{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:02:10Z","timestamp":1789603330444,"version":"build-2803163510"},"reference-count":39,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Breast implant-associated anaplastic large cell lymphoma is a rare but\n                        increasingly recognised complication of breast implantation. Despite growing\n                        awareness, data on incidence, surveillance systems, and clinical management\n                        across Europe remain heterogeneous and insufficiently standardised.<\/jats:p>\n                  <jats:p>The European Society of Plastic, Reconstructive and Aesthetic Surgery\n                        conducted a cross-sectional survey among national society representatives to\n                        collect data on reported cases of breast implant-associated anaplastic large\n                        cell lymphoma as well as on national documentation practices, surveillance\n                        systems, and clinical management strategies. Data were collected via a\n                        web-based questionnaire between January and February 2026.<\/jats:p>\n                  <jats:p>Twenty responses were obtained, reporting a total of 626 cases of breast\n                        implant-associated anaplastic large cell lymphoma. A marked geographic\n                        variation was observed, with the highest case numbers reported in France,\n                        Italy, Spain, and the United Kingdom. Only a minority of respondents\n                        reported the existence of complete implant documentation or structured\n                        follow-up programs, and most considered current reporting systems to be\n                        incomplete. Although the overall awareness of breast implant-associated\n                        anaplastic large cell lymphoma and adherence to core management principles\n                        were high, substantial variability was observed in surveillance strategies,\n                        reporting obligations, and registry implementation.<\/jats:p>\n                  <jats:p>This survey highlights perceived heterogeneity in breast implant-associated\n                        anaplastic large cell lymphoma documentation and surveillance across Europe\n                        and suggests that under-reporting may exist in some countries. These\n                        findings support further efforts toward a harmonised European surveillance\n                        framework and standardized reporting system coordinated by The European\n                        Society of Plastic, Reconstructive and Aesthetic Surgery, alongside\n                        strengthened professional education and guideline-based clinical management\n                        to improve patient safety and epidemiological data quality.<\/jats:p>","DOI":"10.1055\/a-2934-4250","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T23:09:38Z","timestamp":1789600178000},"source":"Crossref","is-referenced-by-count":0,"title":["The European Landscape of Breast Implant-Associated Anaplastic Large\n                    Cell Lymphoma: Reporting, Surveillance, and Management Practices from the\n                    European Society of Plastic, Reconstructive and Aesthetic Surgery Survey\n                    2026"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4539-6796","authenticated-orcid":false,"given":"Benedikt","family":"Fuchs","sequence":"first","affiliation":[{"name":"University Hospital of Munich, LMU Munich, BY, Germany","place":["M\u00fcnchen"],"department":["Department of Hand Surgery, Plastic Surgery, and Aesthetic\n                    Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dolores","family":"Wolfram","sequence":"first","affiliation":[{"name":"Medical University of Innsbruck, Austria","place":["Innsbruck"],"department":["Department of Plastic, Reconstructive and Aesthetic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Couturaud","sequence":"additional","affiliation":[{"name":"Institut Curie, France","place":["Paris"],"department":["Chirurgie plastique esth\u00e9tique et reconstructrice"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cenk","family":"Demirdover","sequence":"additional","affiliation":[{"name":"Dokuz Eylul University Hospital, Turkey","place":["Izmir"],"department":["Department of Plastic, Reconstructive and Aesthetic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuno","family":"Fradinho","sequence":"additional","affiliation":[{"name":"Cl\u00ednica