{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T03:16:39Z","timestamp":1784776599155,"version":"3.55.0"},"reference-count":44,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Rheumatol Int"],"DOI":"10.1007\/s00296-023-05526-9","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T17:02:26Z","timestamp":1706720546000},"page":"725-736","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Drug persistence in patients with rheumatic and musculoskeletal diseases during a major economic crisis: results from a nationwide cross-sectional online survey"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3881-8696","authenticated-orcid":false,"given":"Serena","family":"Asmar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamil","family":"Messaykeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadeen","family":"Hilal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9858-2923","authenticated-orcid":false,"given":"Mohamad Ali","family":"Rida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamel","family":"Mroue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8708-9324","authenticated-orcid":false,"given":"Krystel","family":"Aouad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fouad","family":"Minkara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arlette","family":"Hajjar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4479-7678","authenticated-orcid":false,"given":"Nelly","family":"Ziade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"key":"5526_CR1","doi-asserted-by":"publisher","first-page":"844","DOI":"10.1136\/annrheumdis-2019-215142","volume":"78","author":"E Sebbag","year":"2019","unstructured":"Sebbag E, Felten R, Sagez F et al (2019) The world-wide burden of musculoskeletal diseases: a systematic analysis of the World Health Organization Burden of Diseases Database. Ann Rheum Dis 78:844\u2013848. https:\/\/doi.org\/10.1136\/annrheumdis-2019-215142","journal-title":"Ann Rheum Dis"},{"key":"5526_CR2","unstructured":"Roser M, Ritchie H, Spooner F (2021) Burden of disease. In: Our World Data. https:\/\/ourworldindata.org\/burden-of-disease. Accessed 16 Jan 2023"},{"key":"5526_CR3","doi-asserted-by":"publisher","first-page":"18001","DOI":"10.1038\/nrdp.2018.1","volume":"4","author":"JS Smolen","year":"2018","unstructured":"Smolen JS, Aletaha D, Barton A et al (2018) Rheumatoid arthritis. Nat Rev Dis Primer 4:18001. https:\/\/doi.org\/10.1038\/nrdp.2018.1","journal-title":"Nat Rev Dis Primer"},{"key":"5526_CR4","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1038\/s41584-022-00761-z","volume":"18","author":"A Danve","year":"2022","unstructured":"Danve A, Deodhar A (2022) Treatment of axial spondyloarthritis: an update. Nat Rev Rheumatol 18:205\u2013216. https:\/\/doi.org\/10.1038\/s41584-022-00761-z","journal-title":"Nat Rev Rheumatol"},{"key":"5526_CR5","doi-asserted-by":"publisher","first-page":"679","DOI":"10.1016\/j.clinthera.2011.05.044","volume":"33","author":"JR Curtis","year":"2011","unstructured":"Curtis JR, Singh JA (2011) The Use of Biologics in Rheumatoid Arthritis: Current and Emerging Paradigms of Care. Clin Ther 33:679\u2013707. https:\/\/doi.org\/10.1016\/j.clinthera.2011.05.044","journal-title":"Clin Ther"},{"key":"5526_CR6","doi-asserted-by":"publisher","DOI":"10.1016\/j.rhum.2020.10.269","author":"D Khalifa","year":"2020","unstructured":"Khalifa D, Belghali S, Limam M et al (2020) L\u2019adh\u00e9sion th\u00e9rapeutique aux traitements de fonds classiques dans la polyarthrite rhumato\u00efde\u202f: Compliance Questionnaire of Rheumatology. Revue du Rhumatisme. https:\/\/doi.org\/10.1016\/j.rhum.2020.10.269","journal-title":"Revue du Rhumatisme"},{"key":"5526_CR7","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1111\/j.1524-4733.2007.00213.x","volume":"11","author":"JA Cramer","year":"2008","unstructured":"Cramer JA, Roy A, Burrell A et al (2008) Medication compliance and persistence: terminology and definitions. Value Health J Int Soc Pharmacoeconomics Outcomes Res 