{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T18:34:24Z","timestamp":1793644464997,"version":"4.5.1"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"Korea University Research Fund","award":["O2207741"],"award-info":[{"award-number":["O2207741"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neurosurg Rev"],"DOI":"10.1007\/s10143-025-03222-9","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T04:12:37Z","timestamp":1736482357000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Microsurgical clipping remains a viable option for the treatment of coilable ruptured middle cerebral artery aneurysms in the endovascular era"],"prefix":"10.1007","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0676-4290","authenticated-orcid":false,"given":"In-Hyoung","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong-Il","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung-Kon","family":"Ha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Jun","family":"Lim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,10]]},"reference":[{"key":"3222_CR1","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1016\/j.neurad.2014.04.003","volume":"42","author":"A Benaissa","year":"2015","unstructured":"Benaissa A, Barbe C, Pierot L (2015) Analysis of recanalization after endovascular treatment of intracranial aneurysm (ARETA trial): presentation of a prospective multicenter study. J Neuroradiol 42:80\u201385","journal-title":"J Neuroradiol"},{"key":"3222_CR2","doi-asserted-by":"publisher","first-page":"1511","DOI":"10.1007\/s00234-021-02676-0","volume":"63","author":"A Benomar","year":"2021","unstructured":"Benomar A, Farzin B, Volders D, Gevry G, Zehr J, Fahed R, Boisseau W, Gentric J-C, Magro E, Nico L (2021) Angiographic results of surgical or endovascular treatment of intracranial aneurysms: a systematic review and inter-observer reliability study. Neuroradiology 63:1511\u20131519","journal-title":"Neuroradiology"},{"key":"3222_CR3","doi-asserted-by":"publisher","first-page":"1124","DOI":"10.3171\/2019.5.JNS19373","volume":"133","author":"DH Berro","year":"2019","unstructured":"Berro DH, L\u2019allinec V, Pasco-Papon A, Emery E, Berro M, Barbier C, Fournier H-D, Gaberel T (2019) Clip-first policy versus coil-first policy for the exclusion of middle cerebral artery aneurysms. J Neurosurg 133:1124\u20131131","journal-title":"J Neurosurg"},{"key":"3222_CR4","doi-asserted-by":"publisher","first-page":"1437","DOI":"10.3174\/ajnr.A7648","volume":"43","author":"W Boisseau","year":"2022","unstructured":"Boisseau W, Darsaut T, Fahed R, Findlay J, Bourcier R, Charbonnier G, Smajda S, Ognard J, Roy D, Gariel F (2022) Surgical or endovascular treatment of MCA aneurysms: an agreement study. Am J Neuroradiol 43:1437\u20131444","journal-title":"Am J Neuroradiol"},{"key":"3222_CR5","doi-asserted-by":"publisher","first-page":"819","DOI":"10.3171\/2016.2.JNS152059","volume":"126","author":"MA Brown","year":"2017","unstructured":"Brown MA, Parish J, Guandique CF, Payner TD, Horner T, Leipzig T, Rupani KV, Kim R, Bohnstedt BN, Cohen-Gadol AA (2017) A long-term study of durability and risk factors for aneurysm recurrence after microsurgical clip ligation. J Neurosurg 126:819\u2013824","journal-title":"J Neurosurg"},{"key":"3222_CR6","doi-asserted-by":"publisher","first-page":"269","DOI":"10.3340\/jkns.2016.59.3.269","volume":"59","author":"JH Choi","year":"2016","unstructured":"Choi JH, Park JE, Kim MJ, Kim BS, Shin YS (2016) Aneurysmal neck clipping as the primary treatment option for both ruptured and unruptured middle cerebral artery aneurysms. J Korean Neurosurg Soc 59:269","journal-title":"J Korean Neurosurg Soc"},{"key":"3222_CR7","doi-asserted-by":"publisher","first-page":"1711","DOI":"10.1161\/STR.0b013e3182587839","volume":"43","author":"ES