{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T18:14:26Z","timestamp":1784052866064,"version":"3.55.0"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to address the relationship between social determinants of health (both individual and neighborhood levels) to understand more fully how social conditions are associated with physical functioning among breast cancer survivors (BCS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a secondary analysis of a national sample of breast cancer survivors recruited via Institutional Review Board\u2013approved social media (i.e., Facebook) and online cancer-affiliated resource sites (e.g., Pink Ribbon Connection, Dr. Susan Love Foundation). BCS provided their address and demographic factors and completed the physical functioning survey (PF-10). Neighborhood social determinants of health (SDOH) included Yost National Rank Index and neighborhood factors (walkability and rural vs. urban status) using Geocoding. Descriptive statistics and linear regression models were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      BCS who were older (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.038) and single (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008) had poor physical functioning. Socioeconomic factors including higher education (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), higher income (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.034), and higher neighborhood socioeconomic status (Yost Index,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016) were associated with greater physical functioning. Neighborhood factors (walkability and rural vs. urban) were not associated with physical functioning in BCS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Physical functioning of BCS was linked to age, social network (marital status), and socioeconomic status. Future interventional research is needed that accounts for individual and socioeconomic factors to mitigate their effects on the physical functioning of BCS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-10969-4","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:59:05Z","timestamp":1783054745000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of social determinants of health and physical functioning among breast cancer survivors"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3189-1307","authenticated-orcid":false,"given":"Diane","family":"Von Ah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9481-7836","authenticated-orcid":false,"given":"Leorey","family":"Saligan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley Pariser","family":"Davenport","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Naughton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Storey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yesol","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Macy","family":"Corley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse J.","family":"Plascak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"10969_CR1","first-page":"308","volume":"75","author":"N Wagle","year":"2025","unstructured":"Wagle N, Nogueira L, Devasia T, Mariotto A, Yabroff KR, Islami F, Jemal A, Alteri R, Ganz PA, Siegel RL (2025) Cancer treatment and survivorship statistics, 2025. CA Cancer J Clin 75:308\u2013340","journal-title":"CA Cancer J Clin"},{"key":"10969_CR2","doi-asserted-by":"publisher","first-page":"2718","DOI":"10.3390\/cancers16152718","volume":"16","author":"D Von Ah","year":"2024","unstructured":"Von Ah D, Rio CJ, Carter A, Perkins SM, Stevens E, Rosko A, Davenport A, Kalady M, Noonan AM, Crouch A, Storey S, Overcash J, Han CJ, Yang Y, Li H, Saligan LN (2024) Association between cognitive function and physical function, frailty, and quality of life in older breast cancer survivors. Cancers 16:2718","journal-title":"Cancers"},{"key":"10969_CR3","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.35571","volume":"131","author":"AM Flores","year":"2025","unstructured":"Flores AM, Shah M, Bedjeti K, Franklin PD, Peipert JD, Garcia SF, Lancki