{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:07:34Z","timestamp":1785816454412,"version":"3.56.0"},"reference-count":18,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","goldjournal.net","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Urology"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.urology.2026.02.027","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T16:21:19Z","timestamp":1771604479000},"page":"33-37","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Mental Health Burden of a Testicular Cancer Diagnosis: Insights From a Large Claims Database"],"prefix":"10.1016","volume":"212","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4519-2958","authenticated-orcid":false,"given":"Joshua","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jersey-Kate","family":"Castillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Buell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Shin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoin","family":"Douglawi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Hofmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herbert","family":"Ruckle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2448-9501","authenticated-orcid":false,"given":"Muhannad","family":"Alsyouf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.urology.2026.02.027_bib1","first-page":"692","article-title":"Global patterns in testicular cancer incidence and mortality in 2020","volume":"151","author":"Znaor","year":"2022","journal-title":"Int\u00a0J\u00a0Cancer"},{"key":"10.1016\/j.urology.2026.02.027_bib2","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1002\/ijc.33999","article-title":"Global patterns in testicular cancer incidence and mortality in 2020","volume":"151","author":"Znaor","year":"2022","journal-title":"Intl J\u00a0Cancer"},{"key":"10.1016\/j.urology.2026.02.027_bib3","first-page":"12","article-title":"Cancer statistics, 2024","volume":"74","author":"Siegel","year":"2024","journal-title":"CA A Cancer J Clin"},{"key":"10.1016\/j.urology.2026.02.027_bib4","first-page":"193","article-title":"Psychological health in cancer survivors","volume":"24","author":"Andrykowski","year":"2008","journal-title":"Semin\u00a0Oncol\u00a0Nurs"},{"key":"10.1016\/j.urology.2026.02.027_bib5","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1200\/JCO.2014.56.2116","article-title":"Patterns of relapse in patients with clinical stage I testicular cancer managed with active surveillance","volume":"33","author":"Kollmannsberger","year":"2015","journal-title":"JCO"},{"key":"10.1016\/j.urology.2026.02.027_bib6","first-page":"S9","article-title":"Adolescent and young adult male mental health: transforming system failures into proactive models of engagement","volume":"62","author":"Rice","year":"2018","journal-title":"J\u00a0Adolesc\u00a0Health"},{"key":"10.1016\/j.urology.2026.02.027_bib7","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.jpsychires.2020.08.014","article-title":"Trends in anxiety among adults in the United States, 2008-2018: rapid increases among young adults","volume":"130","author":"Goodwin","year":"2020","journal-title":"J\u00a0Psychiatr\u00a0Res"},{"key":"10.1016\/j.urology.2026.02.027_bib8","doi-asserted-by":"crossref","first-page":"644","DOI":"10.15585\/mmwr.mm7224a1","article-title":"National, state-level, and county-level prevalence estimates of adults aged \u226518 years self-reporting a lifetime diagnosis of depression\u2014United States, 2020","volume":"72","author":"Lee","year":"2023","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"10.1016\/j.urology.2026.02.027_bib9","doi-asserted-by":"crossref","unstructured":"Ludwig RJ, Anson M, Zirpel H, et al. A comprehensive review of methodologies and application to use the real-world data and analytics platform TriNetX. Front Pharmacol [Internet]. 2025 Mar 10 [cited 2025 Nov 19];16. https:\/\/www.frontiersin.org\/journals\/pharmacology\/articles\/10.3389\/fphar.2025.1516126\/full.","DOI":"10.3389\/fphar.2025.1516126"},{"key":"10.1016\/j.urology.2026.02.027_bib10","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.urology.2025.04.030","article-title":"Incidence of new mental health diagnosis in testicular cancer survivors","volume":"200","author":"Marthi","year":"2025","journal-title":"Urology"},{"key":"10.1016\/j.urology.2026.02.027_bib11","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1200\/JCO.20.02298","article-title":"Long-term mental health service utilization among survivors of testicular cancer: a population-based cohort study","volume":"39","author":"Raphael","year":"2021","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.urology.2026.02.027_bib12","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1002\/pon.5994","article-title":"The impact of testicular cancer and its treatment on masculinity: a systematic review","volume":"31","author":"Dax","year":"2022","journal-title":"Psycho-Oncol"},{"key":"10.1016\/j.urology.2026.02.027_bib13","first-page":"71","article-title":"Incidence of erectile dysfunction and testosterone deficiency in testicular cancer survivors","volume":"213","author":"Pandit","year":"2025","journal-title":"J\u00a0Urol"},{"key":"10.1016\/j.urology.2026.02.027_bib14","doi-asserted-by":"crossref","DOI":"10.1016\/j.eclinm.2024.102826","article-title":"Early, medium and long-term mental health in cancer survivors compared with cancer-free comparators: matched cohort study using linked UK electronic health records","volume":"76","author":"Forbes","year":"2024","journal-title":"eClinicalMedicine"},{"key":"10.1016\/j.urology.2026.02.027_bib15","doi-asserted-by":"crossref","first-page":"6371","DOI":"10.1007\/s00432-023-04600-w","article-title":"Prevalence and severity of anxiety in cancer patients: results from a multi-center cohort study in Germany","volume":"149","author":"Goerling","year":"2023","journal-title":"J Cancer Res Clin Oncol"},{"key":"10.1016\/j.urology.2026.02.027_bib16","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1038\/s41591-022-01740-3","article-title":"Cumulative burden of psychiatric disorders and self-harm across 26 adult cancers","volume":"28","author":"Chang","year":"2022","journal-title":"Nat Med"},{"key":"10.1016\/j.urology.2026.02.027_bib17","doi-asserted-by":"crossref","first-page":"5675","DOI":"10.3390\/cancers13225675","article-title":"Cognitive impairment in long-term survivors of testicular cancer more than 20 years after treatment","volume":"13","author":"Stelwagen","year":"2021","journal-title":"Cancers"},{"key":"10.1016\/j.urology.2026.02.027_bib18","doi-asserted-by":"crossref","first-page":"6249","DOI":"10.1002\/cam4.4165","article-title":"Cognitive changes and brain connectomes, endocrine status, and risk genotypes in testicular cancer patients\u2013A prospective controlled study","volume":"10","author":"Buskbjerg","year":"2021","journal-title":"Cancer Med"}],"container-title":["Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0090429526001433?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0090429526001433?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T08:53:46Z","timestamp":1780563226000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0090429526001433"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":18,"alternative-id":["S0090429526001433"],"URL":"https:\/\/doi.org\/10.1016\/j.urology.2026.02.027","relation":{},"ISSN":["0090-4295"],"issn-type":[{"value":"0090-4295","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Mental Health Burden of a Testicular Cancer Diagnosis: Insights From a Large Claims Database","name":"articletitle","label":"Article Title"},{"value":"Urology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.urology.2026.02.027","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}