{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T01:25:51Z","timestamp":1794014751608,"version":"4.8.0"},"reference-count":58,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"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":["J GEN INTERN MED"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1007\/s11606-025-09829-4","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T14:54:11Z","timestamp":1762527251000},"page":"788-806","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Synopsis of 2024 VA Long COVID Clinical Guidance for U.S. Veterans: Part 1, Nervous System\u2013Related Symptoms"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3671-1464","authenticated-orcid":false,"given":"Pandora L.","family":"Wander","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Awan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Neal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilana","family":"Seidel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsie A.","family":"Bell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Cassell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deema","family":"Fattal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Ng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan L.","family":"Pyne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Rog","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Helfand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,7]]},"reference":[{"key":"9829_CR1","doi-asserted-by":"publisher","unstructured":"National Academies of Sciences, Engineering, and Medicine. A Long COVID Definition: A Chronic, Systemic Disease State with Profound Consequences. Washington, D.C.: National Academies Press; 2024. https:\/\/doi.org\/10.17226\/27768","DOI":"10.17226\/27768"},{"key":"9829_CR2","doi-asserted-by":"crossref","unstructured":"Wander P, Baraff A, Fox A, Cho K, Maripuri M, Honerlaw J, et al. Rates Of Icd-10 Code U09.9 Documentation And Clinical Characteristics Of Va Patients With Post-Covid-19 Condition. Jama Netw Open. 2023;6(12).","DOI":"10.1001\/jamanetworkopen.2023.46783"},{"key":"9829_CR3","unstructured":"National Center for Health Statistics. Long COVID. Household Pulse Survey, 2023 [Internet]. Hyattsville, MD: U.S. Department of Health and Human Services; 2023 [cited 2025 July 17]."},{"key":"9829_CR4","doi-asserted-by":"crossref","unstructured":"Alkodaymi MS, Omrani OA, Ashraf N, Shaar BA, Almamlouk R, Riaz M, et al. Prevalence Of Post-Acute Covid-19 Syndrome Symptoms At Different Follow-Up Periods: A Systematic Review And Meta-Analysis. Clin Microbiol Infect. 2022;28(5):657\u201366.","DOI":"10.1016\/j.cmi.2022.01.014"},{"key":"9829_CR5","unstructured":"McMaster University Grade Centre. Canadian Guidelines for Post\u2011COVID\u201119 Condition (CAN\u2011PCC) Hamilton, ON, Canada2025 [updated 2025\/07. Available from: https:\/\/can-pcc.recmap.org\/.\u00a0Accessed 17 July 2025"},{"key":"9829_CR6","doi-asserted-by":"crossref","unstructured":"Cheng A, Herman E, Abramoff B, Anderson J, Azola A, Baratta J, et al. Multidisciplinary Collaborative Guidance On The Assessment And Treatment Of Patients With Long Covid: A Compendium Statement. Pm R. 2025;17(6):684\u2013708.","DOI":"10.1002\/pmrj.13397"},{"key":"9829_CR7","doi-asserted-by":"crossref","unstructured":"Oxman Ad, Lavis Jn, Lewin S, Fretheim A. Support Tools For Evidence-Informed Health Policymaking (Stp) 1: What Is Evidence-Informed Policymaking? Health Res Policy Syst. 2009;7 Suppl 1(Suppl 1):S1.","DOI":"10.1186\/1478-4505-7-S1-S1"},{"key":"9829_CR8","doi-asserted-by":"crossref","unstructured":"Qaseem A, Forland F, Macbeth F, Ollenschlager G, Phillips S, Van Der Wees P, et al. Guidelines International Network: Toward International Standards For Clinical Practice Guidelines. Ann Intern Med. 