N, Webster KA, O\u2019Connor M, Cella D (2025) Risk of significant functional impairment across cancer diagnosis and care continuum. Cancer 131:e35571","journal-title":"Cancer"},{"key":"10969_CR4","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/978-981-19-6710-8_1","volume-title":"Physical therapy and research in patients with cancer","author":"S Morishita","year":"2023","unstructured":"Morishita S, Jinbo R, Tsubaki A, Fu JB (2023) Physical function and health-related QOL in cancer survivors. In: Morishita S, Inoue J, Nakano J (eds) Physical therapy and research in patients with cancer. Springer Nature Singapore, pp 3\u201323. https:\/\/doi.org\/10.1007\/978-981-19-6710-8_1"},{"issue":"1","key":"10969_CR5","doi-asserted-by":"publisher","first-page":"161","DOI":"10.3233\/BD-249005","volume":"43","author":"NQ Agussalim","year":"2024","unstructured":"Agussalim NQ et al (2024) Physical activity and quality of life in breast cancer survivors. Breast Dis 43(1):161\u2013171","journal-title":"Breast Dis"},{"issue":"1","key":"10969_CR6","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1186\/s12955-020-01448-3","volume":"18","author":"TM Liska","year":"2020","unstructured":"Liska TM, Kolen AM (2020) The role of physical activity in cancer survivors\u2019 quality of life. Health Qual Life Outcomes 18(1):197","journal-title":"Health Qual Life Outcomes"},{"issue":"2","key":"10969_CR7","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1002\/cncr.33913","volume":"128","author":"L Nekhlyudov","year":"2022","unstructured":"Nekhlyudov L, Campbell GB, Schmitz KH, Brooks GA, Kumar AJ, Ganz PA, Von Ah D (2022) Cancer-related impairments and functional limitations among long-term cancer survivors: gaps and opportunities for clinical practice. Cancer 128(2):222\u2013229","journal-title":"Cancer"},{"issue":"5","key":"10969_CR8","first-page":"3733","volume":"30","author":"NP Grusdat","year":"2022","unstructured":"Grusdat NP, St\u00e4uber A, Tolkmitt M, Schnabel J, Schubotz B, Wright PR, Schulz H (2022) Routine cancer treatments and their impact on physical function, symptoms of cancer-related fatigue, anxiety, and depression. Support Care Cancer 30(5):3733\u20133744","journal-title":"Support Care Cancer"},{"issue":"19","key":"10969_CR9","doi-asserted-by":"publisher","first-page":"2257","DOI":"10.1200\/JCO.23.02536","volume":"42","author":"C Cao","year":"2024","unstructured":"Cao C, Yang L, Schmitz KH, Ligibel JA (2024) Prevalence and cancer-specific patterns of functional disability among US cancer survivors, 2017\u20132022. J Clin Oncol 42(19):2257\u20132270","journal-title":"J Clin Oncol"},{"issue":"12","key":"10969_CR10","doi-asserted-by":"publisher","first-page":"2880","DOI":"10.1093\/jamia\/ocae168","volume":"31","author":"BY Kim","year":"2024","unstructured":"Kim BY, Anthopolos R, Do H, Zhong J (2024) Model-based estimation of individual-level social determinants of health and its applications in all of us. J Am Med Inf Assoc 31(12):2880\u20132889","journal-title":"J Am Med Inf Assoc"},{"issue":"13","key":"10969_CR11","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18137192","volume":"18","author":"S Namin","year":"2021","unstructured":"Namin S, Zhou Y, Neuner J, Beyer K (2021) Neighborhood characteristics and cancer survivorship: an overview of the current literature on neighborhood landscapes and cancer care. Int J Environ Res Public Health 18(13):7192","journal-title":"Int J Environ Res Public Health"},{"key":"10969_CR12","unstructured":"Center for Disease Control and Prevention (2024) Why is addressing SDOH important? https:\/\/www.cdc.gov\/about\/priorities\/why-is-addressing-sdoh-important.html"},{"issue":"12","key":"10969_CR13","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.7255","volume":"13","author":"T Goto","year":"2024","unstructured":"Goto T, Saligan LN, Juneau P, Gonsalves SG, Rio CJ, Graves LY, Von Ah D (2024) Characterization of cancer survivors clustered by subjective and objective cognitive function scores. Cancer Med 13(12):e7255","journal-title":"Cancer Med"},{"key":"10969_CR14","unstructured":"(2010) U.S. Census Bureau, U.S. Department of Commerce, and American Statistics. 