Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Phase-Specific Uncertainties and Influencing Factors Among Cancer Patients in Anticancer Drug Clinical Trials","authors":"Heera Lee , Eunyoung Suh , Kyungmi Woo ∗","doi":"10.1016/j.apjon.2026.100899","DOIUrl":"10.1016/j.apjon.2026.100899","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100899"},"PeriodicalIF":2.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147626168","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 strategies and psychological distress in postoperative recovery: A repeated-measures study in women undergoing breast-conserving surgery","authors":"Jennifer R. Majumdar ,&nbsp;Margaret Barton-Burke ,&nbsp;Jaime L. Gilliland ,&nbsp;Nalini N. Jairath","doi":"10.1016/j.apjon.2025.100674","DOIUrl":"10.1016/j.apjon.2025.100674","url":null,"abstract":"<div><h3>Objective</h3><div>Breast-conserving surgery (BCS) is the standard treatment for early-stage breast cancer, yet patients often experience significant psychological distress and physical symptoms during recovery. This study aimed to explore the relationships between antecedents, physical symptoms (pain and nausea), psychological distress, and coping strategies utilized by women recovering from BCS to improve management of postoperative challenges.</div></div><div><h3>Methods</h3><div>This repeated-measures descriptive study involved 75 women who underwent BCS with sentinel lymph node biopsy at a National Cancer Institute-designated center. Participants completed the National Comprehensive Cancer Network (NCCN) Distress Thermometer and Ways of Coping Instrument on Postoperative Day 1 (POD1) and POD14. Bivariate analyses, multiple linear regression, and structural equation modeling were conducted to evaluate associations between antecedents, coping strategies, and distress. Open-ended responses were qualitatively analyzed for thematic content.</div></div><div><h3>Results</h3><div>Seeking social support (POD1 mean ​= ​1.25; POD14 mean ​= ​1.20) and planful problem-solving (POD1 mean ​= ​1.19; POD14 mean ​= ​1.04) were the most frequently used coping strategies, while accepting responsibility and confrontive coping were least utilized. Overall coping strategy use decreased between POD1 and POD14, likely reflecting recovery adaptation. Significant predictors of distress included escape-avoidance coping (β ​= ​0.415, <em>P</em> ​&lt; ​0.001), social support (β ​= ​0.270, <em>P</em> ​= ​0.02), history of nausea (β ​= ​0.517, <em>P</em> ​&lt; ​0.001), and age (β ​= ​0.293, <em>P</em> ​= ​0.007). Coping strategies did not mediate the relationship between antecedents and distress.</div></div><div><h3>Conclusions</h3><div>Adaptive coping strategies such as social support and planful problem-solving play a critical role in mitigating distress during BCS recovery. Interventions should emphasize fostering these strategies and addressing high-risk groups, such as younger patients and those with a history of nausea. Despite limitations, this study underscores the importance of supporting adaptive coping to improve postoperative outcomes and provides a basis for future research.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100674"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143594161","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":"Disparities in cancer-related financial toxicity across economically diverse provinces in China: A multi-center cross-sectional study","authors":"Binbin Xu ,&nbsp;Winnie K.W. So ,&nbsp;Kai Chow Choi ,&nbsp;Yu Huang ,&nbsp;Mei Liu ,&nbsp;Lanxiang Qiu ,&nbsp;Jianghong Tan ,&nbsp;Hua Tao ,&nbsp;Keli Yan ,&nbsp;Fei Yang","doi":"10.1016/j.apjon.2024.100636","DOIUrl":"10.1016/j.apjon.2024.100636","url":null,"abstract":"<div><h3>Objective</h3><div>China’s diverse economic landscape across its regions may contribute to disparities in cancer-related financial toxicity (FT), but empirical evidence is lacking. This study examined regional disparities in cancer-related FT across economically diverse provinces in China.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among adult patients with cancer from six tertiary and six secondary hospitals across three Chinese provinces with varying economic statuses (high-, middle-, and low-income). FT was assessed using the COmprehensive Score for financial Toxicity (COST). Hierarchical regression analysis was employed to compare FT among participants from different economic regions, controlling for 13 patient-level sociodemographic and clinical risk factors.</div></div><div><h3>Results</h3><div>From February to October 2022, 1208 participants completed the survey (response rate ​= ​97.3%). Mean COST scores were 21.99 ​± ​6.37 (high-income), 20.38 ​± ​8.01 (middle-income), and 19.20 ​± ​5.14 (low-income), showing significant differences (<em>P</em> ​&lt; ​0.001), with lower scores indicating more severe FT. After adjusting for covariates, regional economic level was significantly associated with FT, with more severe FT in middle- (B: −1.515; 95% CI: −2.250, −0.780) and low-income regions (B: −2.159; 95% CI: −2.899, −1.418) than in high-income regions.