Journal of Cancer Education最新文献

{"title":"Uncovering Relationships Between Demoralization, Attachment, and Social Support in Oncology Patients.","authors":"Maria Nikoloudi, Evangelos Chatzigeorgiou, Petros Galanis, Ioanna Tsatsou, Kyriaki Mystakidou","doi":"10.1007/s13187-025-02740-w","DOIUrl":"https://doi.org/10.1007/s13187-025-02740-w","url":null,"abstract":"<p><p>Demoralization is a syndrome of existential distress characterized by helplessness, hopelessness, loss of meaning, personal failure, and difficulty coping. This study explored the correlation between demoralization, social support, and attachment to health care providers in cancer patients. We conducted an observational, cross-sectional study with 150 inpatients and outpatients (≥ 18 years) from two hospitals. Personal and medical data were collected; patients completed psychometric instruments: Demoralization Scale II (DS-II), Experiences in Close Relationship Scale-Modified Short Form (ECR-M16), and Medical Outcomes Study (MOS) Social Support Survey. Participants' mean age was 62 years (range 20-85); 59.3% were women. Diagnoses included breast (33%), gastrointestinal (24%), and lung cancer (15%). Women had significantly higher DS-II factor 2 scores (p = 0.058). DS-II factor 2 correlated positively with age (p = 0.016). Multiple linear regression indicated that ECR-Discomfort significantly impacted DS-II factor 1 (p = 0.011, R2 = 9.3%) and factor 2 (p < 0.001, R2 = 12.1%). ECR-Anxiety also influenced DS-II factor 1 (p = 0.055, R2 = 2.7%) and factor 2 (p = 0.054, R2 = 2.4%). No significant correlation was found between demoralization and social support. Anxious and discomfort attachment patterns to health care providers exacerbate demoralization in cancer patients. Early identification of attachment styles may help reduce existential distress. These findings underscore the importance of incorporating psychological training into oncology education to better equip professionals in recognizing and addressing emotional vulnerability.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253485","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":"Association Between Spanish-Language Patient Navigation and Adherence to Multi-Target Stool DNA Testing Among Spanish-Speaking Patients at Sanitas Medical Center.","authors":"Mallik Greene, Timo Pew, Shrey Gohil, A Burak Ozbay, Juliana Vanessa Rincón López, Paul Limburg, Martha Duarte","doi":"10.1007/s13187-025-02742-8","DOIUrl":"https://doi.org/10.1007/s13187-025-02742-8","url":null,"abstract":"<p><p>Colorectal cancer (CRC) screening rates remain low among Spanish-speaking populations, in part due to language barriers. This study examined the association between Spanish-language patient navigation on adherence to multi-target stool DNA (mt-sDNA) testing among Spanish-speaking patients at Sanitas Medical Center (SMC). This retrospective analysis utilized data from Exact Sciences Laboratories LLC. It included Spanish-speaking individuals aged 45 to 75 years who received an mt-sDNA test kit between October 1, 2021, and August 1, 2022. Patients were categorized based on Spanish-language outreach (SLO) or English-language outreach (ELO). Adherence was defined as the percentage of kits that were returned with completed tests and successful results within 365 days of the initial shipment date. Chi-square tests and multivariable logistic regression were used to compare adherence between groups and identify factors associated with adherence. The final sample included 3,101 patients in the SLO group and 1,331 in the ELO group. The SLO group showed a 4.4% absolute increase in adherence compared to the ELO group (64.3% vs. 59.9%, p = 0.006). At 30 days, adherence was already higher among SLO patients (45.1% vs. 41.5%), and this difference persisted throughout the 12-month follow-up period. The increase in adherence was consistent across subgroups, including patients aged 50-64 years (64.4% vs. 58.5%, p = 0.002), males (62.2% vs. 55.5%, p = 0.008), and those seen by primary care providers (64.9% vs. 59.8%, p = 0.029). In adjusted logistic regression, SLO was associated with 20% higher odds of adherence compared to ELO (OR = 1.20, 95% CI 1.05-1.37, p = 0.007). Spanish-language patient navigation was associated with a 4.4% higher adherence to mt-sDNA CRC screening among Spanish-speaking patients. These findings suggest that culturally and linguistically tailored communication may support improved screening participation in underserved populations.