2010 Topologically Integrated Geographic Encoding and Referencing (TIGER) System. Washington, DC: U.S. Census Bureau"},{"issue":"8","key":"10969_CR15","first-page":"703","volume":"12","author":"K Yost","year":"2001","unstructured":"Yost K, Perkins C, Cohen R, Morris C, Wright W (2001) Socioeconomic status and breast cancer incidence in California for different race\/ethnic groups. Cancer Causes Control CCC 12(8):703\u2013711","journal-title":"Cancer Causes Control CCC"},{"key":"10969_CR16","doi-asserted-by":"publisher","DOI":"10.1016\/j.sste.2021.100412","volume":"37","author":"FP Boscoe","year":"2021","unstructured":"Boscoe FP, Liu B, Lee F (2021) A comparison of two neighborhood-level socioeconomic indexes in the United States. Spat Spatiotemporal Epidemiol 37:100412","journal-title":"Spat Spatiotemporal Epidemiol"},{"key":"10969_CR17","doi-asserted-by":"publisher","unstructured":"Manson S et al (2019) Ipums national historical geographic information system: Version 14.0. Minneapolis, MN: IPUMS. 2019. https:\/\/doi.org\/10.18128\/D050.V14.0","DOI":"10.18128\/D050.V14.0"},{"issue":"1","key":"10969_CR18","first-page":"81","volume":"25","author":"M Yu","year":"2014","unstructured":"Yu M, Tatalovich Z, Gibson JT, Cronin KA (2014) Using a composite index of socioeconomic status to investigate health disparities while protecting the confidentiality of cancer registry data. Cancer Causes Control CCC 25(1):81\u201392","journal-title":"Cancer Causes Control CCC"},{"key":"10969_CR19","unstructured":"U.S. Census Bureau, U.S. Department of Commerce, and American Statistics. 2017\u20132021 American Community Survey 5-Year Estimates. From Explore Census Data: https:\/\/data.census.gov\/"},{"key":"10969_CR20","unstructured":"U.S. Environmental Protection Agency (2021) National Walkability Index methodology and user guide. U.S. Environmental Protection Agency. https:\/\/www.epa.gov\/sites\/default\/files\/2021-06\/documents\/national_walkability_index_methodology_and_user_guide_june2021.pdf"},{"issue":"3","key":"10969_CR21","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1080\/01944361003766766","volume":"76","author":"R Ewing","year":"2010","unstructured":"Ewing R, Cervero R (2010) Travel and the built environment: a meta-analysis. J Am Plan Assoc 76(3):265\u2013294","journal-title":"J Am Plan Assoc"},{"key":"10969_CR22","unstructured":"U.S. Department of Agriculture, Economic Research Service (2019) 2010 rural-urban commuting area codes. https:\/\/www.ers.usda.gov\/data-products\/rural-urban-commuting-area-codes\/"},{"issue":"3","key":"10969_CR23","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1002\/hec.4730020305","volume":"2","author":"RD Hays","year":"1993","unstructured":"Hays RD, Sherbourne CD, Mazel RM (1993) The RAND 36-item health survey 1.0. Health Econ 2(3):217\u2013227","journal-title":"Health Econ"},{"issue":"1","key":"10969_CR24","first-page":"11","volume":"7","author":"SS Coughlin","year":"2021","unstructured":"Coughlin SS (2021) Social determinants of health and cancer survivorship. J Environ Health Sci 7(1):11\u201315","journal-title":"J Environ Health Sci"},{"issue":"3","key":"10969_CR25","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1007\/s10549-019-05340-7","volume":"177","author":"SS Coughlin","year":"2019","unstructured":"Coughlin SS (2019) Social determinants of breast cancer risk, stage, and survival. Breast Cancer Res Treat 177(3):537\u2013548","journal-title":"Breast Cancer Res Treat"},{"issue":"19","key":"10969_CR26","doi-asserted-by":"publisher","first-page":"20150","DOI":"10.1002\/cam4.6596","volume":"12","author":"AKG Levinsen","year":"2023","unstructured":"Levinsen AKG, Kjaer TK, Thygesen LC, Maltesen T, Jakobsen E, G\u00f6genur I, Borre M, Christiansen P, Zachariae R, Christensen P, Laurberg S, de Nully Brown P, H\u00f6lmich LR, Johansen C, Kjaer SK, van de Poll-Franse L, Saltbaek L, Dalton SO (2023) Social inequality in cancer survivorship: educational differences in health-related quality of life among 27,857 