</div></div><div><h3>Conclusions</h3><div>This study reveals significant disparities in cancer-related FT across economically diverse provinces in China. The findings underscore the need for targeted policies and interventions to improve health equity in cancer care, with a focus on not neglecting middle-income regions. Oncology nurses are expected to enhance awareness of FT management, voice the needs of patients, and advocate for policy reforms to address these disparities.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100636"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999177","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":"Barriers to implementation of preoperative urostomy site marking in nurse-physician cooperation: A qualitative study based on the Theoretical Domains Framework","authors":"Xiaotian Zhang ,&nbsp;Jianfei Ye ,&nbsp;Xiaolong Li ,&nbsp;Xueqian Ma ,&nbsp;Dong Pang ,&nbsp;Haihong Zhang ,&nbsp;Rui Shi ,&nbsp;Jing Liu ,&nbsp;Lei Zhang ,&nbsp;Jia Wang ,&nbsp;Xiaojun Jia ,&nbsp;Jianying Chen ,&nbsp;Haifang Zhang ,&nbsp;Liyan Cui ,&nbsp;Chunxia Liu","doi":"10.1016/j.apjon.2024.100634","DOIUrl":"10.1016/j.apjon.2024.100634","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to understand the barriers to nurse-physician collaboration in implementing preoperative stoma site marking using qualitative research methods following Theoretical Domain Framework.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study using semi-structured interviews was conducted from March to June 2023 in the urology departments of nine tertiary hospitals in China. Twelve urologists and eight enterostomal therapists (ETs) were recruited using purposive sampling. Audio recordings were transcribed verbatim and data were analyzed using content analysis.</div></div><div><h3>Results</h3><div>Five themes were identified in the study: shortage of manpower and stoma care products, lack of standard and regulations, lack of motivation and intention, inconsistency of expectation on consequences, and difficulties in cooperation.</div></div><div><h3>Conclusion</h3><div>This study indicated that the barriers to implementation of preoperative urostomy localization among urologists and ETs. Institutions, resources, clear career plans, and performance feedback can increase motivation and intention. In addition, the lack of cooperation between urologists and ETs is a key factor for poor urostomy localization implementation, which calls for effective and equal communication between doctors and nurses.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100634"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386312","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":"Development and psychometric testing of a self-management scale for cancer survivors with radiotherapy/chemotherapy-induced oral mucositis in China","authors":"Hanfei Cui ,&nbsp;Qingkun Han ,&nbsp;Yulian Wei ,&nbsp;Juan Qiao ,&nbsp;Xiaohong Ji ,&nbsp;Yuanyuan Li ,&nbsp;Xuebing Jing ,&nbsp;Xiaojie Fang","doi":"10.1016/j.apjon.2024.100650","DOIUrl":"10.1016/j.apjon.2024.100650","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to develop and validate a self-management scale for radiotherapy/chemotherapy-induced oral mucositis (SMS-RIOM/CIOM) in cancer survivors, addressing the need for a comprehensive tool to assess self-management capabilities.</div></div><div><h3>Methods</h3><div>This study employed a two-phase process: (1) initial scale development through literature review, semi-structured interviews, and expert consultations, and (2) psychometric testing with 420 cancer survivors from five wards of Zibo Hospital. The psychometric evaluation included item analysis, content validity testing, reliability assessments, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).</div></div><div><h3>Results</h3><div>The finalized SMS-RIOM/CIOM consists of 15 items across four dimensions: medication management, oral pain management, disease monitoring, and daily life management. EFA explained 77.322% of the total variance, while CFA demonstrated an excellent model fit (χ²/df=1.909, RMSEA=0.064, RMR=0.052, GFI=0.911, CFI=0.964, NFI=0.928, TLI=0.955, IFI=0.964). Reliability metrics were robust, including Cronbach's alpha of 0.902, split-half reliability of 0.849, test-retest reliability of 0.862, and a scale content validity index of 0.910.</div></div><div><h3>Conclusions</h3><div>The SMS-RIOM/CIOM is a reliable and valid tool for assessing self-management in cancer survivors with RIOM/CIOM. It provides valuable insights for clinical practice, enabling targeted interventions to improve self-management and enhance the quality of life for cancer survivors. Further research is recommended to validate its application across diverse populations and healthcare settings.