Journal of Cancer Education最新文献

{"title":"Mayo Clinic Global Oncology Fellowship: Development and Implementation of a Novel 2-Year Multidisciplinary Training Program for Oncologists from Low- and Middle-Income Countries.","authors":"Allison E Garda, Kimberly S Corbin, Pamela J Quinones, Mercy N Kitonyi, Kenneth W Merrell, Kenneth R Olivier, Nadia N Laack, Safia K Ahmed","doi":"10.1007/s13187-025-02577-3","DOIUrl":"https://doi.org/10.1007/s13187-025-02577-3","url":null,"abstract":"<p><p>Cancer is set to become the leading worldwide cause of premature death and mortality will be disproportionately greater in low-and-middle-income countries (LMIC) due to limitations in physical resources and oncology specialists. To address unmet workforce and educational needs, the Department of Radiation Oncology at Mayo Clinic developed the Global Oncology Fellowship, a 2-year multidisciplinary oncology training program for practicing physicians from LMIC. The fellowship was developed through collaboration with multiple institutional departments and external stakeholders. Eligible fellows are graduates of a recognized international medical school who have completed oncology training in a LMIC and confirm intent to practice in a LMIC. During the 2-year program, fellows rotate through Radiation Oncology, Medical Oncology, Palliative Care, Diagnostic Radiology, radiation dosimetry, research, and leadership development. The program design is flexible and can be tailored to fit the trainee's clinical needs and interests and focuses on malignancies and technologies that are common in LMIC. The Global Oncology Fellowship was successfully established and supported by benefactor funds. Recruitment of the first trainee faced challenges related to COVID pandemic, completion of medical licensing exams, and obtaining a United States visa. The first fellow started in February 2023 with training ongoing. With the formal approval of the Global Oncology Fellowship in 2024, the program is recruiting for the 2025-2027 academic years. Short- and-long term assessments of the program are ongoing. The Mayo Clinic Global Oncology Fellowship is a multi-disciplinary training program developed to address the educational needs of oncologists in low-and-middle income countries. We hope to contribute to the number of highly trained oncology specialists in LMIC, who will go on to be leaders in clinical care, education, and research.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Taking Health into Your Own Hands: Evaluating Patient and Provider Perspectives of Human Papillomavirus Self-Sampling for Cervical Cancer Screenings and Opportunities for Education.","authors":"Stella Roth, Breanne Lott, Jerlin Garo, Jordan Allen, Sara Krivacsy, Emily Buttigieg, Jessica Atrio, Maria Young, David Cepeda, Brittany Miller, Amr Soliman","doi":"10.1007/s13187-025-02568-4","DOIUrl":"https://doi.org/10.1007/s13187-025-02568-4","url":null,"abstract":"<p><p>Human papillomavirus (HPV) self-sampling was approved for use in clinical settings by the U.S. Food and Drug Administration (FDA) in May 2024 to identify high-risk HPV, responsible for most cervical cancer. This study explored patient and healthcare provider perspectives of HPV self-collection to assess perceived benefits, barriers, and facilitators to implementing this new screening service. Twenty patients at a cervical cancer screening event in the Bronx, NY, watched an instructional video and completed a survey regarding their willingness to use HPV self-sampling. Nine healthcare providers from the Montefiore Health System and affiliated Albert Einstein College of Medicine participated in semi-structured interviews to discuss their knowledge and beliefs toward adopting HPV self-sampling. Qualitative transcripts were coded in Dedoose and thematic analysis was used to identify emergent themes which were narratively described and supported by direct quotes. Patient participants were largely interested in HPV self-sampling and expressed willingness to use the modality at future screenings. Provider participants discussed anticipated benefits and concerns of HPV self-sampling, including expanding screening reach, prioritizing patients' needs, inadequate sampling, and losing opportunities for comprehensive care provided during pelvic exams. Patient and provider participants expressed enthusiasm about self-sampling improving access to cervical cancer screening, particularly for communities lacking access to current healthcare infrastructure. Provider participants critically questioned how HPV self-sampling could be introduced into their clinical practice. Both groups emphasized the need for further education to improve patient health literacy on self-sampling and for provider education through peer sharing, lectures, and information dissemination through heavily used mobile applications.