{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T09:45:40Z","timestamp":1788428740660,"version":"build-2803163510"},"reference-count":54,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"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":["Curr Oncol Rep"],"DOI":"10.1007\/s11912-026-01785-4","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:26:41Z","timestamp":1777858001000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Malignant Fungating Wounds in Advanced Cancer: Pathophysiology, Odor Control, and Dignity-Centered Management"],"prefix":"10.1007","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8743-831X","authenticated-orcid":false,"given":"Atul Kumar","family":"Gupta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,4]]},"reference":[{"issue":"4","key":"1785_CR1","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/j.ejon.2009.03.008","volume":"13","author":"S Probst","year":"2009","unstructured":"Probst S, Arber A, Faithfull S. Malignant fungating wounds: a survey of nurses\u2019 clinical practice in Switzerland. Eur J Oncol Nurs. 2009;13(4):295\u20138.","journal-title":"Eur J Oncol Nurs"},{"issue":"6","key":"1785_CR2","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1111\/j.1742-481X.2010.00715.x","volume":"7","author":"SJ Alexander","year":"2010","unstructured":"Alexander SJ. An intense and unforgettable experience: the lived experience of malignant wounds from the perspectives of patients, caregivers and nurses. Int Wound J. 2010;7(6):456\u201365.","journal-title":"Int Wound J"},{"issue":"5","key":"1785_CR3","doi-asserted-by":"publisher","first-page":"240","DOI":"10.12968\/jowc.1995.4.5.240","volume":"4","author":"P Grocott","year":"1995","unstructured":"Grocott P. The palliative management of fungating malignant wounds. J Wound Care. 1995;4(5):240\u20132.","journal-title":"J Wound Care"},{"issue":"1","key":"1785_CR4","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1111\/j.1365-2702.2004.01022.x","volume":"14","author":"B Lund-Nielsen","year":"2005","unstructured":"Lund-Nielsen B, Muller K, Adamsen L. Malignant wounds in women with breast cancer: feminine and sexual perspectives. J Clin Nurs. 2005;14(1):56\u201364.","journal-title":"J Clin Nurs"},{"issue":"Suppl","key":"1785_CR5","doi-asserted-by":"publisher","first-page":"S33","DOI":"10.12968\/bjon.2001.10.Sup5.12325","volume":"10","author":"W Naylor","year":"2001","unstructured":"Naylor W. Assessment and management of pain in fungating wounds. Br J Nurs. 2001;10(Suppl):S33\u201356.","journal-title":"Br J Nurs"},{"issue":"10128","key":"1785_CR6","doi-asserted-by":"publisher","first-page":"1391","DOI":"10.1016\/S0140-6736(17)32513-8","volume":"391","author":"FM Knaul","year":"2018","unstructured":"Knaul FM, Farmer PE, Krakauer EL, et al. Alleviating the access abyss in palliative care and pain relief\u2014an imperative of universal health coverage. Lancet. 2018;391(10128):1391\u2013454.","journal-title":"Lancet"},{"issue":"3","key":"1785_CR7","first-page":"209","volume":"71","author":"H Sung","year":"2021","unstructured":"Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209\u201349.","journal-title":"CA Cancer J Clin"},{"issue":"21","key":"1785_CR8","doi-asserted-by":"publisher","first-page":"1182","DOI":"10.1056\/NEJM197111182852108","volume":"285","author":"J Folkman","year":"1971","unstructured":"Folkman J. Tumor angiogenesis: therapeutic implications. N Engl J Med. 1971;285(21):1182\u20136.","journal-title":"N Engl J Med"},{"issue":"3","key":"1785_CR9","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/j.soncn.2006.04.006","volume":"22","author":"S Seaman","year":"2006","unstructured":"Seaman S. Management of malignant fungating wounds in advanced cancer. Semin Oncol Nurs. 2006;22(3):185\u201393.","journal-title":"Semin Oncol Nurs"},{"issue":"5","key":"1785_CR10","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1016\/j.ijnurstu.2003.12.009","volume":"41","author":"N Browne","year":"2004","unstructured":"Browne N, Grocott P, Cowley S, et al. Woundcare Research for Appropriate Products (WRAP): validation of the TELER method involving users of wound care products. Int J Nurs Stud. 2004;41(5):559\u201371.","journal-title":"Int J Nurs