{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:41:33Z","timestamp":1789627293802,"version":"build-2803163510"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100017635","name":"Korean College of Helicobacter and Upper Gastrointestinal Research","doi-asserted-by":"publisher","award":["KCHUGR-201902502"],"award-info":[{"award-number":["KCHUGR-201902502"]}],"id":[{"id":"10.13039\/501100017635","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002460","name":"Chung-Ang University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002460","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1007\/s00464-025-12201-6","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T18:32:54Z","timestamp":1759257174000},"page":"8418-8431","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Analysis of risk factors for bleeding after gastric endoscopic submucosal dissection with an emphasis on age and sex differences: A nationwide population-based study"],"prefix":"10.1007","volume":"39","author":[{"given":"Jae Yong","family":"Park","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mi-Sook","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beom Jin","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4841-9404","authenticated-orcid":false,"given":"Jae Gyu","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"12201_CR1","doi-asserted-by":"publisher","first-page":"3","DOI":"10.5230\/jgc.2023.23.e11","volume":"23","author":"TH Kim","year":"2023","unstructured":"Kim TH, Kim IH, Kang SJ, Choi M, Kim BH, Eom BW, Kim BJ, Min BH, Choi CI, Shin CM, Tae CH, Gong CS, Kim DJ, Cho AE, Gong EJ, Song GJ, Im HS, Ahn HS, Lim H, Kim HD, Kim JJ, Yu JI, Lee JW, Park JY, Kim JH, Song KD, Jung M, Jung MR, Son SY, Park SH, Kim SJ, Lee SH, Kim TY, Bae WK, Koom WS, Jee Y, Kim YM, Kwak Y, Park YS, Han HS, Nam SY, Kong SH (2023) Korean practice guidelines for gastric cancer 2022: an evidence-based, multidisciplinary approach. J Gastric Cancer 23:3\u2013106","journal-title":"J Gastric Cancer"},{"key":"12201_CR2","doi-asserted-by":"publisher","first-page":"529","DOI":"10.5009\/gnl210430","volume":"17","author":"TJ Kim","year":"2023","unstructured":"Kim TJ, Pyo JH, Lee H, Choi SC, Min YW, Min BH, Lee JH, Rhee PL, Song M, Choi YH, Kim JJ (2023) Outcomes of endoscopic resection for early gastric cancer in very elderly patients: a nationwide population-based study. Gut Liver 17:529\u2013536","journal-title":"Gut Liver"},{"key":"12201_CR3","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1136\/gutjnl-2019-319926","volume":"70","author":"W Hatta","year":"2021","unstructured":"Hatta W, Tsuji Y, Yoshio T, Kakushima N, Hoteya S, Doyama H, Nagami Y, Hikichi T, Kobayashi M, Morita Y, Sumiyoshi T, Iguchi M, Tomida H, Inoue T, Koike T, Mikami T, Hasatani K, Nishikawa J, Matsumura T, Nebiki H, Nakamatsu D, Ohnita K, Suzuki H, Ueyama H, Hayashi Y, Sugimoto M, Yamaguchi S, Michida T, Yada T, Asahina Y, Narasaka T, Kuribasyashi S, Kiyotoki S, Mabe K, Nakamura T, Nakaya N, Fujishiro M, Masamune A (2021) Prediction model of bleeding after endoscopic submucosal dissection for early gastric cancer: BEST-J score. Gut 70:476\u2013484","journal-title":"Gut"},{"key":"12201_CR4","doi-asserted-by":"publisher","first-page":"680","DOI":"10.1053\/j.gastro.2023.12.010","volume":"166","author":"JY Park","year":"2024","unstructured":"Park JY, Kim MS, Kim BJ, Kim JG (2024) Influence of procedural volume on the outcome of gastric endoscopic submucosal dissection: a nationwide population-based study using administrative data. Gastroenterology 166:680-689.e684","journal-title":"Gastroenterology"},{"key":"12201_CR5","doi-asserted-by":"publisher","first-page":"47","DOI":"10.5230\/jgc.2022.22.e2","volume":"22","author":"S Ono","year":"2022","unstructured":"Ono