{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T23:23:52Z","timestamp":1787181832230,"version":"build-2736575974"},"reference-count":47,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100003569","name":"Ministry of Food and Drug Safety","doi-asserted-by":"publisher","award":["21173MFDS244"],"award-info":[{"award-number":["21173MFDS244"]}],"id":[{"id":"10.13039\/501100003569","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"DOI":"10.1038\/s41598-026-54499-9","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T22:34:03Z","timestamp":1787178843000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative outcomes of Forte versus Delta ceramic bearings in total hip arthroplasty using a national database"],"prefix":"10.1038","volume":"16","author":[{"given":"Young-Kyun","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danbee","family":"Kang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyunsoo","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunjee","family":"Kang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juhee","family":"Cho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung-Wee","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"issue":"9597","key":"54499_CR1","doi-asserted-by":"publisher","first-page":"1508","DOI":"10.1016\/S0140-6736(07)60457-7","volume":"370","author":"ID Learmonth","year":"2007","unstructured":"Learmonth, I. D., Young, C. & Rorabeck, C. The operation of the century: Total hip replacement. Lancet 370(9597), 1508\u20131519 (2007).","journal-title":"Lancet"},{"issue":"9","key":"54499_CR2","doi-asserted-by":"publisher","first-page":"2357","DOI":"10.1007\/s11999-010-1262-3","volume":"468","author":"KJ Bozic","year":"2010","unstructured":"Bozic, K. J. et al. Risk of complication and revision total hip arthroplasty among Medicare patients with different bearing surfaces. Clin. Orthop. Relat. Res. 468 (9), 2357\u20132362 (2010).","journal-title":"Clin. Orthop. Relat. Res."},{"issue":"5","key":"54499_CR3","doi-asserted-by":"publisher","first-page":"389","DOI":"10.2106\/JBJS.20.01235","volume":"103","author":"IN Ackerman","year":"2021","unstructured":"Ackerman, I. N., Busija, L., Lorimer, M., de Steiger, R. & Graves, S. E. Lifetime risk of revision hip replacement surgery in Australia remains low: A population-level analysis using National Registry Data. J Bone Joint Surg Am 103(5), 389\u2013396 (2021).","journal-title":"J Bone Joint Surg Am"},{"issue":"8","key":"54499_CR4","doi-asserted-by":"publisher","first-page":"1329","DOI":"10.1016\/j.arth.2013.01.012","volume":"28","author":"P Sadoghi","year":"2013","unstructured":"Sadoghi, P. et al. Revision surgery after total joint arthroplasty: A complication-based analysis using worldwide arthroplasty registers. J. Arthroplasty 28(8), 1329\u20131332 (2013).","journal-title":"J. Arthroplasty"},{"issue":"4","key":"54499_CR5","doi-asserted-by":"publisher","first-page":"477","DOI":"10.3109\/17453674.2015.1012975","volume":"86","author":"C Varnum","year":"2015","unstructured":"Varnum, C., Pedersen, A. B., Kj\u00e6rsgaard-Andersen, P. & Overgaard, S. Comparison of the risk of revision in cementless total hip arthroplasty with ceramic-on-ceramic and metal-on-polyethylene bearings. Acta Orthop. 86(4), 477\u2013484 (2015).","journal-title":"Acta Orthop."},{"key":"54499_CR6","unstructured":"W-Dahl, A. The Swedish Arthroplasty Register. Annual report (2023)."},{"issue":"1","key":"54499_CR7","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/S0736-0266(01)00077-8","volume":"20","author":"A Petit","year":"2002","unstructured":"Petit, A., Catelas, I., Antoniou, J., Zukor, D. J. & Huk, O. L. Differential apoptotic response of J774 macrophages to alumina and ultra-high-molecular-weight polyethylene particles. J. Orthop. research: official publication Orthop. Res. Soc. 20 (1), 9\u201315 (2002).","journal-title":"J. Orthop. research: official publication Orthop. Res. Soc."