{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:43:25Z","timestamp":1790621005088,"version":"4.1.0"},"reference-count":53,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T00:00:00Z","timestamp":1684800000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T00:00:00Z","timestamp":1684800000000},"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":["Clin Oral Invest"],"DOI":"10.1007\/s00784-023-05041-y","type":"journal-article","created":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T08:02:45Z","timestamp":1684828965000},"page":"4245-4257","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The impact of general medical health status, demographical, and patient-specific variables on need for dental treatment of children and adolescents under general anesthesia"],"prefix":"10.1007","volume":"27","author":[{"given":"Tilman","family":"Kries","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Rupf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Hannig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jusef","family":"Naim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9053-8864","authenticated-orcid":false,"given":"Madline P.","family":"Gund","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,5,23]]},"reference":[{"issue":"7","key":"5041_CR1","doi-asserted-by":"publisher","first-page":"772","DOI":"10.1007\/s00103-021-03341-w","volume":"64","author":"J Schmoeckel","year":"2021","unstructured":"Schmoeckel J et al (2021) Oral health trends in children: results from the epidemiological surveys accompanying group prophylaxis in Germany. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 64(7):772\u2013781","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz"},{"issue":"5","key":"5041_CR2","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12889","volume":"130","author":"K Benelli","year":"2022","unstructured":"Benelli K et al (2022) Pattern of caries lesions and oral health-related quality of life throughout early childhood: a birth cohort study. Eur J Oral Sci 130(5):e12889","journal-title":"Eur J Oral Sci"},{"issue":"1","key":"5041_CR3","doi-asserted-by":"publisher","first-page":"8","DOI":"10.3390\/dj10010008","volume":"10","author":"A Weninger","year":"2022","unstructured":"Weninger A et al (2022) Risk indicators and treatment needs of children 2\u20135 years of age receiving dental treatment under general anesthesia in Saskatchewan. Dent J (Basel) 10(1):8","journal-title":"Dent J (Basel)"},{"issue":"4","key":"5041_CR4","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1007\/s40368-021-00613-6","volume":"22","author":"ZD Baghdadi","year":"2021","unstructured":"Baghdadi ZD, Jbara S, Muhajarine N (2021) Children and parents perspectives on children\u2019s dental treatment under general anesthesia: a narratology from Saskatoon, Canada. Eur Arch Paediatr Dent 22(4):725\u2013737","journal-title":"Eur Arch Paediatr Dent"},{"issue":"9","key":"5041_CR5","doi-asserted-by":"publisher","first-page":"2613","DOI":"10.3390\/jcm11092613","volume":"11","author":"N Schulz-Weidner","year":"2022","unstructured":"Schulz-Weidner N et al (2022) Dental treatment under general anesthesia in pre-school children and schoolchildren with special healthcare needs: a comparative retrospective study. J Clin Med 11(9):2613","journal-title":"J Clin Med"},{"issue":"3","key":"5041_CR6","doi-asserted-by":"publisher","first-page":"279","DOI":"10.3390\/healthcare9030279","volume":"9","author":"D Schnabl","year":"2021","unstructured":"Schnabl D et al (2021) Medical diagnoses, mode of residence, and dental treatment demand under general anesthesia in special needs adults in Innsbruck, Austria. A retrospective breakdown of four and a half years. Healthcare (Basel) 9(3):279","journal-title":"Healthcare (Basel)"},{"issue":"4","key":"5041_CR7","first-page":"263","volume":"77","author":"E Hempel","year":"2015","unstructured":"Hempel E et al (2015) Oral health status of students with and without disabilities in Erfurt, Germany. Gesundheitswesen 77(4):263\u2013268","journal-title":"Gesundheitswesen"},{"issue":"4","key":"5041_CR8","doi-asserted-by":"publisher","first-page":"1299","DOI":"10.1007\/s00784-016-1884-2","volume":"21","author":"HM Ali","year":"2017","unstructured":"Ali HM et al (2017) Presence of plaque, gingivitis and caries in Sudanese children with