{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T04:52:37Z","timestamp":1777956757003,"version":"3.51.4"},"reference-count":65,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2026,5]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Gonorrhoea remains a leading sexually transmitted infection worldwide, with an estimated 82 million new cases being reported annually. In Kenya, epidemiological and antimicrobial resistance data are fragmented and under\u2010represent high\u2010risk populations, hampering targeted interventions.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n \n To estimate the pooled prevalence of\n \n Neisseria gonorrhoeae<\/jats:italic>\n <\/jats:styled-content>\n and assess patterns of antimicrobial resistance in Kenya between 2019 and 2024.\n <\/jats:p>\n <\/jats:sec>\n \n Methodology<\/jats:title>\n \n We searched PubMed, Google Scholar, OpenAlex and Research4Life following PRISMA guidelines, yielding 1116 records. Two reviewers independently screened studies against predefined inclusion criteria. Prevalence and resistance data were extracted, and a random\u2010effects meta\u2010analysis was performed to compute pooled estimates with 95% confidence intervals. Heterogeneity among studies was assessed using the I\n 2<\/jats:sup>\n statistic.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Eleven studies comprising 5170 participants met inclusion criteria. The pooled prevalence of\n \n N. gonorrhoeae<\/jats:italic>\n <\/jats:styled-content>\n was 22.5% (95% CI: 17.2\u201327.8). Key risk factors included sex work, low educational attainment and multiple sexual partners. Resistance rates were highest for tetracycline (98.0%), ciprofloxacin (96.7%) and penicillin (94.7%) and lowest for azithromycin (2.0%), cefixime (2.6%) and ceftriaxone (1.3%).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n \n N. gonorrhoeae<\/jats:italic>\n <\/jats:styled-content>\n poses an urgent public health threat in Kenya. Strengthening surveillance, expanding access to reliable diagnostics and enforcing antibiotic stewardship are critical. Exploration of alternative therapies including phage therapy, alongside accelerated vaccine research, will be essential for sustainable disease control.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/tmi.70094","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T09:45:17Z","timestamp":1771580717000},"page":"623-633","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\n Neisseria gonorrhoeae<\/i>\n <\/scp>\n in Kenya: A Systematic Review and Meta\u2010Analysis of Prevalence, Resistance and Mitigation Strategies"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3518-1142","authenticated-orcid":false,"given":"Samuel K.","family":"Ndegwa","sequence":"first","affiliation":[{"name":"Phage Hunters Training and Research Program Nairobi Kenya"},{"name":"Center for Microbiology Research Kenya Medical Research Institute Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2929-341X","authenticated-orcid":false,"given":"Ivy J.","family":"Mutai","sequence":"additional","affiliation":[{"name":"Phage Hunters Training and Research Program Nairobi Kenya"},{"name":"Antimicrobial Resistance and Bacteriophage Biology Section, Department of Reproductive Health & Biology Kenya Institute of Primate Research Nairobi Kenya"},{"name":"Becky Mayer Centre for Phage Research, Division of Microbiology and Infection University of Leicester Leicester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1507-0149","authenticated-orcid":false,"given":"Linet","family":"Lusimba","sequence":"additional","affiliation":[{"name":"Phage Hunters Training and Research Program Nairobi Kenya"},{"name":"School of Biological Sciences University of Nairobi Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1795-7098","authenticated-orcid":false,"given":"Amos Lucky","family":"Mhone","sequence":"additional","affiliation":[{"name":"Health Program International Livestock Research Institute Nairobi Kenya"},{"name":"Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences University of Copenhagen Frederiksberg C Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9039-4119","authenticated-orcid":false,"given":"Jael Apondi","family":"Obiero","sequence":"additional","affiliation":[{"name":"Antimicrobial Resistance and Bacteriophage Biology Section, Department of Reproductive Health & Biology Kenya Institute of Primate Research Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5577-7162","authenticated-orcid":false,"given":"Ely","family":"Aboka","sequence":"additional","affiliation":[{"name":"Phage Hunters Training and Research Program Nairobi Kenya"},{"name":"Center for Microbiology Research Kenya Medical Research Institute Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0565-3019","authenticated-orcid":false,"given":"Nelson","family":"Wachira","sequence":"additional","affiliation":[{"name":"Phage Hunters Training and Research Program Nairobi Kenya"},{"name":"Department of Biological Sciences, School of Pure and Applied Sciences Kisii University Kisii Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0590-9815","authenticated-orcid":false,"given":"Elkana","family":"Mudi","sequence":"additional","affiliation":[{"name":"Phage Hunters Training and Research Program Nairobi Kenya"},{"name":"Department of Biochemistry, School of Biomedical Sciences Jomo Kenyatta University of Agriculture and Technology Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2722-5092","authenticated-orcid":false,"given":"Alice Auko","family":"Owiti","sequence":"additional","affiliation":[{"name":"Phage