{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:18:12Z","timestamp":1792113492160,"version":"4.4.0"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"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 Rheumatol"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1007\/s10067-026-08197-6","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T07:40:01Z","timestamp":1781854801000},"page":"4557-4568","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of three therapeutic methods of transcutaneous electrical nerve stimulation, embedding acupuncture, and drug therapy on interleukin-6 and pain levels in patients with knee osteoarthritis"],"prefix":"10.1007","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0905-5617","authenticated-orcid":false,"given":"Mohammad","family":"Nematshahi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6644-1541","authenticated-orcid":false,"given":"Mahdi","family":"Mirhamidi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehsan Mosa","family":"Farkhani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyed Kazem","family":"Farahmand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4375-9548","authenticated-orcid":false,"given":"Sanaz","family":"Solati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malika Vaez","family":"Tehrani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5756-0952","authenticated-orcid":false,"given":"Hamidreza","family":"Bahrami Taghanaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"8197_CR1","doi-asserted-by":"publisher","first-page":"1745","DOI":"10.1016\/S0140-6736(19)30417-9","volume":"393","author":"DJ Hunter","year":"2019","unstructured":"Hunter DJ, Bierma-Zeinstra S (2019) Osteoarthritis. Lancet 393:1745\u201359","journal-title":"Lancet"},{"key":"8197_CR2","doi-asserted-by":"publisher","first-page":"1145","DOI":"10.1136\/ard.2003.011742","volume":"62","author":"KM Jordan","year":"2003","unstructured":"Jordan KM, Arden NK, Doherty M, Bannwarth B, Bijlsma JW, Dieppe P, Gunther K, Hauselmann H, Herrero-Beaumont G, Kaklamanis P, Lohmander S, Leeb B, Lequesne M, Mazieres B, Martin-Mola E, Pavelka K, Pendleton A, Punzi L, Serni U, Swoboda B, Verbruggen G, Zimmerman-Gorska I, Dougados M (2003) EULAR recommendations 2003: an evidence based approach to the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Ann Rheum Dis 62:1145\u20131155","journal-title":"Ann Rheum Dis"},{"issue":"2","key":"8197_CR3","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1016\/j.joca.2021.04.020","volume":"30","author":"KD Allen","year":"2022","unstructured":"Allen KD, Thoma LM, Golightly YM (2022Feb 1) Epidemiology of osteoarthritis. Osteoarthritis Cartilage 30(2):184\u2013195","journal-title":"Osteoarthritis Cartilage"},{"issue":"3","key":"8197_CR4","doi-asserted-by":"publisher","first-page":"648","DOI":"10.1002\/art.39465","volume":"68","author":"X Tang","year":"2016","unstructured":"Tang X, Wang S, Zhan S, Niu J, Tao K, Zhang Y, Lin J (2016) The prevalence of symptomatic knee osteoarthritis in China: results from the China Health and Retirement Longitudinal Study. Arthritis & rheumatology 68(3):648\u2013653","journal-title":"Arthritis & rheumatology"},{"issue":"2","key":"8197_CR5","first-page":"74","volume":"58","author":"S Jalali Jeivan","year":"2015","unstructured":"Jalali Jeivan S, Asadi T, Shariati Z, Tavakol Afshari J, Ghasemi A, Hamidi AD (2015Apr 21) Platlete-Rich plasma. Medical Journal of Mashhad University of Medical Sciences 58(2):74\u201379","journal-title":"Medical Journal of Mashhad University of Medical Sciences"},{"key":"8197_CR6","doi-asserted-by":"crossref","unstructured":"Shi, Guang-Xia, Jian-Feng Tu, Tian-Qi Wang, Jing-Wen Yang, Li-Qiong Wang, Lu-Lu Lin, Yu Wang, Yong-Ting Li, and Cun-Zhi Liu. 2020. 