{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:13:50Z","timestamp":1792782830593,"version":"4.5.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Karolinska Institute","id":[{"id":"https:\/\/ror.org\/056d84691","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Swedish Spine Register (Swespine) is a nationwide quality registry that prospectively collects detailed clinical and patient-reported data on spine surgery. While it has generated a substantial body of scientific literature, a systematic overview of publication trends, study characteristics, and research focus areas is lacking. This study aimed to bibliometrically characterize publication output, research trends, study designs, citation patterns, and clinical focus areas among publications using Swespine data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A bibliometric analysis was conducted. PubMed MEDLINE and EMBASE were searched from inception to March 8, 2026. Original studies utilizing Swespine data were included following independent screening by two reviewers. Descriptive statistics, trend analyses, and correlation analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 157 studies were included. Most studies were retrospective (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009134), with fewer prospective randomized (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912) and prospective non-randomized studies (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095). Publication output increased over time, peaking in 2022 and 2025. The median of total citations per article was 12 (IQR 4\u201339). Publications were most commonly found in spine-focused journals. Citation counts were positively correlated with journal impact factor (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.85\u20130.91,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Research predominantly focused on degenerative lumbar spine pathology (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200974), particularly lumbar disc herniation and spinal stenosis, although a significant increase in cervical spine research was observed over time (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). A limited number of authors contributed a disproportionate share of publications. Less common topics included deformity, trauma, and metastatic disease.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Swespine registry has generated a substantial and growing body of scientific literature. Its longitudinal design, patient-reported outcomes, and national coverage make it a usefiul resource for studying spine surgery in Sweden. However, its single-country setting, incomplete coverage and population-specific characteristics limit generalizability to global populations. Future research should emphasize international comparisons, and better inclusion of underrepresented groups and conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00586-026-10316-5","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T14:22:30Z","timestamp":1790086950000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Swespine in the literature: a bibliometric analysis of trends and characteristics of publications"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7442-037X","authenticated-orcid":false,"given":"Daniel","family":"de Wilde","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aron","family":"Alakmeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8061-7163","authenticated-orcid":false,"given":"Paul","family":"Gerdhem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor E.","family":"Staartjes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Elmi-Terander","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"10316_CR1","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1186\/s10195-023-00732-4","volume":"24","author":"S Pascucci","year":"2023","unstructured":"Pascucci S, Langella F, Franz\u00f2 M, et al. National spine surgery registries\u2019 characteristics and aims: globally accepted standards have yet to be met. Results of a scoping review and a complementary survey. J Orthop Traumatol. 