MyMoment, Portugal","place":["Lisboa"],"department":["Department of Plastic Reconstructive and Aesthetic Surgery"]},{"name":"Hospital CUF Torres Vedras, Portugal","place":["Lisboa"],"department":["Department of Plastic Reconstructive and Aesthetic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"von Fritschen","sequence":"additional","affiliation":[{"name":"HELIOS Hospital Emil von Behring, Germany","place":["Berlin"],"department":["Department of Plastic and Aesthetic Surgery, Hand Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandru","family":"Georgescu","sequence":"additional","affiliation":[{"name":"Rehabilitation Clinical Hospital, Romania","place":["Cluj-Napoca"],"department":["Plastic Surgery Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3218-0881","authenticated-orcid":false,"given":"Emma","family":"Hansson","sequence":"additional","affiliation":[{"name":"University of Gothenburg Sahlgrenska\n                    Academy, Sweden","place":["G\u00f6teborg"],"department":["Department of Plastic Surgery, Institute of Clinical\n                    Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristian Radu","family":"Jecan","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy Carol Davila, Romania","place":["Bucharest"],"department":["Department 11, Discipline Plastic and Reconstructive\n                    Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilkka","family":"Kaartinen","sequence":"additional","affiliation":[{"name":"Tampere University Hospital, Finland","place":["Tampere"],"department":["Department of Musculoskeletal Surgery and Diseases"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reuf","family":"Karabeg","sequence":"additional","affiliation":[{"name":"Private Surgical Clinic \u201cKarabeg\" Sarajevo, Bosnia and Herzegovina","place":["Sarajevo"],"department":["Private Surgical Clinic"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aadil","family":"Khan","sequence":"additional","affiliation":[{"name":"John Radcliffe Hospital, United Kingdom of Great Britain and Northern Ireland","place":["Oxford"],"department":["Department of Plastic & Reconstructive Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Kneafsey","sequence":"additional","affiliation":[{"name":"Wexham Park Hospital, England, United Kingdom of Great Britain and Northern Ireland","place":["Slough"],"department":["Department of Plastic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drahomir","family":"Palencar","sequence":"additional","affiliation":[{"name":"Medical Faculty of Comenius University, Slovakia","place":["Bratislava"],"department":["Department of Plastic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Santanelli di Pompeo","sequence":"additional","affiliation":[{"name":"Sapienza University of Rome, Lazio, Italy","place":["Roma"],"department":["Chair of Plastic Surgery, Faculty of Medicine and Psychology,\n                    Sant\u2019Andrea Hospital"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Psaras","sequence":"additional","affiliation":[{"name":"American Medical Centre, Cyprus","place":["Nicosia"],"department":["Plastic and Aesthetic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Saboye","sequence":"additional","affiliation":[{"name":"Clinique M\u00e9dip\u00f4le Garonne, 45, rue de Gironis, 31036 Toulouse,\n                    France, France","place":["Toulouse"],"department":["Clinique M\u00e9dip\u00f4le Garonne"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Jes\u00fas Pineda","family":"Sierra","sequence":"additional","affiliation":[{"name":"Private Surgical Clinic, Spain","place":["Barcelona"],"department":["Plastic and Aesthetic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nenad","family":"Stepic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Serbia","place":["Belgrade"],"department":["Clinic for Plastic Surgery and Burns"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesare","family":"Tiengo","sequence":"additional","affiliation":[{"name":"Hospital -University of Padova, Italy","place":["Padova"],"department":["Clinic of Plastic & Reconstructive Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hor\u00e1cio","family":"Zenha","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade Gaia\/Espinho, Portugal","place":["Porto"],"department":["Plastic, Reconstructive, Cranio-Maxillofacial and Hand Surgery and\n                    Microsurgery Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rado","family":"Zic","sequence":"additional","affiliation":[{"name":"University