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Head and Neck Cancer Research Training Program Associated with Academic Success for Trainees.","authors":"Aanish Puri, Andrew C Elton, Beverly R Wuertz, Frank G Ondrey","doi":"10.1007/s13187-025-02575-5","DOIUrl":"https://doi.org/10.1007/s13187-025-02575-5","url":null,"abstract":"<p><p>This study is to analyze academic success metrics of otolaryngology cancer research laboratory trainees. This is a retrospective analysis of trainee academic outcomes from 2000 to 2020. We examined careers of 99 trainees of the senior author's cancer research laboratory, including undergraduates, medical students, otolaryngology residents/fellows, and NIH T32 postdocs. We compared medical school matriculation rates, otolaryngology and head and neck surgery (OHNS) residency match rates, fellowship match rates, publication rates, and academic positions with publicly available data from the American Association of Medical Colleges (AAMC), National Resident Matching Program (NRMP), and others. Nine undergraduates achieved a 100% medical school matriculation rate compared with the AAMC rate of 43.4%. Of 22/53 medical students who applied to OHNS residency, students achieved a 100% match rate, compared with the NRMP match rate of 82.1%. Of 33 medical students who completed training, 45.4% became academicians, compared with 44.9% in an NIH R25E program cohort, which is notable. Interestingly, medical student trainees overall had more publications compared with incoming OHNS residents. Our residents achieved a 100% fellowship match rate compared with 79.0% average match rate across OHNS fellowship programs. Twelve of 25 (48%) residents earned advanced degrees (10 MS, 2 PhD), 11 of which were directly related to oncology. This was statistically significant compared to incoming otolaryngology residents via the NRMP data. Sixty percent (3/5) of surgical fellows entered academics. We observed multiple benefits from participation in our research laboratory at all levels of academic cancer training, specifically medical school and otolaryngology residency matriculation and academic faculty placement of former trainees.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demographic Disparities and Factors Influencing Cancer Treatment Decision-Making.","authors":"Safa Elkefi, Avishek Choudhury","doi":"10.1007/s13187-025-02570-w","DOIUrl":"https://doi.org/10.1007/s13187-025-02570-w","url":null,"abstract":"<p><p>This study aims to explore disparities in cancer treatment decision-making and the factors associated with the decision to pursue treatment. We used Behavioral Risk Factor Surveillance System (BRFSS) data collected between 2017 and 2022. We employed the PRECEDE-PROCEED model to guide our analysis of factors associated with treatment decisions. Descriptive statistics and multivariable logistic regression analysis were conducted to assess the association between treatment decision-making and the predisposing, enabling, and reinforcing factors (following the PRECEDE-PROCEED model). All analyses were weighted and adjusted for the demographic characteristics of the participants. Our sample included N = 19,388 cancer patients, 20.98% of whom refused treatment. American Indians, younger adults, and breast cancer patients were more likely to decide to go for treatment. Patients who had private insurance (OR = 1.25, P = .037) and those who did not have problems affording care (OR = 1.22, P = .02) were more likely to decide to get treatment. The more patients had regular doctors, the more they decided to continue to pursue treatment for cancer (Only one doctor: OR = 1.20, P = .042; More than one: OR = 1.28, P = .007). Finally, the more days patients experienced a bad health situation, the more they decided to have cancer treatment (for 14 + days with bad health: OR = 1.20, P < .001). The results suggest the need for enhanced patient education to improve cancer treatment adherence and informed decision-making. It highlights the importance of culturally tailored educational programs, age-related concerns, addressing financial barriers, and emphasizing the importance of regular healthcare visits for cancer patients.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information Provision for Patients Who Undergo Resection of Colorectal Liver Metastases.","authors":"Nazim Bhimani, Mbathio Dieng, Patrick J Kelly, Thomas J Hugh","doi":"10.1007/s13187-025-02573-7","DOIUrl":"https://doi.org/10.1007/s13187-025-02573-7","url":null,"abstract":"<p><p>Information provision to patients is helpful prior to and during cancer treatment. However, the level of information required or warranted varies, and no studies have examined this in patients who have had resection of colorectal liver metastases (CRLM). The aims of this study are to assess how patients perceive information received from different healthcare providers and to examine factors that might be associated with the quality and satisfaction of the information received. This was a cross-sectional study of patients with a potentially curative resection for CRLM between 2010 and June 2021. Patients completed the European Organisation for Research and Treatment of Cancer QLQ-INFO25 questionnaire. In total, 121 patients underwent resection. Of these, 85 were alive and were sent the questionnaire, and 52 (61%) responded. Overall, patients were very satisfied with the information they received and found it helpful (median score 100). No specific patient or disease-related factors were associated with the degree of satisfaction. This study demonstrates excellent overall satisfaction with the information provided to patients with CRLM. Areas of improvement include information about other supportive services outside the hospital. This information may be given by the specialists providing the care but may also be provided by the patient's general practitioners and the cancer nurse coordinators.