},{"key":"54499_CR8","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1097\/00003086-200010000-00008","volume":"379","author":"L Sedel","year":"2000","unstructured":"Sedel, L. Evolution of alumina-on-alumina implants: A review. Clin. Orthop. Relat. Res. 379, 48\u201354 (2000).","journal-title":"Clin. Orthop. Relat. Res."},{"key":"54499_CR9","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1097\/00003086-200010000-00004","volume":"379","author":"G Willmann","year":"2000","unstructured":"Willmann, G. Ceramic femoral head retrieval data. Clin. Orthop. 379, 22\u201328 (2000).","journal-title":"Clin. Orthop."},{"issue":"Suppl 2","key":"54499_CR10","doi-asserted-by":"publisher","first-page":"68","DOI":"10.2106\/JBJS.20.00720","volume":"104","author":"HS Kim","year":"2022","unstructured":"Kim, H. S. et al. Third-generation ceramic-on-ceramic total hip arthroplasty in patients with osteonecrosis of the femoral head: A 10- to 16-year follow-up study. J. Bone Joint Surg. Am. 104(Suppl 2), 68\u201375 (2022).","journal-title":"J. Bone Joint Surg. Am."},{"issue":"4","key":"54499_CR11","doi-asserted-by":"publisher","first-page":"690","DOI":"10.1097\/CORR.0000000000002022","volume":"480","author":"HS Kim","year":"2022","unstructured":"Kim, H. S. et al. High risk of neck-liner impingement and notching observed with thick femoral neck implants in ceramic-on-ceramic THA. Clin. Orthop. Relat. Res. 480(4), 690\u2013699 (2022).","journal-title":"Clin. Orthop. Relat. Res."},{"key":"54499_CR12","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-022-04758-x","author":"JW Park","year":"2023","unstructured":"Park, J. W. et al. A 10- to 12-year follow-up study of delta ceramic-on-ceramic total hip arthroplasty. Arch. Orthop. Trauma Surg. https:\/\/doi.org\/10.1007\/s00402-022-04758-x (2023).","journal-title":"Arch. Orthop. Trauma Surg."},{"issue":"10","key":"54499_CR13","doi-asserted-by":"publisher","first-page":"789","DOI":"10.2106\/JBJS.22.01291","volume":"105","author":"JW Park","year":"2023","unstructured":"Park, J. W., Ko, Y. S., Lee, Y. K., Ha, Y. C. & Koo, K. H. Ten to 13-year results of Delta Ceramic-on-Ceramic total hip arthroplasty in patients less than 30 years old. J. Bone Joint Surg. Am. 105(10), 789\u2013796 (2023).","journal-title":"J. Bone Joint Surg. Am."},{"issue":"2","key":"54499_CR14","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.arth.2011.05.022","volume":"27","author":"PR Finkbone","year":"2012","unstructured":"Finkbone, P. R., Severson, E. P., Cabanela, M. E. & Trousdale, R. T. Ceramic-on-ceramic total hip arthroplasty in patients younger than 20 years. J. Arthroplasty 27(2), 213\u2013219 (2012).","journal-title":"J. Arthroplasty"},{"issue":"2","key":"54499_CR15","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1016\/j.arth.2006.02.169","volume":"22","author":"YC Ha","year":"2007","unstructured":"Ha, Y. C. et al. Cementless alumina-on-alumina total hip arthroplasty in patients younger than 50 years: A 5-year minimum follow-up study. J. Arthroplasty 22(2), 184\u2013188 (2007).","journal-title":"J. Arthroplasty"},{"issue":"3","key":"54499_CR16","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1016\/j.arth.2014.09.020","volume":"30","author":"BJ Kang","year":"2015","unstructured":"Kang, B. J. et al. Third-generation alumina-on-alumina total hip arthroplasty: 14 to 16-year follow-up study. J. Arthroplasty 30(3), 411\u2013415 (2015).","journal-title":"J. Arthroplasty"},{"issue":"8","key":"54499_CR17","doi-asserted-by":"publisher","first-page":"1715","DOI":"10.2106\/JBJS.I.01019","volume":"92","author":"YK Lee","year":"2010","unstructured":"Lee, Y. K. et al. Alumina-on-alumina total hip arthroplasty: A concise follow-up, at a minimum of ten years, of a previous report. J. Bone Joint Surg. Am. 92(8), 1715\u20131719 (2010).","journal-title":"J. Bone Joint Surg. Am."},{"issue":"4","key":"54499_CR18","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1007\/s00776-014-0573-8","volume":"19","author":"YK Lee","year":"2014","unstructured":"Lee, Y. K., Lee, J. C., Ha, Y. C. & Koo, K. H. Effect of neck length on third-generation ceramic head failure; Finite element and retrieval analysis. J. Orthop. Sci. 19(4), 587\u2013597 (2014).","journal-title":"J. Orthop. Sci."