Connolly Jr","year":"2012","unstructured":"Connolly ES Jr, Rabinstein AA, Carhuapoma JR, Derdeyn CP, Dion J, Higashida RT, Hoh BL, Kirkness CJ, Naidech AM, Ogilvy CS (2012) Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association\/American Stroke Association. Stroke 43:1711\u20131737","journal-title":"Stroke"},{"key":"3222_CR8","doi-asserted-by":"publisher","first-page":"E1209","DOI":"10.1227\/01.NEU.0000315870.57200.B2","volume":"63","author":"JG de Oliveira","year":"2008","unstructured":"de Oliveira JG, Beck J, Raabe A (2008) Risk of shunt-dependent hydrocephalus after occlusion of ruptured intracranial aneurysms by surgical clipping or endovascular coiling: a single-institution series and meta-analysis. Neurosurgery 63:E1209","journal-title":"Neurosurgery"},{"key":"3222_CR9","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1016\/j.wneu.2012.12.011","volume":"81","author":"OM Diaz","year":"2014","unstructured":"Diaz OM, Rangel-Castilla L, Barber S, Mayo RC, Klucznik R, Zhang YJ (2014) Middle cerebral artery aneurysms: a single-center series comparing endovascular and surgical treatment. World Neurosurg 81:322\u2013329","journal-title":"World Neurosurg"},{"key":"3222_CR10","doi-asserted-by":"publisher","first-page":"1353","DOI":"10.1007\/s00234-023-03195-w","volume":"65","author":"JDB Diestro","year":"2023","unstructured":"Diestro JDB, Li Y, Kishore K, Omar AT, Montanera W, Sarma D, Marotta TR, Spears J, Bharatha A (2023) A shift from open to endovascular repair in the treatment of ruptured middle cerebral artery aneurysms: a single institution experience. Neuroradiology 65:1353\u20131361","journal-title":"Neuroradiology"},{"key":"3222_CR11","doi-asserted-by":"publisher","first-page":"1963","DOI":"10.1161\/STROKEAHA.108.544700","volume":"40","author":"JA Frontera","year":"2009","unstructured":"Frontera JA, Fernandez A, Schmidt JM, Claassen J, Wartenberg KE, Badjatia N, Connolly ES, Mayer SA (2009) Defining vasospasm after subarachnoid hemorrhage: what is the most clinically relevant definition? Stroke 40:1963\u20131968","journal-title":"Stroke"},{"key":"3222_CR12","doi-asserted-by":"publisher","first-page":"949","DOI":"10.3171\/2017.9.JNS171806","volume":"130","author":"M Koyanagi","year":"2018","unstructured":"Koyanagi M, Fukuda H, Saiki M, Tsuji Y, Lo B, Kawasaki T, Ioroi Y, Fukumitsu R, Ishibashi R, Oda M (2018) Effect of choice of treatment modality on the incidence of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage. J Neurosurg 130:949\u2013955","journal-title":"J Neurosurg"},{"key":"3222_CR13","doi-asserted-by":"publisher","first-page":"5050","DOI":"10.3390\/ijms22095050","volume":"22","author":"L-T Kuo","year":"2021","unstructured":"Kuo L-T, Huang AP-H (2021) The pathogenesis of hydrocephalus following aneurysmal subarachnoid hemorrhage. Int J Mol Sci 22:5050","journal-title":"Int J Mol Sci"},{"key":"3222_CR14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s10143-021-01543-z","volume":"45","author":"KS Lee","year":"2022","unstructured":"Lee KS, Zhang JJ, Nguyen V, Han J, Johnson JN, Kirollos R, Teo M (2022) The evolution of intracranial aneurysm treatment techniques and future directions. Neurosurg Rev 45:1\u201325","journal-title":"Neurosurg Rev"},{"key":"3222_CR15","doi-asserted-by":"publisher","first-page":"i69","DOI":"10.1136\/jnis.2011.004978.rep","volume":"10","author":"N Lin","year":"2018","unstructured":"Lin N, Cahill KS, Frerichs KU, Friedlander RM, Claus EB (2018) Treatment of ruptured and unruptured cerebral aneurysms in the USA: a paradigm shift. J Neurointerv Surg 10:i69\u2013i76","journal-title":"J Neurointerv Surg"},{"key":"3222_CR16","doi-asserted-by":"publisher","first-page":"654","DOI":"10.1016\/j.wneu.2016.10.136","volume":"98","author":"AE