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234050","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":"HPV Workshop for Underserved High School Students.","authors":"Desiree Delavary, Lauran Evans, Carine Tamamian, Larissa Nicolas, Christian Wooten, Christine Liu, Nishtha Agarwal, Monique Townson, Aurelia Rhymer, Maya Ashendouek, Maie St John","doi":"10.1007/s13187-025-02746-4","DOIUrl":"https://doi.org/10.1007/s13187-025-02746-4","url":null,"abstract":"<p><p>The increasing incidence of human papillomavirus (HPV)-related oropharyngeal cancer and the lag in vaccination rates demonstrate the necessity of interventions that focus on HPV education. Disparities in HPV vaccination rates and vaccine series completion are interrelated and persist across racial and socioeconomic lines. Early education regarding HPV serves as an opportunity to increase adolescent vaccination rates. High school students from educationally disadvantaged and underserved areas, who have historically had limited representation in higher academia, participated in an interactive HPV workshop led by otolaryngology residents and research fellows. The lectures detailed HPV transmission, diseases, and vaccination, focusing on the role of HPV in oropharyngeal cancer. Surveys were administered to students before and two weeks after the workshop to assess impact. Sixty-seven students completed the workshop (53.8% female, 41.5% male, 4.6% nonbinary/not disclosed), with a pre-survey response rate of 100% and a post-survey response rate of 89.5%. Seven participants received the HPV vaccine between surveys. Post-intervention, 93.3% of participants gained new knowledge that HPV causes oropharyngeal cancer (15.7% increase from pre-survey, p = 0.0058), while 96.7% learned the vaccine protected against nine strains of HPV (14.7% increase from pre-survey, p = 0.0058). Participants reported an increased likelihood to recommend the HPV vaccine, greater confidence in discussing it, and stronger support for vaccination upon school entry (all p < 0.001). Interactive HPV workshops for underserved high school students increased knowledge regarding HPV and oropharyngeal cancer and led to higher vaccination rates among attendees in our cohort.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234065","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":"Bridging the Knowledge Gap: Assessment of Breast Cancer Awareness and Early Detection Practices among Venezuelan Women.","authors":"Bárbara A Núñez Fermín, María Eugenia Aponte-Rueda, Darshi Shah, Maybell Nieves, Thais M Rebolledo","doi":"10.1007/s13187-025-02743-7","DOIUrl":"https://doi.org/10.1007/s13187-025-02743-7","url":null,"abstract":"<p><p>Breast cancer (BC) is the leading cause of cancer-related death among women worldwide, with higher mortality rates in low- and middle-income countries (LMICs). In Venezuela, late-stage diagnosis remains common due to limited awareness, delayed health-seeking behaviors, and restricted access to early detection. This study aimed to assess Venezuelan women's knowledge of BC signs, symptoms, risk factors, and early detection methods, and explore associations between sociodemographic factors and knowledge levels. We conducted a cross-sectional study of 197 women attending outpatient services at Caracas University Hospital between April and August 2023. Data were collected using a structured, interviewer-administered questionnaire that assessed knowledge across three domains: signs and symptoms, risk factors, and early detection methods. Correct responses were scored and categorized as high or low based on predefined thresholds. Awareness of BC symptoms was high, with 89.3% of participants recognizing breast lumps as a warning sign. However, only 9% demonstrated a high level of knowledge about risk factors, with obesity (54.8%) being the most commonly identified. Higher education levels were significantly associated with better knowledge of risk factors (p 0.04), and attendance at a breast clinic was correlated with higher knowledge of early detection. (p 0.04). Although awareness of BC symptoms and positive attitudes toward early detection were common, significant gaps remain in knowledge about risk factors and screening practices. These findings highlight the need for targeted educational interventions that extend beyond raising awareness to promote health literacy and empower women with practical, actionable information.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214344","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":"Knowledge, Attitudes, and Behaviors Regarding HPV Vaccination and Self-Sampling Among US Young Adults.","authors":"Alyssa Hargis, Carla J Berg, Daisy Le","doi":"10.1007/s13187-025-02701-3","DOIUrl":"https://doi.org/10.1007/s13187-025-02701-3","url":null,"abstract":"<p><p>Given the high HPV and cervical cancer rates and related disparities, this study assessed correlates of HPV-prevention behaviors among US adults. Using the 2022 online survey data from 880 US adults (M_age = 27.62; 66.0% female, 43.8% sexual minority, 8.7% Hispanic, 73.9% White, 4.5% Black, 11.9% Asian, 9.7% other race), multivariable regression analyses assessed sociodemographic and HPV knowledge in relation to HPV vaccination, willingness to vaccinate one's child, and willingness to engage in HPV self-sampling (among individuals with a cervix). The most common reason for HPV vaccination (58.0%) was doctor recommendation (84.2%), while the main reason for not being vaccinated (42.0%) was the lack of doctor recommendation (51.6%). HPV vaccination was associated with being younger (aOR = 0.88, CI = 0.84-0.93), female (aOR = 2.70, CI = 1.92-3.85), bachelor's (vs. < bachelor's; aOR = 1.82, CI = 1.16-2.86) or > bachelor's degree educated (aOR = 1.85, CI = 1.01-3.12), not having children (aOR = 0.44, CI = 0.27-0.72), and greater HPV knowledge (aOR = 1.20, CI = 1.10-1.30). Willingness to vaccinate one's child was associated with identifying as a sexual minority (vs. heterosexual; B = 0.16, CI = 0.05-0.27), Asian race (vs. White; B = 0.20, CI = 0.04-0.36), not having children (B = - 0.23, CI = [- 0.38, - 0.08]), greater HPV knowledge (B = 0.06, CI = 0.03-0.08), and HPV vaccination (B = 0.39, CI = 0.28-0.50). Among participants with a cervix (n = 501), willingness to try HPV self-sampling was associated with identifying as another race (vs. White; B = 0.44, CI = 0.09-0.79), not having children (B = - 0.30, CI = [- 0.61, - 0.01]), greater HPV knowledge (B = 0.11, CI = 0.05-0.17), and fewer concerns about self-sampling (B = - 0.33, CI = [- 0.42, - 0.24]). Interventions involving healthcare providers and parental education are essential for promoting HPV prevention behaviors and reducing disparities.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226176","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":"Evaluation of Spiritual Care among Oncologists and Nurses at the Oncology Departments, Marrakech, Morocco.","authors":"Meryam Belhaj Haddou, Hicham El Mouaddib, Zakaria Belhaj Haddou, Mouna Khouchani, Noureddine Elkhoudri","doi":"10.1007/s13187-025-02750-8","DOIUrl":"https://doi.org/10.1007/s13187-025-02750-8","url":null,"abstract":"<p><p>Spiritual care is crucial in cancer care and plays an essential role in improving the quality of life of patients facing a cancer diagnosis. However, more data on healthcare professionals' perceptions and practices regarding spiritual care in the Moroccan context are needed. The present study aims to fill this gap by assessing the knowledge and practices of spiritual care among cancer nurses and physicians to provide valuable information to improve training and the integration of this dimension into oncology care. This study involved the participation of 131 professionals in the oncology departments at Marrakech University Hospital. The questionnaire used included a sociodemographic section and another dedicated to the Spiritual Care Intervention and Provision Scale (SCIPS), which aims to evaluate spiritual interventions in healthcare settings. The results revealed variations in the perception of spiritual care among professional groups. Nurses reported higher mean scores than oncologists did (47.56 ± 4.56 vs. 40.13 ± 3.98; p < 0.001). A significant association was established between clinical experience and SCIPS (p = 0.002). In addition, the overall score and subscale scores were significantly related to age and level of education (p < 0.001). The religious, spiritual care intervention-provision (RSCIPS) score was significantly higher in women than in men (p = 0.041). Linear regression analysis confirmed that young age, professional profile, and department were significantly correlated with SCIPS scores. In addition, gender showed a significant negative correlation (β = -0.188, p = 0.004), indicating that female participants tended to report higher scores than male participants did. The results show that nurses are more aware of their role in providing spiritual care to cancer patients than are oncologists. This care seems to focus mainly on existential aspects. A targeted training program could increase oncologists' awareness of their role in spiritual care and help nurses strengthen their commitment and fill any gaps.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214278","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":"Patients' Right to Know and Family Influence in Cancer Diagnosis Disclosure in Pakistan.","authors":"Waqas Ahmed Khan","doi":"10.1007/s13187-025-02744-6","DOIUrl":"https://doi.org/10.1007/s13187-025-02744-6","url":null,"abstract":"<p><p>Non-disclosure of cancer diagnosis is a common practice in Pakistan, with families asking for it to shield loved ones from despair. While meant to protect, this can take away a patient's autonomy to make decisions, prepare for what lies ahead, and spend their time as they wish. Without knowing the truth, patients may undergo difficult treatments without understanding their purpose, leading to confusion and loss of trust. Honest communication, given with care, can preserve dignity and allow people to face illness on their own terms. In many collectivist cultures worldwide, similar practices exist, showing that this is a global issue, and not just limited to Pakistan. Adequate support for families and clear guidance for doctors can help truth be shared in a way that is gentle, respectful, and humane.