'Effect of electro-acupuncture (EA) and manual acupuncture (MA) on markers of inflammation in knee osteoarthritis', Journal of Pain Research: 2171\u201379.","DOI":"10.2147\/JPR.S256950"},{"key":"8197_CR7","volume-title":"Current medical diagnosis and treatment","author":"MA Papadakis","year":"2019","unstructured":"Papadakis MA, McPhee SJ, Rabow MW (2019) Current medical diagnosis and treatment. Mc. Graw-Hill"},{"issue":"Suppl 1","key":"8197_CR8","doi-asserted-by":"publisher","first-page":"i4","DOI":"10.1093\/rheumatology\/keh102","volume":"43","author":"FC Breedveld","year":"2004","unstructured":"Breedveld FC (2004) Osteoarthritis--the impact of a serious disease. Rheumatology (Oxford) 43(Suppl 1):i4-8","journal-title":"Rheumatology (Oxford)"},{"issue":"12","key":"8197_CR9","doi-asserted-by":"publisher","first-page":"2116","DOI":"10.1136\/annrheumdis-2013-203620","volume":"73","author":"HJ Kerkhof","year":"2014","unstructured":"Kerkhof HJ, Bierma-Zeinstra SM, Arden NK et al (2014) Prediction model for knee osteoarthritis incidence, including clinical, genetic and biochemical risk factors. Ann Rheum Dis 73(12):2116\u20132121","journal-title":"Ann Rheum Dis"},{"key":"8197_CR10","doi-asserted-by":"publisher","first-page":"1905","DOI":"10.1002\/1529-0131(200009)43:9<1905::AID-ANR1>3.0.CO;2-P","volume":"43","author":"American College of Rheumatology Subcommittee on Osteoarthritis Guidelines","year":"2000","unstructured":"American College of Rheumatology Subcommittee on Osteoarthritis Guidelines (2000) \u2019Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. Arthritis Rheum 43:1905\u201315","journal-title":"Arthritis Rheum"},{"key":"8197_CR11","doi-asserted-by":"publisher","first-page":"S32","DOI":"10.1016\/S0885-3924(02)00629-2","volume":"25","author":"L Laine","year":"2003","unstructured":"Laine L (2003) Gastrointestinal effects of NSAIDs and coxibs. J Pain Symptom Manage 25:S32-40","journal-title":"J Pain Symptom Manage"},{"key":"8197_CR12","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1038\/nrrheum.2010.196","volume":"7","author":"M Kapoor","year":"2011","unstructured":"Kapoor M, Martel-Pelletier J, Lajeunesse D, Pelletier J-P, Fahmi H (2011) Role of proinflammatory cytokines in the pathophysiology of osteoarthritis. Nat Rev Rheumatol 7:33\u201342","journal-title":"Nat Rev Rheumatol"},{"key":"8197_CR13","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/j.joca.2012.11.012","volume":"21","author":"F Berenbaum","year":"2013","unstructured":"Berenbaum F (2013) Osteoarthritis as an inflammatory disease (osteoarthritis is not osteoarthrosis!). Osteoarthritis Cartilage 21:16\u201321","journal-title":"Osteoarthritis Cartilage"},{"key":"8197_CR14","doi-asserted-by":"publisher","first-page":"1007","DOI":"10.1016\/j.immuni.2019.03.026","volume":"50","author":"S Kang","year":"2019","unstructured":"Kang S, Tanaka T, Narazaki M, Kishimoto T (2019) Targeting interleukin-6 signaling in clinic. Immunity 50:1007\u20131023","journal-title":"Immunity"},{"key":"8197_CR15","unstructured":"PEILIN, SUN. 2002. The treatmeant of pain with Chinese herbs and acupuncture."},{"issue":"1","key":"8197_CR16","doi-asserted-by":"publisher","first-page":"28","DOI":"10.37796\/2211-8039.1002","volume":"10","author":"MY Moghadam","year":"2020","unstructured":"Moghadam MY, Nemat-Shahi M, Soroosh D, Nemat-Shahi M, Asadi A (2020) Effect of evening primrose oil on postoperative pain after appendectomy: a double-blind, randomized, clinical trial. Biomedicine 10(1):28\u201332. https:\/\/doi.org\/10.37796\/2211-8039.1002","journal-title":"Biomedicine"},{"issue":"9783","key":"8197_CR17","doi-asserted-by":"publisher","first-page":"2115","DOI":"10.1016\/S0140-6736(11)60243-2","volume":"377","author":"JW Bijlsma","year":"2011","unstructured":"Bijlsma JW, Berenbaum F, Lafeber FP (2011) Osteoarthritis: an update with relevance for clinical practice. Lancet 377(9783):2115\u20132126","journal-title":"Lancet"},{"key":"8197_CR18","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1056\/NEJMcp051726","volume":"354","author":"DT Felson","year":"2006","unstructured":"Felson DT (2006) Osteoarthritis of the knee. N Engl J Med 354:841\u2013848","journal-title":"N