{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T09:07:07Z","timestamp":1784020027030,"version":"3.55.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"National Cancer Institute","award":["R35 CA253187, U24 CA258058 and P50 CA116201"],"award-info":[{"award-number":["R35 CA253187, U24 CA258058 and P50 CA116201"]}]},{"name":"National Cancer Institute","award":["Grant Number P30 CA015083"],"award-info":[{"award-number":["Grant Number P30 CA015083"]}]},{"DOI":"10.13039\/100001006","name":"Breast Cancer Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001006","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Breast Cancer Res Treat"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1007\/s10549-026-07957-x","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T02:01:58Z","timestamp":1776391318000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with and patterns of alcohol intake in late survivorship for breast cancer survivors"],"prefix":"10.1007","volume":"217","author":[{"given":"Sanjna","family":"Rajput","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Vierkant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayleigh N.","family":"Olson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole L.","family":"Larson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela L.","family":"Stan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn M.","family":"Mussallem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacy D.","family":"D\u2019Andre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fergus J.","family":"Couch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet E.","family":"Olson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciara C.","family":"O\u2019Sullivan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn J.","family":"Ruddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"issue":"6","key":"7957_CR1","doi-asserted-by":"publisher","first-page":"477","DOI":"10.3322\/caac.21863","volume":"74","author":"AN Giaquinto","year":"2024","unstructured":"Giaquinto AN, Sung H, Newman LA, Freedman RA, Smith RA, Star J, Jemal A, Siegel RL (2024) Breast cancer statistics 2024. CA Cancer J Clin 74(6):477\u2013495. https:\/\/doi.org\/10.3322\/caac.21863","journal-title":"CA Cancer J Clin"},{"issue":"3","key":"7957_CR2","doi-asserted-by":"publisher","first-page":"209","DOI":"10.3322\/caac.21660","volume":"71","author":"H Sung","year":"2021","unstructured":"Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F (2021) Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 71(3):209\u2013249. https:\/\/doi.org\/10.3322\/caac.21660","journal-title":"CA Cancer J Clin"},{"key":"7957_CR3","unstructured":"International Agency for Research on Cancer. (2012).\u00a0Review of human carcinogens\u00a0(Vol. 100). World Health Organization."},{"issue":"12","key":"7957_CR4","doi-asserted-by":"publisher","first-page":"737","DOI":"10.1093\/nutrit\/nuw045","volume":"74","author":"C Schwedhelm","year":"2016","unstructured":"Schwedhelm C, Boeing H, Hoffmann G, Aleksandrova K, Schwingshackl L (2016) Effect of diet on mortality and cancer recurrence among cancer survivors: a systematic review and meta-analysis of cohort studies. Nutr Rev 74(12):737\u2013748. https:\/\/doi.org\/10.1093\/nutrit\/nuw045","journal-title":"Nutr Rev"},{"issue":"12","key":"7957_CR5","doi-asserted-by":"publisher","first-page":"2222","DOI":"10.1111\/acer.15493","volume":"48","author":"I Sohi","year":"2024","unstructured":"Sohi I, Rehm J, Saab M, Virmani L, Franklin A, S\u00e1nchez G, Jhumi M, Irshad A, Shah H, Correia D, Ferrari P, Ferreira-Borges C, Lauby-Secretan B, Galea G, Gapstur S, Neufeld M, Rumgay H, Soerjomataram I, Shield K (2024) Alcoholic beverage consumption and female breast cancer