cancer survivors in Denmark. Cancer Med 12(19):20150\u201320162","journal-title":"Cancer Med"},{"issue":"13","key":"10969_CR27","doi-asserted-by":"publisher","first-page":"3158","DOI":"10.3390\/cancers14133158","volume":"14","author":"J Haier","year":"2022","unstructured":"Haier J, Schaefers J (2022) Economic perspective of cancer care and its consequences for vulnerable groups. Cancers 14(13):3158","journal-title":"Cancers"},{"issue":"1","key":"10969_CR28","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1186\/s12889-020-08498-8","volume":"20","author":"MT Svendsen","year":"2020","unstructured":"Svendsen MT, Bak CK, S\u00f8rensen K, Pelikan J, Riddersholm SJ, Skals RK, Mortensen RN, Maindal HT, B\u00f8ggild H, Nielsen G, Torp-Pedersen C (2020) Associations of health literacy with socioeconomic position, health risk behavior, and health status: a large national population-based survey among Danish adults. BMC Public Health 20(1):565","journal-title":"BMC Public Health"},{"issue":"21","key":"10969_CR29","doi-asserted-by":"publisher","first-page":"5402","DOI":"10.3390\/cancers14215402","volume":"14","author":"C Torregrosa","year":"2022","unstructured":"Torregrosa C, Chorin F, Beltran EEM, Neuzillet C, Cardot-Ruffino V (2022) Physical activity as the best supportive care in cancer: the clinician\u2019s and the researcher\u2019s perspectives. Cancers 14(21):5402","journal-title":"Cancers"},{"issue":"11","key":"10969_CR30","doi-asserted-by":"publisher","first-page":"3498","DOI":"10.1111\/jgs.18508","volume":"71","author":"NM Gell","year":"2023","unstructured":"Gell NM, Bae M, Patel KV, Schmitz K, Dittus K, Toth M (2023) Physical function in older adults with and without a cancer history: findings from the National Health and Aging Trends Study. J Am Geriatr Soc 71(11):3498\u20133507","journal-title":"J Am Geriatr Soc"},{"issue":"6","key":"10969_CR31","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1007\/s11912-022-01255-7","volume":"24","author":"MI Fitch","year":"2022","unstructured":"Fitch MI, Nicoll I, Newton L, Strohschein FJ (2022) Challenges of survivorship for older adults diagnosed with cancer. Curr Oncol Rep 24(6):763\u2013773","journal-title":"Curr Oncol Rep"},{"issue":"6","key":"10969_CR32","doi-asserted-by":"publisher","first-page":"1379","DOI":"10.1007\/s11764-021-01119-2","volume":"16","author":"A Hurtado-de-Mendoza","year":"2022","unstructured":"Hurtado-de-Mendoza A, Gonzales F, Song M, Holmes EJ, Graves KD, Retnam R, G\u00f3mez-Trillos S, Lopez K, Edmonds MC, Sheppard VB (2022) Association between aspects of social support and health-related quality of life domains among African American and White breast cancer survivors. J Cancer Survivorship\u202f: Res Pract 16(6):1379\u20131389","journal-title":"J Cancer Survivorship : Res Pract"},{"issue":"4","key":"10969_CR33","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1093\/geront\/gnz051","volume":"60","author":"JL Guida","year":"2020","unstructured":"Guida JL, Holt CL, Dallal CM, He X, Gold R, Liu H (2020) Social relationships and functional impairment in aging cancer survivors: a longitudinal social network study. Gerontologist 60(4):607\u2013616","journal-title":"Gerontologist"},{"key":"10969_CR34","doi-asserted-by":"crossref","unstructured":"Graells-Sans A, Serral G, Puigpin\u00f3s-Riera R, & Grupo Cohort DAMA (2018) Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort).\u00a0Cancer epidemiology,\u00a054, 38\u201347","DOI":"10.1016\/j.canep.2018.03.007"},{"issue":"2","key":"10969_CR35","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1007\/s10549-013-2477-2","volume":"139","author":"CH Kroenke","year":"2013","unstructured":"Kroenke CH, Kwan ML, Neugut AI, Ergas IJ, Wright JD, Caan BJ, Hershman D, Kushi LH (2013) Social networks, social support mechanisms, and quality of life after breast cancer diagnosis. Breast Cancer Res Treat 139(2):515\u2013527","journal-title":"Breast Cancer Res Treat"},{"issue":"4","key":"10969_CR36","doi-asserted-by":"publisher","first-page":"e0196134","DOI":"10.1371\/journal.pone.0196134","volume":"13","author":"C