},{"issue":"5","key":"54499_CR19","doi-asserted-by":"publisher","first-page":"1437","DOI":"10.1016\/j.arth.2019.12.013","volume":"35","author":"BH Yoon","year":"2020","unstructured":"Yoon, B. H. et al. Incidence of Ceramic Fracture in Contemporary Ceramic-on-Ceramic Total Hip Arthroplasty: A Meta-analysis of Proportions. J. Arthroplasty 35(5), 1437\u20131443 (2020).","journal-title":"J. Arthroplasty"},{"issue":"2","key":"54499_CR20","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1007\/s11999-009-1091-4","volume":"468","author":"WG Hamilton","year":"2010","unstructured":"Hamilton, W. G. et al. THA with Delta ceramic on ceramic: Results of a multicenter investigational device exemption trial. Clin. Orthop. Relat. Res. 468(2), 358\u2013366 (2010).","journal-title":"Clin. Orthop. Relat. Res."},{"issue":"6","key":"54499_CR21","doi-asserted-by":"publisher","first-page":"735","DOI":"10.1302\/0301-620X.94B6.28801","volume":"94","author":"JR Jeffers","year":"2012","unstructured":"Jeffers, J. R. & Walter, W. L. Ceramic-on-ceramic bearings in hip arthroplasty: State of the art and the future. J. Bone Joint Surg. Br. 94(6), 735\u2013745 (2012).","journal-title":"J. Bone Joint Surg. Br."},{"issue":"6","key":"54499_CR22","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1302\/0301-620X.99B6.BJJ-2016-0486.R3","volume":"99-B","author":"YK Lee","year":"2017","unstructured":"Lee, Y. K. et al. Mid-term results of the BIOLOX Delta ceramic-on-ceramic total hip arthroplasty. Bone Joint J. 99-B(6), 741\u2013748 (2017).","journal-title":"Bone Joint J."},{"issue":"2","key":"54499_CR23","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1177\/1120700019889592","volume":"31","author":"YK Lee","year":"2021","unstructured":"Lee, Y. K. et al. Cementless total hip arthroplasty with Delta-on-Delta ceramic bearing in patients younger than 30 years. Hip Int. 31(2), 181\u2013185 (2021).","journal-title":"Hip Int."},{"issue":"7","key":"54499_CR24","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1007\/s10856-020-06393-7","volume":"31","author":"F Castagnini","year":"2020","unstructured":"Castagnini, F. et al. Mixed ceramic combinations in primary total hip arthroplasty achieved reassuring mid-to-longterm outcomes. J. Mater. Sci. Mater. Med. 31(7), 56 (2020).","journal-title":"J. Mater. Sci. Mater. Med."},{"issue":"6","key":"54499_CR25","doi-asserted-by":"publisher","first-page":"1254","DOI":"10.1097\/CORR.0000000000001272","volume":"478","author":"G Hallan","year":"2020","unstructured":"Hallan, G., Fenstad, A. M. & Furnes, O. What Is the Frequency of Fracture of Ceramic Components in THA? Results from the Norwegian Arthroplasty Register from 1997 to 2017. Clin. Orthop. Relat. Res. 478 (6), 1254\u20131261 (2020).","journal-title":"Clin. Orthop. Relat. Res."},{"issue":"8","key":"54499_CR26","doi-asserted-by":"publisher","first-page":"2992","DOI":"10.1016\/j.arth.2021.03.021","volume":"36","author":"W Hoskins","year":"2021","unstructured":"Hoskins, W. et al. Incidence, risk factors, and outcome of ceramic-on-ceramic bearing breakage in total hip arthroplasty. J. Arthroplasty 36(8), 2992\u20132997 (2021).","journal-title":"J. Arthroplasty"},{"issue":"8","key":"54499_CR27","doi-asserted-by":"publisher","first-page":"1012","DOI":"10.1302\/0301-620X.99B8.BJJ-2017-0019.R1","volume":"99-b","author":"DP Howard","year":"2017","unstructured":"Howard, D. P., Wall, P. D. H., Fernandez, M. A., Parsons, H. & Howard, P. W. Ceramic-on-ceramic bearing fractures in total hip arthroplasty: An analysis of data from the National Joint Registry. Bone Joint J. 99-b(8), 1012\u20131019 (2017).","journal-title":"Bone Joint J."},{"issue":"1","key":"54499_CR28","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1186\/s12891-019-2641-x","volume":"20","author":"SC Kim","year":"2019","unstructured":"Kim, S. C. et al. Fourth-generation ceramic-on-ceramic THA results in improvements in midterm outcomes compared to third-generation THA but does not resolve noise problems: a cohort study of a single-hip system. BMC Musculoskelet. Disord. 