11:44\u201347. https:\/\/doi.org\/10.1111\/j.1524-4733.2007.00213.x","journal-title":"Value Health J Int Soc Pharmacoeconomics Outcomes Res"},{"key":"5526_CR8","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1002\/hec.609","volume":"10","author":"DA Hughes","year":"2001","unstructured":"Hughes DA, Bagust A, Haycox A, Walley T (2001) The impact of non-compliance on the cost-effectiveness of pharmaceuticals: A review of the literature. Health Econ 10:601\u2013615. https:\/\/doi.org\/10.1002\/hec.609","journal-title":"Health Econ"},{"key":"5526_CR9","doi-asserted-by":"publisher","first-page":"26","DOI":"10.31080\/ASOR.2020.03.0215","volume":"3","author":"N Ziad\u00e9","year":"2020","unstructured":"Ziad\u00e9 N, Abi Karam G, Salloum N, Zoghbi M (2020) Transcultural Adaptation and Validation of the Arabic Version of the Compliance Questionnaire for Rheumatology. Acta Sci Orthop 3:26\u201334","journal-title":"Acta Sci Orthop"},{"key":"5526_CR10","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1056\/NEJMra050100","volume":"353","author":"L Osterberg","year":"2005","unstructured":"Osterberg L, Blaschke T (2005) Adherence to Medication. N Engl J Med 353:487\u2013497. https:\/\/doi.org\/10.1056\/NEJMra050100","journal-title":"N Engl J Med"},{"key":"5526_CR11","doi-asserted-by":"publisher","first-page":"1380","DOI":"10.1016\/S0140-6736(20)31908-5","volume":"396","author":"M Abouzeid","year":"2020","unstructured":"Abouzeid M, Habib RR, Jabbour S et al (2020) Lebanon\u2019s humanitarian crisis escalates after the Beirut blast. Lancet Lond Engl 396:1380\u20131382. https:\/\/doi.org\/10.1016\/S0140-6736(20)31908-5","journal-title":"Lancet Lond Engl"},{"key":"5526_CR12","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1001\/jama.2020.12695","volume":"324","author":"P Khoury","year":"2020","unstructured":"Khoury P, Azar E, Hitti E (2020) COVID-19 Response in Lebanon: Current Experience and Challenges in a Low-Resource Setting. JAMA 324:548. https:\/\/doi.org\/10.1001\/jama.2020.12695","journal-title":"JAMA"},{"key":"5526_CR13","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/s40545-022-00406-2","volume":"15","author":"M Alameddine","year":"2022","unstructured":"Alameddine M, Bou-Karroum K, Hijazi MA (2022) A national study on the resilience of community pharmacists in Lebanon: a cross-sectional survey. J Pharm Policy Pract 15:8. https:\/\/doi.org\/10.1186\/s40545-022-00406-2","journal-title":"J Pharm Policy Pract"},{"key":"5526_CR14","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1016\/S0140-6736(20)30407-4","volume":"395","author":"S Devi","year":"2020","unstructured":"Devi S (2020) Economic crisis hits Lebanese health care. The Lancet 395:548. https:\/\/doi.org\/10.1016\/S0140-6736(20)30407-4","journal-title":"The Lancet"},{"key":"5526_CR15","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1007\/s10900-020-00884-y","volume":"46","author":"AR Bizri","year":"2021","unstructured":"Bizri AR, Khachfe HH, Fares MY, Musharrafieh U (2021) COVID-19 Pandemic: An Insult Over Injury for Lebanon. J Community Health 46:487\u2013493. https:\/\/doi.org\/10.1007\/s10900-020-00884-y","journal-title":"J Community Health"},{"key":"5526_CR16","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1186\/s13561-022-00369-9","volume":"12","author":"G Khattar","year":"2022","unstructured":"Khattar G, Hallit J, El Chamieh C, Bou Sanayeh E (2022) Cardiovascular drug shortages in Lebanon: a broken heart. Health Econ Rev 12:24. https:\/\/doi.org\/10.1186\/s13561-022-00369-9","journal-title":"Health Econ Rev"},{"key":"5526_CR17","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1016\/j.jgar.2021.08.008","volume":"27","author":"M Osman","year":"2021","unstructured":"Osman M, Kasir D, Kassem II, Hamze M (2021) Shortage of appropriate diagnostics for antimicrobial resistance in Lebanese clinical settings: a crisis amplified by COVID-19 and economic collapse. J Glob Antimicrob Resist 27:72\u201374. https:\/\/doi.org\/10.1016\/j.jgar.2021.08.008","journal-title":"J Glob Antimicrob