{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T17:00:54Z","timestamp":1769533254905,"version":"3.49.0"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T00:00:00Z","timestamp":1744761600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100004737","name":"National Health Research Institutes","doi-asserted-by":"publisher","award":["NHRI-EX112\u201311026PI"],"award-info":[{"award-number":["NHRI-EX112\u201311026PI"]}],"id":[{"id":"10.13039\/501100004737","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004737","name":"National Health Research Institutes","doi-asserted-by":"publisher","award":["NHRI-EX114\u201311433PI"],"award-info":[{"award-number":["NHRI-EX114\u201311433PI"]}],"id":[{"id":"10.13039\/501100004737","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005866","name":"Far Eastern Memorial Hospital","doi-asserted-by":"publisher","award":["FEMH-2024-C-009"],"award-info":[{"award-number":["FEMH-2024-C-009"]}],"id":[{"id":"10.13039\/501100005866","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100020950","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["NSTC 112-2314-B-532-001"],"award-info":[{"award-number":["NSTC 112-2314-B-532-001"]}],"id":[{"id":"10.13039\/501100020950","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100015835","name":"Department of Health, Taipei City Government","doi-asserted-by":"publisher","award":["11201-62-017"],"award-info":[{"award-number":["11201-62-017"]}],"id":[{"id":"10.13039\/501100015835","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100015835","name":"Department of Health, Taipei City Government","doi-asserted-by":"publisher","award":["11301-62-017"],"award-info":[{"award-number":["11301-62-017"]}],"id":[{"id":"10.13039\/501100015835","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100021037","name":"Taipei City Hospital","doi-asserted-by":"publisher","award":["TPCH-113-11"],"award-info":[{"award-number":["TPCH-113-11"]}],"id":[{"id":"10.13039\/100021037","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Psoralen and ultraviolet A (PUVA) phototherapy is associated with an increased risk of nonmelanoma skin cancers and may be associated with cutaneous melanoma in White populations. However, data on the safety of PUVA phototherapy in Asian populations are scarce.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To assess the risk of nonmelanoma skin cancer and cutaneous melanoma among patients with psoriasis receiving PUVA phototherapy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted a nationwide Taiwanese cohort study spanning from 2001 to 2018 to assess the risk of PUVA phototherapy in relation to nonmelanoma skin cancer and cutaneous melanoma in patients with psoriasis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 13 245 patients with psoriasis, PUVA phototherapy was associated with an increased risk of nonmelanoma skin cancer [adjusted hazard ratio (HR) 1.55, 95% confidence interval (CI) 1.03\u20132.32, P = 0.03]. The association remained consistent when considering the number of PUVA phototherapy sessions (adjusted HR 1.006, 95% CI 1.004\u20131.009, P &amp;lt; 0.001). Notably, neither PUVA phototherapy nor the number of PUVA phototherapy sessions revealed an increased risk of cutaneous melanoma (adjusted HR 0.90, 95% CI 0.24\u20133.42, P = 0.87; adjusted HR, 1.000, 95% CI 0.977\u20131.023, P = 0.99, respectively).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>These findings suggest that PUVA phototherapy was associated with an increased risk of nonmelanoma skin cancer but not melanoma in Asian patients with psoriasis who have Fitzpatrick skin phototypes II\u2013V. For patients with psoriasis who have received PUVA phototherapy, regular follow-up skin examinations are suggested.