Engl J Med"},{"key":"8197_CR19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13063-019-3233-7","volume":"20","author":"J Guo","year":"2019","unstructured":"Guo J, Chen Y, Li Z, Cheng S, Tang C, Dong X, He W, Huang Y, Yin B, Sheng Y (2019) The cerebral mechanism of acupuncture for treating knee osteoarthritis: study protocol for a randomized controlled trial. Trials 20:1\u201310","journal-title":"Trials"},{"key":"8197_CR20","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000023596","volume":"99","author":"Y Wei","year":"2020","unstructured":"Wei Y, Yuan N, Ding J, Wang L, Dong Y, Deng L, Yang Q (2020) Efficacy and safety of warm needle acupuncture in knee osteoarthritis: a protocol for systematic review and meta-analysis. Medicine (Baltimore) 99:e23596","journal-title":"Medicine (Baltimore)"},{"key":"8197_CR21","first-page":"1251","volume":"37","author":"J Huo","year":"2017","unstructured":"Huo J, Zhao J, Yuan Y, Wang J (2017) Research status of the effect mechanism on catgut-point embedding therapy. Zhongguo Zhen Jiu 37:1251\u20131254","journal-title":"Zhongguo Zhen Jiu"},{"issue":"7","key":"8197_CR22","doi-asserted-by":"publisher","first-page":"898","DOI":"10.2522\/ptj.20110183","volume":"92","author":"CGT Vance","year":"2012","unstructured":"Vance CGT, Rakel BA, Blodgett NP, DeSantana JM, Amendola A, Zimmerman MB et al (2012) Effects of transcutaneous electrical nerve stimulation on pain, pain sensitivity, and function in people with knee osteoarthritis: a randomized controlled trial. Phys Ther 92(7):898\u2013910","journal-title":"Phys Ther"},{"issue":"3","key":"8197_CR23","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1016\/j.joca.2021.10.015","volume":"30","author":"S Reichenbach","year":"2022","unstructured":"Reichenbach S, J\u00fcni P, Hincapi\u00e9 CA, Schneider C, Meli DN, Sch\u00fcrch R et al (2022) Effect of transcutaneous electrical nerve stimulation (TENS) on knee pain and physical function in patients with symptomatic knee osteoarthritis: the ETRELKA randomized clinical trial. Osteoarthritis Cartilage 30(3):426\u2013435","journal-title":"Osteoarthritis Cartilage"},{"issue":"2","key":"8197_CR24","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1177\/00031348221110244","volume":"89","author":"ML Diller","year":"2023","unstructured":"Diller ML, Master V (2023) Integrative surgery: embedding complementary and nonpharmacologic therapies into surgical pain management strategies. Am Surg 89(2):192\u2013196","journal-title":"Am Surg"},{"key":"8197_CR25","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1745-6215-13-21","volume":"13","author":"D Beckw\u00e9e","year":"2012","unstructured":"Beckw\u00e9e D, De Hertogh W, Lievens P, Bautmans I, Vaes P (2012) Effect of TENS on pain in relation to central sensitization in patients with osteoarthritis of the knee: study protocol of a randomized controlled trial. Trials 13:1\u20137","journal-title":"Trials"},{"key":"8197_CR26","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1007\/s10103-016-2091-8","volume":"32","author":"SS Tomazoni","year":"2017","unstructured":"Tomazoni SS, Leal E-J, Pallotta RC, Teixeira S, de Almeida P, Lopes-Martins R\u00c1B (2017) Effects of photobiomodulation therapy, pharmacological therapy, and physical exercise as single and\/or combined treatment on the inflammatory response induced by experimental osteoarthritis. Lasers Med Sci 32:101\u20138","journal-title":"Lasers Med Sci"},{"key":"8197_CR27","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1002\/9781119701170.ch40","volume":"9","author":"T Hadjistavropoulos","year":"2022","unstructured":"Hadjistavropoulos T, Makris UE (2022Mar) Pain in older adults: a brief clinical guide. Clinical pain management: a practical guide 9:419\u2013431","journal-title":"Clinical pain management: a practical guide"},{"key":"8197_CR28","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1007\/s40122-021-00235-2","volume":"10","author":"SN