Resist"},{"key":"5526_CR18","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-021-02644-0","author":"RB Khalil","year":"2022","unstructured":"Khalil RB, Dagher R, Zarzour M et al (2022) The impact of lockdown and other stressors during the COVID-19 pandemic on depression and anxiety in a Lebanese opportunistic sample: an online cross-sectional survey. Curr Psychol N B NJ. https:\/\/doi.org\/10.1007\/s12144-021-02644-0","journal-title":"Curr Psychol N B NJ"},{"key":"5526_CR19","doi-asserted-by":"publisher","first-page":"e670","DOI":"10.1016\/S2665-9913(23)00232-1","volume":"5","author":"GBD","year":"2021","unstructured":"GBD (2021) Other Musculoskeletal Disorders Collaborators (2023) Global, regional, and national burden of other musculoskeletal disorders, 1990\u20132020, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol 5:e670\u2013e682. https:\/\/doi.org\/10.1016\/S2665-9913(23)00232-1","journal-title":"Lancet Rheumatol"},{"key":"5526_CR20","first-page":"2635","volume":"26","author":"E de Klerk","year":"1999","unstructured":"de Klerk E, van der Heijde D, van der Tempel H, van der Linden S (1999) Development of a questionnaire to investigate patient compliance with antirheumatic drug therapy. J Rheumatol 26:2635\u20132641","journal-title":"J Rheumatol"},{"key":"5526_CR21","doi-asserted-by":"publisher","first-page":"e403","DOI":"10.3346\/jkms.2023.38.e403","volume":"38","author":"O Zimba","year":"2023","unstructured":"Zimba O, Gasparyan AY (2023) Designing, Conducting, and Reporting Survey Studies: A Primer for Researchers. J Korean Med Sci 38:e403. https:\/\/doi.org\/10.3346\/jkms.2023.38.e403","journal-title":"J Korean Med Sci"},{"key":"5526_CR22","doi-asserted-by":"publisher","first-page":"e34","DOI":"10.2196\/jmir.6.3.e34","volume":"6","author":"G Eysenbach","year":"2004","unstructured":"Eysenbach G (2004) Improving the Quality of Web Surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res 6:e34. https:\/\/doi.org\/10.2196\/jmir.6.3.e34","journal-title":"J Med Internet Res"},{"key":"5526_CR23","first-page":"1","volume":"4","author":"MA Memon","year":"2020","unstructured":"Memon MA, Ting H, Cheah J-H et al (2020) Sample Size for Survey Research: Review and Recommendations. J Appl Struct Equ Model 4:1","journal-title":"J Appl Struct Equ Model"},{"key":"5526_CR24","doi-asserted-by":"publisher","first-page":"878972","DOI":"10.3389\/fphar.2022.878972","volume":"13","author":"RJ Faria","year":"2022","unstructured":"Faria RJ, Cordeiro FJR, dos Santos JBR et al (2022) Conventional Synthetic Disease-Modifying Anti-rheumatic Drugs for Psoriatic Arthritis: Findings and Implications From a Patient Centered Longitudinal Study in Brazil. Front Pharmacol 13:878972. https:\/\/doi.org\/10.3389\/fphar.2022.878972","journal-title":"Front Pharmacol"},{"key":"5526_CR25","doi-asserted-by":"publisher","first-page":"7683","DOI":"10.1038\/s41598-020-64732-8","volume":"10","author":"N Ziade","year":"2020","unstructured":"Ziade N, El Khoury B, Zoghbi M et al (2020) Prevalence and pattern of comorbidities in chronic rheumatic and musculoskeletal diseases: the COMORD study. Sci Rep 10:7683. https:\/\/doi.org\/10.1038\/s41598-020-64732-8","journal-title":"Sci Rep"},{"key":"5526_CR26","doi-asserted-by":"publisher","first-page":"e61","DOI":"10.1371\/journal.pmed.0050061","volume":"5","author":"EG Karam","year":"2008","unstructured":"Karam EG, Mneimneh ZN, Dimassi H et al (2008) Lifetime prevalence of mental disorders in Lebanon: first onset, treatment, and exposure to war. PLoS Med 5:e61. https:\/\/doi.org\/10.1371\/journal.pmed.0050061","journal-title":"PLoS Med"},{"key":"5526_CR27","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1038\/nrrheum.2011.2","volume":"7","author":"RR Edwards","year":"2011","unstructured":"Edwards RR, Cahalan C, Mensing G et al (2011) Pain, catastrophizing, and depression in the rheumatic diseases. Nat Rev Rheumatol 7:216\u2013224. https:\/\/doi.org\/10.1038\/nrrheum.2011.2","journal-title":"Nat Rev Rheumatol"},{"key":"5526_CR28","doi-asserted-by":"publisher","first-page":"2136","DOI":"10.1093\/rheumatology\/ket169","volume":"52","author":"F