{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T18:40:03Z","timestamp":1749494403651,"version":"3.41.0"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"National Institute of General Medical Sciences of the National Institutes of Health","award":["5U54GM104942-08"],"award-info":[{"award-number":["5U54GM104942-08"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2025,6]]},"DOI":"10.1007\/s00520-025-09534-2","type":"journal-article","created":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T06:00:38Z","timestamp":1747807238000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of distress among individuals with cancer reporting physical problems"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0974-149X","authenticated-orcid":false,"given":"McKinzey","family":"Dierkes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yilin","family":"Cai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Trotta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Policicchio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6955-2917","authenticated-orcid":false,"given":"Sijin","family":"Wen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gwendolyn","family":"Dzwil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Davis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0153-5440","authenticated-orcid":false,"given":"Nicole L.","family":"Stout","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,21]]},"reference":[{"key":"9534_CR1","doi-asserted-by":"publisher","first-page":"1972","DOI":"10.1002\/pon.6012","volume":"31","author":"L Zhang","year":"2022","unstructured":"Zhang L, Liu X, Tong F, Zhou R, Peng W, Yang H et al (2022) The prevalence of psychological disorders among cancer patients during the COVID-19 pandemic: a meta-analysis. Psychooncology 31:1972\u20131987","journal-title":"Psychooncology"},{"key":"9534_CR2","doi-asserted-by":"publisher","first-page":"15367","DOI":"10.1038\/s41598-024-66269-6","volume":"14","author":"NE Miller","year":"2024","unstructured":"Miller NE, Lally P, Conway R, Steptoe A, Frank P, Beeken RJ et al (2024) Psychological distress and health behaviours in people living with and beyond cancer: a cross-sectional study. Sci Rep 14:15367","journal-title":"Sci Rep"},{"key":"9534_CR3","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1016\/j.jtct.2022.11.016","volume":"29","author":"S Hong","year":"2023","unstructured":"Hong S, Zhao J, Wang S, Wang H, Lee J-H, Farhadfar N et al (2023) Health-related quality of life outcomes in older hematopoietic cell transplantation survivors. Transplant Cell Ther 29:202\u2013e1","journal-title":"Transplant Cell Ther"},{"key":"9534_CR4","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1007\/s10549-018-05073-z","volume":"174","author":"R Paranjpe","year":"2019","unstructured":"Paranjpe R, John G, Trivedi M, Abughosh S (2019) Identifying adherence barriers to oral endocrine therapy among breast cancer survivors. Breast Cancer Res Treat 174:297\u2013305","journal-title":"Breast Cancer Res Treat"},{"key":"9534_CR5","doi-asserted-by":"publisher","first-page":"1487","DOI":"10.1038\/s41380-019-0595-x","volume":"25","author":"Y-H Wang","year":"2020","unstructured":"Wang Y-H, Li J-Q, Shi J-F, Que J-Y, Liu J-J, Lappin JM et al (2020) Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies. Mol Psychiatry 25:1487\u201399","journal-title":"Mol Psychiatry"},{"key":"9534_CR6","first-page":"175","volume":"10","author":"KK Ownby","year":"2019","unstructured":"Ownby KK (2019) Use of the distress thermometer in clinical practice. J Adv Pract Oncol 10:175","journal-title":"J Adv Pract Oncol"},{"key":"9534_CR7","doi-asserted-by":"publisher","first-page":"96","DOI":"10.6004\/jnccn.2022.0004","volume":"20","author":"KA Donovan","year":"2022","unstructured":"Donovan KA, Handzo G, Corbett C, Vanderlan J, Brewer BW, Ahmed K (2022) NCCN distress thermometer problem list update. J Natl Compr Canc Netw 