2012;156(7):525\u201331.","DOI":"10.7326\/0003-4819-156-7-201204030-00009"},{"key":"9829_CR9","doi-asserted-by":"crossref","unstructured":"Yao L, Guyatt G, Djulbegovic B. Can We Trust Strong Recommendations Based On Low Quality Evidence? Bmj. 2021;375:N2833.","DOI":"10.1136\/bmj.n2833"},{"key":"9829_CR10","doi-asserted-by":"crossref","unstructured":"Bokhour B, Haun J, Hyde J, Charns M, Kligler B. Transforming The Veterans Affairs To A Whole Health System Of Care: Time For Action And Research. Med Care. 2020;58(4):295\u2013300.","DOI":"10.1097\/MLR.0000000000001316"},{"key":"9829_CR11","unstructured":"Institute of Medicine (US) Committee on Standards for Developing Trustworthy Clinical Practice Guidelines; Graham R, editor. Clinical practice guidelines we can trust. Washington, DC: National Academies Press; 2011."},{"key":"9829_CR12","doi-asserted-by":"crossref","unstructured":"Balshem H, Helfand M, Schunemann H, Oxman A, Kunz R, Brozek J, et al. Grade Guidelines: 3. Rating The Quality Of Evidence. J Clin Epidemiol. 2011;64(4):401\u20136.","DOI":"10.1016\/j.jclinepi.2010.07.015"},{"key":"9829_CR13","doi-asserted-by":"crossref","unstructured":"Kuehn R, Wang Y, Guyatt G. Overly Complex Methods May Impair Pragmatic Use Of Core Evidence-Based Medicine Principles. Bmj Evid Based Med. 2024;29(3):139-41.","DOI":"10.1136\/bmjebm-2024-112868"},{"key":"9829_CR14","unstructured":"Hartling L, Guise J, Kato E, Anderson J, Aronson A, Belinson S, et al. Epc Methods: An Exploration Of Methods And Context For The Production Of Rapid Reviews. Agency For Healthcare Research And Quality; 2015."},{"key":"9829_CR15","unstructured":"Anderson J, Young S, Mackey K, Williams B, Parr N, Helfand M. Brief Evidence Assessment: Guidance For Long Covid Clinics: Nervous System. Va Esp Project #09\u2013199. Veterans Health Administration; 2023."},{"key":"9829_CR16","doi-asserted-by":"crossref","unstructured":"Raj S, Guzman J, Harvey P, Richer L, Schondorf R, Seifer C, et al. Canadian Cardiovascular Society Position Statement On Postural Orthostatic Tachycardia Syndrome (Pots) And Related Disorders Of Chronic Orthostatic Intolerance. Can J Cardiol. 2020;36(3):357\u201372.","DOI":"10.1016\/j.cjca.2019.12.024"},{"key":"9829_CR17","doi-asserted-by":"crossref","unstructured":"Norris S. Grade Good Practice Statements: A Time To Say \"Good-Bye\"? A New Typology For Normative Statements On Interventions. J Clin Epidemiol. 2024;171:111371.","DOI":"10.1016\/j.jclinepi.2024.111371"},{"key":"9829_CR18","doi-asserted-by":"crossref","unstructured":"Guyatt G, Alonso-Coello P, Sch\u00fcnemann H, Djulbegovic B, Nothacker M, Lange S, et al. Guideline Panels Should Seldom Make Good Practice Statements: Guidance From The Grade Working Group. J Clin Epidemiol. 2016;80:3\u20137.","DOI":"10.1016\/j.jclinepi.2016.07.006"},{"key":"9829_CR19","doi-asserted-by":"crossref","unstructured":"Ayloo A, Cvengros T, Marella S. Evaluation And Treatment Of Musculoskeletal Chest Pain. Prim Care. 2013;40(4):863\u201387, Viii.","DOI":"10.1016\/j.pop.2013.08.007"},{"key":"9829_CR20","unstructured":"Castelli G, Desai KmM, Cantone RE. Peripheral Neuropathy: Evaluation and Differential Diagnosis. Am Fam Physician. 2020;102(12):732\u20139."},{"key":"9829_CR21","unstructured":"Larson S, Wilbur J. Muscle Weakness In Adults: Evaluation And Differential Diagnosis. Am Fam Phys. 2020;101(2)."},{"key":"9829_CR22","unstructured":"VA\/DoD Clinical Practice Guidelines. Management of headache: VA\/DoD clinical practice guidelines. Washington, DC: Department of Veterans Affairs, Department of Defense; 2023."},{"key":"9829_CR23","unstructured":"Winslow Bt, Vandal C, Dang L. Fibromyalgia: Diagnosis And Management. Am Fam Physician. 2023;107(2):137\u201344."},{"key":"9829_CR24","unstructured":"Va\/Dod Clinical Practice Guidelines Cmi. The Management Of Chronic Multisymptom Illness Cmi 2021 - Va\/Dod Clinical Practice Guidelines. Department Of Veterans Affairs; 2022."