Cancer Nursing最新文献

{"title":"Needs Assessment to Guide the Development of a Pediatric Survivorship Program to Promote the Physical and Psychological Well-being of Children After Cancer Treatment.","authors":"Oi Kwan Joyce Chung, William Ho Cheung Li, Shirley Siu Yin Ching, Sau Ying Chiu, Shuk Yan Mak, Godfrey Chi Fung Chan","doi":"10.1097/NCC.0000000000001464","DOIUrl":"10.1097/NCC.0000000000001464","url":null,"abstract":"<p><strong>Background: </strong>Studies have provided insights into the major challenges and needs of young children who survive cancer. Many such challenges are related to a lack of support during the patient's transition back to normal life. Survivorship programs are designed to help survivors cope with potential late effects of treatment and to provide psychosocial support. However, there is not yet a survivorship program in Hong Kong that provides young survivors with continuous care.</p><p><strong>Objectives: </strong>To explore the challenges and needs faced by pediatric cancer survivors during their transition from patient to survivor and to guide the development of the survivorship program.</p><p><strong>Methods: </strong>A qualitative descriptive design utilizing purposive sampling was used. Semistructured interviews were conducted with 30 pediatric cancer survivors aged between 9 and 18 years, along with their parents/caregivers, as well as 5 pediatric cancer oncology nurses and 3 pediatric oncologists.</p><p><strong>Results: </strong>The interviews yielded 4 overarching themes: (1) challenges in school reintegration, (2) concerns relating to physical and psychological well-being, (3) lack of social support and adaptation difficulties, and (4) needs for supportive care services.</p><p><strong>Conclusion: </strong>The findings provide insights into the needs of pediatric cancer survivors, their parents, and other key stakeholders. These insights suggest that a pediatric cancer survivorship program should be established in Hong Kong as an essential component of the continuum of cancer care.</p><p><strong>Implications for practice: </strong>Survivor clinic care should be enhanced to provide continuous support for children who have completed medical treatment and their caregivers, incorporating the perspectives of all stakeholders.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"365-372"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034717","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":"Identifying Core Self-reported Adverse Events Associated With Chemotherapy Among Patients With Breast Cancer: A Network Analysis.","authors":"Qingmei Huang, Hao Zhang, Chunfang Yu, Yang Yang, Yeping Zheng, Zheng Zhu, Xuqian Zong, Changrong Yuan, Fulei Wu","doi":"10.1097/NCC.0000000000001458","DOIUrl":"10.1097/NCC.0000000000001458","url":null,"abstract":"<p><strong>Background: </strong>Women in treatment for breast cancer and undergoing chemotherapy often experience multiple chemotherapy-related adverse events simultaneously, making it essential for healthcare providers to pinpoint the core adverse event that can be targeted for more precise interventions.</p><p><strong>Objective: </strong>To identify the core chemotherapy-related adverse events using network analysis in Chinese patients with breast cancer.</p><p><strong>Methods: </strong>Data were collected from September 1, 2022, to November 30, 2022. Network analysis was used to construct an adverse events network. Node centrality was assessed using strength, closeness, and betweenness centralities. Comparisons of networks by different chemotherapy cycles were also made.</p><p><strong>Results: </strong>A total of 195 patients were eligible for data analysis. In the overall network, fatigue ( rS  = 7.0612, rC  = 0.0136, rB  = 76) was the most central adverse event, followed by decreased appetite ( rS  = 6.8378, rC  = 0.0124, rB  = 42). In the comparison of networks by different chemotherapy cycles, muscle pain was the most central adverse event in the early phase of chemotherapy; fatigue was the most central adverse event in the middle phase of chemotherapy and remained the most central adverse event in the late phase of chemotherapy.</p><p><strong>Conclusion: </strong>This study confirmed the core roles of fatigue and decreased appetite in chemotherapy-related adverse events in patients with breast cancer from patient-reported outcomes.</p><p><strong>Implications for practice: </strong>Healthcare providers should focus their interventions on core adverse events to improve the efficiency of managing adverse events in patients with breast cancer undergoing chemotherapy.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E490-E497"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13506192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081956","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":"The Gender Blind Spot in Breast Cancer Care: Addressing the Systemic Neglect of Male Patients.","authors":"Chinomso Ugochukwu Nwozichi","doi":"10.1097/NCC.0000000000001608","DOIUrl":"10.1097/NCC.0000000000001608","url":null,"abstract":"","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"396-397"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521383","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":"Identifying Adolescent and Young Adults' Preferences for Oncology Symptom Management Clinical Trial Participation.","authors":"Robert Knoerl, Liat Smener, Katherine Grandinetti, Leslie A Fecher, N Lynn Henry, Yasmin Karimi, Kristen Pettit, Scott Schuetze, Emily Walling, Anao Zhang, Debra Barton","doi":"10.1097/NCC.0000000000001463","DOIUrl":"10.1097/NCC.0000000000001463","url":null,"abstract":"<p><strong>Background: </strong>Most studies to date exploring facilitators and barriers to adolescent and young adults' (AYAs') participation in clinical trials have been focused on external factors to AYAs' participation or recruitment strategies.