congenital heart defects. Clin Oral Investig 21(4):1299\u20131307","journal-title":"Clin Oral Investig"},{"issue":"3","key":"5041_CR9","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1590\/S1678-77572011000300006","volume":"19","author":"MA Jaber","year":"2011","unstructured":"Jaber MA (2011) Dental caries experience, oral health status and treatment needs of dental patients with autism. J Appl Oral Sci 19(3):212\u2013217","journal-title":"J Appl Oral Sci"},{"issue":"7","key":"5041_CR10","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1007\/s00103-021-03352-7","volume":"64","author":"AG Schulte","year":"2021","unstructured":"Schulte AG, Schmidt P (2021) Oral health in persons with disability in Germany-an overview of the literature. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 64(7):793\u2013801","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz"},{"key":"5041_CR11","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1186\/1472-6831-14-47","volume":"14","author":"VE dos Santos Junior","year":"2014","unstructured":"dos Santos Junior VE et al (2014) Early childhood caries and its relationship with perinatal, socioeconomic and nutritional risks: a cross-sectional study. BMC Oral Health 14:47","journal-title":"BMC Oral Health"},{"issue":"2","key":"5041_CR12","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1111\/cdoe.12635","volume":"50","author":"ABS Lopes","year":"2022","unstructured":"Lopes ABS et al (2022) Longitudinal evaluation of determinants of the clinical consequences of untreated dental caries in early childhood. Community Dent Oral Epidemiol 50(2):91\u201398","journal-title":"Community Dent Oral Epidemiol"},{"key":"5041_CR13","unstructured":"Jordan AR, Micheelis W (eds) (2016) F\u00fcnfte Deutsche Mundgesundheitsstudie (DMS V). IDZ-Materialienreihe, Bd. 35, ed. I.D.Z. Zahn\u00e4rzte. Deutscher Zahn\u00e4rzte Verlag DZV: K\u00f6ln. 617"},{"issue":"1","key":"5041_CR14","first-page":"16","volume":"4","author":"T Lampert","year":"2019","unstructured":"Lampert T et al (2019) Gesundheitliche ungleichheiten bei kindern und jugendlichen in Deutschland \u2013 zeitliche entwicklung und trends der KiGGS-studie. J Health Monit 4(1):16\u201340","journal-title":"J Health Monit"},{"issue":"6","key":"5041_CR15","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.16406","volume":"5","author":"ML McCullough","year":"2022","unstructured":"McCullough ML et al (2022) Association of socioeconomic and geographic factors with diet quality in US adults. JAMA Netw Open 5(6):e2216406","journal-title":"JAMA Netw Open"},{"issue":"4","key":"5041_CR16","doi-asserted-by":"publisher","first-page":"225","DOI":"10.2344\/anpr-65-03-04","volume":"65","author":"RL Campbell","year":"2018","unstructured":"Campbell RL et al (2018) Pediatric dental surgery under general anesthesia: non-cooperative children. Anesth Prog 65(4):225\u2013230","journal-title":"Anesth Prog"},{"issue":"1","key":"5041_CR17","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1111\/j.1754-4505.2008.00057.x","volume":"29","author":"N Dougherty","year":"2009","unstructured":"Dougherty N (2009) The dental patient with special needs: a review of indications for treatment under general anesthesia. Spec Care Dentist 29(1):17\u201320","journal-title":"Spec Care Dentist"},{"issue":"11","key":"5041_CR18","doi-asserted-by":"publisher","first-page":"4157","DOI":"10.1007\/s00784-019-02854-8","volume":"23","author":"D Schnabl","year":"2019","unstructured":"Schnabl D et al (2019) Dental treatment under general anesthesia in adults with special needs at the University Hospital of Dental Prosthetics and Restorative Dentistry of Innsbruck, Austria: a retrospective study of 12 years. Clin Oral Investig 23(11):4157\u20134162","journal-title":"Clin Oral Investig"},{"issue":"3","key":"5041_CR19","first-page":"183","volume":"15","author":"HY El Batawi","year":"2014","unstructured":"El Batawi HY (2014) Factors affecting clinical outcome following treatment of early childhood caries under general anaesthesia: a two-year follow-up. Eur Arch Paediatr Dent 15(3):183\u2013189","journal-title":"Eur Arch Paediatr Dent"},{"key":"5041_CR20","unstructured":"Doyle DJ, Goyal A, Garmon EH (2022) American Society of Anesthesiologists Classification. In: StatPearls. StatPearls Publishing. Copyright \u00a9 2022, StatPearls