{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T23:16:33Z","timestamp":1783379793072,"version":"3.54.6"},"reference-count":19,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"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","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Urologic Oncology: Seminars and Original Investigations"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.urolonc.2026.03.001","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:29:38Z","timestamp":1777030178000},"page":"148-155","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Presentation, management, and outcomes of testicular germ cell tumors by age"],"prefix":"10.1016","volume":"44","author":[{"given":"Joseph G.","family":"Cheaib","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos A. Rivera","family":"L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Arbuiso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Cronin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taibo","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Korn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5260-766X","authenticated-orcid":false,"given":"Soum D.","family":"Lokeshwar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirmish","family":"Singla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"9","key":"10.1016\/j.urolonc.2026.03.001_bib0001","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1001\/jama.2024.27122","article-title":"Testicular germ cell tumors: a review","volume":"333","author":"Singla","year":"2025","journal-title":"JAMA"},{"issue":"2","key":"10.1016\/j.urolonc.2026.03.001_bib0002","doi-asserted-by":"crossref","first-page":"161","DOI":"10.21037\/tau-22-521","article-title":"Trends of incidence and age in adults with testicular germ cell tumors: a two-decade multicenter retrospective study","volume":"12","author":"Ozaki","year":"2023","journal-title":"Transl Androl Urol"},{"issue":"1","key":"10.1016\/j.urolonc.2026.03.001_bib0003","doi-asserted-by":"crossref","first-page":"33.e1","DOI":"10.1016\/j.urolonc.2012.12.002","article-title":"Changes in epidemiologic features of testicular germ cell cancer: age at diagnosis and relative frequency of seminoma are constantly and significantly increasing","volume":"32","author":"Ruf","year":"2014","journal-title":"Urol Oncol"},{"key":"10.1016\/j.urolonc.2026.03.001_bib0004","doi-asserted-by":"crossref","DOI":"10.3389\/fonc.2022.972151","article-title":"Testicular tumors in the \"elderly\" population","volume":"12","author":"Secondino","year":"2022","journal-title":"Front Oncol"},{"issue":"2","key":"10.1016\/j.urolonc.2026.03.001_bib0005","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1111\/iju.13268","article-title":"Clinical characteristics of testicular germ cell tumors in patients aged 50 years and older: a large-scale study from the Cancer Registration Committee of the Japanese Urological Association","volume":"24","author":"Kawai","year":"2017","journal-title":"Int J Urol"},{"issue":"14","key":"10.1016\/j.urolonc.2026.03.001_bib0006","doi-asserted-by":"crossref","first-page":"2574","DOI":"10.1002\/cncr.28025","article-title":"Clinical features, presentation, and tolerance of platinum-based chemotherapy in germ cell tumor patients 50 years of age and older","volume":"119","author":"Feldman","year":"2013","journal-title":"Cancer"},{"issue":"8","key":"10.1016\/j.urolonc.2026.03.001_bib0007","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1200\/JCO.2010.32.3204","article-title":"Adverse prognostic factors for testicular cancer-specific survival: a population-based study of 27,948 patients","volume":"29","author":"Foss\u00e5","year":"2011","journal-title":"J Clin Oncol"},{"issue":"5","key":"10.1016\/j.urolonc.2026.03.001_bib0008","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1016\/S0090-4295(02)01886-1","article-title":"Difference in stage and morphology-adjusted survival between young and elderly patients with a testicular germ cell tumor","volume":"60","author":"Spermon","year":"2002","journal-title":"Urology"},{"key":"10.1016\/j.urolonc.2026.03.001_bib0009","series-title":"Incidence: SEER research data, 17 registries, Nov 2023 sub (1975-2021). Released April 2024, based on the November 2023 submission ed","year":"2024"},{"issue":"1","key":"10.1016\/j.urolonc.2026.03.001_bib0010","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1097\/JU.0000000000003694","article-title":"Diagnosis and treatment of early-stage testicular cancer: AUA Guideline Amendment 2023","volume":"211","author":"Stephenson","year":"2024","journal-title":"J Urol"},{"issue":"4","key":"10.1016\/j.urolonc.2026.03.001_bib0011","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1159\/000488284","article-title":"Testicular germ-cell tumours: a descriptive analysis of clinical characteristics at first presentation","volume":"100","author":"Dieckmann","year":"2018","journal-title":"Urol Int"},{"issue":"2","key":"10.1016\/j.urolonc.2026.03.001_bib0012","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1093\/annonc\/mds460","article-title":"Testicular cancer in Europe and the USA: survival still rising among older patients","volume":"24","author":"Verhoeven","year":"2013","journal-title":"Ann Oncol"},{"issue":"4","key":"10.1016\/j.urolonc.2026.03.001_bib0013","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.eururo.2024.10.023","article-title":"Epidemiology and risk factors for testicular cancer: a systematic review","volume":"87","author":"Tateo","year":"2025","journal-title":"Eur Urol"},{"issue":"6","key":"10.1016\/j.urolonc.2026.03.001_bib0014","doi-asserted-by":"crossref","first-page":"4752","DOI":"10.3390\/ijerph20064752","article-title":"Reasons behind the delayed diagnosis of testicular cancer: a retrospective analysis","volume":"20","author":"Cie\u015blikowski","year":"2023","journal-title":"Int J Environ Res Public Health"},{"issue":"4","key":"10.1016\/j.urolonc.2026.03.001_bib0015","doi-asserted-by":"crossref","first-page":"e250020","DOI":"10.6004\/jnccn.2025.0018","article-title":"NCCN Guidelines\u00ae insights: testicular Cancer, version 2.2025","volume":"23","author":"Gilligan","year":"2025","journal-title":"J Natl Compr Canc Netw"},{"issue":"5_suppl","key":"10.1016\/j.urolonc.2026.03.001_bib0016","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1200\/JCO.2025.43.5_suppl.636","article-title":"Therapeutic approaches and outcomes in patients aged 50+ with germ cell tumours","volume":"43","author":"Miletic","year":"2025","journal-title":"J Clin Oncol"},{"issue":"6","key":"10.1016\/j.urolonc.2026.03.001_bib0017","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1016\/j.euf.2016.10.005","article-title":"Age \u226540 years is associated with adverse outcome in metastatic germ cell cancer despite appropriate intended chemotherapy","volume":"3","author":"Miller","year":"2017","journal-title":"Eur Urol Focus"},{"issue":"7","key":"10.1016\/j.urolonc.2026.03.001_bib0018","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1111\/iju.15470","article-title":"Clinical characteristics and survival outcomes of elderly patients with de novo metastatic germ cell tumors","volume":"31","author":"Kirisawa","year":"2024","journal-title":"Int J Urol"},{"issue":"1","key":"10.1016\/j.urolonc.2026.03.001_bib0019","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1093\/annonc\/mdg020","article-title":"Predicting the risk of bleomycin lung toxicity in patients with germ-cell tumours","volume":"14","author":"O'Sullivan","year":"2003","journal-title":"Ann Oncol"}],"container-title":["Urologic Oncology: Seminars and Original Investigations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1078143926001092?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1078143926001092?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T23:09:05Z","timestamp":1783379345000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1078143926001092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S1078143926001092"],"URL":"https:\/\/doi.org\/10.1016\/j.urolonc.2026.03.001","relation":{},"ISSN":["1078-1439"],"issn-type":[{"value":"1078-1439","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Presentation, management, and outcomes of testicular germ cell tumors by age","name":"articletitle","label":"Article Title"},{"value":"Urologic Oncology: Seminars and Original Investigations","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.urolonc.2026.03.001","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"}]}}