</p><p><strong>Objective: </strong>The purpose of this mixed-methods study was to determine AYA cancer survivors' preferences for oncology symptom management clinical trial participation.</p><p><strong>Methods: </strong>Semistructured interviews and conjoint analysis were conducted to clarify potential attributes (eg, characteristics) and levels (eg, value of the characteristic) that may be important to AYA cancer survivors when considering clinical trial participation (n = 19). The final list of attributes and levels was administered within a choice-based conjoint analysis survey (n = 52). The utility score for each level was analyzed using hierarchical Bayes estimation, and the feature importance for each attribute was quantified.</p><p><strong>Results: </strong>The type of new treatment (22.9%) and perceived importance of study topic (19.5%) were the most important attributes identified by participants. The levels with the highest utility scores within each attribute included prescription medicine treatment with mild side effects, electronic surveys, under-30-minute study visits, no follow-up visits, 4-week treatment period, and once-a-week treatment frequency.</p><p><strong>Conclusion: </strong>The data support that study designs with low participant burden, interventions with few side effects, and the involvement of AYAs in determining the priority of the research topic are appealing to AYAs when considering participation in symptom management trials.</p><p><strong>Implications for practice: </strong>AYA participation in clinical trials is necessary to develop new symptom management modalities. Clinicians may use the results to introduce clinical trials containing trial characteristics that appeal to AYA cancer survivors.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"389-395"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069456","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":"Traditional Chinese Baduanjin Exercise With Nursing and Peer Group Support in the Care of Patients After Allogeneic Hematopoietic Stem Cell Transplantation: Evaluation of Application and Survival Analysis.","authors":"Jianli Guo, Lingyu Liu, Cuifen He, Xuhong Ma, Huimin Liu, Zhuanzhen Zheng, Yuanjuan Zhang","doi":"10.1097/NCC.0000000000001460","DOIUrl":"10.1097/NCC.0000000000001460","url":null,"abstract":"<p><strong>Background: </strong>Sleep problems and anxiety are imperative for continuity of care and rehabilitation in patients following an allogeneic hematopoietic stem cell transplantation (allo-HSCT).</p><p><strong>Objective: </strong>The aim of this study was to investigate the impact on anxiety, sleep quality, and survival of integrating traditional Chinese Baduanjin exercises to track the control of continuous care in patients receiving an allo-HSCT.</p><p><strong>Methods: </strong>A total of 75 patients discharged after receiving an allo-HSCT were included. The control group received routine continuity of care, whereas the intervention group carried out Baduanjin exercises combined with 3C (company, clinical nurse, community nurse) support. Follow-up data were compared between the 2 groups using the Generalized Anxiety Disorder 7-item scale score for anxiety and the Pittsburgh Sleep Quality Index for sleep quality.</p><p><strong>Results: </strong>Both the control and intervention groups showed that continuity of care measures were effective for improving sleep quality ( P  < .05). The continuity of care model and the time effect in the intervention group during the first 6 months of follow-up were associated with patient anxiety ( P  < .05). The median survival time was 26 months in the control group and 41 months in the intervention group, with this difference being statistically significant ( P  = .0239).</p><p><strong>Conclusion: </strong>The 3C support group improved patients' compliance with continuity of care. Also, integrating Baduanjin exercises with continuous care alleviated anxiety, improved sleep quality, and prolonged median survival time in patients after an allo-HSCT.</p><p><strong>Implications for practice: </strong>The results indicate this model of care is potentially suitable for clinical promotion and application of allo-HSCT patients.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E556-E562"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068665","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 Systematic Literature Review of Interventions to Manage Hiccups in Patients With Cancer Undergoing Active Treatment.","authors":"Rebecca T Sutcliffe, Ijeoma Julie Eche-Ugwu","doi":"10.1097/NCC.0000000000001448","DOIUrl":"10.1097/NCC.0000000000001448","url":null,"abstract":"<p><strong>Background: </strong>Patients with cancer often experience persistent or intractable hiccups, which negatively impact their quality of life. Yet, interventions aimed at managing hiccups among patients with cancer receiving active treatment are lacking.</p><p><strong>Objective: </strong>To describe existing evidence on interventions that address hiccup management in patients with cancer receiving active treatment with curative intent.