Publishing LLC., Treasure Island (FL)"},{"key":"5041_CR21","unstructured":"Hocevar LA, Fitzgerald BM (2022) American Society of Anesthesiologists Staging. In: StatPearls. StatPearls Publishing. Copyright \u00a9 2022, StatPearls Publishing LLC., Treasure Island (FL)"},{"key":"5041_CR22","doi-asserted-by":"crossref","unstructured":"Klein H, Palmer CE (1938) Studies on dental caries: V. familial resemblance in the caries experience of siblings. Public Health Rep (1896\u20131970) 53(31):1353\u20131364","DOI":"10.2307\/4582622"},{"issue":"11","key":"5041_CR23","first-page":"2050","volume":"48","author":"G Moradi","year":"2019","unstructured":"Moradi G et al (2019) Evaluation of oral health status based on the decayed, Missing and Filled Teeth (DMFT) Index. Iran J Public Health 48(11):2050\u20132057","journal-title":"Iran J Public Health"},{"key":"5041_CR24","doi-asserted-by":"crossref","unstructured":"Radic M et al (2015) Presentation of DMFT\/dmft Index in Croatia and Europe. Acta Stomatol Croat 49(4):275\u2013284","DOI":"10.15644\/asc49\/4\/2"},{"issue":"5","key":"5041_CR25","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1111\/j.1600-0528.1999.tb02026.x","volume":"27","author":"AH Wyne","year":"1999","unstructured":"Wyne AH (1999) Early childhood caries: nomenclature and case definition. Commun Dent Oral Epidemiol 27(5):313\u2013315","journal-title":"Commun Dent Oral Epidemiol"},{"issue":"3","key":"5041_CR26","first-page":"183","volume":"21","author":"T K\u00f6nig","year":"2020","unstructured":"K\u00f6nig T et al (2020) Retrospective study on risk factors for repeated dental treatment of children under general anaesthesia. Eur J Paediatr Dent 21(3):183\u2013186","journal-title":"Eur J Paediatr Dent"},{"issue":"2","key":"5041_CR27","doi-asserted-by":"publisher","first-page":"1695","DOI":"10.1007\/s00784-021-04142-w","volume":"26","author":"MS Maes","year":"2022","unstructured":"Maes MS et al (2022) Risk factors for repeated general anesthesia for dental treatment of adult patients with intellectual and\/or physical disabilities. Clin Oral Investig 26(2):1695\u20131700","journal-title":"Clin Oral Investig"},{"issue":"4","key":"5041_CR28","first-page":"283","volume":"21","author":"D Schnabl","year":"2020","unstructured":"Schnabl D et al (2020) Is dental general anaesthesia in children an outdated concept? A retrospective analysis. Eur J Paediatr Dent 21(4):283\u2013286","journal-title":"Eur J Paediatr Dent"},{"issue":"5","key":"5041_CR29","doi-asserted-by":"publisher","first-page":"2821","DOI":"10.1007\/s00784-020-03598-6","volume":"25","author":"S Boukhobza","year":"2021","unstructured":"Boukhobza S et al (2021) Changes in oral health-related quality of life among Austrian preschool children following dental treatment under general anaesthesia. Clin Oral Investig 25(5):2821\u20132826","journal-title":"Clin Oral Investig"},{"issue":"4","key":"5041_CR30","doi-asserted-by":"publisher","first-page":"2407","DOI":"10.1007\/s00784-020-03564-2","volume":"25","author":"J Jockusch","year":"2021","unstructured":"Jockusch J et al (2021) Outpatient, dental care of adult vulnerable patients under general anaesthesia-a retrospective evaluation of need for treatment and dental follow-up care. Clin Oral Investig 25(4):2407\u20132417","journal-title":"Clin Oral Investig"},{"issue":"2","key":"5041_CR31","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1007\/s40368-018-0332-1","volume":"19","author":"M Grindefjord","year":"2018","unstructured":"Grindefjord M et al (2018) Dental treatment and caries prevention preceding treatment under general anaesthesia in healthy children and adolescents: a retrospective cohort study. Eur Arch Paediatr Dent 19(2):99\u2013105","journal-title":"Eur Arch Paediatr Dent"},{"issue":"2","key":"5041_CR32","doi-asserted-by":"publisher","first-page":"182","DOI":"10.3390\/jcm10020182","volume":"10","author":"MP Pecci-Lloret","year":"2021","unstructured":"Pecci-Lloret MP et al (2021) Dental treatments under general anesthesia on children with special health care needs enrolled in the Spanish dental care program. J Clin Med 10(2):182","journal-title":"J Clin Med"},{"issue":"2","key":"5041_CR33","doi-asserted-by":"publisher","first-page":"87","DOI":"10.17245\/jdapm.2021.21.2.87","volume":"21","author":"J Choi","year":"2021","unstructured":"Choi J, Doh