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100650"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078493","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":"Assessing cancer-related fatigue: Validation of the Korean version of the cancer fatigue scale among cancer survivors","authors":"Haneul Lee ,&nbsp;Eun Young Park ,&nbsp;Kwang-Hi Park","doi":"10.1016/j.apjon.2025.100657","DOIUrl":"10.1016/j.apjon.2025.100657","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to validate the Korean version of the Cancer Fatigue Scale (CFS-K) as a reliable tool for assessing cancer-related fatigue (CRF) for cancer survivors.</div></div><div><h3>Methods</h3><div>A total of 208 cancer survivors who completed active treatment participated in evaluating the reliability, construct validity, and factor structure of the CFS-K through confirmatory factor analysis (CFA). Correlations with the Functional Assessment of Chronic Illness Therapy-Fatigue (FACT-F) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) scales were analyzed to assess construct validity.</div></div><div><h3>Results</h3><div>The CFS-K demonstrated strong psychometric properties, with high internal consistency (Cronbach’s <em>α</em> ​= ​0.875) and CFA validated a three-factor structure (physical, cognitive, and affective fatigue) with acceptable model fit indices (normed χ² ​= ​2.62, CFI ​= ​0.899, TLI ​= ​0.878, RMSEA ​= ​0.088, SRMR ​= ​0.069). The standardized factor loadings for all items exceeded 0.5. Construct validity was confirmed through strong correlations with FACT-F (<em>r</em> ​= ​0.43–0.73) and significant correlations with EORTC QLQ-C30 subscales. Cancer survivors reported significantly higher fatigue levels across all subscales than controls.</div></div><div><h3>Conclusions</h3><div>The CFS-K is a reliable and valid tool for assessing multidimensional CRF in cancer survivors.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100657"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379101","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":"Transforming pediatric palliative care through technology: Insights from Iran's experience and existing challenges","authors":"Mohadese Babaie,&nbsp;Maryam Rassouli,&nbsp;Azam Shirinabadi Farahani","doi":"10.1016/j.apjon.2025.100753","DOIUrl":"10.1016/j.apjon.2025.100753","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100753"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726921","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":"Network analysis of quality of life among young and middle-aged Korean cancer survivors","authors":"Yoonjung Kim ,&nbsp;Dahee Wi ,&nbsp;Eunjin Kim ,&nbsp;Jiae Lee","doi":"10.1016/j.apjon.2025.100684","DOIUrl":"10.1016/j.apjon.2025.100684","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to identify and compare the network structure of quality of life factors among cancer survivors to inform tailored interventions.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted using data from 330 cancer survivors aged 18–64 years, drawn from the 2019–2021 Korea National Health and Nutrition Examination Survey (KNHANES). Participants were categorized into two groups: cancer survivors with current cancer and those without. Network analysis using the EBICglasso algorithm was performed to assess eight quality of life (QoL) components measured by the Health-related Quality of Life Instrument with 8 Items (HINT-8) scale: climbing stairs, pain, vitality, work ability, depression, memory, sleep quality, and happiness.</div></div><div><h3>Results</h3><div>The network analysis revealed distinct patterns between the two groups. Among survivors with current cancer, depression, work ability, and vitality were the most central QoL components, suggesting a need for targeted psychological and occupational support. In contrast, survivors without current cancer exhibited a network where work ability, pain, and climbing stairs (physical function) played a dominant role, emphasizing the importance of pain management and functional rehabilitation. Work ability emerged as a critical determinant in both groups, indicating its sustained impact throughout the survivorship continuum. Additionally, the network structure in survivors without current cancer showed greater interconnectedness, reflecting the complex interplay of long-term survivorship challenges.</div></div><div><h3>Conclusions</h3><div>The study highlights the need for personalized, stage-specific interventions in cancer survivorship. Work remained central in both groups, emphasizing its ongoing impact on quality of life throughout the survivorship journey. While psychological support is crucial to cancer survivors with current cancer due to the centrality of depression, long-term pain management becomes increasingly important post-treatment. These findings provide valuable insights for nursing practice, suggesting that tailored interventions addressing work-related challenges, psychological distress, and chronic symptom management could improve quality of life and facilitate survivors' reintegration into daily life.