risk: a systematic review and meta-analysis of prospective cohort studies. Alcohol Clin Exp Res 48(12):2222\u20132241. https:\/\/doi.org\/10.1111\/acer.15493","journal-title":"Alcohol Clin Exp Res"},{"issue":"1","key":"7957_CR6","doi-asserted-by":"publisher","first-page":"31","DOI":"10.3322\/caac.21440","volume":"68","author":"F Islami","year":"2018","unstructured":"Islami F, Goding Sauer A, Miller KD, Siegel RL, Fedewa SA, Jacobs EJ, McCullough ML, Patel AV, Ma J, Soerjomataram I, Flanders WD, Brawley OW, Gapstur SM, Jemal A (2018) Proportion and number of cancer cases and deaths attributable to potentially modifiable risk factors in the United States. CA Cancer J Clin 68(1):31\u201354. https:\/\/doi.org\/10.3322\/caac.21440","journal-title":"CA Cancer J Clin"},{"key":"7957_CR7","unstructured":"World Health Organization. (2024, June 28). Alcohol. World Health Organization. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/alcohol"},{"key":"7957_CR8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2024.108021","volume":"185","author":"H Huang","year":"2024","unstructured":"Huang H, Zhao Y, Yi J, Chen W, Li J, Song X, Ni Y, Zhu S, Zhang Z, Xia L, Zhang J, Yang S, Ni J, Lu H, Wang Z, Nie S, Liu L (2024) Post-diagnostic lifestyle and mortality of cancer survivors: results from a prospective cohort study. Prev Med 185:108021. https:\/\/doi.org\/10.1016\/j.ypmed.2024.108021","journal-title":"Prev Med"},{"issue":"1","key":"7957_CR9","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1158\/1055-9965.EPI-12-1022","volume":"22","author":"ML Kwan","year":"2013","unstructured":"Kwan ML, Chen WY, Flatt SW, Weltzien EK, Nechuta SJ, Poole EM, Holmes MD, Patterson RE, Shu XO, Pierce JP, Caan BJ (2013) Postdiagnosis alcohol consumption and breast cancer prognosis in the after breast cancer pooling project. Cancer Epidemiol Biomarkers Prev 22(1):32\u201341. https:\/\/doi.org\/10.1158\/1055-9965.EPI-12-1022","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"issue":"2","key":"7957_CR10","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v40.2.11","volume":"40","author":"JL Freudenheim","year":"2020","unstructured":"Freudenheim JL (2020) Alcohol\u2019s effects on breast cancer in women. Alcohol Res 40(2):11. https:\/\/doi.org\/10.35946\/arcr.v40.2.11","journal-title":"Alcohol Res"},{"issue":"8","key":"7957_CR11","doi-asserted-by":"publisher","first-page":"1280","DOI":"10.1002\/ijc.34152","volume":"151","author":"ME Schmidt","year":"2022","unstructured":"Schmidt ME, Goldschmidt S, Hermann S, Steindorf K (2022) Late effects, long-term problems and unmet needs of cancer survivors. Int J Cancer 151(8):1280\u20131290. https:\/\/doi.org\/10.1002\/ijc.34152","journal-title":"Int J Cancer"},{"issue":"3","key":"7957_CR12","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1007\/s11764-008-0055-0","volume":"2","author":"EB Beckjord","year":"2008","unstructured":"Beckjord EB, Arora NK, McLaughlin W, Oakley-Girvan I, Hamilton AS, Hesse BW (2008) Health-related information needs in a large and diverse sample of adult cancer survivors: implications for cancer care. J Cancer Surviv 2(3):179\u2013189. https:\/\/doi.org\/10.1007\/s11764-008-0055-0","journal-title":"J Cancer Surviv"},{"issue":"3","key":"7957_CR13","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.0506","volume":"3","author":"S Shakeel","year":"2020","unstructured":"Shakeel S, Tung J, Rahal R, Finley C (2020) Evaluation of factors associated with unmet needs in adult cancer survivors in Canada. JAMA Netw Open 3(3):e200506. https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.0506","journal-title":"JAMA Netw Open"},{"issue":"1","key":"7957_CR14","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1007\/s10549-019-05457-9","volume":"179","author":"Z