20 (1), 263 (2019).","journal-title":"BMC Musculoskelet. Disord"},{"issue":"1","key":"54499_CR29","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-85193-7","volume":"11","author":"SM Kim","year":"2021","unstructured":"Kim, S. M. et al. The reasons for ceramic-on-ceramic revisions between the third- and fourth-generation bearings in total hip arthroplasty from multicentric registry data. Sci. Rep. 11(1), 5539 (2021).","journal-title":"Sci. Rep."},{"key":"54499_CR30","doi-asserted-by":"publisher","first-page":"n991","DOI":"10.1136\/bmj.n991","volume":"373","author":"D Kim","year":"2021","unstructured":"Kim, D. et al. Treatment timing and the effects of rhythm control strategy in patients with atrial fibrillation: nationwide cohort study. Bmj 373, n991 (2021).","journal-title":"Bmj"},{"key":"54499_CR31","unstructured":"Chun, C. B., Kim, S. Y., Lee, J. Y. & Lee, S. Y. Republic of Korea. Health system review. Health Syst. Transition, 11(7) (2009)."},{"issue":"2","key":"54499_CR32","volume":"46","author":"J Lee","year":"2017","unstructured":"Lee, J., Lee, J. S., Park, S. H., Shin, S. A. & Kim, K. Cohort profile: The National Health Insurance Service-National Sample Cohort (NHIS-NSC), South Korea. Int. J. Epidemiol. 46(2), e15 (2017).","journal-title":"Int. J. Epidemiol."},{"issue":"1","key":"54499_CR33","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1001\/jamainternmed.2015.7110","volume":"176","author":"DW Shin","year":"2016","unstructured":"Shin, D. W., Cho, B. & Guallar, E. Korean National Health Insurance Database. JAMA Intern. Med. 176 (1), 138 (2016).","journal-title":"JAMA Intern. Med."},{"issue":"2","key":"54499_CR34","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1007\/s00198-020-05609-4","volume":"32","author":"HS Jung","year":"2021","unstructured":"Jung, H. S. et al. Incidence of subsequent osteoporotic fractures after distal radius fractures and mortality of the subsequent distal radius fractures: a retrospective analysis of claims data of the Korea National Health Insurance Service. Osteoporos. Int. 32 (2), 293\u2013299 (2021).","journal-title":"Osteoporos. Int."},{"issue":"11","key":"54499_CR35","doi-asserted-by":"publisher","first-page":"1026 e1021","DOI":"10.1016\/j.jhsa.2021.03.001","volume":"46","author":"YK Lee","year":"2021","unstructured":"Lee, Y. K. et al. Validation of an operational definition to identify distal radius fractures in a National Health Insurance Database. J. Hand Surg. Am. 46(11), 1026 e1021-1026 e1027 (2021).","journal-title":"J. Hand Surg. Am."},{"key":"54499_CR36","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOSGlobal-D-23-00029","author":"JW Park","year":"2023","unstructured":"Park, J. W. et al. Cemented versus cementless total hip arthroplasty for femoral head osteonecrosis: A study based on national claim data in South Korea. J. Am. Acad. Orthop. Surg. Glob. Res. Rev. https:\/\/doi.org\/10.5435\/JAAOSGlobal-D-23-00029 (2023).","journal-title":"J. Am. Acad. Orthop. Surg. Glob. Res. Rev."},{"issue":"2","key":"54499_CR37","doi-asserted-by":"publisher","first-page":"75","DOI":"10.11005\/jbm.2022.29.2.75","volume":"29","author":"JW Park","year":"2022","unstructured":"Park, J. W., Lee, Y. K., Choi, Y. & Ha, Y. C. Osteoporotic Fractures among Selective Estrogen Receptor Modulator Users in South Korea: Analysis Using National Claims Database. J. Bone Metab. 29 (2), 75\u201382 (2022).","journal-title":"J. Bone Metab."},{"issue":"3","key":"54499_CR38","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1111\/os.13219","volume":"14","author":"JW Park","year":"2022","unstructured":"Park, J. W. et al. Current incidence and future projection of periprosthetic fractures in South Korea: A study based on National Claim Database. Orthop. Surg. 14(3), 530\u2013535 (2022).","journal-title":"Orthop. Surg."