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ced\/llaf169","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T07:24:13Z","timestamp":1744701853000},"page":"1795-1802","source":"Crossref","is-referenced-by-count":2,"title":["Risk of nonmelanoma skin cancers and cutaneous melanoma after psoralen and ultraviolet A therapy in patients with psoriasis: a nationwide Taiwanese cohort study"],"prefix":"10.1093","volume":"50","author":[{"given":"Mei-Ju","family":"Ko","sequence":"first","affiliation":[{"name":"Department of Dermatology, Taipei City Hospital , Taipei City ,","place":["Taiwan"]},{"name":"Department of Dermatology, National Taiwan University Hospital and College of Medicine , Taipei City ,","place":["Taiwan"]},{"name":"University of Taipei , Taipei City ,","place":["Taiwan"]},{"name":"School of Medicine, College of Medicine, National Yang Ming Chiao Tung University , Taipei City ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wan-Chuan","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Far Eastern Memorial Hospital , New Taipei City ,","place":["Taiwan"]},{"name":"Center for General Education, Lee-Ming Institute of Technology , New Taipei City ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping-Hsiu","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Far Eastern Memorial Hospital , New Taipei City ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Le-Yin","family":"Hsu","sequence":"additional","affiliation":[{"name":"Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University , Taipei City ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4979-8351","authenticated-orcid":false,"given":"Kuo-Liong","family":"Chien","sequence":"additional","affiliation":[{"name":"Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University , Taipei City ,","place":["Taiwan"]},{"name":"Department of Internal Medicine, National Taiwan University Hospital and College of Medicine , Taipei City ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hon-Yen","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Medicine, National Yang Ming Chiao Tung University , Taipei City ,","place":["Taiwan"]},{"name":"Department of Internal Medicine, Far Eastern Memorial Hospital , New Taipei City ,","place":["Taiwan"]},{"name":"Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University , Taipei City ,","place":["Taiwan"]},{"name":"Department of Internal Medicine, National Taiwan University Hospital and College of Medicine , Taipei City ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,4,16]]},"reference":[{"key":"2025082212473574300_llaf169-B1","doi-asserted-by":"crossref","first-page":"1945","DOI":"10.1001\/jama.2020.4006","article-title":"Pathophysiology, clinical presentation, and treatment of psoriasis: a review","volume":"323","author":"Armstrong","year":"2020","journal-title":"JAMA"},{"key":"2025082212473574300_llaf169-B2","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1111\/jdv.13854","article-title":"A systematic review of worldwide epidemiology of psoriasis","volume":"31","author":"Michalek","year":"2017","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"2025082212473574300_llaf169-B3","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1001\/jamadermatol.2014.3593","article-title":"Economic burden of psoriasis in the United States: a systematic review","volume":"151","author":"Brezinski","year":"2015","journal-title":"JAMA Dermatol"},{"key":"2025082212473574300_llaf169-B4","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1016\/j.jaad.2019.04.042","article-title":"Joint American Academy of Dermatology-National Psoriasis Foundation guidelines of care for the management and treatment of psoriasis with phototherapy","volume":"81","author":"Elmets","year":"2019","journal-title":"J Am Acad Dermatol"},{"key":"2025082212473574300_llaf169-B5","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1111\/j.1468-3083.2009.03500.x","article-title":"Efficacy of narrowband UVB vs. PUVA in patients with early-stage mycosis fungoides","volume":"24","author":"Ponte","year":"2010","journal-title":"J Eur Acad Dermatol Venereol"},{"issue":"Suppl. 3","key":"2025082212473574300_llaf169-B6","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1111\/j.1468-3083.2012.04519.x","article-title":"Efficacy of psoralen UV-A therapy vs. narrowband UV-B therapy in chronic plaque psoriasis: a systematic literature review","volume":"26","author":"Archier","year":"2012","journal-title":"J Eur Acad Dermatol Venereol"},{"issue":"Suppl. 