Shi","year":"2020","unstructured":"Shi Z, Rundle A, Genkinger JM, Cheung YK, Ergas IJ, Roh JM, Kushi LH, Kwan ML, Greenlee H (2020) Distinct trajectories of fruits and vegetables, dietary fat, and alcohol intake following a breast cancer diagnosis: the Pathways Study. Breast Cancer Res Treat 179(1):229\u2013240. https:\/\/doi.org\/10.1007\/s10549-019-05457-9","journal-title":"Breast Cancer Res Treat"},{"issue":"3","key":"7957_CR15","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1002\/ijc.30704","volume":"141","author":"P Fassier","year":"2017","unstructured":"Fassier P, Zelek L, L\u00e9cuyer L, Bachmann P, Touillaud M, Druesne-Pecollo N, Galan P, Cohen P, Hoarau H, Latino-Martel P, Kesse-Guyot E, Baudry J, Hercberg S, Deschasaux M, Touvier M (2017) Modifications in dietary and alcohol intakes between before and after cancer diagnosis: results from the prospective population-based NutriNet-Sant\u00e9 cohort. Int J Cancer 141(3):457\u2013470. https:\/\/doi.org\/10.1002\/ijc.30704","journal-title":"Int J Cancer"},{"issue":"3","key":"7957_CR16","doi-asserted-by":"publisher","first-page":"230","DOI":"10.3322\/caac.21719","volume":"72","author":"CL Rock","year":"2022","unstructured":"Rock CL, Thomson CA, Sullivan KR, Howe CL, Kushi LH, Caan BJ, Neuhouser ML, Bandera EV, Wang Y, Robien K, Basen-Engquist KM, Brown JC, Courneya KS, Crane TE, Garcia DO, Grant BL, Hamilton KK, Hartman SJ, Kenfield SA, Martinez ME, Meyerhardt JA, Nekhlyudov L, Overholser L, Patel AV, Pinto BM, Platek ME, Rees-Punia R, Spees CK, Gapstur SM, McCullough ML (2022) American Cancer Society nutrition and physical activity guideline for cancer survivors. CA Cancer J Clin 72(3):230\u2013262. https:\/\/doi.org\/10.3322\/caac.21719","journal-title":"CA Cancer J Clin"},{"issue":"8","key":"7957_CR17","doi-asserted-by":"publisher","DOI":"10.1002\/pon.9305","volume":"33","author":"EL Davies","year":"2024","unstructured":"Davies EL, McGeagh L, Matheson L, Bennett J, Matthews S, Brett J, Watson E (2024) If they\u2019d said you should only drink five units I\u2019d have listened: a mixed methods study of alcohol consumption following a diagnosis of breast cancer. Psychooncology 33(8):e9305. https:\/\/doi.org\/10.1002\/pon.9305","journal-title":"Psychooncology"},{"issue":"1","key":"7957_CR18","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-04849-w","volume":"15","author":"P Kiefer","year":"2025","unstructured":"Kiefer P, Lebherz L, Freitag J, Schulz H, Bleich C, Bokemeyer C, Bokemeyer F (2025) A longitudinal analysis on alcohol consumption in patients with cancer undergoing psycho-oncological treatment. Sci Rep 15(1):20137. https:\/\/doi.org\/10.1038\/s41598-025-04849-w","journal-title":"Sci Rep"},{"key":"7957_CR19","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-025-01893-3","author":"S Rajput","year":"2025","unstructured":"Rajput S, Vierkant RA, Larson NL, Stan DL, Mussallem DM, D\u2019Andre SD, Couch FJ, Olson JE, O\u2019Sullivan CC, Ruddy KJ (2025) Factors associated with and patterns of alcohol intake during the first year of breast cancer survivorship. J Cancer Surviv. https:\/\/doi.org\/10.1007\/s11764-025-01893-3","journal-title":"J Cancer Surviv"},{"issue":"1","key":"7957_CR20","doi-asserted-by":"publisher","DOI":"10.1186\/s41687-017-0003-8","volume":"1","author":"RD Hays","year":"2017","unstructured":"Hays RD, Schalet BD, Spritzer KL, Cella D (2017) Two-item PROMIS\u00ae global physical and mental health scales. J Patient Rep Outcomes 1(1):2. https:\/\/doi.org\/10.1186\/s41687-017-0003-8","journal-title":"J Patient Rep Outcomes"},{"issue":"8","key":"7957_CR21","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.28328","volume":"6","author":"M Shi","year":"2023","unstructured":"Shi