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Missed Opportunities for Adolescent HPV Vaccination in the United States: Parents' Perceptions of a Range of Healthcare Providers and Settings.","authors":"Heather Owens, Ellen M Daley, Morgan Richardson Cayama, Alessandro Villa, Jason Beckstead, Mark Pezzo, Rachel Sauls, Cheryl A Vamos","doi":"10.1007/s13187-025-02572-8","DOIUrl":"https://doi.org/10.1007/s13187-025-02572-8","url":null,"abstract":"<p><p>Non-traditional providers and healthcare settings (e.g., dental offices, pharmacies) provide an opportunity to increase human papillomavirus (HPV) vaccine accessibility; however, they remain underutilized. The purpose of this study was to examine United States (U.S.) parents' perceptions of healthcare provider recommendations for the HPV vaccine and perceived convenience and likelihood of vaccination across healthcare settings. Parents' perceptions were assessed and compared according to the Transtheoretical Model stages of change (action: adolescent already vaccinated; preparation: intend-to-vaccinate; contemplation: unsure of intention). Parents of adolescents ages 11-12 from across the U.S. were recruited to participate in an online survey via Qualtrics that measured their perceptions of HPV vaccination by healthcare provider type and setting. The convenience and likelihood of vaccinating in different settings and the importance of provider recommendation were evaluated for those in the preparation and contemplations groups using one-way repeated measures ANOVAs. Participants across all stages of change were similar in their perceptions of vaccination across healthcare settings, rating family practice and pediatric offices as the most convenient and most likely settings for vaccination. Dental offices were perceived as the least convenient and least likely settings, and dental provider recommendations were rated as the least important. Among those in the contemplation stage, pharmacies were also rated lower in convenience and likelihood. There is a missed opportunity for HPV vaccination in non-traditional settings, including dental offices and pharmacies. Increasing education on HPV and availability of the vaccine in alternative settings can encourage vaccine uptake and move parents towards preparation and action.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Medical Education in Oncology: Enhancing Students' Understanding of Cancer Treatments Through Multidisciplinary Clinical Rotations.","authors":"Arnaud Beddok, Leila Bouazzi, Coralie Barbe, Pierre Martin, Julian Gratiaux, Philippe Guilbert, Louis Job, Amélie Lemoine, David Morland, Dimitri Papathanassiou, Stéphane Perin, Yacine Merrouche, Gianfilippo Nifosi, Pauline Soibinet, Stéphane Vignot, Judicaël Hotton","doi":"10.1007/s13187-024-02559-x","DOIUrl":"https://doi.org/10.1007/s13187-024-02559-x","url":null,"abstract":"<p><p>Cancer remains a leading cause of mortality worldwide, requiring physicians to understand multidisciplinary treatments. This study assessed the impact of a clinical rotation in a cancer center on medical students' knowledge of cancer treatments from a multidisciplinary perspective. A traditional single-department rotation was compared to a multidisciplinary rotation to determine whether broader exposure enhances knowledge and prepares students for multidisciplinary care. This prospective, comparative study was conducted between April and September 2024 at Institut Godinot, a regional cancer center. Medical students were divided into two groups: Group A (traditional model), where students remained in a single department, and Group B (multidisciplinary model), where students rotated through pharmacy, medical oncology, nuclear medicine, radiology, radiotherapy, and surgery. Knowledge acquisition was assessed using a 20-item multiple-choice questionnaire before and after the rotation, with scores out of 20 representing oncology knowledge. Among the 40 students rotating during the inclusion period, 28 (70%) completed both pre- and post-rotation assessments and were included in the analysis. A total of 13 students were in Group A and 15 in Group B. Students in Group B showed greater improvement in post-rotation scores (14.4 ± 1.7 vs. 11.4 ± 4.2, p = 0.06). Group B also had a larger increase in their score (1.9 ± 1.9 points vs. - 0.9 ± 5.3 points, p = 0.07). Multidisciplinary rotations improved students' understanding of oncology, suggesting this model should be expanded and further evaluated for its long-term impact on clinical competency.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Psychometric Validation of a Comprehensive Questionnaire to Assess Oncologists' Knowledge of Chemotherapy-Drug Interaction.","authors":"Bassam Abdul Rasool Hassan","doi":"10.1007/s13187-025-02569-3","DOIUrl":"https://doi.org/10.1007/s13187-025-02569-3","url":null,"abstract":"<p><p>Chemotherapy-drug interactions (CDIs) pose significant challenges in oncology, affecting treatment efficacy and patient safety. Despite their importance, there is a lack of validated tools to assess oncologists' knowledge of CDIs. This study aimed to develop and validate a comprehensive questionnaire to address this gap and ensure the reliability and validity of the instrument. A cross-sectional study was conducted among 135 oncologists from various clinical roles in Iraq. The questionnaire included 46 general knowledge and 26 specific knowledge items, developed based on literature and expert consultation. Psychometric validation involved exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to assess structural