},{"key":"9829_CR25","doi-asserted-by":"crossref","unstructured":"Blitshteyn S, Whiteson Jh, Abramoff B, Azola A, Bartels Mn, Bhavaraju-Sanka R, et al. Multi-Disciplinary Collaborative Consensus Guidance Statement On The Assessment And Treatment Of Autonomic Dysfunction In Patients With Post-Acute Sequelae Of Sars-Cov-2 Infection (Pasc). Pm R. 2022;14(10):1270\u201391.","DOI":"10.1002\/pmrj.12894"},{"key":"9829_CR26","doi-asserted-by":"crossref","unstructured":"Espinosa-Gonzalez A, Master H, Gall N, Halpin S, Rogers N, Greenhalgh T. Orthostatic Tachycardia After Covid-19. Bmj. 2023;380:E073488.","DOI":"10.1136\/bmj-2022-073488"},{"key":"9829_CR27","doi-asserted-by":"crossref","unstructured":"Fedorowski A, Fanciulli A, Raj SR, Sheldon R, Shibao CA, Sutton R. Cardiovascular autonomic dysfunction in post-COVID-19 syndrome: a major health-care burden. Nat Rev Cardiol. 2024;21(8):505\u201321.","DOI":"10.1038\/s41569-023-00962-3"},{"key":"9829_CR28","doi-asserted-by":"crossref","unstructured":"Fedorowski A, Sutton R. Autonomic dysfunction and postural orthostatic tachycardia syndrome in post-acute covid-19 syndrome. Nat Rev Cardiol. 2023;20(5):281-2.","DOI":"10.1038\/s41569-023-00842-w"},{"key":"9829_CR29","doi-asserted-by":"crossref","unstructured":"Bateman L, Bested AC, Bonilla HF, Chheda BV, Chu L, Curtin JM, et al. Myalgic Encephalomyelitis\/Chronic Fatigue Syndrome: Essentials of Diagnosis and Management. Mayo Clin Proc. 2021;96(11):2861\u201378.","DOI":"10.1016\/j.mayocp.2021.07.004"},{"key":"9829_CR30","doi-asserted-by":"crossref","unstructured":"Kuut TA, Muller F, Csorba I, Braamse A, Aldenkamp A, Appelman B, et al. Efficacy Of Cognitive-Behavioral Therapy Targeting Severe Fatigue Following Coronavirus Disease 2019: Results of a Randomized Controlled Trial. Clin Infect Dis. 2023;77(5):687\u201395.","DOI":"10.1093\/cid\/ciad257"},{"key":"9829_CR31","doi-asserted-by":"crossref","unstructured":"Joseph P, Singh I, Oliveira R, Capone C, Mullen M, Cook D, Et Al. Exercise Pathophysiology In Myalgic Encephalomyelitis\/Chronic Fatigue Syndrome And Postacute Sequelae Of Sars-Cov-2: More In Common Than Not? Chest. 2023;164(3):717\u201326.","DOI":"10.1016\/j.chest.2023.03.049"},{"key":"9829_CR32","doi-asserted-by":"crossref","unstructured":"Hampshire A, Azor A, Atchison C, Trender W, Hellyer P, Giunchiglia V, et al. Cognition And Memory After Covid-19 In A Large Community Sample. N Engl J Med. 2024;390(9):806\u201318.","DOI":"10.1056\/NEJMoa2311330"},{"key":"9829_CR33","doi-asserted-by":"crossref","unstructured":"Ariza M, Cano N, Segura B, Adan A, Bargallo N, Caldu X, et al. Neuropsychological Impairment in Post-Covid Condition Individuals with and without Cognitive Complaints. Front Aging Neurosci. 2022;14:1029842.","DOI":"10.3389\/fnagi.2022.1029842"},{"key":"9829_CR34","doi-asserted-by":"crossref","unstructured":"Lynch S, Ferrando S, Dornbush R, Shahar S, Smiley A, Klepacz L. Screening For Brain Fog: Is The Montreal Cognitive Assessment An Effective Screening Tool For Neurocognitive Complaints Post-Covid-19? Gen Hosp Psychiatry. 2022;78:80\u20136.","DOI":"10.1016\/j.genhosppsych.2022.07.013"},{"key":"9829_CR35","doi-asserted-by":"crossref","unstructured":"Aiello E, Fiabane E, Manera M, Radici A, Grossi F, Ottonello M, et al. Screening For Cognitive Sequelae Of Sars-Cov-2 Infection: A Comparison Between The Mini-Mental State Examination (Mmse) And The Montreal Cognitive Assessment (Moca). Neurol Sci. 2022;43(1):81\u20134.","DOI":"10.1007\/s10072-021-05630-3"},{"key":"9829_CR36","doi-asserted-by":"crossref","unstructured":"Ulmer C, Mccant F, Stechuchak K, Olsen M, Bosworth H. Prevalence Of Insomnia Disorder And Sleep Apnea In A Sample Of Veterans At Risk For Cardiovascular Disease. J Clin Sleep Med. 2021;17(7):1441\u20136.","DOI":"10.5664\/jcsm.9228"},{"key":"9829_CR37","doi-asserted-by":"crossref","unstructured":"Hankin C, Spiro A, 3rd, Miller Dr, Kazis L. Mental Disorders And Mental Health Treatment Among U.S. Department Of Veterans Affairs Outpatients: The Veterans Health Study. Am J Psychiatry. 