M, Luo C, Oduyale OK, Zong X, LoConte NK, Cao Y (2023) Alcohol consumption among adults with a cancer diagnosis in the All of Us Research Program. JAMA Netw Open 6(8):e2328328. https:\/\/doi.org\/10.1001\/jamanetworkopen.2023.28328","journal-title":"JAMA Netw Open"},{"issue":"1","key":"7957_CR22","doi-asserted-by":"publisher","first-page":"69","DOI":"10.6004\/jnccn.2019.7341","volume":"18","author":"NN Sanford","year":"2020","unstructured":"Sanford NN, Sher DJ, Xu X, Ahn C, D\u2019Amico AV, Aizer AA, Mahal BA (2020) Alcohol use among patients with cancer and survivors in the United States, 2000-2017. J Natl Compr Canc Netw 18(1):69\u201379. https:\/\/doi.org\/10.6004\/jnccn.2019.7341","journal-title":"J Natl Compr Canc Netw"},{"issue":"1","key":"7957_CR23","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1007\/s12160-016-9834-4","volume":"51","author":"AJ Guimond","year":"2017","unstructured":"Guimond AJ, Croteau VA, Savard MH, Bernard P, Ivers H, Savard J (2017) Predictors of smoking cessation and relapse in cancer patients and effect on psychological variables: an 18-month observational study. Ann Behav Med 51(1):117\u2013127. https:\/\/doi.org\/10.1007\/s12160-016-9834-4","journal-title":"Ann Behav Med"},{"issue":"10","key":"7957_CR24","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13102423","volume":"13","author":"M Nicolas","year":"2021","unstructured":"Nicolas M, Grandal B, Dubost E, Kassara A, Guerin J, Toussaint A, Laas E, Feron JG, Fourchotte V, Lecuru F, Girard N, Coussy F, Lavielle B, Kriegel I, Kirova Y, Pierga JY, Reyal F, Hamy AS (2021) Breast cancer (BC) is a window of opportunity for smoking cessation: results of a retrospective analysis of 1234 BC survivors in follow-up consultation. Cancers (Basel) 13(10):2423. https:\/\/doi.org\/10.3390\/cancers13102423","journal-title":"Cancers (Basel)"},{"issue":"1","key":"7957_CR25","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.52371","volume":"6","author":"N Zeinomar","year":"2023","unstructured":"Zeinomar N, Qin B, Amin S, Lin Y, Xu B, Chanumolu D, Omene CO, Pawlish KS, Demissie K, Ambrosone CB, Hong CC, Bandera EV (2023) Association of cigarette smoking and alcohol consumption with subsequent mortality among Black breast cancer survivors in New Jersey. JAMA Netw Open 6(1):e2252371. https:\/\/doi.org\/10.1001\/jamanetworkopen.2022.52371","journal-title":"JAMA Netw Open"},{"key":"7957_CR26","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2019.101675","volume":"43","author":"J Heberg","year":"2019","unstructured":"Heberg J, Simonsen MK, Danielsen AK, Klausen TW, Zoffmann V, Thomsen T (2019) Joint tobacco smoking and alcohol intake exacerbates cancer risk in women- the Danish nurse cohort. Eur J Oncol Nurs 43:101675. https:\/\/doi.org\/10.1016\/j.ejon.2019.101675","journal-title":"Eur J Oncol Nurs"},{"issue":"1","key":"7957_CR27","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1249\/MSS.0000000000002777","volume":"54","author":"K Shuval","year":"2022","unstructured":"Shuval K, Leonard D, Chartier KG, Barlow CE, Fennis BM, Katz DL, Abel K, Farrell SW, Pavlovic A, Defina LF (2022) Fit and tipsy? The interrelationship between cardiorespiratory fitness and alcohol consumption and dependence. Med Sci Sports Exerc 54(1):113\u2013119. https:\/\/doi.org\/10.1249\/MSS.0000000000002777","journal-title":"Med Sci Sports Exerc"},{"key":"7957_CR28","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.871192","volume":"12","author":"SK Mama","year":"2022","unstructured":"Mama SK, Heredia NI, Johnston H, Conroy DE (2022) Associations between physical activity and alcohol consumption in rural cancer survivors. Front Oncol 12:871192. https:\/\/doi.org\/10.3389\/fonc.2022.871192","journal-title":"Front