S, Ieko M, Tanaka I, Shimoda Y, Ono M, Yamamoto K, Sakamoto N (2022) Bleeding after gastric endoscopic submucosal dissection focused on management of Xa inhibitors. J Gastric Cancer 22:47\u201355","journal-title":"J Gastric Cancer"},{"key":"12201_CR6","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1016\/j.gie.2016.06.033","volume":"84","author":"D Lib\u00e2nio","year":"2016","unstructured":"Lib\u00e2nio D, Costa MN, Pimentel-Nunes P, Dinis-Ribeiro M (2016) Risk factors for bleeding after gastric endoscopic submucosal dissection: a systematic review and meta-analysis. Gastrointest Endosc 84:572\u2013586","journal-title":"Gastrointest Endosc"},{"key":"12201_CR7","doi-asserted-by":"publisher","first-page":"2217","DOI":"10.1111\/jgh.15478","volume":"36","author":"YH Choe","year":"2021","unstructured":"Choe YH, Jung DH, Park JC, Kim HY, Shin SK, Lee SK, Lee YC (2021) Prediction model for bleeding after endoscopic submucosal dissection of gastric neoplasms from a high-volume center. J Gastroenterol Hepatol 36:2217\u20132223","journal-title":"J Gastroenterol Hepatol"},{"key":"12201_CR8","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1186\/s12877-016-0329-8","volume":"16","author":"HS Lin","year":"2016","unstructured":"Lin HS, Watts JN, Peel NM, Hubbard RE (2016) Frailty and post-operative outcomes in older surgical patients: a systematic review. BMC Geriatr 16:157","journal-title":"BMC Geriatr"},{"key":"12201_CR9","doi-asserted-by":"publisher","first-page":"2145","DOI":"10.1161\/CIRCULATIONAHA.110.968792","volume":"124","author":"L Mosca","year":"2011","unstructured":"Mosca L, Barrett-Connor E, Wenger NK (2011) Sex\/gender differences in cardiovascular disease prevention: what a difference a decade makes. Circulation 124:2145\u20132154","journal-title":"Circulation"},{"key":"12201_CR10","doi-asserted-by":"publisher","first-page":"107424842110546","DOI":"10.1177\/10742484211054609","volume":"27","author":"E Ferroni","year":"2022","unstructured":"Ferroni E, Denas G, Gennaro N, Fedeli U, Pengo V (2022) Gender related differences in gastrointestinal bleeding with oral anticoagulation in atrial fibrillation. J Cardiovasc Pharmacol Ther 27:10742484211054608","journal-title":"J Cardiovasc Pharmacol Ther"},{"key":"12201_CR11","doi-asserted-by":"publisher","first-page":"537","DOI":"10.5009\/gnl20079","volume":"15","author":"YS Kim","year":"2021","unstructured":"Kim YS, Lee J, Shin A, Lee JM, Park JH, Jung HY (2021) A nationwide cohort study shows a sex-dependent change in the trend of peptic ulcer bleeding incidence in Korea between 2006 and 2015. Gut Liver 15:537\u2013545","journal-title":"Gut Liver"},{"key":"12201_CR12","doi-asserted-by":"publisher","first-page":"552","DOI":"10.4093\/dmj.2022.0193","volume":"46","author":"MK Kim","year":"2022","unstructured":"Kim MK, Han K, Lee SH (2022) Current trends of big data research using the Korean National Health Information Database. Diabetes Metab J 46:552\u2013563","journal-title":"Diabetes Metab J"},{"key":"12201_CR13","doi-asserted-by":"publisher","first-page":"7203","DOI":"10.1038\/s41598-023-34215-7","volume":"13","author":"JY Park","year":"2023","unstructured":"Park JY, Kim MS, Kim BJ, Kim JG (2023) A 6-year nationwide population-based study on the current status of gastric endoscopic resection in Korea using administrative data. Sci Rep 13:7203","journal-title":"Sci Rep"},{"key":"12201_CR14","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1007\/s40262-015-0326-7","volume":"55","author":"H Echizen","year":"2016","unstructured":"Echizen H (2016) The first-in-class potassium-competitive acid blocker, vonoprazan fumarate: pharmacokinetic and pharmacodynamic considerations. Clin Pharmacokinet 55:409\u2013418","journal-title":"Clin