2023;24:49. doi:https:\/\/doi.org\/10.1186\/s10195-023-00732-4","journal-title":"J Orthop Traumatol"},{"key":"10316_CR2","unstructured":"Gliklich RE, Dreyer NA, Leavy MB, eds. Registries for Evaluating Patient Outcomes: A User\u2019s Guide. 3rd ed. Agency for Healthcare Research and Quality (US); 2014. Accessed August 8, 2026. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK208616\/"},{"issue":"2","key":"10316_CR3","doi-asserted-by":"publisher","first-page":"36","DOI":"10.7812\/TPP\/12-008","volume":"16","author":"EW Paxton","year":"2012","unstructured":"Paxton EW, Inacio MC, Kiley ML. The Kaiser Permanente implant registries: effect on patient safety, quality improvement, cost effectiveness, and research opportunities. Perm J. 2012;16(2):36\u201344. doi:https:\/\/doi.org\/10.7812\/TPP\/12-008","journal-title":"Perm J"},{"issue":"9","key":"10316_CR4","doi-asserted-by":"publisher","first-page":"2319","DOI":"10.1002\/jor.24014","volume":"36","author":"H Malchau","year":"2018","unstructured":"Malchau H, Garellick G, Berry D, et al. Arthroplasty implant registries over the past five decades: Development, current, and future impact. J Orthop Res. 2018;36(9):2319\u20132330. doi:https:\/\/doi.org\/10.1002\/jor.24014","journal-title":"J Orthop Res"},{"issue":"4","key":"10316_CR5","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1007\/s00586-013-2758-9","volume":"22","author":"B Str\u00f6mqvist","year":"2013","unstructured":"Str\u00f6mqvist B, Fritzell P, H\u00e4gg O, J\u00f6nsson B, Sand\u00e9n B, Swedish Society of Spinal Surgeons. Swespine: the Swedish spine register: the 2012 report. Eur Spine J. 2013;22(4):953\u2013974. doi:https:\/\/doi.org\/10.1007\/s00586-013-2758-9","journal-title":"Eur Spine J"},{"issue":"sup251","key":"10316_CR6","doi-asserted-by":"publisher","first-page":"138","DOI":"10.3109\/17453679309160145","volume":"64","author":"B Str\u00f6mqvist","year":"1993","unstructured":"Str\u00f6mqvist B, J\u00f6nsson B. Computerized follow-up after surgery for degenerative lumbar spine diseases. Acta Orthopaedica Scandinavica. 1993;64(sup251):138\u2013142. doi:https:\/\/doi.org\/10.3109\/17453679309160145","journal-title":"Acta Orthopaedica Scandinavica"},{"issue":"Suppl 3","key":"10316_CR7","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1007\/s00586-009-1043-4","volume":"18","author":"B Str\u00f6mqvist","year":"2009","unstructured":"Str\u00f6mqvist B, Fritzell P, H\u00e4gg O, J\u00f6nsson B, Swedish Society of Spinal Surgeons. The Swedish Spine Register: development, design and utility. Eur Spine J. 2009;18 Suppl 3(Suppl 3):294\u2013304. doi:https:\/\/doi.org\/10.1007\/s00586-009-1043-4","journal-title":"Eur Spine J"},{"key":"10316_CR8","unstructured":"Bj\u00f6rn Knutsson, Registerh\u00e5llare, Carina Blom, Registerkoordinator, H\u00e5kan L\u00f6fgren, Kass\u00f6r, et al. \u00c5RSRAPPORT 2025 SWESPINE. https:\/\/www.swespine.se\/uploads\/251107_\u00e5rsrapport_swespine.pdf"},{"issue":"2","key":"10316_CR9","doi-asserted-by":"publisher","first-page":"510","DOI":"10.1007\/s00586-025-09455-y","volume":"35","author":"VG El-Hajj","year":"2026","unstructured":"El-Hajj VG, Ranganathan S, de Wilde D, et al. A nationwide registry study of surgical and patient-reported outcomes following anterior cervical discectomy and fusion: Part 1 - Synthetic cages versus autologous crista bone grafts. Eur Spine J. 2026;35(2):510\u2013519. doi:https:\/\/doi.org\/10.1007\/s00586-025-09455-y","journal-title":"Eur Spine J"},{"key":"10316_CR10","doi-asserted-by":"publisher","unstructured":"El-Hajj VG, Gustafsson MRV, Vigren P, et al. Patient-centered care in cervical spine surgery \u2013 the impact of perceived patient involvement on patient-reported outcomes measures: a Swedish multicenter study. Eur Spine J. Published online October 13, 2025. doi:https:\/\/doi.org\/10.1007\/s00586-025-09405-8","DOI":"10.1007\/s00586-025-09405-8"},{"issue":"8","key":"10316_CR11","doi-asserted-by":"publisher","first-page":"3421","DOI":"10.1007\/s00586-025-09070-x","volume":"34","author":"VG El-Hajj","year":"2025","unstructured":"El-Hajj VG, Gustafsson MRV, Clement B, et al. Weight change patterns following surgery for