Oncol"},{"issue":"Pt 1","key":"7957_CR29","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1348\/135910705X52237","volume":"11","author":"M Rabia","year":"2006","unstructured":"Rabia M, Kn\u00e4uper B, Miquelon P (2006) The eternal quest for optimal balance between maximizing pleasure and minimizing harm: the compensatory health beliefs model. Br J Health Psychol 11(Pt 1):139\u2013153. https:\/\/doi.org\/10.1348\/135910705X52237","journal-title":"Br J Health Psychol"},{"issue":"22","key":"7957_CR30","doi-asserted-by":"publisher","first-page":"2491","DOI":"10.1200\/JCO.22.00687","volume":"40","author":"JA Ligibel","year":"2022","unstructured":"Ligibel JA, Bohlke K, May AM, Clinton SK, Demark-Wahnefried W, Gilchrist SC, Irwin ML, Late M, Mansfield S, Marshall TF, Meyerhardt JA, Thomson CA, Wood WA, Alfano CM (2022) Exercise, diet, and weight management during cancer treatment: ASCO guideline. J Clin Oncol 40(22):2491\u20132507. https:\/\/doi.org\/10.1200\/JCO.22.00687. (Epub 2022 May 16. PMID: 35576506.)","journal-title":"J Clin Oncol"},{"issue":"10","key":"7957_CR31","doi-asserted-by":"publisher","first-page":"1250","DOI":"10.1002\/pon.3857","volume":"24","author":"SM Bluethmann","year":"2015","unstructured":"Bluethmann SM, Basen-Engquist K, Vernon SW, Cox M, Gabriel KP, Stansberry SA, Carmack CL, Blalock JA, Demark-Wahnefried W (2015) Grasping the \u2018teachable moment\u2019: time since diagnosis, symptom burden and health behaviors in breast, colorectal and prostate cancer survivors. Psychooncology 24(10):1250\u20131257. https:\/\/doi.org\/10.1002\/pon.3857","journal-title":"Psychooncology"},{"issue":"9","key":"7957_CR32","doi-asserted-by":"publisher","first-page":"3224","DOI":"10.1002\/cam4.2924","volume":"9","author":"DN Tollosa","year":"2020","unstructured":"Tollosa DN, Holliday E, Hure A, Tavener M, James EL (2020) Multiple health behaviors before and after a cancer diagnosis among women: a repeated cross-sectional analysis over 15 years. Cancer Med 9(9):3224\u20133233. https:\/\/doi.org\/10.1002\/cam4.2924. (Epub 2020 Mar 5.)","journal-title":"Cancer Med"}],"container-title":["Breast Cancer Research and Treatment"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10549-026-07957-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10549-026-07957-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10549-026-07957-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T08:30:08Z","timestamp":1784017808000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10549-026-07957-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,17]]},"references-count":32,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["7957"],"URL":"https:\/\/doi.org\/10.1007\/s10549-026-07957-x","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-8492613\/v1","asserted-by":"object"}]},"ISSN":["0167-6806","1573-7217"],"issn-type":[{"value":"0167-6806","type":"print"},{"value":"1573-7217","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,17]]},"assertion":[{"value":"1 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Financial Interests: Dr. Ciara O\u2019Sullivan has received research support paid to their institution by Genentech, Pfizer and Jazz Pharmaceuticals, honoraria from OncLive and Medscape, and consults for Daiichi Sankyo. Dr. Fergus Couch has received research funding from GRAIL and consults for AstraZeneca. Non-financial interest: Dr. Ciara O\u2019Sullivan is a member of steering committees at AstraZeneca and Pfizer.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}},{"value":"This is an observational study. The Mayo Clinic Institutional Review Board has confirmed that no ethical approval is required.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}}],"article-number":"13"}}