Pharmacokinet"},{"key":"12201_CR15","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7570\/jomes23016","volume":"32","author":"KK Kim","year":"2023","unstructured":"Kim KK, Haam JH, Kim BT, Kim EM, Park JH, Rhee SY, Jeon E, Kang E, Nam GE, Koo HY, Lim JH, Jeong JE, Kim JH, Kim JW, Park JH, Hong JH, Lee SE, Min SH, Kim SJ, Kim S, Kim YH, Lee YJ, Cho YJ, Rhie YJ, Kim YH, Kang JH, Lee CB (2023) Evaluation and treatment of obesity and its comorbidities: 2022 update of clinical practice guidelines for obesity by the Korean Society for the Study of Obesity. J Obes Metab Syndr 32:1\u201324","journal-title":"J Obes Metab Syndr"},{"key":"12201_CR16","doi-asserted-by":"publisher","first-page":"204","DOI":"10.4082\/kjfm.19.0059","volume":"40","author":"S Lee","year":"2019","unstructured":"Lee S, Kim JS, Jung JG, Oh MK, Chung TH, Kim J (2019) Korean alcohol guidelines for moderate drinking based on facial flushing. Korean J Fam Med 40:204\u2013211","journal-title":"Korean J Fam Med"},{"key":"12201_CR17","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1016\/j.gie.2024.01.026","volume":"100","author":"M Sekiguchi","year":"2024","unstructured":"Sekiguchi M, Suzuki H, Takizawa K, Hirasawa T, Takeuchi Y, Ishido K, Hoteya S, Yano T, Tanaka S, Toya Y, Nakagawa M, Toyonaga T, Takemura K, Hirasawa K, Matsuda M, Yamamoto H, Tsuji Y, Hashimoto S, Maeda Y, Oyama T, Takenaka R, Yamamoto Y, Shimazu T, Ono H, Tanabe S, Kondo H, Iishi H, Ninomiya M, Oda I (2024) Potential for expanding indications and curability criteria of endoscopic resection for early gastric cancer in elderly patients: results from a Japanese multicenter prospective cohort study. Gastrointest Endosc 100:438-448.e431","journal-title":"Gastrointest Endosc"},{"key":"12201_CR18","doi-asserted-by":"publisher","first-page":"4766","DOI":"10.1007\/s00464-023-09989-6","volume":"37","author":"S Kang","year":"2023","unstructured":"Kang S, Lee JH, Kim Y, Park K, Na HK, Ahn JY, Jung KW, Kim DH, Choi KD, Song HJ, Lee GH, Jung HY (2023) Comparison of endoscopic submucosal dissection and surgery for early gastric cancer that is not indicated for endoscopic resection in elderly patients. Surg Endosc 37:4766\u20134773","journal-title":"Surg Endosc"},{"key":"12201_CR19","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1007\/s10120-016-0628-y","volume":"20","author":"T Sumiyoshi","year":"2017","unstructured":"Sumiyoshi T, Kondo H, Fujii R, Minagawa T, Fujie S, Kimura T, Ihara H, Yoshizaki N, Hirayama M, Oyamada Y, Okushiba S (2017) Short- and long-term outcomes of endoscopic submucosal dissection for early gastric cancer in elderly patients aged 75 years and older. Gastric Cancer 20:489\u2013495","journal-title":"Gastric Cancer"},{"key":"12201_CR20","doi-asserted-by":"publisher","first-page":"2340","DOI":"10.1002\/(SICI)1097-0142(19990601)85:11<2340::AID-CNCR7>3.0.CO;2-I","volume":"85","author":"M Tomoda","year":"1999","unstructured":"Tomoda M, Maehara Y, Kakeji Y, Ohno S, Ichiyoshi Y, Sugimachi K (1999) Intratumoral neovascularization and growth pattern in early gastric carcinoma. Cancer 85:2340\u20132346","journal-title":"Cancer"},{"key":"12201_CR21","doi-asserted-by":"publisher","first-page":"i59","DOI":"10.1093\/ckj\/sfab185","volume":"14","author":"SK Bowry","year":"2021","unstructured":"Bowry SK, Kircelli F, Himmele R, Nigwekar SU (2021) Blood-incompatibility in haemodialysis: alleviating inflammation and effects of coagulation. Clin Kidney J 14:i59\u2013i71","journal-title":"Clin Kidney J"},{"key":"12201_CR22","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1016\/0168-8278(95)80219-3","volume":"22","author":"S Siringo","year":"1995","unstructured":"Siringo S, Burroughs AK, Bolondi L, Muia A, Di Febo G, Miglioli M, Cavalli G, Barbara L (1995) Peptic ulcer and its course in cirrhosis: an