M.D. ,&nbsp;Nova Szoka M.D. ,&nbsp;Salim Abunnaja M.D. ,&nbsp;Laura Aylward Ph.D.","doi":"10.1016/j.soard.2024.08.010","DOIUrl":"10.1016/j.soard.2024.08.010","url":null,"abstract":"<div><h3>Background</h3><div>Follow-up care after bariatric surgery is essential in preventing postsurgical complications and promoting long-term weight loss maintenance. However, many patients do not attend postsurgical appointments with the bariatric team, which may contribute to poor surgical outcomes.</div></div><div><h3>Objectives</h3><div>This study sought to understand sociodemographic factors related to follow-up appointment attendance and weight outcomes. The first objective was to determine whether there was a relationship between 1-year follow-up appointment attendance and sociodemographic factors. The second objective was to determine whether patients from certain sociodemographic groups were more likely to attend a 2-year follow-up appointment. The third objective was to determine whether there were differences in weight outcomes for patients who attended follow-up appointments compared with those who did not attend.</div></div><div><h3>Setting</h3><div>University hospital, United States.</div></div><div><h3>Methods</h3><div>This study was a retrospective observational study. Participants included 841 adult patients who underwent bariatric surgery, of whom 505 (60.05%) attended a 1-year appointment with the bariatric team (348 attended a follow-up visit with another medical provider), and 398 (47.32%) who had any follow-up medical visit at 2 years after surgery. Sociodemographic variables were collected during a presurgical psychological evaluation. Weight-related variables were obtained through patients’ electronic medical records 12 and 24 months after surgery.</div></div><div><h3>Results</h3><div>Younger patients and those with lower education levels were less likely to attend the 1-year follow-up appointment with the bariatric team. People who attend 1-year follow-up with bariatric team have more favorable weight outcomes at 1 year and 2 years after surgery.</div></div><div><h3>Conclusions</h3><div>Follow-up appointment attendance with the bariatric team may be a critical factor in the effectiveness of bariatric surgery. Bariatric surgery teams should employ strategies to increase attendance at the 1-year follow-up visit with the surgical team. Additional strategies should be enacted to increase follow-up appointment attendance for patients with lower education levels.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Pages 1388-1395"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219344","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":"Anastomotic metabolic and bariatric surgeries with same-day discharge: 30-day outcomes of a cohort from a high-volume center in Canada","authors":"Alexis Deffain M.D. ,&nbsp;Ronald Denis M.D. ,&nbsp;Heba Alfaris M.D. ,&nbsp;Karim Ataya M.D. ,&nbsp;Samah Melebari M.D. ,&nbsp;Marc Belliveau M.D. ,&nbsp;Adam Di Palma M.D. ,&nbsp;Pierre Y. Garneau M.D. ,&nbsp;Anne-Sophie Studer M.D.","doi":"10.1016/j.soard.2024.08.020","DOIUrl":"10.1016/j.soard.2024.08.020","url":null,"abstract":"<div><h3>Background</h3><div>On the basis of our extensive experience in same-day discharge (SDD) sleeve gastrectomy, we extended this management strategy to anastomotic metabolic and bariatric surgeries (MBS).</div></div><div><h3>Objectives</h3><div>To retrospectively analyze early outcomes (≤30 d) after anastomotic MBS with planned SDD (≤12 hr).</div></div><div><h3>Setting</h3><div>University Hospital, Canada; Public Practice.</div></div><div><h3>Methods</h3><div>SDD anastomotic MBS were proposed with strict preoperative criteria and included single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), and single-anastomosis sleeve ileal bypass (SASI). Enhanced recovery after bariatric surgery protocols and post-anesthesia care unit criteria were followed. Unplanned overnight stay, emergency department (ED) visit, readmission, morbidity-mortality, and reintervention rates were analyzed.</div></div><div><h3>Results</h3><div>Since 2021, 208 patients (191 female and 17 male) have undergone SDD anastomotic MBS, with 76% conversion procedures: 92 SADI-S, 72 RYGB, 35 OAGB, and 9 SASI (mean age = 41.4 yr and mean preoperative body mass index = 41.9 kg/m²). Unplanned overnight stays and ED visits were 4.8% and 4.3%, respectively. Readmission rate was 5.8% (5 SADI-S, 5 RYGB, 1 OAGB, and 1 SASI). Overall morbidity rate was 14.9%, including 3.9% major complications. Within 30 days postoperatively, there were 2 duodenal leaks, 1 intrabdominal collection, 1 common bile duct stenosis, and 1 acute appendicitis in the SADI-S group. There were 2 occlusions on the jejunojejunal anastomosis and 1 bleeding on the gastrojejunal anastomosis in the RYGB group. Five (2.4%) required reintervention with no mortality.</div></div><div><h3>Conclusions</h3><div>We report low and acceptable rates of unplanned overnight stay, readmission, and reintervention. Early outcomes suggest that SDD anastomotic MBS seems safe and feasible with an experienced team, selective criteria, and appropriate postoperative follow-up.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Pages 1306-1313"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219366","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":"Reply to letter regarding “Banded versus non-banded Roux-en-Y gastric bypass: short-, mid-, and long-term surgical outcomes—A systematic review and meta-analysis”","authors":"Giovanna Pavone M.D.,&nbsp;Antonio Iannelli M.D., Ph.D.","doi":"10.1016/j.soard.2024.09.005","DOIUrl":"10.1016/j.soard.2024.09.005","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"20 12","pages":"Page 1397"},"PeriodicalIF":3.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484702","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}