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208153","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":"Validation of the Sinhala Translation of the EORTC QLQ-INFO25: Enhancing Information Provision for Cancer Patients in Sri Lanka.","authors":"Dakshitha Wickramasinghe, Thamisha Nugaliyadda, Dileesha Wickramasinghe, Yathev Balathayalan, Nandadeva Samarasekera","doi":"10.1007/s13187-024-02562-2","DOIUrl":"10.1007/s13187-024-02562-2","url":null,"abstract":"<p><p>Cancer is a major health challenge globally and in Sri Lanka. Providing comprehensive information to patients is crucial for improving treatment outcomes and patient satisfaction, supported by evidence of its effectiveness in managing cancer pain. EORTC QLQ-INFO25, an information module developed by the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Group, is aimed at assessing cancer patients' perception of information received during different phases of care. This study aims to validate the Sinhala translation of the EORTC QLQ-INFO25, a module that assesses the quality of patient information, for use among Sri Lankans with cancer. EORTC QLQ-INFO25 underwent forward and backward Sinhala translation, expert reviews, and pilot testing with 15 cancer patients. Questionnaires were administered to patients with cancer at the National Hospital in Colombo, independently or with interviewer assistance. Reliability and validity were statistically analyzed. Of 102 participants, 100 (98.03%) completed the questionnaire. Internal consistency was high (Cronbach's α = 0.89). The multi-item scales demonstrated good convergent validity. Each item showed high correlation with its respective scale. Divergent validity was established as none of the scales had correlations over 0.5 with the EORTC QLQ-C30. Known-group validity revealed significant differences in information satisfaction between genders. Test-retest reliability was high (ICC = 0.86), confirming stability over time. The Sinhala translation of EORTC QLQ-INFO25 demonstrates satisfactory reliability, validity, reproducibility, and compliance for assessing information provision in cancer care among patients in Sri Lanka.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"688-693"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923831","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 Role of Patient Education in Low Anterior Resection Syndrome: A Systematic Review.","authors":"P Tang, R Tovel, H Ong, David Proud, Adele Burgess, Eleanor Watson, Wui Yeat Chen, David Lam, Helen Mohan","doi":"10.1007/s13187-025-02593-3","DOIUrl":"10.1007/s13187-025-02593-3","url":null,"abstract":"<p><p>Low anterior resection syndrome (LARS) is a significant complication after sphincter-preserving rectal cancer surgery and negatively impacts a patient's quality of life. Treatment of LARS is multimodal, and many treatments require engagement from the patient. Understanding the complex array of treatment options and the potential additive effects of different therapies can be difficult. This systematic review aims to assess the role of patient education in treatment of LARS in colorectal cancer patients. A systematic literature search was conducted on PubMed, EMBASE and Ovid Medline according to the PRISMA guidelines for articles published from 1946 to October 2023 and registered with PROSPERO: 42,023,434,601. Studies that reported on clinical outcomes of patients with LARS that underwent any educational intervention were included for this review. Results from five publications including 368 patients with LARS were reviewed for analysis. Three interventions were delivered to symptomatic patients postoperatively and two to all patients who underwent low anterior resection preoperatively. Five trial protocols were also included for analysis, including three preoperative and two postoperative interventions Education interventions were often delivered alongside co-interventions such as medications and pelvic floor physiotherapy. Four studies reported improvement of mean LARS scores and quality of life measures related to the education intervention and associated co-interventions. Patient education has a positive impact towards improving functional outcomes in patients with LARS following resection for rectal cancer. In practice, it is often used in conjunction with other interventions. Determining optimal content and delivery methods is a target for future research.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"650-659"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","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":"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":"713-725"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504329/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}