{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T09:40:58Z","timestamp":1792489258531,"version":"4.5.0"},"reference-count":50,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000654","name":"Marie Curie","doi-asserted-by":"publisher","award":["MC-FCO-25-D"],"award-info":[{"award-number":["MC-FCO-25-D"]}],"id":[{"id":"10.13039\/501100000654","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Dementia is a progressive neurodegenerative condition, yet it is frequently under-recognised as terminal, contributing to delayed or inadequate end-of-life care. Accurate prognostication in advanced dementia is essential to support timely palliative interventions. However, prognostic uncertainty remains high, and existing tools are inconsistently validated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To identify and review current prognostic models designed for survival estimation of people with advanced dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Systematic review prospectively registered on PROSPERO, supported by a narrative synthesis of key findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources:<\/jats:title>\n                    <jats:p>MEDLINE, Embase, CINAHL, and PsycINFO were searched from inception to April 2025, alongside grey literature sources. Eligible studies reported development or validation of prognostic models estimating survival in advanced dementia. Risk of bias was appraised using PROBAST, and certainty of evidence using GRADE guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Six prognostic tools were identified across seven studies, including 225,553 individuals with advanced dementia across community, hospital, and nursing home settings. Key prognostic indicators included demographic factors, comorbidities, and functional dependency. Reported AUC values ranged from 0.55 to 0.76. The PRO-MADE model demonstrated the highest discrimination (AUC 0.76) and was the only tool to report detailed calibration metrics, though external validation showed reduced performance. Five studies demonstrated high risk of bias due to methodological limitations and lack of external validation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Current prognostic tools for advanced dementia show limited and inconsistent accuracy and should not be used in isolation. Further research should focus on robust external validation across various countries and healthcare settings before one model can be recommended for widespread application.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163261468148","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:00:26Z","timestamp":1785484826000},"page":"1289-1301","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A systematic review of the current prognostic tools used to predict the survival length of people living with advanced dementia"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0259-9790","authenticated-orcid":false,"given":"Abigail","family":"Maughan","sequence":"first","affiliation":[{"name":"Marie Curie Palliative Care Research Department, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9620-0290","authenticated-orcid":false,"given":"Andrea","family":"Bruun","sequence":"additional","affiliation":[{"name":"Marie Curie Palliative Care Research Department, University College London, London, UK"},{"name":"Department of Public Health, Children\u2019s, Learning Disability and Mental Health Nursing, Kingston University, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6511-412X","authenticated-orcid":false,"given":"Nuriye","family":"Kupeli","sequence":"additional","affiliation":[{"name":"Marie Curie Palliative Care Research Department, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6169-8049","authenticated-orcid":false,"given":"Juan Carlos","family":"Bazo-Alvarez","sequence":"additional","affiliation":[{"name":"Research Department of Primary Care and Population Health, University College London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7438-0072","authenticated-orcid":false,"given":"Nicola","family":"White","sequence":"additional","affiliation":[{"name":"Marie Curie Palliative Care Research Department, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"World Health Organization. Dementia. ICD-11 for mortality and morbidity statistics https:\/\/icd.who.int\/browse\/2025-01\/mms\/en#546689346 (2025 accessed 25 June 2026)."