20:96\u20138","journal-title":"J Natl Compr Canc Netw"},{"key":"9534_CR8","doi-asserted-by":"crossref","unstructured":"Riba MB, Donovan KA, Ahmed K, Andersen B, Braun Ii, Breitbart WS, et al. NCCN guidelines\u00ae insights: distress management, version 2.2023: featured updates to the NCCN guidelines. J Natl Compr Canc Netw. 2023;21:450\u20137.","DOI":"10.6004\/jnccn.2023.0026"},{"key":"9534_CR9","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1200\/EDBK_201307","volume":"38","author":"SK Smith","year":"2018","unstructured":"Smith SK, Loscalzo M, Mayer C, Rosenstein DL (2018) Best practices in oncology distress management: beyond the screen. Am Soc Clin Oncol Educ Book 38:813\u201321","journal-title":"Am Soc Clin Oncol Educ Book"},{"key":"9534_CR10","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1080\/07347332.2018.1521490","volume":"37","author":"LE Carlson","year":"2019","unstructured":"Carlson LE, Zelinski EL, Toivonen KI, Sundstrom L, Jobin CT, Damaskos P et al (2019) Prevalence of psychosocial distress in cancer patients across 55 North American cancer centers. J Psychosoc Oncol 37:5\u201321","journal-title":"J Psychosoc Oncol"},{"key":"9534_CR11","doi-asserted-by":"crossref","unstructured":"Schouten B, Avau B, Vankrunkelsven P, Mebis J, Hellings J, Van Hecke A. Systematic screening and assessment of psychosocial well\u2010being and care needs of people with cancer. Cochrane Database Syst Rev. 2019;","DOI":"10.1002\/14651858.CD012387.pub2"},{"key":"9534_CR12","doi-asserted-by":"publisher","first-page":"911","DOI":"10.6004\/jnccn.2019.7285","volume":"17","author":"CS Schuurhuizen","year":"2019","unstructured":"Schuurhuizen CS, Braamse AM, Beekman AT, Cuijpers P, van der Linden MH, Hoogendoorn AW et al (2019) Screening and stepped care targeting psychological distress in patients with metastatic colorectal cancer: the TES cluster randomized trial. J Natl Compr Canc Netw 17:911\u201320","journal-title":"J Natl Compr Canc Netw"},{"key":"9534_CR13","doi-asserted-by":"publisher","first-page":"978","DOI":"10.1093\/abm\/kaaa091","volume":"54","author":"J Dekker","year":"2020","unstructured":"Dekker J, Graves KD, Badger TA, Diefenbach MA (2020) Management of distress in patients with cancer\u2014are we doing the right thing? Ann Behav Med 54:978\u201384","journal-title":"Ann Behav Med"},{"key":"9534_CR14","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1093\/tbm\/iby123","volume":"9","author":"SL Ehlers","year":"2019","unstructured":"Ehlers SL, Davis K, Bluethmann SM, Quintiliani LM, Kendall J, Ratwani RM et al (2019) Screening for psychosocial distress among patients with cancer: implications for clinical practice, healthcare policy, and dissemination to enhance cancer survivorship. Transl Behav Med 9:282\u201391","journal-title":"Transl Behav Med"},{"key":"9534_CR15","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1007\/s00520-023-07821-4","volume":"31","author":"NL Stout","year":"2023","unstructured":"Stout NL, Street C, Policicchio P, Summers J, Duckworth A (2023) Implementing process improvements to enhance distress screening and management. Support Care Cancer 31:351","journal-title":"Support Care Cancer"},{"key":"9534_CR16","doi-asserted-by":"publisher","first-page":"4115","DOI":"10.1007\/s00520-019-04694-4","volume":"27","author":"C Cormio","year":"2019","unstructured":"Cormio C, Caporale F, Spatuzzi R, Lagattolla F, Lisi A, Graziano G (2019) Psychosocial distress in oncology: using the distress thermometer for assessing risk classes. Support Care Cancer 27:4115\u201321","journal-title":"Support Care Cancer"},{"key":"9534_CR17","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1080\/07347332.2021.1899353","volume":"40","author":"MW Flanagan","year":"2022","unstructured":"Flanagan MW, Goltz HH, Henson JW, Smith ML (2022) Associations of practical, emotional, and physical problems with psychosocial distress among cancer patients. J Psychosoc Oncol 