RM (2021) Dental treatment under general anesthesia for patients with severe disabilities. J Dent Anesth Pain Med 21(2):87\u201398","journal-title":"J Dent Anesth Pain Med"},{"issue":"Suppl 2","key":"5041_CR34","first-page":"S157","volume":"14","author":"S Sevekar","year":"2021","unstructured":"Sevekar S, Jha MN, Avanti A (2021) Characteristics and comparison of dental treatment under general anesthesia in healthy children and children with special healthcare needs: a retrospective study. Int J Clin Pediatr Dent 14(Suppl 2):S157-s161","journal-title":"Int J Clin Pediatr Dent"},{"key":"5041_CR35","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1186\/1472-6831-14-161","volume":"14","author":"RA Jordan","year":"2014","unstructured":"Jordan RA et al (2014) The fifth german oral health study (Funfte Deutsche Mundgesundheitsstudie, DMS V) - rationale, design, and methods. BMC Oral Health 14:161","journal-title":"BMC Oral Health"},{"key":"5041_CR36","doi-asserted-by":"crossref","unstructured":"Schmoeckel J et al (2019) Introducing a specific term to present caries experience in populations with low caries prevalence: Specific Affected Caries Index (SaC). Caries Res 53(5):527\u2013531","DOI":"10.1159\/000496932"},{"issue":"4","key":"5041_CR37","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1016\/j.jcma.2014.01.008","volume":"77","author":"CY Chen","year":"2014","unstructured":"Chen CY et al (2014) Oral health status of children with special health care needs receiving dental treatment under general anesthesia at the dental clinic of Taipei Veterans General Hospital in Taiwan. J Chin Med Assoc 77(4):198\u2013202","journal-title":"J Chin Med Assoc"},{"issue":"2","key":"5041_CR38","first-page":"293","volume":"50","author":"N Wang","year":"2018","unstructured":"Wang N, Zhao YM (2018) Retrospective study of dental treatment under general anesthesia of 62 disabled children and adolescents. Beijing Da Xue Xue Bao Yi Xue Ban 50(2):293\u2013299","journal-title":"Beijing Da Xue Xue Bao Yi Xue Ban"},{"key":"5041_CR39","doi-asserted-by":"crossref","unstructured":"Lebrun-Harris LA et al (2021) Oral health among children and youth with special health care needs. Pediatrics 148(2)","DOI":"10.1542\/peds.2020-025700"},{"issue":"6","key":"5041_CR40","doi-asserted-by":"publisher","first-page":"1599","DOI":"10.1007\/s00784-011-0663-3","volume":"16","author":"I Alsaleh","year":"2012","unstructured":"Alsaleh I et al (2012) Is endodontic treatment performed under general anaesthesia technically acceptable? Clin Oral Investig 16(6):1599\u20131606","journal-title":"Clin Oral Investig"},{"issue":"2","key":"5041_CR41","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1016\/j.joen.2018.10.020","volume":"45","author":"SH Chung","year":"2019","unstructured":"Chung SH et al (2019) Periapical healing in single-visit endodontics under general anesthesia in special needs patients. J Endod 45(2):116\u2013122","journal-title":"J Endod"},{"issue":"5","key":"5041_CR42","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1111\/scd.12410","volume":"39","author":"N Linas","year":"2019","unstructured":"Linas N et al (2019) Conservative and endodontic treatment performed under general anesthesia: a discussion of protocols and outcomes. Spec Care Dentist 39(5):453\u2013463","journal-title":"Spec Care Dentist"},{"issue":"9","key":"5041_CR43","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1016\/j.adaj.2015.04.005","volume":"146","author":"JD Bennett","year":"2015","unstructured":"Bennett JD, Kramer KJ, Bosack RC (2015) How safe is deep sedation or general anesthesia while providing dental care? J Am Dent Assoc 146(9):705\u2013708","journal-title":"J Am Dent Assoc"},{"issue":"1","key":"5041_CR44","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1111\/j.1754-4505.2008.00059.x","volume":"29","author":"AC Caputo","year":"2009","unstructured":"Caputo AC (2009) Providing deep sedation and general anesthesia for patients with special needs in the dental office-based setting. Spec Care Dentist 29(1):26\u201330","journal-title":"Spec Care Dentist"},{"issue":"3","key":"5041_CR45","doi-asserted-by":"publisher","first-page":"141","DOI":"10.2344\/anpr-66-02-07","volume":"66","author":"A El-Mowafy","year":"2019","unstructured":"El-Mowafy A et al (2019) Mortality and morbidity in office-based general