3","key":"2025082212473574300_llaf169-B7","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1111\/j.1468-3083.2012.04520.x","article-title":"Carcinogenic risks of psoralen UV-A therapy and narrowband UV-B therapy in chronic plaque psoriasis: a systematic literature review","volume":"26","author":"Archier","year":"2012","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"2025082212473574300_llaf169-B8","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1067\/mjd.2001.114576","article-title":"The risk of melanoma in association with long-term exposure to PUVA","volume":"44","author":"Stern","year":"2001","journal-title":"J Am Acad Dermatol"},{"key":"2025082212473574300_llaf169-B9","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1056\/NEJM199704103361501","article-title":"Malignant melanoma in patients treated for psoriasis with methoxsalen (psoralen) and ultraviolet A radiation (PUVA). The PUVA follow-up study","volume":"336","author":"Stern","year":"1997","journal-title":"N Engl J Med"},{"key":"2025082212473574300_llaf169-B10","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/j.1365-2133.1991.tb03281.x","article-title":"\u2018High single-dose\u2019 European PUVA regimen also causes an excess of non-melanoma skin cancer","volume":"124","author":"Bruynzeel","year":"1991","journal-title":"Br J Dermatol"},{"key":"2025082212473574300_llaf169-B11","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1046\/j.1365-2133.1999.02928.x","article-title":"PUVA and cancer risk: the Swedish follow-up study","volume":"141","author":"Lindelof","year":"1999","journal-title":"Br J Dermatol"},{"key":"2025082212473574300_llaf169-B12","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1016\/S0190-9622(88)70135-8","article-title":"Incidence of skin cancer in Japanese psoriatic patients treated with either methoxsalen phototherapy, Goeckerman regimen, or both therapies. A 10-year follow-up study","volume":"18","author":"Torinuki","year":"1988","journal-title":"J Am Acad Dermatol"},{"key":"2025082212473574300_llaf169-B13","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1001\/jamadermatol.2020.4616","article-title":"UV exposure and the risk of cutaneous melanoma in skin of color: a systematic review","volume":"157","author":"Lopes","year":"2021","journal-title":"JAMA Dermatol"},{"key":"2025082212473574300_llaf169-B14","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1016\/S0929-6646(08)60071-6","article-title":"The minimal erythema dose of broadband \u00adultraviolet B in Taiwanese","volume":"106","author":"Li","year":"2007","journal-title":"J Formos Med Assoc"},{"key":"2025082212473574300_llaf169-B15","doi-asserted-by":"crossref","first-page":"2469748","DOI":"10.1080\/0886022X.2025.2469748","article-title":"Quality indicators and clinical outcomes: the role of care quality in nondiabetic chronic kidney disease management","volume":"47","author":"Hsieh","year":"2025","journal-title":"Ren Fail"},{"key":"2025082212473574300_llaf169-B16","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1053\/j.ajkd.2017.05.020","article-title":"Effects of higher quality of care on initiation of long-term dialysis in patients with ckd and diabetes","volume":"70","author":"Wu","year":"2017","journal-title":"Am J Kidney Dis"},{"key":"2025082212473574300_llaf169-B17","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1093\/jjco\/hyu211","article-title":"Quality assessment and improvement of nationwide cancer registration system in Taiwan: a review","volume":"45","author":"Chiang","year":"2015","journal-title":"Jpn J Clin Oncol"},{"key":"2025082212473574300_llaf169-B18","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.1016\/j.jfma.2015.10.011","article-title":"Incidence and survival of adult cancer patients in Taiwan, 2002\u20132012","volume":"115","author":"Chiang","year":"2016","journal-title":"J Formos Med Assoc"},{"key":"2025082212473574300_llaf169-B19","doi-asserted-by":"crossref","first-page":"adv00390","DOI":"10.2340\/00015555-3758","article-title":"Risk of skin cancer among patients with chronic kidney disease treated with ultraviolet B phototherapy for uraemic pruritus: a nationwide cohort study","volume":"101","author":"Ko","year":"2021","journal-title":"Acta Derm Venereol"},{"key":"2025082212473574300_llaf169-B20","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/S0895-4356(02)00585-1","article-title":"How to measure comorbidity. a critical review of available methods","volume":"56","author":"de Groot","year":"2003","journal-title":"J Clin Epidemiol"},{"key":"2025082212473574300_llaf169-B21","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1001\/archderm.141.4.477","article-title":"Association