40:98\u2013114","journal-title":"J Psychosoc Oncol"},{"key":"9534_CR18","doi-asserted-by":"crossref","unstructured":"Y\u00fcce GE, D\u00f6ner A, Muz G. Psychological distress and its association with unmet needs and symptom burden in outpatient cancer patients: a cross-sectional study. Elsevier; 2021. p. 151214.","DOI":"10.1016\/j.soncn.2021.151214"},{"key":"9534_CR19","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1111\/ecc.12521","volume":"25","author":"D Diaz-Frutos","year":"2016","unstructured":"Diaz-Frutos D, Baca-Garcia E, Garc\u00eda-Foncillas J, L\u00f3pez-Castroman J (2016) Predictors of psychological distress in advanced cancer patients under palliative treatments. Eur J Cancer Care (Engl) 25:608\u201315","journal-title":"Eur J Cancer Care (Engl)"},{"key":"9534_CR20","doi-asserted-by":"publisher","first-page":"1145","DOI":"10.1177\/1359105314547752","volume":"21","author":"EL O\u2019Hea","year":"2016","unstructured":"O\u2019Hea EL, Monahan BR, Cutillo A, Person SD, Grissom G, Boudreaux ED (2016) Predictors of psychological distress and interest in mental health services in individuals with cancer. J Health Psychol 21:1145\u201356","journal-title":"J Health Psychol"},{"key":"9534_CR21","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1016\/j.ejon.2010.07.006","volume":"15","author":"M McQuestion","year":"2011","unstructured":"McQuestion M, Fitch M, Howell D (2011) The changed meaning of food: physical, social and emotional loss for patients having received radiation treatment for head and neck cancer. Eur J Oncol Nurs 15:145\u201351","journal-title":"Eur J Oncol Nurs"},{"key":"9534_CR22","unstructured":"R Core Team. R: a language and environment for statistical computing [Internet]. R Foundation for Statistical Computing; 2023. Available from: https:\/\/www.R-project.org\/"},{"key":"9534_CR23","doi-asserted-by":"crossref","unstructured":"Krok JL, Baker TA, McMillan SC. Age differences in the presence of pain and psychological distress in younger and older cancer patients. J Hosp Palliat Nurs [Internet]. 2013;15. Available from: https:\/\/journals.lww.com\/jhpn\/fulltext\/2013\/04000\/age_differences_in_the_presence_of_pain_and.9.aspx","DOI":"10.1097\/NJH.0b013e31826bfb63"},{"key":"9534_CR24","doi-asserted-by":"publisher","first-page":"2305","DOI":"10.1007\/s00520-017-3641-8","volume":"25","author":"C Acquati","year":"2017","unstructured":"Acquati C, Kayser K (2017) Predictors of psychological distress among cancer patients receiving care at a safety-net institution: the role of younger age and psychosocial problems. Support Care Cancer 25:2305\u201312","journal-title":"Support Care Cancer"},{"key":"9534_CR25","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.3346\/jkms.2016.31.7.1105","volume":"31","author":"K-H Choi","year":"2016","unstructured":"Choi K-H, Park SM (2016) Psychological status and associated factors among Korean cancer survivors: a cross-sectional analysis of the fourth & fifth Korea National Health and Nutrition Examination Surveys. J Korean Med Sci 31:1105\u201313","journal-title":"J Korean Med Sci"},{"key":"9534_CR26","unstructured":"United Health Foundation. Percent of population rural in West Virginia. 2024; Available from: https:\/\/www.americashealthrankings.org\/explore\/measures\/pct_rural_b\/WV"},{"key":"9534_CR27","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1177\/00914150231171856","volume":"98","author":"KM Hash","year":"2024","unstructured":"Hash KM, Schreurs BG, Tolley SM, Fiske A (2024) Health disparities in Appalachian and other rural communities. Int J Aging Hum Dev 98:56\u201368","journal-title":"Int J Aging Hum Dev"},{"key":"9534_CR28","doi-asserted-by":"publisher","first-page":"2577","DOI":"10.1002\/cncr.23448","volume":"112","author":"KD Stein","year":"2008","unstructured":"Stein KD, Syrjala KL, Andrykowski MA (2008) Physical and psychological long-term and late effects of cancer. Cancer 112:2577\u201392","journal-title":"Cancer"},{"key":"9534_CR29","doi-asserted-by":"crossref","unstructured":"Berger AM, Mooney K, Alvarez-Perez A, Breitbart WS, Carpenter KM, Cella D, et al. Cancer-related fatigue, version 2.2015. J Natl Compr Cancer Netw J Natl Compr Canc Netw. 2015;13:1012\u201339.","DOI":"10.6004\/jnccn.2015.0122"},{"key":"9534_CR30","unstructured":"National Cancer Institute. Fatigue and cancer treatment. 