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100684"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747855","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":"Fear of cancer recurrence in patients with early-stage non-small cell lung cancer: A latent profile analysis","authors":"Man Liu ,&nbsp;Lu Liu ,&nbsp;Zhuoheng Lv ,&nbsp;Qingpeng Zeng,&nbsp;Jun Zhao","doi":"10.1016/j.apjon.2025.100663","DOIUrl":"10.1016/j.apjon.2025.100663","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to identify latent profiles of fear of cancer recurrence (FCR) among patients with early-stage non-small cell lung cancer (NSCLC) and examine the associated factors.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted with 677 patients with early-stage NSCLC who underwent surgical treatment at a tier-three cancer hospital in Beijing between January 2022 and August 2023. Data collection included demographic variables and assessments using the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Herth Hope Index (HHI), and Social Support Rating Scale (SSRS). Latent profile analysis was employed to classify FCR levels and identify influencing factors.</div></div><div><h3>Results</h3><div>Three distinct FCR profiles emerged: “low FCR” (27.6%), “moderate FCR” (66.2%), and “high FCR” (6.2%). Independent risk factors for moderate FCR included individuals aged 36–60 years (odds ratio [OR] ​= ​1.871, 95% confidence interval [CI] 1.208–2.899) and a household income below 5000 yuan (OR ​= ​1.86, 95% CI 1.059–3.267). Protective factors for moderate FCR included lower levels of education (OR ​= ​0.505, 95% CI 0.283–0.902), religious beliefs (OR ​= ​0.355, 95% CI 0.152–0.833), and smoking (OR ​= ​0.461, 95% CI 0.284–0.747). High FCR was strongly associated with being 36–60 years old, lower HHI scores (OR ​= ​11.055, 95% CI 4.441–27.522), and poor social support (OR ​= ​3.392, 95% CI 1.385–8.308).</div></div><div><h3>Conclusions</h3><div>FCR among patients with early-stage NSCLC can be categorized into distinct profiles, with specific demographic and psychosocial factors influencing severity. Tailored nursing interventions addressing varying FCR levels are critical to improving patient care and psychological well-being.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100663"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578360","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":"Experiences and barriers in downward referral decision-making for palliative care patient caregivers under China's three-tiered linkage model: A qualitative study","authors":"Yahui Liu ,&nbsp;Yanan Xu ,&nbsp;Yubiao Kang ,&nbsp;Ligui Wu ,&nbsp;Yujie Zhou ,&nbsp;Ling Yuan","doi":"10.1016/j.apjon.2024.100578","DOIUrl":"10.1016/j.apjon.2024.100578","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore hospice caregivers’ downward referral decision-making experiences and barriers under the triadic linkage model in China and to analyze the deeper social dynamics of hospice referral choices.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with caregivers handling hospice referrals from two primary hospice agencies in Nanjing, China. The themes were analyzed and summarized using the Colaizzi 7-step analysis.</div></div><div><h3>Results</h3><div>Four themes and nine subthemes were extracted: multidimensional caregiver psychological experience (Dilemma and Guilt, Emotional Support and Psychological Adaptation), perceived disparities between referral organizations (convenience and affordability in the home community, perceived lack of primary health care resources), limitations of caregiver decision-making (cognitive comprehension bias, difficulty in information seeking, and passive acceptance of decision making), and limitations of health care referral support (lack of health care referral guidance, inadequate referral handoffs).</div></div><div><h3>Conclusions</h3><div>Feedback from caregivers of hospice-referred patients reveals many barriers to hospice referral decision making and referral implementation. Overcoming these barriers entails efforts to change the cognitive misunderstandings regarding hospice referrals from patients' perspective, clarify the distribution of responsibilities among hospice agencies, and provide information support and decision-making assistance. These measures must be employed to improve the implementation of hospice referral, realize the multiple benefits of hierarchical diagnosis and treatment, boost patients’ satisfaction with the referrals, and ensure the rational and efficient distribution of hospice resources.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100578"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880965","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}