Hospital Dubrava, Croatia","place":["Zagreb"],"department":["Department of Plastic, Reconstructive and Aesthetic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo E.","family":"Giunta","sequence":"additional","affiliation":[{"name":"University Hospital of Munich, LMU Munich, BY, Germany","place":["M\u00fcnchen"],"department":["Department of Hand Surgery, Plastic Surgery, and Aesthetic\n                    Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"104792","DOI":"10.1016\/j.breast.2026.104792","article-title":"Incidence of lymphomas in a nationwide prospective cohort study of\n                    breast-implanted women","volume":"88","author":"J Kalstrup","year":"2026","journal-title":"Breast"},{"issue":"11","key":"ref2","first-page":"338","article-title":"The first confirmed case of breast implant-associated anaplastic large cell\n                    lymphoma in hawai\u2019i","volume":"78","author":"N Yim","year":"2019","journal-title":"Hawaii J Health Soc Welf"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1016\/j.bjps.2019.11.064","article-title":"Risk of breast implant associated anaplastic large cell lymphoma (BIA-ALCL) in a\n                    cohort of 3546 women prospectively followed long term after reconstruction with\n                    textured breast implants","volume":"73","author":"P G Cordeiro","year":"2020","journal-title":"J Plast Reconst Aesthetic Surg"},{"issue":"09","key":"ref4","doi-asserted-by":"publisher","first-page":"e293","DOI":"10.1016\/j.clml.2024.05.008","article-title":"Breast implant-associated anaplastic large cell lymphoma: Where hematology and\n                    plastic surgery meet","volume":"24","author":"M M Joks","year":"2024","journal-title":"Clin Lymphoma Myeloma Leuk"},{"issue":"06","key":"ref5","doi-asserted-by":"publisher","first-page":"e2906","DOI":"10.1097\/gox.0000000000002906","article-title":"Analysis of allergan\u2019s biocell implant recall in a major university breast\n                    center","volume":"8","author":"M A Danino","year":"2020","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"02","key":"ref6","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1055\/s-0042-1744422","article-title":"Comprehensive evaluation of the current knowledge on breast implant\n                    associated-anaplastic large cell lymphoma","volume":"49","author":"H Yoo","year":"2022","journal-title":"Arch Plast Surg"},{"issue":"02","key":"ref8","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1093\/asj\/sjx104","article-title":"Current trends in breast augmentation: An international analysis","volume":"38","author":"I Heidekrueger","year":"2018","journal-title":"Aesthet Surg J"},{"issue":"03","key":"ref9","doi-asserted-by":"publisher","first-page":"e3449","DOI":"10.1097\/gox.0000000000003449","article-title":"Breast implant utilization trends in USA versus Europe and the impact of\n                    BIA-ALCL publications","volume":"9","author":"F Jalalabadi","year":"2021","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"07","key":"ref10","doi-asserted-by":"publisher","first-page":"2182","DOI":"10.1097\/01.Prs.0000060111.19272.8d","article-title":"The danish registry for plastic surgery of the breast: Establishment of a\n                    nationwide registry for prospective follow-up, quality assessment, and\n                    investigation of breast surgery","volume":"111","author":"T F Henriksen","year":"2003","journal-title":"Plast Reconstr Surg"},{"issue":"02","key":"ref11","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1055\/a-1111-8841","article-title":"[An algorithmic approach for diagnosis and treatment of breast\n                    implant-associated anaplastic large cell lymphoma]","volume":"52","author":"N Moellhoff","year":"2020","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1093\/asj\/sjy331","article-title":"2019 NCCN consensus guidelines on the diagnosis and treatment of breast\n                    implant-associated anaplastic large cell lymphoma (BIA-ALCL)","volume":"39","author":"M W Clemens","year":"2019","journal-title":"Aesthetic Surg J"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1016\/j.bjps.2025.07.045","article-title":"2024 EURAPS expert consensus on breast implant associated-anaplastic large cell\n                    lymphoma","volume":"110","author":"M Sorotos","year":"2025","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"03","key":"ref14","doi-asserted-by":"publisher","first-page":"175","DOI":"10.12701\/yujm.2020.00801","article-title":"Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL)","volume":"38","author":"J