cervical spondylosis in overweight and obese individuals: a nationwide longitudinal study. Eur Spine J. 2025;34(8):3421\u20133429. doi:https:\/\/doi.org\/10.1007\/s00586-025-09070-x","journal-title":"Eur Spine J"},{"issue":"1","key":"10316_CR12","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1007\/s00701-025-06751-w","volume":"167","author":"D de Wilde","year":"2025","unstructured":"de Wilde D, El-Hajj VG, Vigren P, et al. A nationwide registry study of surgical and patient-reported outcomes following anterior cervical discectomy and fusion: Part 2 \u2013 cage with versus without local bone graft. Acta Neurochir. 2025;167(1):319. doi:https:\/\/doi.org\/10.1007\/s00701-025-06751-w","journal-title":"Acta Neurochir"},{"issue":"1","key":"10316_CR13","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1007\/s00701-024-05991-6","volume":"166","author":"A Singh","year":"2024","unstructured":"Singh A, von Vogelsang AC, Tatter C, et al. Dysphagia, health-related quality of life, and return to work after occipitocervical fixation. Acta Neurochir. 2024;166(1):90. doi:https:\/\/doi.org\/10.1007\/s00701-024-05991-6","journal-title":"Acta Neurochir"},{"issue":"11","key":"10316_CR14","doi-asserted-by":"publisher","first-page":"2875","DOI":"10.1007\/s00586-018-5742-6","volume":"27","author":"G Olafsson","year":"2018","unstructured":"Olafsson G, Jonsson E, Fritzell P, H\u00e4gg O, Borgstr\u00f6m F. Cost of low back pain: results from a national register study in Sweden. Eur Spine J. 2018;27(11):2875\u20132881. doi:https:\/\/doi.org\/10.1007\/s00586-018-5742-6","journal-title":"Eur Spine J"},{"key":"10316_CR15","unstructured":"Carina Blom, Catharina Parai, Olof Thoreson, Olle H\u00e4gg. ANNUAL REPORT 2023 SWESPINE 25 YEAR."},{"key":"10316_CR16","unstructured":"Swedish Spine Register. Publicerade artiklar baserade p\u00e5 Swespine-data. Accessed April 27, 2026. https:\/\/www.swespine.se\/page.aspx?id=6&lang=1"},{"key":"10316_CR17","unstructured":"R Core Team. R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria. Published online 2025. https:\/\/www.R-project.org\/."},{"issue":"6","key":"10316_CR18","doi-asserted-by":"publisher","first-page":"e616-e624","DOI":"10.1097\/SLA.0000000000003631","volume":"274","author":"LE Bothwell","year":"2021","unstructured":"Bothwell LE, Jones DS. Innovation and Tribulation in the History of Randomized Controlled Trials in Surgery. Ann Surg. 2021;274(6):e616-e624. doi:https:\/\/doi.org\/10.1097\/SLA.0000000000003631","journal-title":"Ann Surg"},{"issue":"7","key":"10316_CR19","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1302\/0301-620X.106B7.BJJ-2023-1160.R2","volume":"106-B","author":"T Karlsson","year":"2024","unstructured":"Karlsson T, F\u00f6rsth P, \u00d6hagen P, Micha\u00eblsson K, Sand\u00e9n B. Decompression alone or decompression with fusion for lumbar spinal stenosis: five-year clinical results from a randomized clinical trial. Bone Joint J. 2024;106-B(7):705\u2013712. doi:https:\/\/doi.org\/10.1302\/0301-620X.106B7.BJJ-2023-1160.R2","journal-title":"Bone Joint J"},{"key":"10316_CR20","doi-asserted-by":"crossref","unstructured":"Artificial disc replacement and adjacent-segment pathology: 10-year outcomes of a randomized trial in: Journal of Neurosurgery: Spine Volume 36 Issue 6 (2021) Journals. Accessed April 12, 2026. https:\/\/thejns.org\/spine\/view\/journals\/j-neurosurg-spine\/36\/6\/article-p945.xml","DOI":"10.3171\/2021.9.SPINE21904"},{"key":"10316_CR21","doi-asserted-by":"publisher","unstructured":"A Randomized, Controlled Trial of Fusion Surgery for Lumbar Spinal Stenosis | New England Journal of Medicine. Accessed April 12, 2026. https:\/\/www.nejm.org\/doi\/full\/https:\/\/doi.org\/10.1056\/NEJMoa1513721","DOI":"10.1056\/NEJMoa1513721"},{"key":"10316_CR22","unstructured":"Fritzell P, H\u00e4gg O, Gerdhem P, et al. SWEDISH SOCIETY OF SPINAL SURGEONS."