2024; Available from: https:\/\/www.cancer.gov\/about-cancer\/treatment\/side-effects\/fatigue#:~:text=Cancer%20fatigue%20is%20common,receiving%20chemotherapy%20or%20radiation%20therapy."},{"key":"9534_CR31","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1038\/nrclinonc.2014.127","volume":"11","author":"JE Bower","year":"2014","unstructured":"Bower JE (2014) Cancer-related fatigue\u2014mechanisms, risk factors, and treatments. Nat Rev Clin Oncol 11:597\u2013609","journal-title":"Nat Rev Clin Oncol"},{"key":"9534_CR32","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1634\/theoncologist.12-S1-4","volume":"12","author":"M Hofman","year":"2007","unstructured":"Hofman M, Ryan JL, Figueroa-Moseley CD, Jean-Pierre P, Morrow GR (2007) Cancer-related fatigue: the scale of the problem. Oncologist 12:4\u201310","journal-title":"Oncologist"},{"key":"9534_CR33","doi-asserted-by":"publisher","first-page":"313","DOI":"10.3390\/oral1040031","volume":"1","author":"SN Rogers","year":"2021","unstructured":"Rogers SN, Lowe D, Kanatas A (2021) Social determinants of health-related quality of life outcomes for head and neck cancer patients. Oral 1:313\u201325","journal-title":"Oral"},{"key":"9534_CR34","doi-asserted-by":"publisher","first-page":"8111","DOI":"10.1007\/s00520-022-07248-3","volume":"30","author":"MB Howren","year":"2022","unstructured":"Howren MB, Christensen AJ, Pagedar NA (2022) Problem alcohol and tobacco use in head and neck cancer patients at diagnosis: associations with health-related quality of life. Support Care Cancer 30:8111\u20138","journal-title":"Support Care Cancer"},{"key":"9534_CR35","doi-asserted-by":"crossref","unstructured":"Cornelius ME, Wang TW, Jamal A, Loretan CG, Willis G, Graham-Glover B, et al. Peer reviewed: state-specific prevalence of adult tobacco product use and cigarette smoking cessation behaviors, United States, 2018\u20132019. Prev Chronic Dis. 2023;20.","DOI":"10.5888\/pcd20.230132"},{"key":"9534_CR36","unstructured":"Nguyen K, Marshall L, Hu S, Neff L, Centers for Disease Control and Prevention (CDC). State-specific prevalence of current cigarette smoking and smokeless tobacco use among adults aged\u2265 18 years\u2014United States, 2011\u20132013. MMWR Morb Mortal Wkly Rep. 2015;64:532\u20136."},{"key":"9534_CR37","doi-asserted-by":"publisher","first-page":"661","DOI":"10.4040\/jkan.2015.45.5.661","volume":"45","author":"KY Kim","year":"2015","unstructured":"Kim KY, Lee SH, Kim JH, Oh PJ (2015) Disturbance in ADL from chemotherapy-induced peripheral neuropathy and quality of life in cancer patients: the mediating effect of psychological distress. J Korean Acad Nurs 45:661\u201370","journal-title":"J Korean Acad Nurs"},{"key":"9534_CR38","doi-asserted-by":"publisher","first-page":"237437352412398","DOI":"10.1177\/23743735241239865","volume":"11","author":"NL Stout","year":"2024","unstructured":"Stout NL, Boatman D, Rice M, Branham E, Miller M, Salyer R (2024) Unmet needs and care delivery gaps among rural cancer survivors. J Patient Exp 11:23743735241239864","journal-title":"J Patient Exp"},{"key":"9534_CR39","doi-asserted-by":"publisher","first-page":"9722","DOI":"10.3390\/curroncol29120763","volume":"29","author":"A Rodriguez-Gonzalez","year":"2022","unstructured":"Rodriguez-Gonzalez A, Velasco-Durantez V, Martin-Abreu C, Cruz-Castellanos P, Hernandez R, Gil-Raga M et al (2022) Fatigue, emotional distress, and illness uncertainty in patients with metastatic cancer: results from the prospective NEOETIC_SEOM study. Curr Oncol 