Stud"},{"issue":"6","key":"1785_CR11","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1016\/j.ijnurstu.2013.10.013","volume":"51","author":"G Gethin","year":"2014","unstructured":"Gethin G, Grocott P, Probst S, Clarke E. Current practice in the management of wound odour: an international survey. Int J Nurs Stud. 2014;51(6):865\u201374.","journal-title":"Int J Nurs Stud"},{"issue":"3","key":"1785_CR12","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1093\/jb\/mvr090","volume":"150","author":"M Shirasu","year":"2011","unstructured":"Shirasu M, Touhara K. The scent of disease: volatile organic compounds of the human body related to disease and disorder. J Biochem. 2011;150(3):257\u201366.","journal-title":"J Biochem"},{"key":"1785_CR13","volume-title":"Best practice statement: optimising wound care in patients with lower limb lymphoedema and chronic oedema [and related wound odour management principles]","author":"Wounds International","year":"2016","unstructured":"Wounds International. Best practice statement: optimising wound care in patients with lower limb lymphoedema and chronic oedema [and related wound odour management principles]. London: Wounds International; 2016."},{"issue":"1","key":"1785_CR14","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1111\/j.1742-481X.2011.00836.x","volume":"9","author":"SL Percival","year":"2012","unstructured":"Percival SL, Emanuel C, Cutting KF, Williams DW. Microbiology of the skin and the role of biofilms in infection. Int Wound J. 2012;9(1):14\u201332.","journal-title":"Int Wound J"},{"key":"1785_CR15","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/apm.12099","volume":"136","author":"T Bjarnsholt","year":"2013","unstructured":"Bjarnsholt T. The role of bacterial biofilms in chronic infections. APMIS Suppl. 2013;136:1\u201351.","journal-title":"APMIS Suppl"},{"issue":"5","key":"1785_CR16","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.70181","volume":"22","author":"JD Ivory","year":"2025","unstructured":"Ivory JD, Perrier L, Vellinga A, Sezgin D, Hobbs CM, Ffrench C, et al. A scoping review to identify clinical signs, symptoms and biomarkers reported in the literature to be indicative of biofilm in chronic wounds. Int Wound J. 2025;22(5):e70181. https:\/\/doi.org\/10.1111\/iwj.70181.","journal-title":"Int Wound J"},{"issue":"1","key":"1785_CR17","doi-asserted-by":"publisher","first-page":"20","DOI":"10.12968\/jowc.2017.26.1.20","volume":"26","author":"M Malone","year":"2017","unstructured":"Malone M, Bjarnsholt T, McBain AJ, et al. The prevalence of biofilms in chronic wounds: a systematic review and meta-analysis of published data. J Wound Care. 2017;26(1):20\u20135.","journal-title":"J Wound Care"},{"issue":"2","key":"1785_CR18","first-page":"127","volume":"110","author":"SL Drinkwater","year":"2002","unstructured":"Drinkwater SL, Smith A, Burnand KG. What can wound fluids tell us about the venous ulcer microenvironment? APMIS. 2002;110(2):127\u201335.","journal-title":"APMIS"},{"issue":"6","key":"1785_CR19","doi-asserted-by":"publisher","first-page":"1312","DOI":"10.1111\/j.1365-2648.2011.05839.x","volume":"68","author":"SF Lo","year":"2012","unstructured":"Lo SF, Hayter M, Hu WY, et al. Symptom burden and quality of life in patients with malignant fungating wounds. J Adv Nurs. 2012;68(6):1312\u201321.","journal-title":"J Adv Nurs"},{"key":"1785_CR20","doi-asserted-by":"publisher","unstructured":"Chen A, Dusza S, Bromberg J, Goldfarb S, Sanford R, Markova A. Quality of Life in Patients with Malignant Wounds Treated at a Wound Care Clinic. Res Sq [Preprint]. 2024 Sep 2:rs.3.rs-4797536. https:\/\/doi.org\/10.21203\/rs.3.rs-4797536\/v1. Update in: Adv Wound Care (New Rochelle). 2025 Nov 10. doi: 10.1177\/21621918251393741. PMID: 39281876; PMCID: PMC11398584.","DOI":"10.21203\/rs.3.rs-4797536\/v1."