1999;156(12):1924\u201330.","DOI":"10.1176\/ajp.156.12.1924"},{"key":"9829_CR38","doi-asserted-by":"crossref","unstructured":"Papakostas G. Cognitive Symptoms In Patients With Major Depressive Disorder And Their Implications For Clinical Practice. J Clin Psychiatry. 2014;75(1):8\u201314.","DOI":"10.4088\/JCP.13r08710"},{"key":"9829_CR39","doi-asserted-by":"crossref","unstructured":"Tamariz L, Bast E, Klimas N, Palacio A. Low-Dose Naltrexone Improves Post-Covid-19 Condition Symptoms. Clin Ther. 2024;46(3):E101-E6.","DOI":"10.1016\/j.clinthera.2023.12.009"},{"key":"9829_CR40","doi-asserted-by":"crossref","unstructured":"Kow C, Ramachandram D, Hasan S. Coenzyme Q10 Therapy In Patients With Post Covid-19 Condition. Lancet Reg Health Eur. 2023;25:100567.","DOI":"10.1016\/j.lanepe.2022.100567"},{"key":"9829_CR41","doi-asserted-by":"crossref","unstructured":"Hansen K, Mogensen T, Agergaard J, Schiottz-Christensen B, Ostergaard L, Vibholm L, et al. High-Dose Coenzyme Q10 Therapy Versus Placebo In Patients With Post Covid-19 Condition: A Randomized, Phase 2, Crossover Trial. Lancet Reg Health Eur. 2023;24:100539.","DOI":"10.1016\/j.lanepe.2022.100539"},{"key":"9829_CR42","doi-asserted-by":"crossref","unstructured":"Herrera J, Niehaus W, Whiteson J, Azola A, Baratta J, Fleming T, et al. Multidisciplinary Collaborative Consensus Guidance Statement On The Assessment And Treatment Of Fatigue In Postacute Sequelae Of Sars-Cov-2 Infection (Pasc) Patients. Pm R. 2021;13(9):1027\u201343.","DOI":"10.1002\/pmrj.12684"},{"key":"9829_CR43","doi-asserted-by":"crossref","unstructured":"Fine J, Ambrose A, Didehbani N, Fleming T, Glashan L, Longo M, et al. Multi-Disciplinary Collaborative Consensus Guidance Statement On The Assessment And Treatment Of Cognitive Symptoms In Patients With Post-Acute Sequelae Of Sars-Cov-2 Infection (PASC).\u00a0PM R: The Journal Of Injury, Function, And Rehabilitation. 2022;14(1):96\u2013111.","DOI":"10.1002\/pmrj.12745"},{"key":"9829_CR44","doi-asserted-by":"crossref","unstructured":"Melamed E, Rydberg L, Ambrose A, Bhavaraju-Sanka R, Fine J, Fleming T, et al. Multidisciplinary Collaborative Consensus Guidance Statement On The Assessment And Treatment Of Neurologic Sequelae In Patients With Post-Acute Sequelae Of Sars-Cov-2 Infection (PASC). Pm R. 2023;15(5):640\u201362.","DOI":"10.1002\/pmrj.12976"},{"key":"9829_CR45","doi-asserted-by":"crossref","unstructured":"Navis A. A Review Of Neurological Symptoms In Long Covid And Clinical Management. Seminars In: Neurology. 2023;43(2):286-96.","DOI":"10.1055\/s-0043-1767781"},{"key":"9829_CR46","doi-asserted-by":"crossref","unstructured":"Greenhalgh T, Sivan M, Delaney B, Evans R, Milne R. Long Covid-An Update For Primary Care. Bmj. 2022;378:E072117.","DOI":"10.1136\/bmj-2022-072117"},{"key":"9829_CR47","doi-asserted-by":"crossref","unstructured":"Isaac RO, Corrado J, Sivan M. Detecting orthostatic intolerance in long COVID in a clinic setting. Int J Environ Res Public Health. 2023;20(10):5914.","DOI":"10.3390\/ijerph20105804"},{"key":"9829_CR48","unstructured":"U.S. Department of Veterans Affairs, Veterans Health Administration. Whole Health System approach to Long COVID Patient-Aligned Care Team (PACT) guide. Washington, DC: U.S. Department of Veterans Affairs; 2022."},{"key":"9829_CR49","unstructured":"American Academy Of Physical Medicine And Rehabilitation. Table 4: Neurocognitive Assessment Tools And Therapeutic Intervention Strategies By Cognitive Domain. American Academy Of Physical Medicine And Rehabilitation; 2022."},{"key":"9829_CR50","unstructured":"VHA\u00a0Long Covid Care Strategies And Best Practices Workgroup. Long Covid Nervous System Condition Care Management Subject Matter Expert Consensus. 