Hunters Training and Research Program Nairobi Kenya"},{"name":"School of Biological Sciences University of Nairobi Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6867-387X","authenticated-orcid":false,"given":"Cateline","family":"Ouma","sequence":"additional","affiliation":[{"name":"Phage Hunters Training and Research Program Nairobi Kenya"},{"name":"Department of Biochemistry, School of Biomedical Sciences Jomo Kenyatta University of Agriculture and Technology Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1626-8659","authenticated-orcid":false,"given":"Gloria","family":"Maleche","sequence":"additional","affiliation":[{"name":"Phage Hunters Training and Research Program Nairobi Kenya"},{"name":"School of Biological Sciences University of Nairobi Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6266-6825","authenticated-orcid":false,"given":"Festus","family":"Nyamweya","sequence":"additional","affiliation":[{"name":"Phage Hunters Training and Research Program Nairobi Kenya"},{"name":"Center for Microbiology Research Kenya Medical Research Institute Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8747-5978","authenticated-orcid":false,"given":"James Munyao","family":"Kingoo","sequence":"additional","affiliation":[{"name":"Phage Hunters Training and Research Program Nairobi Kenya"},{"name":"Department of Biological and Life Sciences, Faculty of Applied Sciences and Technology Technical University of Kenya Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2618-3816","authenticated-orcid":false,"given":"Victor Irungu","family":"Mwangi","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s\u2010Gradua\u00e7\u00e3o em Medicina Tropical (PPGMT) Universidade do Estado do Amazonas Manaus Brazil"},{"name":"Diretoria de Ensino e Pesquisa, Funda\u00e7\u00e3o de Medicina Tropical Doutor Heitor Vieira Dourado Manaus Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8583-8109","authenticated-orcid":false,"given":"Eric Omori","family":"Omwenga","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology & Parasitology, School of Health Sciences Kisii University Kisii Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8953-0304","authenticated-orcid":false,"given":"Kevin Mbogo","family":"Omolo","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, School of Biomedical Sciences Jomo Kenyatta University of Agriculture and Technology Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6168-881X","authenticated-orcid":false,"given":"Anthony Kebira","family":"Nyamache","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Microbiology and Biotechnology Kenyatta University Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7906-5311","authenticated-orcid":false,"given":"Atunga","family":"Nyachieo","sequence":"additional","affiliation":[{"name":"Antimicrobial Resistance and Bacteriophage Biology Section, Department of Reproductive Health & Biology Kenya Institute of Primate Research Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)02569-2"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiy240"},{"issue":"31","key":"e_1_2_9_4_1","first-page":"590","article-title":"Update to CDC'S Sexually Transmitted Diseases Treatment Guidelines, 2010: Oral Cephalosporins No Longer a Recommended Treatment for Gonococcal Infections","volume":"61","author":"CDC","year":"2012","journal-title":"MMWR. Morbidity and Mortality Weekly Report"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH19061"},{"key":"e_1_2_9_6_1","unstructured":"UNFPA \u201cKenya Population 2025\u2014United Nations Population Fund \u201d2025."},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2024-056333"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0263531"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrmicro.2017.169"},{"issue":"2","key":"e_1_2_9_10_1","first-page":"212","article-title":"Gonorrhea, a Current Disease With Ancient Roots: From the Remedies of the Past to Future Perspectives","volume":"27","author":"Vicentini C. B.","year":"2019","journal-title":"Le Infezioni in Medicina"},{"issue":"1","key":"e_1_2_9_11_1","first-page":"388","article-title":"A Review: Gonorrhoea","volume":"3","author":"Malleswari K.","year":"2023","journal-title":"International Journal of Humanities Social Science and Management"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6950a6"},{"key":"e_1_2_9_13_1","unstructured":"CDC \u201cSexually Transmitted Infections Treatment Guidelines \u201d2021."},{"key":"e_1_2_9_14_1","unstructured":"Gonnorrhoea [Internet].2025 https:\/\/www.cdc.gov\/gonorrhea\/about\/index.html#:~:text=I'm%20pregnant. for%20your%20baby%20less%20likely."},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0223598"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956462419881087"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001769"},{"key":"e_1_2_9_18_1","unstructured":"\u201cMulti\u2010Drug Resistant Gonorrhoea \u201d2024 https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/multi\u2010drug\u2010resistant\u2010gonorrhoea."},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphar.2024.1284665"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-5247(21)00171-3"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-023-08200-4"},{"key":"e_1_2_9_22_1","unstructured":"\u201cManaging Incidents of Ceftriaxone\u2010ResistantNeisseria gonorrhoeaein England \u201dUKHSA. 2022 https:\/\/www.gov.uk\/government\/publications\/ceftriaxone\u2010resistant\u2010neisseria\u2010gonorrhoeae\u2010incident\u2010management\/managing\u2010incidents\u2010of\u2010ceftriaxone\u2010resistant\u2010neisseria\u2010gonorrhoeae\u2010in\u2010england#:~:text=Neisseria%20gonorrhoeae%20."