of UV index, latitude, and melanoma incidence in nonwhite populations \u2013 US Surveillance, Epidemiology, and End Results (SEER) Program, 1992 to 2001","volume":"141","author":"Eide","year":"2005","journal-title":"Arch Dermatol"},{"key":"2025082212473574300_llaf169-B22","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.jtos.2013.08.003","article-title":"Risk of skin cancer in patients with pterygium: a nationwide population-based cohort study in Taiwan","volume":"12","author":"Yu","year":"2014","journal-title":"Ocul Surf"},{"key":"2025082212473574300_llaf169-B23","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1016\/j.jaad.2023.05.037","article-title":"Ultraviolet B phototherapy does not increase the risk of skin cancer among patients with atopic dermatitis: a population-based retrospective cohort study","volume":"89","author":"Ko","year":"2023","journal-title":"J Am Acad Dermatol"},{"key":"2025082212473574300_llaf169-B24","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1111\/j.1365-2133.2010.10118.x","article-title":"Occupational ultraviolet light exposure increases the risk for the development of cutaneous squamous cell carcinoma: a systematic review and meta-analysis","volume":"164","author":"Schmitt","year":"2011","journal-title":"Br J Dermatol"},{"key":"2025082212473574300_llaf169-B25","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/j.jaad.2017.11.042","article-title":"Hydrochlorothiazide use and risk of nonmelanoma skin cancer: a nationwide case-control study from Denmark","volume":"78","author":"Pedersen","year":"2018","journal-title":"J Am Acad Dermatol"},{"key":"2025082212473574300_llaf169-B26","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.critrevonc.2004.11.011","article-title":"Skin cancer and immunosuppression","volume":"56","author":"Gerlini","year":"2005","journal-title":"Crit Rev Oncol Hematol"},{"key":"2025082212473574300_llaf169-B27","doi-asserted-by":"crossref","first-page":"1933","DOI":"10.1200\/JCO.1995.13.8.1933","article-title":"Prevention of skin cancer and reduction of keratotic skin lesions during acitretin therapy in renal transplant recipients: a double-blind, placebo-controlled study","volume":"13","author":"Bavinck","year":"1995","journal-title":"J Clin Oncol"},{"key":"2025082212473574300_llaf169-B28","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1080\/03610910902859574","article-title":"Using the standardized difference to compare the prevalence of a binary variable between two groups in observational research","volume":"38","author":"Austin","year":"2009","journal-title":"Commun Stats Simulat Computat"},{"key":"2025082212473574300_llaf169-B29","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1016\/S0140-6736(01)06179-7","article-title":"Squamous-cell cancer of the skin in patients given PUVA and ciclosporin: nested cohort crossover study","volume":"358","author":"Marcil","year":"2001","journal-title":"Lancet"},{"key":"2025082212473574300_llaf169-B30","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.jaad.2011.04.004","article-title":"The risk of squamous cell and basal cell cancer associated with psoralen and ultraviolet A therapy: a 30-year prospective study","volume":"66","author":"Stern","year":"2012","journal-title":"J Am Acad Dermatol"},{"key":"2025082212473574300_llaf169-B31","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1067\/mjd.2002.124618","article-title":"The persistent risk of genital tumors among men treated with psoralen plus ultraviolet A (PUVA) for psoriasis","volume":"47","author":"Stern","year":"2002","journal-title":"J Am Acad Dermatol"},{"key":"2025082212473574300_llaf169-B32","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1056\/NEJM198405033101805","article-title":"Cutaneous squamous-cell carcinoma in patients treated with PUVA","volume":"310","author":"Stern","year":"1984","journal-title":"N Engl J Med"},{"key":"2025082212473574300_llaf169-B33","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1111\/1523-1747.ep12292698","article-title":"Noncutaneous malignant tumors in the PUVA follow-up study: 1975\u20131996","volume":"108","author":"Stern","year":"1997","journal-title":"J Invest Dermatol"},{"key":"2025082212473574300_llaf169-B34","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/0140-6736(91)90083-2","article-title":"PUVA