endoscopic and clinical prospective study. J Hepatol 22:633\u2013641","journal-title":"J Hepatol"},{"key":"12201_CR23","doi-asserted-by":"publisher","first-page":"139","DOI":"10.5114\/ada.2018.72585","volume":"36","author":"M Deptu\u0142a","year":"2019","unstructured":"Deptu\u0142a M, Zieli\u0144ski J, Wardowska A, Piku\u0142a M (2019) Wound healing complications in oncological patients: perspectives for cellular therapy. Postepy Dermatol Alergol 36:139\u2013146","journal-title":"Postepy Dermatol Alergol"},{"key":"12201_CR24","doi-asserted-by":"publisher","first-page":"1612","DOI":"10.1093\/europace\/euab065","volume":"23","author":"J Steffel","year":"2021","unstructured":"Steffel J, Collins R, Antz M, Cornu P, Desteghe L, Haeusler KG, Oldgren J, Reinecke H, Roldan-Schilling V, Rowell N, Sinnaeve P, Vanassche T, Potpara T, Camm AJ, Heidb\u00fcchel H (2021) 2021 European Heart Rhythm Association practical guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation. Europace 23:1612\u20131676","journal-title":"Europace"},{"key":"12201_CR25","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1053\/j.gastro.2017.10.049","volume":"154","author":"I Bjarnason","year":"2018","unstructured":"Bjarnason I, Scarpignato C, Holmgren E, Olszewski M, Rainsford KD, Lanas A (2018) Mechanisms of damage to the gastrointestinal tract from nonsteroidal anti-inflammatory drugs. Gastroenterology 154:500\u2013514","journal-title":"Gastroenterology"},{"key":"12201_CR26","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/j.ejvs.2006.10.006","volume":"33","author":"KA Darvall","year":"2007","unstructured":"Darvall KA, Sam RC, Silverman SH, Bradbury AW, Adam DJ (2007) Obesity and thrombosis. Eur J Vasc Endovasc Surg 33:223\u2013233","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"12201_CR27","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/j.pcad.2022.11.013","volume":"78","author":"AW Tutor","year":"2023","unstructured":"Tutor AW, Lavie CJ, Kachur S, Milani RV, Ventura HO (2023) Updates on obesity and the obesity paradox in cardiovascular diseases. Prog Cardiovasc Dis 78:2\u201310","journal-title":"Prog Cardiovasc Dis"},{"key":"12201_CR28","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1002\/clc.23593","volume":"44","author":"M Grymonprez","year":"2021","unstructured":"Grymonprez M, Capiau A, De Backer TL, Steurbaut S, Boussery K, Lahousse L (2021) The impact of underweight and obesity on outcomes in anticoagulated patients with atrial fibrillation: a systematic review and meta-analysis on the obesity paradox. Clin Cardiol 44:599\u2013608","journal-title":"Clin Cardiol"},{"key":"12201_CR29","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1111\/jgs.13332","volume":"63","author":"L Gould","year":"2015","unstructured":"Gould L, Abadir P, Brem H, Carter M, Conner-Kerr T, Davidson J, DiPietro L, Falanga V, Fife C, Gardner S, Grice E, Harmon J, Hazzard WR, High KP, Houghton P, Jacobson N, Kirsner RS, Kovacs EJ, Margolis D, McFarland Horne F, Reed MJ, Sullivan DH, Thom S, Tomic-Canic M, Walston J, Whitney JA, Williams J, Zieman S, Schmader K (2015) Chronic wound repair and healing in older adults: current status and future research. J Am Geriatr Soc 63:427\u2013438","journal-title":"J Am Geriatr Soc"},{"key":"12201_CR30","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1055\/a-1981-1763","volume":"123","author":"G Foulon-Pinto","year":"2023","unstructured":"Foulon-Pinto G, Lafuente-Lafuente C, Jourdi G, Guen JL, Tall F, Puymirat E, Delrue M, Rivi\u00e8re L, Ketz F, Gouin-Thibault I, Mullier F, Gaussem P, Pautas E, Lecompte T, Curis E, Siguret V (2023) Assessment of DOAC in GEriatrics (Adage study): rivaroxaban\/apixaban concentrations and thrombin generation profiles in NVAF very elderly patients. Thromb Haemost 