},{"issue":"8","key":"1785_CR21","doi-asserted-by":"publisher","first-page":"384","DOI":"10.12968\/ijpn.2007.13.8.24537","volume":"13","author":"C Piggin","year":"2007","unstructured":"Piggin C, Jones V. Malignant fungating wounds: an analysis of the lived experience. Int J Palliat Nurs. 2007;13(8):384\u201391.","journal-title":"Int J Palliat Nurs"},{"issue":"3","key":"1785_CR22","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1177\/0269216309102536","volume":"23","author":"V Schulz","year":"2009","unstructured":"Schulz V, Kozell K, Biondo PD, et al. The malignant wound assessment tool: a validation study using a Delphi approach. Palliat Med. 2009;23(3):266\u201373.","journal-title":"Palliat Med"},{"issue":"6","key":"1785_CR23","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1016\/j.jpainsymman.2007.12.018","volume":"36","author":"HM Chochinov","year":"2008","unstructured":"Chochinov HM, Hassard T, McClement S, et al. The patient dignity inventory: a novel way of measuring dignity-related distress in palliative care. J Pain Symptom Manage. 2008;36(6):559\u201371.","journal-title":"J Pain Symptom Manage"},{"issue":"4","key":"1785_CR24","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1177\/0269216313518266","volume":"28","author":"H Draper","year":"2014","unstructured":"Draper H, Scott C, Ives A. Caring for a caregiver: the experience of family members of patients with malignant wounds. Palliat Med. 2014;28(4):302\u201310.","journal-title":"Palliat Med"},{"issue":"Suppl 5a","key":"1785_CR25","first-page":"S1","volume":"23","author":"S Probst","year":"2014","unstructured":"Probst S, Sepp\u00e4nen S, Gethin G, et al. EWMA Document: home care-wound care: overview, challenges, opportunities and perspectives. J Wound Care. 2014;23(Suppl 5a):S1\u201344.","journal-title":"J Wound Care"},{"issue":"1","key":"1785_CR26","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1093\/jac\/31.1.9","volume":"31","author":"DI Edwards","year":"1993","unstructured":"Edwards DI. Nitroimidazole drugs\u2014action and resistance mechanisms. I: mechanisms of action. J Antimicrob Chemother. 1993;31(1):9\u201320.","journal-title":"J Antimicrob Chemother"},{"issue":"1","key":"1785_CR27","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1016\/j.jtv.2022.10.007","volume":"32","author":"G Gethin","year":"2023","unstructured":"Gethin G, Vellinga A, McIntosh C, Sezgin D, Probst S, Murphy L, et al. Systematic review of topical interventions for the management of odour in patients with chronic or malignant fungating wounds. J Tissue Viability. 2023;32(1):151\u20137. https:\/\/doi.org\/10.1016\/j.jtv.2022.10.007.","journal-title":"J Tissue Viability"},{"issue":"4","key":"1785_CR28","first-page":"84","volume":"17","author":"C Kalinski","year":"2005","unstructured":"Kalinski C, Schnepf M, Laboy D, et al. Effectiveness of a topical formulation containing metronidazole for wound odor and exudate control. Wounds. 2005;17(4):84\u201390.","journal-title":"Wounds"},{"issue":"3","key":"1785_CR29","first-page":"18","volume":"54","author":"JC Paul","year":"2008","unstructured":"Paul JC, Pieper BA. Topical metronidazole for the treatment of wound odor: a review of the literature. Ostomy Wound Manage. 2008;54(3):18\u201327.","journal-title":"Ostomy Wound Manage"},{"issue":"1","key":"1785_CR30","first-page":"7","volume":"4","author":"P Trueman","year":"1996","unstructured":"Trueman P. The use of activated charcoal dressings for malodorous wounds. Prim Intent. 1996;4(1):7\u201314.","journal-title":"Prim Intent"},{"issue":"3","key":"1785_CR31","doi-asserted-by":"publisher","first-page":"466","DOI":"10.1111\/j.1365-2702.2008.02558.x","volume":"18","author":"G Gethin","year":"2009","unstructured":"Gethin G, Cowman S. Manuka honey vs hydrogel\u2014a prospective, open label, multicentre, randomised controlled trial to compare desloughing efficacy and healing outcomes in venous ulcers. J Clin Nurs. 2009;18(3):466\u201374.","journal-title":"J Clin Nurs"},{"key":"1785_CR32","unstructured":"VowdenK, Cooper RA. An integrated approach to managing wound infection. In: European Wound Management Association (EWMA), position document: identifying criteria for wound infection. London: MEP Ltd; 2005. p. 2\u20136. https:\/\/amca-admin.rachel.puxdesign.cz\/CSLR\/media\/amca\/ewma\/dokumenty\/english_pos_doc_final.pdf"},{"issue":"Suppl 1","key":"1785_CR33","doi-asserted-by":"publisher","first-page":"S28","DOI":"10.1097\/PRS.0b013e3181fca244","volume":"127","author":"RD Wolcott","year":"2011","unstructured":"Wolcott RD, Dowd S. The role of biofilms: are we hitting the right target? Plast Reconstr Surg. 2011;127(Suppl 1):S28\u201335.","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"1785_CR34","first-page":"136","volume":"31","author":"D Bates","year":"2022","unstructured":"Bates D, O\u2019Brien C, Kelly L, Keogh S, Price P. The electronic nose: a device for the detection of wound infection in clinical practice. J Wound Care. 2022;31(2):136\u201346.","journal-title":"J Wound Care"},{"key":"1785_CR35","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1016\/S0065-308X(08)60073-1","volume":"35","author":"M Hall","year":"1995","unstructured":"Hall M, Wall R. Myiasis of humans and domestic animals. Adv Parasitol. 