and cancer: a large-scale epidemiological study","volume":"338","author":"Lindelof","year":"1991","journal-title":"Lancet"},{"key":"2025082212473574300_llaf169-B35","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1001\/archderm.1992.01680200051005","article-title":"Comparison of the carcinogenic potential of trioxsalen bath PUVA and oral methoxsalen PUVA. A preliminary report","volume":"128","author":"Lindelof","year":"1992","journal-title":"Arch Dermatol"},{"key":"2025082212473574300_llaf169-B36","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1046\/j.1523-1747.2000.00898.x","article-title":"Psoriasis, its treatment, and cancer in a cohort of Finnish patients","volume":"114","author":"Hannuksela-Svahn","year":"2000","journal-title":"J Invest Dermatol"},{"key":"2025082212473574300_llaf169-B37","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/S0190-9622(87)70010-3","article-title":"Skin tumors in the European PUVA Study. Eight-year follow-up of 1643 patients treated with PUVA for psoriasis","volume":"16","author":"Henseler","year":"1987","journal-title":"J Am Acad Dermatol"},{"key":"2025082212473574300_llaf169-B38","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/S0190-9622(85)80335-2","article-title":"Photochemotherapy (PUVA) and skin cancer","volume":"13","author":"Leone","year":"1985","journal-title":"J Am Acad Dermatol"},{"key":"2025082212473574300_llaf169-B39","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1046\/j.1523-1747.2003.12350.x","article-title":"The increased risk of skin cancer is persistent after discontinuation of psoralen+ultraviolet A: a cohort study","volume":"121","author":"Nijsten","year":"2003","journal-title":"J Invest Dermatol"},{"key":"2025082212473574300_llaf169-B40","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1093\/jnci\/90.17.1278","article-title":"Oral psoralen and ultraviolet-A light (PUVA) treatment of psoriasis and persistent risk of nonmelanoma skin cancer. PUVA follow-up study","volume":"90","author":"Stern","year":"1998","journal-title":"J Natl Cancer Inst"},{"key":"2025082212473574300_llaf169-B41","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1200\/JCO.2001.19.1.231","article-title":"Relation between smoking and skin cancer","volume":"19","author":"De Hertog","year":"2001","journal-title":"J Clin Oncol"},{"key":"2025082212473574300_llaf169-B42","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s13273-014-0011-1","article-title":"Implication of ultraviolet B radiation exposure for non-melanoma skin cancer in Korea","volume":"10","author":"Lee","year":"2014","journal-title":"Mol Cell Toxicol"},{"key":"2025082212473574300_llaf169-B43","first-page":"612","article-title":"Is occupational solar ultraviolet irradiation a relevant risk factor for basal cell carcinoma? A systematic review and meta-analysis of the epidemiological literature","volume":"165","author":"Bauer","year":"2011","journal-title":"Br J Dermatol"},{"key":"2025082212473574300_llaf169-B44","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1038\/s41416-019-0613-4","article-title":"Use of hydrochlorothiazide and risk of skin cancer: a nationwide Taiwanese case-control study","volume":"121","author":"Pottegard","year":"2019","journal-title":"Br J Cancer"}],"container-title":["Clinical and Experimental Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ced\/advance-article-pdf\/doi\/10.1093\/ced\/llaf169\/62941187\/llaf169.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ced\/article-pdf\/50\/9\/1795\/62941187\/llaf169.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ced\/article-pdf\/50\/9\/1795\/62941187\/llaf169.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T16:47:47Z","timestamp":1755881267000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ced\/article\/50\/9\/1795\/8114739"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,16]]},"references-count":44,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,4,16]]},"published-print":{"date-parts":[[2025,8,22]]}},"URL":"https:\/\/doi.org\/10.1093\/ced\/llaf169","relation":{},"ISSN":["0307-6938","1365-2230"],"issn-type":[{"value":"0307-6938","type":"print"},{"value":"1365-2230","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,9]]},"published":{"date-parts":[[2025,4,16]]}}}