Merkler","year":"2017","unstructured":"Merkler AE, Ch\u2019ang J, Parker WE, Murthy SB, Kamel H (2017) The rate of complications after ventriculoperitoneal shunt surgery. World Neurosurg 98:654\u2013658","journal-title":"World Neurosurg"},{"key":"3222_CR17","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1007\/s12028-023-01702-8","volume":"39","author":"T Metayer","year":"2023","unstructured":"Metayer T, Dumot C, Bernard F, Le Reste P-J, Bernat A-L, Cebula H, Mallereau C-H, Peltier C, le Guerinel C, Vivien D (2023) Clipping versus coiling for ruptured MCA aneurysms associated with intracerebral hematoma requiring surgical evacuation. Neurocrit Care 39:162\u2013171","journal-title":"Neurocrit Care"},{"key":"3222_CR18","doi-asserted-by":"publisher","first-page":"809","DOI":"10.1016\/S0140-6736(05)67214-5","volume":"366","author":"AJ Molyneux","year":"2005","unstructured":"Molyneux AJ, Kerr RS, Yu L-M, Clarke M, Sneade M, Yarnold JA, Sandercock P (2005) International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 366:809\u2013817","journal-title":"Lancet"},{"key":"3222_CR19","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1016\/S1474-4422(09)70080-8","volume":"8","author":"AJ Molyneux","year":"2009","unstructured":"Molyneux AJ, Kerr RS, Birks J, Ramzi N, Yarnold J, Sneade M, Rischmiller J (2009) Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long-term follow-up. Lancet Neurol 8:427\u2013433","journal-title":"Lancet Neurol"},{"key":"3222_CR20","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1016\/S0140-6736(14)60975-2","volume":"385","author":"AJ Molyneux","year":"2015","unstructured":"Molyneux AJ, Birks J, Clarke A, Sneade M, Kerr RS (2015) The durability of endovascular coiling versus neurosurgical clipping of ruptured cerebral aneurysms: 18 year follow-up of the UK cohort of the International Subarachnoid Aneurysm Trial (ISAT). Lancet 385:691\u2013697","journal-title":"Lancet"},{"key":"3222_CR21","doi-asserted-by":"publisher","first-page":"895","DOI":"10.3171\/2017.10.JNS172183","volume":"130","author":"MA Mooney","year":"2018","unstructured":"Mooney MA, Simon ED, Brigeman S, Nakaji P, Zabramski JM, Lawton MT, Spetzler RF (2018) Long-term results of middle cerebral artery aneurysm clipping in the Barrow ruptured aneurysm trial. J Neurosurg 130:895\u2013901","journal-title":"J Neurosurg"},{"key":"3222_CR22","doi-asserted-by":"publisher","first-page":"706","DOI":"10.3174\/ajnr.A3776","volume":"35","author":"A Mortimer","year":"2014","unstructured":"Mortimer A, Bradley M, Mews P, Molyneux A, Renowden S (2014) Endovascular treatment of 300 consecutive middle cerebral artery aneurysms: clinical and radiologic outcomes. Am J Neuroradiol 35:706\u2013714","journal-title":"Am J Neuroradiol"},{"key":"3222_CR23","doi-asserted-by":"publisher","first-page":"4909","DOI":"10.1007\/s10072-022-06039-2","volume":"43","author":"NN Rabelo","year":"2022","unstructured":"Rabelo NN, Telles JPM, Pipek LZ, Makarem L, Boechat AL, Teixeira MJ, Figueiredo EG (2022) Long-term outcomes of ruptured saccular intracranial aneurysm clipping versus coiling: systematic review and meta-analysis of randomized controlled trials. Neurol Sci 43:4909\u20134915","journal-title":"Neurol Sci"},{"key":"3222_CR24","doi-asserted-by":"publisher","first-page":"771","DOI":"10.3171\/2018.8.JNS181846","volume":"132","author":"RF Spetzler","year":"2019","unstructured":"Spetzler RF, McDougall CG, Zabramski JM, Albuquerque FC, Hills NK, Nakaji P, Karis JP, Wallace RC (2019) Ten-year analysis of saccular aneurysms in the Barrow ruptured aneurysm trial. J Neurosurg 132:771\u2013776","journal-title":"J Neurosurg"},{"key":"3222_CR25","doi-asserted-by":"publisher","first-page":"3179","DOI":"10.1007\/s10143-022-01822-3","volume":"45","author":"CL