},{"key":"e_1_3_5_3_2","doi-asserted-by":"crossref","unstructured":"Br\u00fcck CC Mooldijk SS Kuiper LM et al. Time to nursing home admission and death in people with dementia: systematic review and meta-analysis. BMJ 2025; 388: e080636. https:\/\/doi.org\/10.1136\/bmj-2024-080636","DOI":"10.1136\/bmj-2024-080636"},{"key":"e_1_3_5_4_2","unstructured":"NICE. What is the pronosis? NICE 2022 https:\/\/cks.nice.org.uk\/topics\/dementia\/background-information\/prognosis\/ (accessed 25 June 2026)."},{"key":"e_1_3_5_5_2","doi-asserted-by":"crossref","unstructured":"Mitchell SL. Advanced dementia. N Engl J Med 2015; 373: 1276\u20131277. https:\/\/doi.org\/10.1056\/NEJMc1509349","DOI":"10.1056\/NEJMc1509349"},{"key":"e_1_3_5_6_2","doi-asserted-by":"crossref","unstructured":"Murray SA Kendall M Boyd K et al. Illness trajectories and palliative care. BMJ 2005; 330: 1007\u20131011. https:\/\/doi.org\/10.1136\/bmj.330.7498.1007","DOI":"10.1136\/bmj.330.7498.1007"},{"key":"e_1_3_5_7_2","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez PTM Vieira LM Sarmiento APY et al. Predictors of mortality in dementia: a systematic review and meta-analysis. Neurol Perspect 2024; 4: 100175. https:\/\/doi.org\/10.1016\/j.neurop.2024.100175","DOI":"10.1016\/j.neurop.2024.100175"},{"key":"e_1_3_5_8_2","doi-asserted-by":"crossref","unstructured":"Tang L Feng Z Liu W et al. Risk factors for mortality in individuals with dementia: a systematic review and meta-analysis. Arch Gerontol Geriatr 2025; 137: 105951. https:\/\/doi.org\/10.1016\/j.archger.2025.105951","DOI":"10.1016\/j.archger.2025.105951"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_3_5_10_2","doi-asserted-by":"crossref","unstructured":"Kaur P Tan WS Gunapal PPG et al. Deaths in dementia: a scoping review of prognostic variables. BMJ Support Palliat Care 2021; 11: 242\u2013252. https:\/\/doi.org\/10.1136\/bmjspcare-2020-002217","DOI":"10.1136\/bmjspcare-2020-002217"},{"key":"e_1_3_5_11_2","doi-asserted-by":"crossref","unstructured":"Brown MA Sampson EL Jones L et al. Prognostic indicators of 6-month mortality in elderly people with advanced dementia: a systematic review. Palliat Med 2013; 27: 389\u2013400. https:\/\/doi.org\/10.1177\/0269216312465649","DOI":"10.1177\/0269216312465649"},{"key":"e_1_3_5_12_2","doi-asserted-by":"crossref","unstructured":"Mitchell SL Teno JM Kiely DK et al. The clinical course of advanced dementia. N Engl J Med 2009; 361: 1529\u20131538. https:\/\/doi.org\/10.1056\/NEJMoa0902234","DOI":"10.1056\/NEJMoa0902234"},{"key":"e_1_3_5_13_2","doi-asserted-by":"crossref","unstructured":"GBD 2019 Dementia Forecasting Collaborators. Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the Global Burden of Disease Study 2019. Lancet Public Health 2022; 7: e105\u2013e125. https:\/\/doi.org\/10.1016\/S2468-2667(21)00249-8","DOI":"10.1016\/S2468-2667(21)00249-8"},{"key":"e_1_3_5_14_2","unstructured":"Alzheimer\u2019s Society. Risk factors for dementia. Alzheimer\u2019s Society 2023 https:\/\/www.alzheimers.org.uk\/about-dementia\/managing-the-risk-of-dementia\/risk-factors-for-dementia (accessed 25 June 2026)."},{"key":"e_1_3_5_15_2","volume-title":"Projections of older people living with dementia and costs of dementia care in the United Kingdom, 2019\u20132040","author":"Wittenberg R","year":"2019","unstructured":"Wittenberg R, Hu B, Barraza-Araiza L, et al. Projections of older people living with dementia and costs of dementia care in the United Kingdom, 2019\u20132040. Care Policy and Evaluation Centre, London School of Economics and Political Science, 2019."