H Lee","year":"2021","journal-title":"Yeungnam Univ J Med"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"785887","DOI":"10.3389\/fonc.2021.785887","article-title":"Current progress in breast implant-associated anaplastic large cell\n                    lymphoma","volume":"11","author":"Y Wang","year":"2021","journal-title":"Front Oncol"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"e3499","DOI":"10.1097\/GOX.0000000000003499","article-title":"Textured and smooth implant use reported in the tracking operations and outcomes\n                    for plastic surgeons database: epidemiologic implications for BIA-ALCL","volume":"9","author":"E Matros","year":"2021","journal-title":"Plast Reconstr Surg Global Open"},{"key":"ref20","volume-title":"Breast Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL)","author":"F. C. S. Federal Public Service Health and a. Environment,\n                            Superior Health Council","year":"2018"},{"issue":"11","key":"ref21","doi-asserted-by":"publisher","first-page":"1262","DOI":"10.1093\/asj\/sjac133","article-title":"2022 practice recommendation updates from the world consensus conference on\n                    BIA-ALCL","volume":"42","author":"F Santanelli di Pompeo","year":"2022","journal-title":"Aesthet Surg J"},{"issue":"09","key":"ref22","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1093\/asj\/sjaa285","article-title":"Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL): Review of\n                    epidemiology and prevalence assessment in Europe","volume":"41","author":"F Santanelli di Pompeo","year":"2021","journal-title":"Aesthetic Surg J"},{"issue":"11","key":"ref23","doi-asserted-by":"publisher","first-page":"1258","DOI":"10.1093\/asj\/sjad181","article-title":"BIA-ALCL epidemiology in an aesthetic breast surgery cohort of 1501\n                    patients","volume":"43","author":"J Kolasi\u0144ski","year":"2023","journal-title":"Aesthet Surg J"},{"issue":"05","key":"ref24","doi-asserted-by":"publisher","first-page":"1304","DOI":"10.1007\/s00266-024-04426-y","article-title":"Current knowledge on breast implant-associated anaplastic large cell lymphoma:\n                    Evidence from Italian ministry of health registry data","volume":"49","author":"A Campanale","year":"2025","journal-title":"Aesthetic Plast Surg"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"65S","DOI":"10.1097\/PRS.0000000000005571","article-title":"Patient registry and outcomes for breast implants and anaplastic large cell\n                    lymphoma etiology and epidemiology (PROFILE): Initial report of findings,\n                    2012\u20132018","volume":"143","author":"C M McCarthy","year":"2019","journal-title":"Plast Reconstr Surg"},{"issue":"10","key":"ref26","doi-asserted-by":"crossref","first-page":"1354","DOI":"10.1016\/j.bjps.2017.04.003","article-title":"The new opt-out Dutch national breast implant registry\u2013lessons learnt from the\n                    road to implementation","volume":"70","author":"H A Rakhorst","year":"2017","journal-title":"J Plast Reconstr Aesthetic Surg"},{"issue":"03","key":"ref27","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1097\/SAP.0000000000002743","article-title":"The case against the national breast implant registry","volume":"86","author":"E Swanson","year":"2021","journal-title":"Ann Plast Surg"},{"issue":"02","key":"ref28","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1097\/PRS.0000000000000885","article-title":"International importance of robust breast device registries","volume":"135","author":"R D Cooter","year":"2015","journal-title":"Plast Reconstr Surg"},{"issue":"07","key":"ref29","doi-asserted-by":"publisher","first-page":"Np225","DOI":"10.1093\/asj\/sjw055","article-title":"In Defense of the International Collaboration of Breast Registry Activities\n                    (ICOBRA)","volume":"36","author":"R Cooter","year":"2016","journal-title":"Aesthet Surg J"},{"issue":"04","key":"ref30","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1055\/a-2860-5648","article-title":"Brustimplantat assoziiertes ALCL: Ab wann musste aufgekl\u00e4rt werden?