Sturiale","year":"2022","unstructured":"Sturiale CL, Scerrati A, Ricciardi L, Rustemi O, Auricchio AM, Norri N, Piazza A, Ranieri F, Tomatis A, Albanese A (2022) Clipping versus coiling for treatment of middle cerebral artery aneurysms: a retrospective Italian multicenter experience. Neurosurg Rev 45:3179\u20133191","journal-title":"Neurosurg Rev"},{"key":"3222_CR26","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1385\/NCC:4:3:223","volume":"4","author":"P Varelas","year":"2006","unstructured":"Varelas P, Helms A, Sinson G, Spanaki M, Hacein-Bey L (2006) Clipping or coiling of ruptured cerebral aneurysms and shunt-dependent hydrocephalus. Neurocrit Care 4:223\u2013228","journal-title":"Neurocrit Care"},{"key":"3222_CR27","doi-asserted-by":"publisher","first-page":"2391","DOI":"10.1161\/STROKEAHA.110.589275","volume":"41","author":"MD Vergouwen","year":"2010","unstructured":"Vergouwen MD, Vermeulen M, van Gijn J, Rinkel GJ, Wijdicks EF, Muizelaar JP, Mendelow AD, Juvela S, Yonas H, Terbrugge KG (2010) Definition of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage as an outcome event in clinical trials and observational studies: proposal of a multidisciplinary research group. Stroke 41:2391\u20132395","journal-title":"Stroke"},{"key":"3222_CR28","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1007\/s00701-022-05165-2","volume":"164","author":"E Vieira","year":"2022","unstructured":"Vieira E, Guimar\u00e3es TC, Pontes EC, Silva AC, Carneiro MC, Netto AU, Pereira L, Cezar AB Jr, Faquini I, Almeida NS (2022) Initial experience in the microsurgical treatment of ruptured brain aneurysms in the endovascular era: characteristics and safety of the learning curve in the first 300 consecutively treated patients. Acta Neurochir (Wien) 164:973\u2013984","journal-title":"Acta Neurochir (Wien)"},{"key":"3222_CR29","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1016\/j.wneu.2016.11.032","volume":"98","author":"Z-W Xia","year":"2017","unstructured":"Xia Z-W, Liu X-M, Wang J-Y, Cao H, Chen F-H, Huang J, Li Q-Z, Fan S-S, Jiang B, Chen Z-G (2017) Coiling is not superior to clipping in patients with high-grade aneurysmal subarachnoid hemorrhage: systematic review and meta-analysis. World Neurosurg 98:411\u2013420","journal-title":"World Neurosurg"},{"key":"3222_CR30","doi-asserted-by":"publisher","first-page":"1555","DOI":"10.3171\/2015.1.JNS142761","volume":"123","author":"S Yamada","year":"2015","unstructured":"Yamada S, Ishikawa M, Yamamoto K, Ino T, Kimura T, Kobayashi S (2015) Aneurysm location and clipping versus coiling for development of secondary normal-pressure hydrocephalus after aneurysmal subarachnoid hemorrhage: Japanese stroke DataBank. J Neurosurg 123:1555\u20131561","journal-title":"J Neurosurg"},{"key":"3222_CR31","doi-asserted-by":"publisher","first-page":"e838","DOI":"10.1016\/j.wneu.2018.10.160","volume":"122","author":"L-B Yu","year":"2019","unstructured":"Yu L-B, Fang Z-J, Yang X-J, Zhang D (2019) Management of residual and recurrent aneurysms after clipping or coiling: clinical characteristics, treatments, and follow-up outcomes. World Neurosurg 122:e838\u2013e846","journal-title":"World Neurosurg"},{"key":"3222_CR32","doi-asserted-by":"publisher","first-page":"e731","DOI":"10.1016\/j.wneu.2018.09.207","volume":"121","author":"J Zeng","year":"2019","unstructured":"Zeng J, Qin L, Wang D, Gong J, Pan J, Zhu Y, Sun T, Xu K, Zhan R (2019) Comparing the risk of shunt-dependent hydrocephalus in patients with ruptured intracranial aneurysms treated by endovascular coiling or surgical clipping: an updated meta-analysis. World Neurosurg 121:e731\u2013e738","journal-title":"World Neurosurg"},{"key":"3222_CR33","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1136\/neurintsurg-2018-014388","volume":"11","author":"X