1995;35:257\u2013334.","journal-title":"Adv Parasitol"},{"key":"1785_CR36","doi-asserted-by":"crossref","first-page":"e52","DOI":"10.1590\/s1678-9946201961052","volume":"61","author":"CB Pinheiro","year":"2019","unstructured":"Pinheiro CB, Dorea DP, Neto FL, et al. Wound myiasis caused by Cochliomyia hominivorax in an advanced breast cancer patient: case report and review. Rev Inst Med Trop Sao Paulo. 2019;61:e52.","journal-title":"Rev Inst Med Trop Sao Paulo"},{"key":"1785_CR37","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1146\/annurev.ento.45.1.55","volume":"45","author":"RA Sherman","year":"2000","unstructured":"Sherman RA, Hall MJ, Thomas S. Medicinal maggots: an ancient remedy for some contemporary afflictions. Annu Rev Entomol. 2000;45:55\u201381.","journal-title":"Annu Rev Entomol"},{"issue":"1","key":"1785_CR38","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1128\/CMR.00010-11","volume":"25","author":"F Francesconi","year":"2012","unstructured":"Francesconi F, Lupi O. Myiasis. Clin Microbiol Rev. 2012;25(1):79\u2013105.","journal-title":"Clin Microbiol Rev"},{"issue":"2","key":"1785_CR39","first-page":"123","volume":"47","author":"AK Gupta","year":"2020","unstructured":"Gupta AK, Bhattacharya SK. A review of myiasis management: current practice and future perspectives. J Dermatol. 2020;47(2):123\u201331.","journal-title":"J Dermatol"},{"issue":"1","key":"1785_CR40","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1056\/NEJM199507063330105","volume":"333","author":"TL Meinking","year":"1995","unstructured":"Meinking TL, Taplin D, Hermida JL, Pardo R, Kerdel FA. The treatment of scabies with ivermectin. N Engl J Med. 1995;333(1):26\u201330.","journal-title":"N Engl J Med"},{"issue":"26","key":"1785_CR41","doi-asserted-by":"publisher","first-page":"2913","DOI":"10.1200\/JCO.2014.55.1143","volume":"32","author":"ST Lutz","year":"2014","unstructured":"Lutz ST, Jones J, Chow E. Role of radiation therapy in palliative care of the patient with cancer. J Clin Oncol. 2014;32(26):2913\u20139.","journal-title":"J Clin Oncol"},{"issue":"10","key":"1785_CR42","doi-asserted-by":"publisher","first-page":"djv197","DOI":"10.1093\/jnci\/djv197","volume":"107","author":"P Hoskin","year":"2015","unstructured":"Hoskin P, Sundar S, Reczko K, et al. A multicenter randomized trial of ibandronate compared with single-dose radiotherapy for localized metastatic bone pain in patients with cancer. J Natl Cancer Inst. 2015;107(10):djv197.","journal-title":"J Natl Cancer Inst"},{"issue":"4","key":"1785_CR43","first-page":"373","volume":"26","author":"PAS Johnstone","year":"2003","unstructured":"Johnstone PAS, Rohde DC, Swartz SE, Fetter JE, Wexler LH. Palliative radiation therapy for advanced malignant cutaneous tumors. Am J Clin Oncol. 2003;26(4):373\u20136.","journal-title":"Am J Clin Oncol"},{"issue":"17","key":"1785_CR44","doi-asserted-by":"publisher","first-page":"2253","DOI":"10.1001\/jama.287.17.2253","volume":"287","author":"HM Chochinov","year":"2002","unstructured":"Chochinov HM. Dignity-conserving care\u2014a new model for palliative care. JAMA. 2002;287(17):2253\u201360.","journal-title":"JAMA"},{"issue":"1","key":"1785_CR45","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1001\/jama.291.1.88","volume":"291","author":"JM Teno","year":"2004","unstructured":"Teno JM, Clarridge BR, Casey V, et al. Family perspectives on end-of-life care at the last place of care. JAMA. 2004;291(1):88\u201393.","journal-title":"JAMA"},{"issue":"1","key":"1785_CR46","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/s40122-012-0002-7","volume":"1","author":"S Nalamachu","year":"2012","unstructured":"Nalamachu S, Morley-Forster P. Diagnosing and managing pain in chronic wounds: a survey of wound care physicians. Pain Ther. 2012;1(1):2.","journal-title":"Pain Ther"},{"issue":"4","key":"1785_CR47","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1002\/ijc.33588","volume":"149","author":"J Ferlay","year":"2021","unstructured":"Ferlay J, Colombet M, Soerjomataram I, et al. Cancer statistics for the year 2020: an overview. Int J Cancer. 