El-Tallawy","year":"2021","unstructured":"El-Tallawy SN, Nalamasu R, Salem GI, LeQuang JAK, Pergolizzi JV, Christo PJ (2021) Management of musculoskeletal pain: an update with emphasis on chronic musculoskeletal pain. Pain Ther 10:181\u2013209","journal-title":"Pain Ther"},{"key":"8197_CR29","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12891-021-04722-7","volume":"22","author":"S Olsson","year":"2021","unstructured":"Olsson S, Akbarian E, Lind A, Razavian AS, Gordon M (2021) Automating classification of osteoarthritis according to Kellgren-Lawrence in the knee using deep learning in an unfiltered adult population. BMC Musculoskelet Disord 22:1\u20138","journal-title":"BMC Musculoskelet Disord"},{"key":"8197_CR30","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.sjpain.2016.06.012","volume":"13","author":"GZ Heller","year":"2016","unstructured":"Heller GZ, Manuguerra M, Chow R (2016) How to analyze the visual analogue scale: myths, truths and clinical relevance. Scand J Pain 13:67\u201375","journal-title":"Scand J Pain"},{"key":"8197_CR31","first-page":"152","volume":"107","author":"J-P Michael","year":"2010","unstructured":"Michael J-P, Schl\u00fcter-Brust KU, Eysel P (2010) The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee. Dtsch Arztebl Int 107:152","journal-title":"Dtsch Arztebl Int"},{"key":"8197_CR32","doi-asserted-by":"publisher","first-page":"551","DOI":"10.1016\/S1063-4584(03)00089-X","volume":"11","author":"F Salaffi","year":"2003","unstructured":"Salaffi F, Leardini G, Canesi B, Mannoni A, Fioravanti A, Caporali R, Lapadula G, Punzi L (2003) Reliability and validity of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index in Italian patients with osteoarthritis of the knee. Osteoarthritis Cartilage 11:551\u2013560","journal-title":"Osteoarthritis Cartilage"},{"issue":"4","key":"8197_CR33","first-page":"1","volume":"4","author":"N Saharnaz","year":"2006","unstructured":"Saharnaz N, Ali M, Kourosh HN, Kazem M, Reza MS (2006) Standardization of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF): translation and psychometric evaluation of the Iranian version. Journal of the School of Public Health and Health Research Institute 4(4):1\u201312","journal-title":"Journal of the School of Public Health and Health Research Institute"},{"issue":"1","key":"8197_CR34","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/6561633","volume":"2022","author":"H Tian","year":"2022","unstructured":"Tian H, Huang L, Sun M, Xu G, He J, Zhou Z et al (2022) [Retracted] Acupuncture for knee osteoarthritis: a systematic review of randomized clinical trials with meta\u2010analyses and trial sequential analyses. BioMed Res Int 2022(1):6561633","journal-title":"BioMed Res Int"},{"key":"8197_CR35","first-page":"106","volume":"2","author":"AJ Oluwafisayo","year":"2014","unstructured":"Oluwafisayo AJ, Mlenzana NB, Shamila M, Nesto T, Grace M (2014) Side effects of non-steroidal anti-inflammatory drugs: the experience of patients with musculoskeletal disorders. Am J Public Health Res 2:106\u2013112","journal-title":"Am J Public Health Res"},{"key":"8197_CR36","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.991677","volume":"9","author":"J Majnik","year":"2022","unstructured":"Majnik J, Cs\u00e1sz\u00e1r-Nagy N, B\u00f6cskei G, Bender T, Nagy G (2022) Non-pharmacological treatment in difficult-to-treat rheumatoid arthritis. Front Med 9:991677","journal-title":"Front Med"},{"key":"8197_CR37","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/ar3064","volume":"12","author":"IC Helmark","year":"2010","unstructured":"Helmark IC, Mikkelsen UR, B\u00f8rglum J, Rothe A, Petersen MCH, Andersen O et al (2010) Exercise increases interleukin-10 levels both intraarticularly and peri-synovially in patients with knee osteoarthritis: a randomized controlled trial. Arthritis Res Ther 12:1\u201311","journal-title":"Arthritis Res Ther"},{"key":"8197_CR38","doi-asserted-by":"crossref","unstructured":"Almeida