2023."},{"key":"9829_CR51","doi-asserted-by":"crossref","unstructured":"Nurek M, Rayner C, Freyer A, Taylor S, J\u00e4rte L, Macdermott N, et al. Recommendations For The Recognition, Diagnosis, And Management Of Long Covid: A Delphi Study. Br J Gen Pract. 2021;71(712):E815-E25.","DOI":"10.3399\/BJGP.2021.0265"},{"key":"9829_CR52","unstructured":"U.S. Department Of Health And Human Services. Pain Management Best Practices Inter-Agency Task Force Report: Updates, Gaps, Inconsistencies, And Recommendations.; 2019."},{"key":"9829_CR53","unstructured":"VA\/Dod Clinical Practice Guidelines Use Of Opioids. Use Of Opioids In The Management Of Chronic Pain (2022) -\u00a0VA\/Dod Clinical Practice Guidelines. 2022."},{"key":"9829_CR54","doi-asserted-by":"crossref","unstructured":"Price R, Smith D, Franklin G, Gronseth G, Pignone M, David W, et al. Oral And Topical Treatment Of Painful Diabetic Polyneuropathy: Practice Guideline Update Summary: Report Of The Aan Guideline Subcommittee. Neurology. 2022;98(1):31-43.","DOI":"10.1212\/WNL.0000000000013038"},{"key":"9829_CR55","doi-asserted-by":"crossref","unstructured":"Weinberger D, Rose L, Rentsch C, Asch S, Columbo J, King J, Jr., et al. Excess Mortality Among Patients In The Veterans Affairs Health System Compared With The Overall Us Population During The First Year Of The Covid-19 Pandemic. Jama Netw Open. 2023;6(5):E2312140.","DOI":"10.1001\/jamanetworkopen.2023.12140"},{"key":"9829_CR56","doi-asserted-by":"crossref","unstructured":"Wander P, Baraff A, Fox A, Cho K, Maripuri M, Honerlaw J, et al. Rates Of Icd-10 Code U09.9 Documentation And Clinical Characteristics Of Va Patients With Post-Covid-19 Condition. Jama Netw Open. 2023;6(12):E2346783.","DOI":"10.1001\/jamanetworkopen.2023.46783"},{"key":"9829_CR57","unstructured":"Ahmadzai N, Newberry S, Maglione M, Tsertsvadze A, Ansari M, Hempel S, et al. Assessment Of A Method To Detect Signals For Updating Systematic Reviews. Effective Health Care Program White Paper. Ottawa, On, Canada; Santa Monica, Ca, Usa: Agency For Healthcare Research And Quality (Ahrq); 2013."},{"key":"9829_CR58","doi-asserted-by":"crossref","unstructured":"Backer T. Science-Based Strategic Approaches To Dissemination. Drug Abuse Treatment Through Collaboration: Practice And Research Partnerships That Work: American Psychological Association; 2003:269\u201386.","DOI":"10.1037\/10491-016"}],"container-title":["Journal of General Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-025-09829-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11606-025-09829-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-025-09829-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T01:03:11Z","timestamp":1794013391000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11606-025-09829-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,7]]},"references-count":58,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["9829"],"URL":"https:\/\/doi.org\/10.1007\/s11606-025-09829-4","relation":{},"ISSN":["0884-8734","1525-1497"],"issn-type":[{"value":"0884-8734","type":"print"},{"value":"1525-1497","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,7]]},"assertion":[{"value":"27 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 November 2025","order":3,"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"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Human Ethics and Consent to Participate Declarations","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Omar Awan, MD; Kelsie A. Bell, MOT, OTR\/L; Andre Cassell, MD; Deema Fattal, MD; Mark Helfand, MD, MS, MPH; Jacqueline Neal, MD; Bernard Ng, MBBS, MSc, MMed; Morgan L. Pyne, DO; Lauren Rog, PhD; Ilana Seidel, MD; Pandora L. Wander, MD, MS.","order":3,"name":"Ethics","label":"Guideline Group Members","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}