2021;149(4):778\u201389.","journal-title":"Int J Cancer"},{"key":"1785_CR48","doi-asserted-by":"crossref","unstructured":"Paleri V, Roe JW, Strojan P et al. Strategies to reduce long-term postchemoradiation dysphagia in patients with head and neck cancer: an evidence-based review. Head Neck. 2014;36(3):431\u2013443. [Kerala model reference: Kumar SK. The Kerala model of palliative care: Criti Revi. Indian J Palliat Care. 2012;18(1):14].","DOI":"10.1002\/hed.23251"},{"issue":"1","key":"1785_CR49","volume":"12","author":"MM Harding","year":"2020","unstructured":"Harding MM, Kwakye GF, Ghartey-Kwakye A. Community-based palliative care in sub-Saharan Africa: a qualitative review. Afr J Prim Health Care Fam Med. 2020;12(1):a2258.","journal-title":"Afr J Prim Health Care Fam Med"},{"issue":"12","key":"1785_CR50","volume":"4","author":"MJ Allsop","year":"2014","unstructured":"Allsop MJ, Thompson J, Briggs M, Grocott P. Developing patient-reported outcome measures for wound care: a mixed-methods study. BMJ Open. 2014;4(12):e006630.","journal-title":"BMJ Open"},{"issue":"1","key":"1785_CR51","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1111\/wrr.12370","volume":"24","author":"RD Wolcott","year":"2016","unstructured":"Wolcott RD, Hanson JD, Rees EJ, et al. Analysis of the chronic wound microbiota of 2,963 patients by 16S rDNA pyrosequencing. Wound Repair Regen. 2016;24(1):163\u201374.","journal-title":"Wound Repair Regen"},{"issue":"5","key":"1785_CR52","doi-asserted-by":"publisher","first-page":"e01058","DOI":"10.1128\/mBio.01058-16","volume":"7","author":"L Kalan","year":"2016","unstructured":"Kalan L, Loesche M, Hodkinson BP, et al. Redefining the chronic-wound microbiome: fungal communities are prevalent, dynamic, and associated with delayed healing. mBio. 2016;7(5):e01058\u201316.","journal-title":"mBio"},{"issue":"8","key":"1785_CR53","doi-asserted-by":"publisher","first-page":"e0183139","DOI":"10.1371\/journal.pone.0183139","volume":"12","author":"SC Wang","year":"2017","unstructured":"Wang SC, Anderson JAE, Evans R, et al. Point-of-care wound visioning technology: reproducibility and accuracy of a wound measurement app. PLoS One. 2017;12(8):e0183139.","journal-title":"PLoS One"},{"issue":"4","key":"1785_CR54","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1111\/wrr.12193","volume":"22","author":"M Augustin","year":"2014","unstructured":"Augustin M, Blome C, Zschocke I, et al. Wound-QoL\u2014a short questionnaire on health-related quality of life in patients with chronic wounds based on three established disease-specific instruments. Wound Repair Regen. 2014;22(4):504\u201314.","journal-title":"Wound Repair Regen"}],"container-title":["Current Oncology Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11912-026-01785-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11912-026-01785-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11912-026-01785-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:02:12Z","timestamp":1777888932000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11912-026-01785-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,4]]},"references-count":54,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["1785"],"URL":"https:\/\/doi.org\/10.1007\/s11912-026-01785-4","relation":{},"ISSN":["1534-6269"],"issn-type":[{"value":"1534-6269","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,4]]},"assertion":[{"value":"16 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 May 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":"This article does not contain any studies with human or animal subjects performed by any of the authors.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human and Animal Rights"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"48"}}