Zhang","year":"2019","unstructured":"Zhang X, Zuo Q, Tang H, Xue G, Yang P, Zhao R, Li Q, Fang Y, Xu Y, Hong B (2019) Stent assisted coiling versus non-stent assisted coiling for the management of ruptured intracranial aneurysms: a meta-analysis and systematic review. J Neurointerv Surg 11:489\u2013496","journal-title":"J Neurointerv Surg"},{"key":"3222_CR34","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1080\/00207454.2016.1190923","volume":"127","author":"X Zhao","year":"2017","unstructured":"Zhao X, Li Z, Fang X, Liu J, Wu D, Lai N (2017) Treatment of ruptured middle cerebral artery aneurysms by endovascular approach: a single-center experience. Int J Neurosci 127:433\u2013438","journal-title":"Int J Neurosci"},{"key":"3222_CR35","doi-asserted-by":"publisher","first-page":"e187","DOI":"10.1016\/j.wneu.2019.08.189","volume":"133","author":"Y Zhou","year":"2020","unstructured":"Zhou Y, Duan G, Zhang X, Yang P-f, Fang Y-B, Li Q, Zhao R, Xu Y, Hong B, Huang Q-H (2020) Outcome and prognostic factors of ruptured middle cerebral artery aneurysms treated via endovascular approach: a single-center 11-year experience. World Neurosurg 133:e187\u2013e196","journal-title":"World Neurosurg"},{"key":"3222_CR36","doi-asserted-by":"publisher","first-page":"1291","DOI":"10.1007\/s10143-021-01704-0","volume":"45","author":"W Zhu","year":"2022","unstructured":"Zhu W, Ling X, Petersen JD, Liu J, Xiao A, Huang J (2022) Clipping versus coiling for aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis of prospective studies. Neurosurg Rev 45:1291\u20131302","journal-title":"Neurosurg Rev"},{"key":"3222_CR37","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1136\/neurintsurg-2014-011478","volume":"8","author":"IA Zijlstra","year":"2016","unstructured":"Zijlstra IA, Verbaan D, Majoie CB, Vandertop P, van den Berg R (2016) Coiling and clipping of middle cerebral artery aneurysms: a systematic review on clinical and imaging outcome. J Neurointerv Surg 8:24\u201329","journal-title":"J Neurointerv Surg"}],"container-title":["Neurosurgical Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-025-03222-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10143-025-03222-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-025-03222-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T04:13:19Z","timestamp":1772079199000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10143-025-03222-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,10]]},"references-count":37,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3222"],"URL":"https:\/\/doi.org\/10.1007\/s10143-025-03222-9","relation":{},"ISSN":["1437-2320"],"issn-type":[{"value":"1437-2320","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,10]]},"assertion":[{"value":"19 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 December 2024","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 January 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 January 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The datasets generated during and\/or analysed during the current study are available from the corresponding author on reasonable request.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Data transparency"}},{"value":"The ethical committee of our institution approved the current study (IRB No. 2024AS0117) and conducted in accordance with the Declaration of Helsinki.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Due to the retrospective nature of it, the written informed consent was waived.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"N\/A.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}},{"value":"The authors declare no competing interests.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"38"}}