},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4939-9496-0_3"},{"issue":"8","key":"e_1_2_9_24_1","first-page":"1683","article-title":"Surge in Ceftriaxone\u2010Resistant \n Neisseria gonorrhoeae\n FC428\u2010Like Strains, Asia\u2010Pacific Region, 2015\u20102022","volume":"30","author":"Xiu L.","year":"2024","journal-title":"Emerging Infectious Diseases"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/1040841X.2023.2274849"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/gbe\/evaa023"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1128\/cmr.00094-23"},{"issue":"71","key":"e_1_2_9_28_1","article-title":"The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews","volume":"371","author":"Page M. J.","year":"2021","journal-title":"BMJ"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2011.11.014"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-025808"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/37.3-4.256"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"issue":"79","key":"e_1_2_9_33_1","article-title":"Rectal Gonorrhoea and Chlamydia Among Men Who Have Sex With Men in Coastal Kenya 2020","volume":"4","author":"Ngetsa C. J.","year":"2020","journal-title":"Wellcome Open Research"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/09564624241273774"},{"key":"e_1_2_9_35_1","doi-asserted-by":"crossref","unstructured":"M. J.Omolo \u201cP858 2018\/2019 Surveillance Update onNeisseria gonorrhoeaeIsolates \u201d2019Sexually Transmitted Infections.","DOI":"10.1136\/sextrans-2019-sti.900"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH22114"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-023-08442-2"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.24248\/eahrj.v8i1.764"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001881"},{"key":"e_1_2_9_40_1","first-page":"138","article-title":"Diagnostic Accuracy of the Syndromic Management of Four STIs Among Individuals Seeking Treatment at a Health Centre in Nairobi, Kenya: A Cross\u2010Sectional Study","volume":"40","author":"Maina A. N.","year":"2021","journal-title":"Pan African Medical Journal"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2018-053597"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2020-054515"},{"issue":"2","key":"e_1_2_9_43_1","first-page":"4","article-title":"Neisseria gonorrhoeae\n Infections in Africa \u2010 Systematic Review and Meta\u2010Analysis","volume":"5","author":"Longe D. B. T.","year":"2020","journal-title":"Journal of Microbiology and Antimicrobial Agents"},{"key":"e_1_2_9_44_1","doi-asserted-by":"crossref","unstructured":"M. J.Omolo L.Pole I.Mwangi et\u00a0al. \u201cO13.1 Survey of Antimicrobial Resistance in ClinicalNeisseria gonorrhoeaeIsolated Over Four Years in Nairobi\u2014Kenya \u201dSexually Transmitted Infections2017. p. 93:A29.","DOI":"10.1136\/sextrans-2017-053264.72"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0237424"},{"issue":"4","key":"e_1_2_9_47_1","first-page":"175","article-title":"Detection of Gonococcal Infection","volume":"9","author":"Vickerman P.","year":"2012","journal-title":"Molecular Diagnosis"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.2353\/jmoldx.2006.050045"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2022.920447"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e318248a85f"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13073-021-00858-2"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2017-053287"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2021.647565"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-019-3698-8"},{"key":"e_1_2_9_55_1","unstructured":"\u201cGonococcal Antimicrobial Surveillance Programme (GASP) \u201d2022 https:\/\/www.who.int\/initiatives\/gonococcal\u2010antimicrobial\u2010surveillance\u2010programme."},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.3390\/app10217654"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.4102\/ajlm.v11i1.1673"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10499-022-01001-7"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1128\/aac.00578-23"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2180-7-66"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1128\/msystems.00083-22"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1099\/mic.0.000215"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.3390\/antibiotics11020268"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopha.2022.113122"},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2023.1172635"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.5799\/jmid.1265378"}],"container-title":["Tropical Medicine & International Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tmi.70094","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/tmi.70094","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tmi.70094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T03:58:24Z","timestamp":1777953504000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/tmi.70094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,20]]},"references-count":65,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/tmi.70094"],"URL":"https:\/\/doi.org\/10.1111\/tmi.70094","archive":["Portico"],"relation":{},"ISSN":["1360-2276","1365-3156"],"issn-type":[{"value":"1360-2276","type":"print"},{"value":"1365-3156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,20]]},"assertion":[{"value":"2025-08-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}