},{"key":"e_1_3_5_16_2","doi-asserted-by":"crossref","unstructured":"Wittenberg R Knapp M Hu B et al. The costs of dementia in England. Int J Geriatr Psychiatry 2019; 34: 1095\u20131103. https:\/\/doi.org\/10.1002\/gps.5113","DOI":"10.1002\/gps.5113"},{"key":"e_1_3_5_17_2","doi-asserted-by":"crossref","unstructured":"Eisenmann Y Golla H Schmidt H et al. Palliative care in advanced dementia. Front Psychiatry 2020; 11: 699. https:\/\/doi.org\/10.3389\/fpsyt.2020.00699","DOI":"10.3389\/fpsyt.2020.00699"},{"key":"e_1_3_5_18_2","doi-asserted-by":"crossref","unstructured":"van Soest-Poortvliet MC van der Steen JT de Vet HC et al. Comfort goal of care and end-of-life outcomes in dementia: a prospective study. Palliat Med 2015; 29: 538\u2013546. https:\/\/doi.org\/10.1177\/0269216315570409","DOI":"10.1177\/0269216315570409"},{"key":"e_1_3_5_19_2","doi-asserted-by":"crossref","unstructured":"Harrison KL Hunt LJ Ritchie CS et al. Dying with dementia: underrecognized and stigmatized. J Am Geriatr Soc 2019; 67: 1548\u20131551. https:\/\/doi.org\/10.1111\/jgs.15895","DOI":"10.1111\/jgs.15895"},{"key":"e_1_3_5_20_2","doi-asserted-by":"crossref","unstructured":"Erel M Marcus E-L Dekeyser-Ganz F. Barriers to palliative care for advanced dementia: a scoping review. Ann Palliat Med 2017; 6: 365\u2013379. https:\/\/doi.org\/10.21037\/apm.2017.06.13","DOI":"10.21037\/apm.2017.06.13"},{"key":"e_1_3_5_21_2","unstructured":"James Lind Alliance. Palliative and end of life care refresh. Nihr.ac.uk 2015 https:\/\/www.jla.nihr.ac.uk\/priority-setting-partnerships\/palliative-and-end-of-life-care-refresh#tab-72011 (accessed 25 June 2026)."},{"key":"e_1_3_5_22_2","unstructured":"Office for Life Sciences. Dame Barbara Windsor Dementia Goals. gov.uk 2024 https:\/\/www.gov.uk\/government\/publications\/life-sciences-healthcare-goals\/dame-barbara-windsor-dementia-goals#what-we-do (accessed 25 June 2026)."},{"key":"e_1_3_5_23_2","unstructured":"UK Government. 10 Year health plan for England: fit for the future. gov.uk 2025 \u2009https:\/\/www.gov.uk\/government\/publications\/10-year-health-plan-for-england-fit-for-the-future (accessed 25 June 2026)."},{"key":"e_1_3_5_24_2","doi-asserted-by":"crossref","unstructured":"Chu C White N Stone P. Prognostication in palliative care. Clin Med 2019; 19: 306\u2013310. https:\/\/doi.org\/10.7861\/clinmedicine.19-4-306","DOI":"10.7861\/clinmedicine.19-4-306"},{"key":"e_1_3_5_25_2","doi-asserted-by":"crossref","unstructured":"Brunnstr\u00f6m HR Englund EM. Cause of death in patients with dementia disorders. Eur J Neurol 2009; 16: 488\u2013492. https:\/\/doi.org\/10.1111\/j.1468-1331.2008.02503.x","DOI":"10.1111\/j.1468-1331.2008.02503.x"},{"key":"e_1_3_5_26_2","doi-asserted-by":"crossref","unstructured":"White N Reid F Harris A et al. A systematic review of predictions of survival in palliative care: how accurate are clinicians and who are the experts? PLoS One 2016; 11: e0161407. https:\/\/doi.org\/10.1371\/journal.pone.0161407","DOI":"10.1371\/journal.pone.0161407"},{"key":"e_1_3_5_27_2","doi-asserted-by":"crossref","unstructured":"Smith EE Ismail Z. Mortality risk models for persons with dementia: a systematic review. J Alzheimers Dis 2021; 80: 103\u2013111. https:\/\/doi.org\/10.3233\/jad-201364","DOI":"10.3233\/JAD-201364"},{"key":"e_1_3_5_28_2","doi-asserted-by":"crossref","unstructured":"Anderson F Downing GM Hill J et al. Palliative Performance Scale (PPS): a new tool. J Palliat Care 1996; 12: 5\u201311. https:\/\/doi.org\/10.1177\/082585979601200102","DOI":"10.1177\/082585979601200102"},{"key":"e_1_3_5_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(98)00145-6"},{"key":"e_1_3_5_30_2","doi-asserted-by":"crossref","unstructured":"Browne B Kupeli N Moore KJ et al. Defining end of life in dementia: a systematic review. Palliat Med 2021; 35: 1733\u20131746. https:\/\/doi.org\/10.1177\/02692163211025457","DOI":"10.1177\/02692163211025457"},{"key":"e_1_3_5_31_2","doi-asserted-by":"crossref","unstructured":"Reisberg B Ferris SH Franssen E. An ordinal functional assessment tool for Alzheimer\u2019s-type dementia. Hosp Community Psychiatry 1985; 36: 593\u2013595. https:\/\/doi.org\/10.1176\/ps.36.6.593.","DOI":"10.1176\/ps.36.6.593"},{"key":"e_1_3_5_32_2","doi-asserted-by":"crossref","unstructured":"Morris JC. Clinical dementia rating: a reliable and valid diagnostic and staging measure for dementia of the Alzheimer type. Int Psychogeriatr 1997; 9 Suppl 1: 173\u2013176. https:\/\/doi.org\/10.1017\/s1041610297004870","DOI":"10.1017\/S1041610297004870"},{"key":"e_1_3_5_33_2","doi-asserted-by":"crossref","unstructured":"Veronese N Bolzetta F Gallo L et al. Clinical prediction models using artificial intelligence approaches in dementia. Aging Clin Exp Res 2025; 37: 233. https:\/\/doi.org\/10.1007\/s40520-025-03112-6","DOI":"10.1007\/s40520-025-03112-6"},{"key":"e_1_3_5_34_2","unstructured":"Higgins J Thomas J Chandler J et al. Cochrane handbook for systematic reviews of interventions. 