},{"key":"10316_CR23","doi-asserted-by":"crossref","unstructured":"Adjusting for selection bias in retrospective, case\u2013control studies | Biostatistics | Oxford Academic. Accessed April 12, 2026. https:\/\/academic.oup.com\/biostatistics\/article-abstract\/10\/1\/17\/269436?redirectedFrom=fulltext","DOI":"10.1093\/biostatistics\/kxn010"},{"issue":"7","key":"10316_CR24","doi-asserted-by":"publisher","first-page":"1156","DOI":"10.34067\/KID.0007022020","volume":"2","author":"MM Assimon","year":"2021","unstructured":"Assimon MM. Confounding in Observational Studies Evaluating the Safety and Effectiveness of Medical Treatments. Kidney360. 2021;2(7):1156\u20131159. doi:https:\/\/doi.org\/10.34067\/KID.0007022020","journal-title":"Kidney360"},{"key":"10316_CR25","doi-asserted-by":"crossref","unstructured":"Patient-reported outcomes in spine surgery: past, current, and future directions in: Journal of Neurosurgery: Spine Volume 31 Issue 2 (2019) Journals. Accessed April 12, 2026. https:\/\/thejns.org\/spine\/view\/journals\/j-neurosurg-spine\/31\/2\/article-p155.xml?utm_source=chatgpt.com","DOI":"10.3171\/2019.1.SPINE18770"},{"issue":"23","key":"10316_CR26","doi-asserted-by":"publisher","first-page":"12445","DOI":"10.3390\/ijerph182312445","volume":"18","author":"MLL Zini","year":"2021","unstructured":"Zini MLL, Banfi G. A Narrative Literature Review of Bias in Collecting Patient Reported Outcomes Measures (PROMs). Int J Environ Res Public Health. 2021;18(23):12445. doi:https:\/\/doi.org\/10.3390\/ijerph182312445","journal-title":"Int J Environ Res Public Health"},{"issue":"3","key":"10316_CR27","doi-asserted-by":"publisher","first-page":"154","DOI":"10.4103\/jpgm.jpgm_343_24","volume":"70","author":"S Verma","year":"2024","unstructured":"Verma S, Sharma H. Quantity over quality of publications: Are we using the right metrics to judge author\u2019s productivity and impact in biomedical research? J Postgrad Med. 2024;70(3):154\u2013161. doi:https:\/\/doi.org\/10.4103\/jpgm.jpgm_343_24","journal-title":"J Postgrad Med"},{"issue":"3","key":"10316_CR28","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1093\/rev\/2.3.143","volume":"2","author":"PO Seglen","year":"1992","unstructured":"Seglen PO. How representative is the journal impact factor? Res Eval. 1992;2(3):143\u2013149. doi:https:\/\/doi.org\/10.1093\/rev\/2.3.143","journal-title":"Res Eval"},{"key":"10316_CR29","doi-asserted-by":"publisher","first-page":"101589","DOI":"10.1016\/j.inat.2022.101589","volume":"29","author":"X Huo","year":"2022","unstructured":"Huo X, Wang K, Song L, et al. Bibliometric analysis of publication trends in chordoma research (1992\u2009\u2013\u20092021). Interdisciplinary Neurosurgery. 2022;29:101589. doi:https:\/\/doi.org\/10.1016\/j.inat.2022.101589","journal-title":"Interdisciplinary Neurosurgery"},{"key":"10316_CR30","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.wneu.2022.06.116","volume":"166","author":"GEA Hovis","year":"2022","unstructured":"Hovis GEA, Brown NJ, Ton E, et al. Bibliometric Analysis of the 100 Most Influential Hemangioblastoma Research Articles Illustrates Progress in Clinical Management and Room for Growth in Targeted Therapies. World Neurosurgery. 2022;166:1\u201314. doi:https:\/\/doi.org\/10.1016\/j.wneu.2022.06.116","journal-title":"World Neurosurgery"},{"issue":"12","key":"10316_CR31","first-page":"317","volume":"16","author":"AJ Lotka","year":"1926","unstructured":"Lotka AJ. The frequency distribution of scientific productivity. Journal of the Washington Academy of Sciences. 1926;16(12):317\u2013323.","journal-title":"Journal of the Washington Academy of Sciences"},{"issue":"8","key":"10316_CR32","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1177\/2192568218770769","volume":"8","author":"VM Ravindra","year":"2018","unstructured":"Ravindra VM, Senglaub SS, Rattani A, et al. Degenerative Lumbar Spine Disease: Estimating Global Incidence and Worldwide Volume. Global Spine J. 2018;8(8):784\u2013794. doi:https:\/\/doi.org\/10.1177\/2192568218770769","journal-title":"Global Spine J"},{"issue":"4","key":"10316_CR33","doi-asserted-by":"publisher","first-page":"464","DOI":"10.3171\/2025.4.SPINE2598","volume":"43","author":"VG El-Hajj","year":"2025","unstructured":"El-Hajj VG, Klukowska AM, Staartjes VE, et al. Minimally clinically important relative change instead of difference following surgery for degenerative cervical radiculopathy: a nationwide study on 5300 patients using prospectively collected data. J Neurosurg Spine. 