Matcham","year":"2013","unstructured":"Matcham F, Rayner L, Steer S, Hotopf M (2013) The prevalence of depression in rheumatoid arthritis: a systematic review and meta-analysis. Rheumatology 52:2136\u20132148. https:\/\/doi.org\/10.1093\/rheumatology\/ket169","journal-title":"Rheumatology"},{"key":"5526_CR29","doi-asserted-by":"publisher","first-page":"2101","DOI":"10.1001\/archinte.160.14.2101","volume":"160","author":"MR DiMatteo","year":"2000","unstructured":"DiMatteo MR, Lepper HS, Croghan TW (2000) Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Arch Intern Med 160:2101\u20132107. https:\/\/doi.org\/10.1001\/archinte.160.14.2101","journal-title":"Arch Intern Med"},{"key":"5526_CR30","doi-asserted-by":"publisher","first-page":"A134","DOI":"10.1016\/j.rhum.2022.10.196","volume":"89","author":"M Ghali","year":"1993","unstructured":"Ghali M, Ardhaoui M, Gdaiem M et al (2022) \u00c9valuation de l\u2019adh\u00e9sion th\u00e9rapeutique au cours de la polyarthrite rhumato\u00efde pendant de la pand\u00e9mie COVID-19. Rev Rhum Ed Francaise 1993 89:A134\u2013A135. https:\/\/doi.org\/10.1016\/j.rhum.2022.10.196","journal-title":"Rev Rhum Ed Francaise"},{"key":"5526_CR31","doi-asserted-by":"publisher","first-page":"1571385","DOI":"10.1080\/22423982.2019.1571385","volume":"78","author":"S Huot","year":"2019","unstructured":"Huot S, Ho H, Ko A et al (2019) Identifying barriers to healthcare delivery and access in the Circumpolar North: important insights for health professionals. Int J Circumpolar Health 78:1571385. https:\/\/doi.org\/10.1080\/22423982.2019.1571385","journal-title":"Int J Circumpolar Health"},{"key":"5526_CR32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/0049-0172(91)90051-z","volume":"21","author":"JR Caldwell","year":"1991","unstructured":"Caldwell JR, Furst DE (1991) The efficacy and safety of low-dose corticosteroids for rheumatoid arthritis. Semin Arthritis Rheum 21:1\u201311. https:\/\/doi.org\/10.1016\/0049-0172(91)90051-z","journal-title":"Semin Arthritis Rheum"},{"key":"5526_CR33","first-page":"696","volume":"34","author":"L Caplan","year":"2007","unstructured":"Caplan L, Wolfe F, Russell AS, Michaud K (2007) Corticosteroid use in rheumatoid arthritis: prevalence, predictors, correlates, and outcomes. J Rheumatol 34:696\u2013705","journal-title":"J Rheumatol"},{"key":"5526_CR34","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1097\/BOR.0000000000000788","volume":"33","author":"MN Moore","year":"2021","unstructured":"Moore MN, Wallace BI (2021) Glucocorticoid and opioid use in rheumatoid arthritis management. Curr Opin Rheumatol 33:277\u2013283. https:\/\/doi.org\/10.1097\/BOR.0000000000000788","journal-title":"Curr Opin Rheumatol"},{"key":"5526_CR35","doi-asserted-by":"publisher","first-page":"1997","DOI":"10.1093\/rheumatology\/kez557","volume":"59","author":"IK Roelsgaard","year":"2020","unstructured":"Roelsgaard IK, Ikdahl E, Rollefstad S et al (2020) Smoking cessation is associated with lower disease activity and predicts cardiovascular risk reduction in rheumatoid arthritis patients. Rheumatol Oxf Engl 59:1997\u20132004. https:\/\/doi.org\/10.1093\/rheumatology\/kez557","journal-title":"Rheumatol Oxf Engl"},{"key":"5526_CR36","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1097\/RHU.0b013e3181ca4a2a","volume":"16","author":"A Abhishek","year":"2010","unstructured":"Abhishek A, Butt S, Gadsby K et al (2010) Anti-TNF-alpha agents are less effective for the treatment of rheumatoid arthritis in current smokers. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis 16:15\u201318. https:\/\/doi.org\/10.1097\/RHU.0b013e3181ca4a2a","journal-title":"J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis"},{"key":"5526_CR37","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1192\/bji.2017.31","volume":"16","author":"S Stylianidis","year":"2019","unstructured":"Stylianidis S, Souliotis K (2019) The impact of the long-lasting socioeconomic crisis in Greece. BJPsych Int 16:16\u201318. https:\/\/doi.org\/10.1192\/bji.2017.31","journal-title":"BJPsych Int"},{"key":"5526_CR38","doi-asserted-by":"publisher","first-page":"e1575","DOI":"10.1016\/S2214-109X(19)30409-7","volume":"7","author":"T Hone","year":"2019","unstructured":"Hone T, Mirelman AJ, Rasella D et al (2019) Effect of economic recession and impact of health and social protection expenditures on adult mortality: a longitudinal analysis of 5565 Brazilian municipalities. Lancet Glob Health 7:e1575\u2013e1583. https:\/\/doi.org\/10.1016\/S2214-109X(19)30409-7","journal-title":"Lancet Glob Health"},{"key":"5526_CR39","doi-asserted-by":"publisher","first-page":"466","DOI":"10.2471\/BLT.22.288269","volume":"100","author":"S Doocy","year":"2022","unstructured":"Doocy S, Page KR, Liu C et al (2022) Venezuela: out of the headlines but still in crisis. Bull World Health Organ 100:466-466A. https:\/\/doi.org\/10.2471\/BLT.22.288269","journal-title":"Bull World Health Organ"},{"key":"5526_CR40","doi-asserted-by":"publisher","first-page":"155","DOI":"10.5001\/omj.2011.38","volume":"26","author":"B Jimmy","year":"2011","unstructured":"Jimmy B, Jose J (2011) Patient Medication Adherence: Measures in Daily Practice. Oman Med J 26:155\u2013159. https:\/\/doi.org\/10.5001\/omj.2011.38","journal-title":"Oman Med J"},{"key":"5526_CR41","doi-asserted-by":"publisher","first-page":"1343","DOI":"10.2147\/PPA.S140457","volume":"11","author":"L Li","year":"2017","unstructured":"Li L, Cui Y, Yin R et al (2017) Medication adherence has an impact on disease activity in rheumatoid arthritis: a systematic review and meta-analysis. Patient Prefer Adherence 11:1343\u20131356. https:\/\/doi.org\/10.2147\/PPA.S140457","journal-title":"Patient Prefer Adherence"},{"key":"5526_CR42","doi-asserted-by":"publisher","first-page":"e0206943","DOI":"10.1371\/journal.pone.0206943","volume":"13","author":"S Nakagawa","year":"2018","unstructured":"Nakagawa S, Nakaishi M, Hashimoto M et al (2018) Effect of medication adherence on disease activity among Japanese patients with rheumatoid arthritis. PLoS ONE 13:e0206943. https:\/\/doi.org\/10.1371\/journal.pone.0206943","journal-title":"PLoS ONE"},{"key":"5526_CR43","doi-asserted-by":"publisher","first-page":"141","DOI":"10.31138\/mjr.30.3.141","volume":"30","author":"P Sidiropoulos","year":"2019","unstructured":"Sidiropoulos P, Sfikakis PP, Boumpas DD, Vassilopoulos D (2019) Twenty Years of Targeted Treatment in Rheumatoid Arthritis in the Greek Databases: Achievements and Unmet Needs. Mediterr J Rheumatol 30:141\u2013146. https:\/\/doi.org\/10.31138\/mjr.30.3.141","journal-title":"Mediterr J Rheumatol"},{"key":"5526_CR44","first-page":"B5311","volume":"63","author":"GP Eng","year":"2016","unstructured":"Eng GP (2016) Optimizing biological treatment in rheumatoid arthritis with the aid of therapeutic drug monitoring. Dan Med J 63:B5311","journal-title":"Dan Med J"}],"container-title":["Rheumatology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00296-023-05526-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00296-023-05526-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00296-023-05526-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T21:36:45Z","timestamp":1709933805000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00296-023-05526-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,31]]},"references-count":44,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,4]]}},"alternative-id":["5526"],"URL":"https:\/\/doi.org\/10.1007\/s00296-023-05526-9","relation":{},"ISSN":["1437-160X"],"issn-type":[{"value":"1437-160X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,31]]},"assertion":[{"value":"13 October 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 December 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 January 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved in 2022 by the Ethics Committee of Saint Joseph University, Beirut, Lebanon (Approval number: TFEM-2022-10).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}