TdC, Figueiredo FdS, Barbosa VC Filho, de Abreu LC, Fonseca FL, Adami F (2018) Effects of transcutaneous electrical nerve stimulation on proinflammatory cytokines: systematic review and meta\u2010analysis. Mediators Inflamm 2018(1):1094352","DOI":"10.1155\/2018\/1094352"},{"key":"8197_CR39","doi-asserted-by":"publisher","first-page":"12169","DOI":"10.2147\/JIR.S526890","volume":"31","author":"K Yao","year":"2025","unstructured":"Yao K, Shamim MF, Xia J, Liu TT, Guo Y, Lin X (2025) Therapeutic potential of acupuncture in knee osteoarthritis: clinical efficacy and mechanistic insights. J Inflamm Res 31:12169\u201312190","journal-title":"J Inflamm Res"},{"issue":"10","key":"8197_CR40","doi-asserted-by":"publisher","first-page":"2681","DOI":"10.1093\/rheumatology\/keaa248","volume":"59","author":"R Wiegertjes","year":"2020","unstructured":"Wiegertjes R, van de Loo FAJ, Blaney Davidson EN (2020) A roadmap to target interleukin-6 in osteoarthritis. Rheumatology 59(10):2681\u20132694. https:\/\/doi.org\/10.1093\/rheumatology\/keaa248","journal-title":"Rheumatology"},{"issue":"2","key":"8197_CR41","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1037\/a0035514","volume":"69","author":"RJ Gatchel","year":"2014","unstructured":"Gatchel RJ, McGeary DD, McGeary CA, Lippe B (2014) Interdisciplinary chronic pain management: past, present, and future. Am Psychol 69(2):119","journal-title":"Am Psychol"},{"key":"8197_CR42","unstructured":"PETERSEN A, PEDERSEN B. The role of IL-6 in mediating the anti-inflammatory effects of exercise The Centre of Inflammation and Metabolism, Department of Infectious Diseases and CMRC, Copenhagen University Hospital, Rigshospitalet, University of Copenhagen, Faculty of Health Sciences, Denmark."},{"key":"8197_CR43","doi-asserted-by":"publisher","DOI":"10.2174\/1745017902016010053","volume":"16","author":"S Rouhi","year":"2020","unstructured":"Rouhi S, Dadkhah P, Firoozi M, Hashemi M (2020) New model for couple therapy for patients with chronic pain and their caregivers: an attempt to improve quality of life and reduce pain. Clin Pract Epidemiol Ment Health 16:53","journal-title":"Clin Pract Epidemiol Ment Health"},{"issue":"24","key":"8197_CR44","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192416815","volume":"19","author":"A Wojcieszek","year":"2022","unstructured":"Wojcieszek A, Kurowska A, Majda A, Liszka H, G\u0105dek A (2022) The impact of chronic pain, stiffness and difficulties in performing daily activities on the quality of life of older patients with knee osteoarthritis. Int J Environ Res Public Health 19(24):16815","journal-title":"Int J Environ Res Public Health"},{"key":"8197_CR45","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000031531","volume":"101","author":"HY Zhao","year":"2022","unstructured":"Zhao HY, Kim S, Son MJ (2022) Comparing acupoint catgut embedding and acupuncture therapies for simple obesity: a protocol for systematic review and meta-analysis. Medicine (Baltimore) 101:e31531","journal-title":"Medicine (Baltimore)"}],"container-title":["Clinical Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-026-08197-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10067-026-08197-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-026-08197-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T04:28:37Z","timestamp":1783398517000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10067-026-08197-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":45,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["8197"],"URL":"https:\/\/doi.org\/10.1007\/s10067-026-08197-6","relation":{},"ISSN":["0770-3198","1434-9949"],"issn-type":[{"value":"0770-3198","type":"print"},{"value":"1434-9949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"assertion":[{"value":"29 May 2026","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 June 2026","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"None.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}