2025;43(4):464\u2013471. doi:https:\/\/doi.org\/10.3171\/2025.4.SPINE2598","journal-title":"J Neurosurg Spine"},{"issue":"2","key":"10316_CR34","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1227\/neu.0000000000003596","volume":"98","author":"VG El-Hajj","year":"2026","unstructured":"El-Hajj VG, Klukowska AM, Staartjes VE, et al. Minimal Clinically Important Difference and Relative Change in Patient-Reported Outcomes After Surgery for Cervical Spondylotic Myelopathy: A Nationwide Study of 1,700 Patients. Neurosurgery. 2026;98(2):358\u2013364. doi:https:\/\/doi.org\/10.1227\/neu.0000000000003596","journal-title":"Neurosurgery"},{"issue":"3","key":"10316_CR35","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1016\/j.spinee.2024.10.010","volume":"25","author":"A Buwaider","year":"2025","unstructured":"Buwaider A, El-Hajj VG, MacDowall A, et al. Machine learning models for predicting dysphonia following anterior cervical discectomy and fusion: a Swedish Registry Study. Spine J. 2025;25(3):419\u2013428. doi:https:\/\/doi.org\/10.1016\/j.spinee.2024.10.010","journal-title":"Spine J"},{"key":"10316_CR36","doi-asserted-by":"publisher","first-page":"512","DOI":"10.2340\/17453674.2025.44251","volume":"96","author":"A Abbott","year":"2025","unstructured":"Abbott A, Pedersen CF, Hedevik H, et al. External validation of a prediction model for disability and pain after lumbar disc herniation surgery: a prospective international registry-based cohort study. Acta Orthop. 2025;96:512\u2013520. doi:https:\/\/doi.org\/10.2340\/17453674.2025.44251","journal-title":"Acta Orthop"},{"issue":"11","key":"10316_CR37","doi-asserted-by":"publisher","first-page":"2562","DOI":"10.1007\/s00586-018-5768-9","volume":"28","author":"T Lagerb\u00e4ck","year":"2019","unstructured":"Lagerb\u00e4ck T, Fritzell P, H\u00e4gg O, et al. Effectiveness of surgery for sciatica with disc herniation is not substantially affected by differences in surgical incidences among three countries: results from the Danish, Swedish and Norwegian spine registries. Eur Spine J. 2019;28(11):2562\u20132571. doi:https:\/\/doi.org\/10.1007\/s00586-018-5768-9","journal-title":"Eur Spine J"},{"issue":"1","key":"10316_CR38","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1016\/j.spinee.2018.05.028","volume":"19","author":"G L\u00f8nne","year":"2019","unstructured":"L\u00f8nne G, Fritzell P, H\u00e4gg O, et al. Lumbar spinal stenosis: comparison of surgical practice variation and clinical outcome in three national spine registries. The Spine Journal. 2019;19(1):41\u201349. doi:https:\/\/doi.org\/10.1016\/j.spinee.2018.05.028","journal-title":"The Spine Journal"},{"issue":"5","key":"10316_CR39","doi-asserted-by":"publisher","first-page":"534","DOI":"10.3109\/17453674.2015.1043174","volume":"86","author":"ML van Hooff","year":"2015","unstructured":"van Hooff ML, Jacobs WCH, Willems PC, et al. Evidence and practice in spine registries. Acta Orthop. 2015;86(5):534\u2013544. doi:https:\/\/doi.org\/10.3109\/17453674.2015.1043174","journal-title":"Acta Orthop"}],"container-title":["European Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-026-10316-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00586-026-10316-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-026-10316-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T14:22:35Z","timestamp":1790086955000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00586-026-10316-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,22]]},"references-count":39,"alternative-id":["10316"],"URL":"https:\/\/doi.org\/10.1007\/s00586-026-10316-5","relation":{},"ISSN":["0940-6719","1432-0932"],"issn-type":[{"value":"0940-6719","type":"print"},{"value":"1432-0932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,22]]},"assertion":[{"value":"3 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 August 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 August 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 September 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}