</p><p><strong>Methods: </strong>Our narrative synthesis review was conducted through a systematic search of 3 electronic databases (CINAHL Complete, PubMed, and HOLLIS) augmented by hand search from January 2003 to July 2023 to retrieve peer-reviewed articles published in English. Our review was guided by PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) and registered through the National Institute for Health Research, International Prospective Register of Systematic Reviews (CRD42023444545).</p><p><strong>Results: </strong>The database searches yielded 2686 records. After removing duplicates and ineligible articles, 13 articles met the inclusion criteria. Most were noninterventional observational studies. The most common pharmacologic interventions were as follows: steroid rotation (replacing dexamethasone with methylprednisolone or omitting dexamethasone), baclofen, and olanzapine. Of these pharmacologic interventions, replacing dexamethasone with another antiemetic was most beneficial in reducing hiccups. Baclofen was also found to be beneficial in reducing chronic or intractable hiccups. Acupuncture was found to be an effective nonpharmacologic intervention.</p><p><strong>Conclusions: </strong>This review identified several promising interventions such as steroid rotation (replacing dexamethasone with methylprednisolone or omitting dexamethasone), baclofen, and acupuncture for hiccup management among patients with cancer undergoing active treatment.</p><p><strong>Implications for practice: </strong>Future studies to identify efficacious interventions for hiccups among patients with cancer receiving active treatment are warranted.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E481-E489"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659619","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":"Patient-Centered Physical Activity Intervention in Lung Cancer Patients: A Clinical Severity and Functional Capacity Systematic Review and Meta-analysis.","authors":"Alejandro Heredia Ciuró, Javier Martín Núñez, Alba Navas Otero, Andrés Calvache Mateo, Irene Torres Sánchez, María Granados Santiago, Marie Carmen Valenza","doi":"10.1097/NCC.0000000000001465","DOIUrl":"10.1097/NCC.0000000000001465","url":null,"abstract":"<p><strong>Background: </strong>Increasing physical activity levels is a significant unmet need in cancer survivors, and it can likely be enhanced through a better understanding of the interventions developed. Some studies on patient-centered physical activity interventions have shown promising results in increasing daily activity levels among lung cancer survivors. However, the programs present a high heterogeneity, and there is no consensus on the parameters and their effectiveness.</p><p><strong>Objective: </strong>To examine the effectiveness of patient-centered physical activity interventions on clinical severity and functional capacity in lung cancer patients.</p><p><strong>Methods: </strong>A systematic review was performed on randomized controlled trials. A literature search was conducted using MEDLINE, Web of Science, Science Direct, and Cochrane Library (last search November 2023). The Cochrane tool and the Grading of Recommendations Assessment, Development, and Evaluation system were used for quality assessment. Pooled data were meta-analyzed for physical activity levels, functional capacity, and cancer-related symptoms.</p><p><strong>Results: </strong>Fourteen studies, encompassing 1123 lung cancer patients, were included. The treatment status of patients varied. The components of the physical activity programs showed heterogeneity. Results revealed significant differences favoring patient-centered physical activity interventions over the control group for physical activity levels ( P  < .05), functional capacity ( P  < .001), and cancer-related symptoms ( P  < .05).</p><p><strong>Conclusion: </strong>The results indicate that patient-centered physical activity programs positively enhance physical activity levels, improve functional capacity, and reduce cancer-related symptoms in patients with lung cancer.</p><p><strong>Implications for practice: </strong>Patient-centered physical activity interventions show promise in improving the care and management of lung cancer patients. These interventions provide a basis for encouraging lung cancer patients to actively participate in their treatment.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E540-E555"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068544","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":"Patterns of Perspectives on Oncology Healthcare Needs Among Women With Gynecologic Cancer: A Q-Methodology Study.","authors":"Shu-Chuan Yu, Jong-Long Guo, Chia-Hui Sun, Ching-Hao Chang, Shu-Fen Chen, Chiu-Mieh Huang","doi":"10.1097/NCC.0000000000001474","DOIUrl":"10.1097/NCC.0000000000001474","url":null,"abstract":"<p><strong>Background: </strong>Gynecologic cancer significantly impacts women's healthcare needs; however, these needs are often underexplored from the patients' perspectives.</p><p><strong>Objective: </strong>To identify and describe the patterns of perspectives on the oncology healthcare needs of women with gynecologic cancer.</p><p><strong>Methods: </strong>This Q-methodology study was conducted between January and October 2023 using 60 female patients with gynecologic cancer. Thirty-six Q statements were constructed based on the guidelines of the Cancer Diagnosis and Treatment Quality Assurance Measures, and 10 gynecological nursing staff members were interviewed to explore their experiences with current clinical practices in hospitals. The study adhered to SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence). PQ Method 2.35 software was used to identify different patterns of patients' perspectives.