validity. Reliability was evaluated through Cronbach's alpha, composite reliability (CR), and test-retest reliability using the intraclass correlation coefficient (ICC). Item Response Theory (IRT) analysis was applied to evaluate item-level performance. The EFA and CFA identified six distinct domains in the general knowledge section, with strong factor loadings for most items. Items addressing definitions, classifications, and risk factors demonstrated high loadings (e.g., \"Severe chemotherapy-drug interactions often necessitate aggressive monitoring,\" EFA: 0.73, CFA: 0.78). Specific knowledge items also exhibited robust psychometric properties, with high discrimination indices (a > 1.5) and low guessing parameters. Reliability analysis indicated excellent internal consistency (Cronbach's alpha > 0.8) and stability over time (ICC > 0.75). The questionnaire effectively differentiated respondents based on their knowledge levels and demonstrated good model fit (CFI: 0.93, RMSEA: 0.06). This study developed and validated a reliable and robust questionnaire to assess oncologists' knowledge of CDIs. The tool provides a standardized method for evaluating CDI knowledge, addressing a critical gap in oncology practice. Future research should focus on applying this questionnaire in diverse contexts and updating it to reflect advancements in clinical guidelines and drug interaction knowledge.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Implementation of Decision Aids During Medical Consultations for Lung Cancer Patients: A Focus Group Within I3LUNG Project.","authors":"Valeria Sebri, Patrizia Dorangricchia, Dario Monzani, Chiara Marzorati, Roberto Grasso, Lorenzo Conti, Giuseppe Lo Russo, Leonardo Provenzano, Andra Diana Dumitrascu, Gabriella Pravettoni","doi":"10.1007/s13187-025-02566-6","DOIUrl":"https://doi.org/10.1007/s13187-025-02566-6","url":null,"abstract":"<p><p>Lung cancer patients generally receive several information regarding their illness characteristics and available intervention. Therefore, patients can experience confusion, leading to anxiety and distress that might damage the relationship with physicians and treatment adherence. Literature showed that implementing decision aid tools during consultation can promote patients' knowledge and awareness about lung cancer and available oncological intervention, improving a shared decision-making process. However, not all lung cancer patients always appreciate decision aids' implementation. The present qualitative study explored patients' opinions and preferences regarding the implementation of decision aids during medical consultation. Twenty-two lung cancer patients who have already attended medical consultations for lung cancer voluntarily participated in four online focus groups carried out between January 2023 and December 2024. A thematic analysis with a bottom-up approach highlighted three main themes: the typology and number of information that patients would have received, the relevance of patient-and-doctor relationship, and the effects of providing additional decision-making tools on patients' emotions and preferences. Findings showed controversial opinions among patients, highlighting the relevance of personalized intervention tailored to patients' preferences. Practical implications are given.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating HPV Vaccination: a Qualitative Study on Chinese Women's Decision-Making Experiences.","authors":"Danyu Li, Wen Zhang, Jennifer Stinson, Lindsay Jibb, Tieghan Killackey, Nicole Pope, Fan Wu, Changrong Yuan","doi":"10.1007/s13187-024-02555-1","DOIUrl":"https://doi.org/10.1007/s13187-024-02555-1","url":null,"abstract":"<p><p>This qualitative study explores the decision experiences of adult women regarding HPV vaccination, highlighting their decision needs, outcomes, and expected support. A qualitative descriptive study design was used. A semi-structured interview guide based on the Ottawa Decision Support Framework (ODSF) was used to interview Chinese women (aged 18 to 45). These interviews were recorded, transcribed, and analyzed using deductive and inductive content analysis. Sociodemographic data were tabulated using descriptive statistics. Fifteen participants were interviewed, and three categories were constructed. (1) Unmet decision needs: participants have inadequate knowledge, biased knowledge sources, inadequate resources, and unrealistic expectations. (2) Current decision outcomes: the quality of decisions varied among participants, with some feeling satisfied and well-informed, while others expressed dissatisfaction due to unclear information and a lack of understanding. Twelve participants who decided to vaccinate adhered to their choice, managing side effects as expected. Three participants who chose not to vaccinate remained unvaccinated. (3) Expected decision support: participants expressed a need for systematic; reliable information presented in a user-friendly manner; improved access to vaccination services; and emotional support from family, friends, and healthcare providers to support making their HPV vaccine decision. Women deciding on HPV vaccination are facing several decision needs that need to be addressed. Future support targeting women's decision-making experience could provide them with better information, resource access, and emotional support, and eventually improve vaccination uptake.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}