123:402\u2013414","journal-title":"Thromb Haemost"},{"key":"12201_CR31","doi-asserted-by":"publisher","first-page":"1030","DOI":"10.1016\/j.surg.2013.08.016","volume":"155","author":"BS Kim","year":"2014","unstructured":"Kim BS, Oh ST, Yook JH, Kim BS (2014) Signet ring cell type and other histologic types: differing clinical course and prognosis in T1 gastric cancer. Surgery 155:1030\u20131035","journal-title":"Surgery"},{"key":"12201_CR32","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1177\/1756283X16681709","volume":"10","author":"DD Suh","year":"2017","unstructured":"Suh DD, Oh ST, Yook JH, Kim BS, Kim BS (2017) Differences in the prognosis of early gastric cancer according to sex and age. Therap Adv Gastroenterol 10:219\u2013229","journal-title":"Therap Adv Gastroenterol"},{"key":"12201_CR33","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0224019","volume":"14","author":"ES Ryu","year":"2019","unstructured":"Ryu ES, Chang SJ, An J, Yang JY, Chung JW, Kim YJ, Kim KO, Park DK, Kwon KA, Nam S, Lee WK, Kim JH (2019) Sex-specific differences in risk factors of lymph node metastasis in patients with early gastric cancer. PLoS ONE 14:e0224019","journal-title":"PLoS ONE"},{"key":"12201_CR34","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1254\/jjp.66.387","volume":"66","author":"K Hara","year":"1994","unstructured":"Hara K, Akiyama Y, Tajima T (1994) Sex differences in the anticoagulant effects of warfarin. Jpn J Pharmacol 66:387\u2013392","journal-title":"Jpn J Pharmacol"},{"key":"12201_CR35","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1093\/ehjcvp\/pvy026","volume":"5","author":"T Penttil\u00e4","year":"2019","unstructured":"Penttil\u00e4 T, Lehto M, Niiranen J, Meht\u00e4l\u00e4 J, Khanfir H, Lassila R, Raatikainen P (2019) Differences in the risk of stroke, bleeding events, and mortality between female and male patients with atrial fibrillation during warfarin therapy. Eur Heart J Cardiovasc Pharmacother 5:29\u201336","journal-title":"Eur Heart J Cardiovasc Pharmacother"},{"key":"12201_CR36","doi-asserted-by":"publisher","DOI":"10.1210\/endocr\/bqae088","author":"XJ Maddern","year":"2024","unstructured":"Maddern XJ, Ursich LT, Bailey G, Pearl A, Anversa RG, Lawrence AJ, Walker LC (2024) Sex differences in alcohol use: is it all about hormones? Endocrinology. https:\/\/doi.org\/10.1210\/endocr\/bqae088","journal-title":"Endocrinology"},{"key":"12201_CR37","doi-asserted-by":"publisher","first-page":"764","DOI":"10.5009\/gnl240176","volume":"18","author":"SJ Kang","year":"2024","unstructured":"Kang SJ, Tae CH, Bang CS, Shin CM, Jeong YH, Choi M, Hwang JH, Saito Y, Chiu PWY, Rerknimitr R, Khor C, Khien VV, Choi KD, Shim KN, Song GA, Lee OY (2024) International digestive endoscopy network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy. Gut Liver 18:764\u2013780","journal-title":"Gut Liver"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-12201-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-025-12201-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-12201-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T20:44:41Z","timestamp":1765917881000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-025-12201-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,30]]},"references-count":37,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["12201"],"URL":"https:\/\/doi.org\/10.1007\/s00464-025-12201-6","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,30]]},"assertion":[{"value":"3 May 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 September 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 September 2025","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 authors declare that they have no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}