},{"issue":"1","key":"54499_CR39","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s00402-025-06143-w","volume":"146","author":"YK Lee","year":"2025","unstructured":"Lee, Y. K. et al. Comparison between dual mobility and conventional total hip arthroplasty in East Asian, using nationwide database. Arch. Orthop. Trauma. Surg. 146 (1), 3 (2025).","journal-title":"Arch. Orthop. Trauma. Surg."},{"issue":"49","key":"54499_CR40","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2020.35.e410","volume":"35","author":"HS Kim","year":"2020","unstructured":"Kim, H. S. et al. Current and future burden of periprosthetic joint infection from national claim database. J. Korean Med. Sci. 35(49), e410 (2020).","journal-title":"J. Korean Med. Sci."},{"issue":"5","key":"54499_CR41","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","volume":"40","author":"ME Charlson","year":"1987","unstructured":"Charlson, M. E., Pompei, P., Ales, K. L. & MacKenzie, C. R. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J. Chronic Dis. 40 (5), 373\u2013383 (1987).","journal-title":"J. Chronic Dis."},{"issue":"1","key":"54499_CR42","doi-asserted-by":"publisher","first-page":"42","DOI":"10.3961\/jpmph.2010.43.1.42","volume":"43","author":"KH Kim","year":"2010","unstructured":"Kim, K. H. [Comparative study on three algorithms of the ICD-10 Charlson comorbidity index with myocardial infarction patients]. J. Prev. Med. Public Health 43(1), 42\u201349 (2010).","journal-title":"J. Prev. Med. Public Health"},{"key":"54499_CR43","unstructured":"Korea_Ministry_of_Health_and_Welfare. Korea Health Law(ed)^(eds), pp 13658."},{"issue":"5","key":"54499_CR44","doi-asserted-by":"publisher","first-page":"1349","DOI":"10.1007\/s11999-016-4966-1","volume":"475","author":"G Cafri","year":"2017","unstructured":"Cafri, G., Paxton, E. W., Love, R., Bini, S. A. & Kurtz, S. M. Is There a Difference in Revision Risk Between Metal and Ceramic Heads on Highly Crosslinked Polyethylene Liners? Clin. Orthop. Relat. Res. 475 (5), 1349\u20131355 (2017).","journal-title":"Clin. Orthop. Relat. Res."},{"issue":"16","key":"54499_CR45","doi-asserted-by":"publisher","first-page":"1462","DOI":"10.2106\/JBJS.21.01101","volume":"104","author":"W Hoskins","year":"2022","unstructured":"Hoskins, W. et al. A Comparison of Revision Rates and Dislocation After Primary Total Hip Arthroplasty with 28, 32, and 36-mm Femoral Heads and Different Cup Sizes: An Analysis of 188,591 Primary Total Hip Arthroplasties. J. Bone Joint Surg. Am. 104 (16), 1462\u20131474 (2022).","journal-title":"J. Bone Joint Surg. Am."},{"key":"54499_CR46","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-5-553","volume":"5","author":"JF Plate","year":"2012","unstructured":"Plate, J. F. et al. Risk of dislocation using large- vs. small-diameter femoral heads in total hip arthroplasty. BMC Res. Notes 5, 553 (2012).","journal-title":"BMC Res. Notes"},{"issue":"10","key":"54499_CR47","doi-asserted-by":"publisher","first-page":"3498","DOI":"10.1016\/j.arth.2021.05.027","volume":"36","author":"RJ Holleyman","year":"2021","unstructured":"Holleyman, R. J. et al. Ceramic bearings are associated with a significantly reduced revision rate in primary hip arthroplasty: An analysis from the National Joint Registry for England, Wales, Northern Ireland, and the Isle of Man. J. Arthroplasty 36(10), 3498\u20133506 (2021).","journal-title":"J. Arthroplasty"}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-54499-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-54499-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-54499-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T22:34:05Z","timestamp":1787178845000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-54499-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,20]]},"references-count":47,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["54499"],"URL":"https:\/\/doi.org\/10.1038\/s41598-026-54499-9","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,20]]},"assertion":[{"value":"5 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 August 2026","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":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"26063"}}