</p><p><strong>Results: </strong>The final model retained 4 factors, explaining 59% of the variance. These factors emphasized (1) family-centered communication over palliative care information, (2) patient-centered communication over rehabilitation information, (3) psychological and physiological adaptation over receiving information in advance, and (4) treatment and side effect information over palliative care information.</p><p><strong>Conclusions: </strong>Clustering patients by perspectives can assist healthcare providers in understanding patient expectations. The emerging perspectives highlight the patients' expectations of communication regarding their treatment plans. Palliative care was the least evident healthcare need across the 4 groups of patients.</p><p><strong>Implication for practice: </strong>The findings capture 4 unique perspectives of patients' expectations with healthcare needs. These insights can inform researchers and practitioners in developing needs-matched healthcare for women with gynecologic cancer.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E583-E590"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442682","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":"Digital Interventions for Promoting Skin Self-Examination Behaviors of Melanoma Survivors: A Systematic Review.","authors":"Leilei Li, Hui Qu, Chaohong Fu, Jianpei Niu, Changyong Yang","doi":"10.1097/NCC.0000000000001451","DOIUrl":"10.1097/NCC.0000000000001451","url":null,"abstract":"<p><strong>Background: </strong>Regular and thorough skin self-examination (SSE) is an important strategy to reduce mortality among melanoma survivors. However, less than a quarter of melanoma survivors participate in skin self-examination.</p><p><strong>Objective: </strong>The aim of this study was to systematically review the effectiveness of digital interventions on SSE-related practices in melanoma survivors.</p><p><strong>Methods: </strong>Cochrane Library, Web of Science, PubMed, and EBSCO were used to identify literature with a search period from January 1, 2000, to June 11, 2024. Two researchers conducted the quality evaluation and summarized and analyzed the included literature.</p><p><strong>Results: </strong>Twelve articles were included, with a quality score of 5-9 and an average score of 7.67 for the included studies. The digital intervention methods are web based (n = 5), mobile applications (n = 5), videos (n = 1), and interactive multimedia (n = 1). Eleven studies used at least 1 theoretical framework to guide their intervention design. Ten studies reported SSE rates, 2 studies reported SSE areas, and 2 studies reported SSE frequencies and other practical effects. Compared with the control group, the increase in SSE rate ranged from 26.2% to 78.9%; 90% of participants had a frequency of SSE ≥ 2 times per month, with an average of 5.14 areas of SSE; the usage rate of mirrors ranged from 67% to 88%.</p><p><strong>Conclusions: </strong>Digital intervention can effectively improve the rates, frequency, and number of areas of SSE for melanoma survivors.</p><p><strong>Implications for practice: </strong>Digital intervention can be used in clinical practice to provide efficient and effective SSE for melanoma survivors in the short to medium term.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E511-E518"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900176","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":"Coping With Anticipatory Grief: A Qualitative Study of Parents of Children With Advanced Cancer.","authors":"Yong Hao Ng, Fang Fu","doi":"10.1097/NCC.0000000000001445","DOIUrl":"10.1097/NCC.0000000000001445","url":null,"abstract":"<p><strong>Background: </strong>Anticipatory grief is a common but understudied phenomenon among parents of children with advanced cancer. Appropriate coping with anticipatory grief may promote better adaptation before and after the death.</p><p><strong>Objective: </strong>To explore the anticipatory grief experiences and coping approaches of such parents in Shanghai, China.</p><p><strong>Methods: </strong>Using Husserlian phenomenology approach, 4 fathers and 16 mothers were interviewed at the Children's Medical Center in Shanghai. The transcripts were analyzed using Colaizzi phenomenological methods.</p><p><strong>Results: </strong>Five themes were developed. The first theme described anticipatory grief experiences characterized by trauma and chronic misery, and the next 4 themes described how the parent coped with the grief through avoidance, acceptance, hope, and being present-focused. Parents coped differently at different times-from diagnosis, the time while the child was on treatment, to the time the parents could consider the possibilities of an uncertain future. The study also found that coping with grief is an intrapersonal and interpersonal process.</p><p><strong>Conclusion: </strong>The study offers insights into parents' dynamic coping processes when living with grief. Nurses could play a critical role in facilitating this process of living with grief.</p><p><strong>Implications for practice: </strong>Oncology nurses, by understanding parents' anticipatory grief, can align themselves with the parents' coping processes to provide appropriate support.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"381-388"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814961","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}