Parise","year":"2018","unstructured":"Parise C, Caggiano V (2018) The influence of marital status and race\/ethnicity on risk of mortality for triple negative breast cancer. PLoS ONE 13(4):e0196134","journal-title":"PLoS ONE"},{"issue":"31","key":"10969_CR37","doi-asserted-by":"publisher","first-page":"3869","DOI":"10.1200\/JCO.2013.49.6489","volume":"31","author":"AA Aizer","year":"2013","unstructured":"Aizer AA, Chen MH, McCarthy EP, Mendu ML, Koo S, Wilhite TJ, Graham PL, Choueiri TK, Hoffman KE, Martin NE, Hu JC, Nguyen PL (2013) Marital status and survival in patients with cancer. J Clin Oncol\u202f: Off J Am Soc Clin Oncol 31(31):3869\u20133876","journal-title":"J Clin Oncol : Off J Am Soc Clin Oncol"},{"issue":"2","key":"10969_CR38","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1016\/j.jgo.2012.01.005","volume":"3","author":"HJ Cohen","year":"2012","unstructured":"Cohen HJ, Lan L, Archer L, Kornblith AB (2012) Impact of age, comorbidity and symptoms on physical function in long-term breast cancer survivors (CALGB 70803). J Geriatr Oncol 3(2):82\u201389","journal-title":"J Geriatr Oncol"},{"issue":"2","key":"10969_CR39","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1002\/cncr.33904","volume":"128","author":"IM Tami-Maury","year":"2022","unstructured":"Tami-Maury IM, Liao Y, Rangel ML, Gatus LA, Shinn EH, Alexander A, Basen-Engquist K (2022) Active living after cancer: adaptation and evaluation of a community-based physical activity program for minority and medically underserved breast cancer survivors. Cancer 128(2):353\u2013363","journal-title":"Cancer"},{"issue":"7","key":"10969_CR40","doi-asserted-by":"publisher","first-page":"940","DOI":"10.1093\/jnci\/djac030","volume":"114","author":"S Bhatia","year":"2022","unstructured":"Bhatia S, Landier W, Paskett ED, Peters KB, Merrill JK, Phillips J, Osarogiagbon RU (2022) Rural-urban disparities in cancer outcomes: opportunities for future research. J Natl Cancer Inst 114(7):940\u2013952","journal-title":"J Natl Cancer Inst"},{"issue":"9","key":"10969_CR41","first-page":"1529","volume":"23","author":"SL Pruitt","year":"2012","unstructured":"Pruitt SL, McQueen A, Deshpande AD, Jeffe DB, Schootman M (2012) Mediators of the effect of neighborhood poverty on physical functioning among breast cancer survivors: a longitudinal study. Cancer Causes Control CCC 23(9):1529\u20131540","journal-title":"Cancer Causes Control CCC"},{"issue":"5","key":"10969_CR42","doi-asserted-by":"publisher","first-page":"922","DOI":"10.1093\/eurpub\/ckz153","volume":"30","author":"S Jivraj","year":"2020","unstructured":"Jivraj S, Murray ET, Norman P, Nicholas O (2020) The impact of life course exposures to neighbourhood deprivation on health and well-being: a review of the long-term neighbourhood effects literature. Eur J Public Health 30(5):922\u2013928","journal-title":"Eur J Public Health"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10969-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-10969-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10969-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T18:03:08Z","timestamp":1784052188000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-026-10969-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":42,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10969"],"URL":"https:\/\/doi.org\/10.1007\/s00520-026-10969-4","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"23 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was performed in line with the Declaration of Helsinki and approval of this study was granted by Indiana University\u2019s Institutional Review Board (IRB). Informed consent was obtained from all participants included in the study.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All of the patients signed a written informed consent prior to study participation.","order":2,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All of the authors read the final version of the paper and approved its submission for publication.","order":3,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"725"}}