\n                    Breast implant\u2013Associated ALCL: From when was disclosure of risks required?","volume":"58","author":"TK S Allert","year":"2026","journal-title":"Handchir Mikrochir Plast Chir"},{"issue":"01","key":"ref31","doi-asserted-by":"crossref","first-page":"417","DOI":"10.21037\/gs.2020.03.06","article-title":"Advising patients about breast implant associated anaplastic large cell\n                    lymphoma","volume":"10","author":"C S Parham","year":"2021","journal-title":"Gland surgery"},{"issue":"12","key":"ref32","doi-asserted-by":"publisher","first-page":"1943","DOI":"10.1017\/s0033291710000772","article-title":"Is guided self-help as effective as face-to-face psychotherapy for depression\n                    and anxiety disorders? A systematic review and meta-analysis of comparative\n                    outcome studies","volume":"40","author":"P. Cuijpers","year":"2010","journal-title":"Psychol Med"},{"issue":"01","key":"ref33","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1017\/S0266462305290190","article-title":"Effectiveness and efficiency of guideline dissemination and implementation\n                    strategies","volume":"21","author":"J M Grimshaw","year":"2005","journal-title":"Int J Technol Assess Health Care"},{"issue":"03","key":"ref34","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1080\/08858199709528483","article-title":"Outcomes study of a course in breast-cancer screening","volume":"12","author":"M Ford","year":"1997","journal-title":"J Cancer Educ"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"12","DOI":"10.3390\/cancers12123861","article-title":"Etiology of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL):\n                    Current directions in research","volume":"12","author":"A K Deva","year":"2020","journal-title":"Cancers"},{"issue":"03","key":"ref36","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1093\/asj\/sjac282","article-title":"Evaluation of breast implant\u2013associated anaplastic large cell lymphoma with\n                    whole exome and genome sequencing","volume":"43","author":"N Akkad","year":"2023","journal-title":"Aesthetic Surg J"},{"issue":"03","key":"ref38","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1097\/prs.0000000000011370","article-title":"American association of plastic surgeons consensus on breast implant-associated\n                    anaplastic large-cell lymphoma","volume":"154","author":"M W Clemens","year":"2024","journal-title":"Plast Reconstr Surg"},{"issue":"05","key":"ref39","doi-asserted-by":"publisher","first-page":"331","DOI":"10.6004\/jnccn.2024.0035","article-title":"Breast cancer, version 3.2024, NCCN clinical practice guidelines in\n                    oncology","volume":"22","author":"W J Gradishar","year":"2024","journal-title":"J Natl Compr Canc Netw"},{"key":"ref40","first-page":"ojz005","volume-title":"Stepwise en bloc resection of breast implant-associated anaplastic large cell\n                    lymphoma with oncologic considerations","author":"S E Tevis","year":"2019"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"41S","DOI":"10.1097\/PRS.0000000000005568","article-title":"Characteristics and treatment of advanced breast implant\u2013associated anaplastic\n                    large cell lymphoma","volume":"143","author":"M S Collins","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000013162","article-title":"Evaluating breast implants characteristics and replacements in\n                    BIA-ALCL Onset: A multicenter case-control study","author":"F Santanelli di Pompeo","year":"2026","journal-title":"Plast Reconstr Surg"},{"issue":"06","key":"ref43","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1055\/a-2073-9534","article-title":"Breast implant-associated tumors","volume":"83","author":"U von Fritschen","year":"2023","journal-title":"Geburtshilfe Frauenheilkd"},{"issue":"10","key":"ref44","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1200\/JCO.19.02778","article-title":"Best practices guideline for the pathologic diagnosis of breast\n                    implant\u2013associated anaplastic large-cell lymphoma","volume":"38","author":"E S Jaffe","year":"2020","journal-title":"J Clin Oncol"}],"container-title":["Handchirurgie \u00b7 Mikrochirurgie \u00b7 Plastische Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2934-4250.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T23:09:42Z","timestamp":1789600182000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2934-4250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":39,"URL":"https:\/\/doi.org\/10.1055\/a-2934-4250","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"value":"0722-1819","type":"print"},{"value":"1439-3980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]}}}