anesthesia for dentistry in Ontario. Anesth Prog 66(3):141\u2013150","journal-title":"Anesth Prog"},{"issue":"6","key":"5041_CR46","first-page":"470","volume":"43","author":"S Michels","year":"2021","unstructured":"Michels S, Bansal N, Greene C (2021) Impact of follow-up visit timing recommendations after dental rehabilitation under general anesthesia. Pediatr Dent 43(6):470\u2013474","journal-title":"Pediatr Dent"},{"key":"5041_CR47","doi-asserted-by":"crossref","unstructured":"Armfield JM, Heaton LJ (2013) Management of fear and anxiety in the dental clinic: a review. Aust Dent J 58(4):390\u2013407; quiz 53","DOI":"10.1111\/adj.12118"},{"issue":"6","key":"5041_CR48","doi-asserted-by":"publisher","first-page":"e862","DOI":"10.4317\/medoral.19084","volume":"18","author":"K Delli","year":"2013","unstructured":"Delli K et al (2013) Management of children with autism spectrum disorder in the dental setting: concerns, behavioural approaches and recommendations. Med Oral Patol Oral Cir Bucal 18(6):e862\u2013e868","journal-title":"Med Oral Patol Oral Cir Bucal"},{"issue":"8","key":"5041_CR49","volume":"14","author":"NR Thosar","year":"2022","unstructured":"Thosar NR et al (2022) Effectiveness of two different behavior modification techniques for anxiety reduction in children. Cureus 14(8):e28141","journal-title":"Cureus"},{"issue":"10","key":"5041_CR50","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.4103\/njcp.njcp_150_18","volume":"21","author":"SE Guney","year":"2018","unstructured":"Guney SE et al (2018) Dental anxiety and oral health-related quality of life in children following dental rehabilitation under general anesthesia or intravenous sedation: a prospective cross-sectional study. Niger J Clin Pract 21(10):1304\u20131310","journal-title":"Niger J Clin Pract"},{"issue":"3","key":"5041_CR51","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1016\/j.joms.2015.10.009","volume":"74","author":"G Inverso","year":"2016","unstructured":"Inverso G et al (2016) Complications of moderate sedation versus deep sedation\/general anesthesia for adolescent patients undergoing third molar extraction. J Oral Maxillofac Surg 74(3):474\u2013479","journal-title":"J Oral Maxillofac Surg"},{"key":"5041_CR52","doi-asserted-by":"crossref","unstructured":"Becker DE, Rosenberg M (2008) Nitrous oxide and the inhalation anesthetics. Anesth Prog 55(4):124\u201330; quiz 131\u20132","DOI":"10.2344\/0003-3006-55.4.124"},{"key":"5041_CR53","doi-asserted-by":"publisher","first-page":"7289310","DOI":"10.1155\/2016\/7289310","volume":"2016","author":"A Galeotti","year":"2016","unstructured":"Galeotti A et al (2016) Inhalation conscious sedation with nitrous oxide and oxygen as alternative to general anesthesia in precooperative, fearful, and disabled pediatric dental patients: a large survey on 688 working sessions. Biomed Res Int 2016:7289310","journal-title":"Biomed Res Int"}],"container-title":["Clinical Oral Investigations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00784-023-05041-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00784-023-05041-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00784-023-05041-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T18:35:13Z","timestamp":1702492513000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00784-023-05041-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,23]]},"references-count":53,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2023,8]]}},"alternative-id":["5041"],"URL":"https:\/\/doi.org\/10.1007\/s00784-023-05041-y","relation":{},"ISSN":["1436-3771"],"issn-type":[{"value":"1436-3771","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,23]]},"assertion":[{"value":"8 January 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 April 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 May 2023","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 Ethics Committee of the Saarland Medical Association (289\/21).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"As this study was designed as retrospective analysis of anonymized data, formal consent was not required.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Tilman Kries, Stefan Rupf, Matthias Hannig, Jusef Naim and Madline P. Gund declare no conflict of interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interests"}}]}}