29:9722\u201332","journal-title":"Curr Oncol"},{"key":"9534_CR40","doi-asserted-by":"publisher","first-page":"2297","DOI":"10.1038\/sj.bjc.6601887","volume":"90","author":"LE Carlson","year":"2004","unstructured":"Carlson LE, Angen M, Cullum J, Goodey E, Koopmans J, Lamont L et al (2004) High levels of untreated distress and fatigue in cancer patients. Br J Cancer 90:2297\u2013304","journal-title":"Br J Cancer"},{"key":"9534_CR41","first-page":"479","volume":"11","author":"GT Deimling","year":"2002","unstructured":"Deimling GT, Kahana B, Bowman KF, Schaefer ML (2002) Cancer survivorship and psychological distress in later life. Psycho-Oncology J Psychol Soc Behav Dimens Cancer 11:479\u201394","journal-title":"Psycho-Oncology J Psychol Soc Behav Dimens Cancer"},{"key":"9534_CR42","doi-asserted-by":"publisher","first-page":"234","DOI":"10.3322\/caac.21558","volume":"69","author":"CM Alfano","year":"2019","unstructured":"Alfano CM, Mayer DK, Bhatia S, Maher J, Scott JM, Nekhlyudov L et al (2019) Implementing personalized pathways for cancer follow-up care in the United States: proceedings from an American Cancer Society-American Society of Clinical Oncology summit. CA Cancer J Clin 69:234\u201347","journal-title":"CA Cancer J Clin"},{"key":"9534_CR43","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1200\/EDBK_238267","volume":"39","author":"CM Alfano","year":"2019","unstructured":"Alfano CM, Jefford M, Maher J, Birken SA, Mayer DK (2019) Building personalized cancer follow-up care pathways in the United States: lessons learned from implementation in England, Northern Ireland, and Australia. Am Soc Clin Oncol Educ Book 39:625\u201339","journal-title":"Am Soc Clin Oncol Educ Book"},{"key":"9534_CR44","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1007\/s40141-017-0145-x","volume":"5","author":"CM Alfano","year":"2017","unstructured":"Alfano CM, Zucker DS, Pergolotti M, Ness KK, Jones LW, Price ND et al (2017) A precision medicine approach to improve cancer rehabilitation\u2019s impact and integration with cancer care and optimize patient wellness. Curr Phys Med Rehabil Rep 5:64\u201373","journal-title":"Curr Phys Med Rehabil Rep"},{"key":"9534_CR45","doi-asserted-by":"publisher","first-page":"3217","DOI":"10.1002\/cncr.34376","volume":"128","author":"SR Smith","year":"2022","unstructured":"Smith SR, Vargo M, Zucker DS, Shahpar S, Gerber LH, Henderson M et al (2022) Responsiveness and interpretation of the PROMIS cancer function brief 3d profile. Cancer 128:3217\u201323","journal-title":"Cancer"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-025-09534-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-025-09534-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-025-09534-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T18:03:05Z","timestamp":1749492185000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-025-09534-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,21]]},"references-count":45,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["9534"],"URL":"https:\/\/doi.org\/10.1007\/s00520-025-09534-2","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"type":"print","value":"0941-4355"},{"type":"electronic","value":"1433-7339"}],"subject":[],"published":{"date-parts":[[2025,5,21]]},"assertion":[{"value":"28 January 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 May 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 May 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":"This study was approved by the West Virginia University Institutional Review Board (Protocol #2210667659) and was conducted in accordance with the ethical standards as outlined in the 1964 Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Competing interests NS reports speaker honoraria from MedBridge Inc., Survivorship Solutions LLC, and Great Seminars and Books. MD, YC, VT, PP, SW, GD, and ND have no disclosures.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"487"}}