6th ed. Cochrane 2024 www.cochrane.org\/handbook (accessed 25 June 2026)."},{"key":"e_1_3_5_35_2","doi-asserted-by":"crossref","unstructured":"Snell KIE Levis B Damen JAA et al. Transparent reporting of multivariable prediction models for individual prognosis or diagnosis: checklist for systematic reviews and meta-analyses (TRIPOD-SRMA). BMJ 2023; 381: e073538. https:\/\/doi.org\/10.1136\/bmj-2022-073538","DOI":"10.1136\/bmj-2022-073538"},{"key":"e_1_3_5_36_2","doi-asserted-by":"crossref","unstructured":"Ouzzani M Hammady H Fedorowicz Z et al. Rayyan-a web and mobile app for systematic reviews. Syst Rev 2016; 5: 210. https:\/\/doi.org\/10.1186\/s13643-016-0384-4","DOI":"10.1186\/s13643-016-0384-4"},{"key":"e_1_3_5_37_2","doi-asserted-by":"crossref","unstructured":"Mandrekar JN. Receiver operating characteristic curve in diagnostic test assessment. J Thorac Oncol 2010; 5: 1315\u20131316. https:\/\/doi.org\/10.1097\/JTO.0b013e3181ec173d.","DOI":"10.1097\/JTO.0b013e3181ec173d"},{"key":"e_1_3_5_38_2","doi-asserted-by":"crossref","unstructured":"Huang Y Li W Macheret F et al. A tutorial on calibration measurements and calibration models for clinical prediction models. J Am Med Inform Assoc 2020; 27: 621\u2013633. https:\/\/doi.org\/10.1093\/jamia\/ocz228","DOI":"10.1093\/jamia\/ocz228"},{"key":"e_1_3_5_39_2","doi-asserted-by":"crossref","unstructured":"Wolff RF Moons KGM Riley RD et al. PROBAST: a tool to assess the risk of bias and applicability of prediction model studies. Ann Intern Med 2019; 170: 51\u201358. https:\/\/doi.org\/10.7326\/M18-1376","DOI":"10.7326\/M18-1376"},{"key":"e_1_3_5_40_2","volume-title":"GRADE handbook for grading quality of evidence and strength of recommendations","author":"Sch\u00fcnemann H","year":"2013","unstructured":"Sch\u00fcnemann H, Bro\u017cek J, Guyatt G, et al. (eds) GRADE handbook for grading quality of evidence and strength of recommendations. GRADE Working Group, 2013, guidelinedevelopment.org\/handbook (accessed 25 June 2026)."},{"key":"e_1_3_5_41_2","doi-asserted-by":"crossref","unstructured":"Hum A George PP Tay RY et al. Prognostication in home-dwelling patients with advanced dementia: the palliative support DEMentia model (PalS-DEM). J Am Med Dir Assoc 2021; 22: 312\u2013319.e3. https:\/\/doi.org\/10.1016\/j.jamda.2020.11.017","DOI":"10.1016\/j.jamda.2020.11.017"},{"key":"e_1_3_5_42_2","doi-asserted-by":"crossref","unstructured":"Kaur P Kannapiran P Ng SHX et al. Predicting mortality in patients diagnosed with advanced dementia presenting at an acute care hospital: the PROgnostic Model for Advanced DEmentia (PRO-MADE). BMC Geriatr 2023; 23: 255. https:\/\/doi.org\/10.1186\/s12877-023-03945-8","DOI":"10.1186\/s12877-023-03945-8"},{"key":"e_1_3_5_43_2","doi-asserted-by":"crossref","unstructured":"Mitchell SL Miller SC Teno JM et al. The advanced dementia prognostic tool: a risk score to estimate survival in nursing home residents with advanced dementia. J Pain Symptom Manag 2010; 40: 639\u2013651. https:\/\/doi.org\/10.1016\/j.jpainsymman.2010.02.014","DOI":"10.1016\/j.jpainsymman.2010.02.014"},{"key":"e_1_3_5_44_2","doi-asserted-by":"crossref","unstructured":"Mitchell SL Miller SC Teno JM et al. Prediction of 6-month survival of nursing home residents with advanced dementia using ADEPT vs hospice eligibility guidelines. JAMA 2010; 304: 1929\u20131935. https:\/\/doi.org\/10.1001\/jama.2010.1572","DOI":"10.1001\/jama.2010.1572"},{"key":"e_1_3_5_45_2","doi-asserted-by":"crossref","unstructured":"Liu J Li X Yu W et al. Prediction of survival of persons with advanced dementia using the advanced dementia prognostic tool: a 2-year prospective study. Geriatr Nurs 2024; 55: 64\u201370. https:\/\/doi.org\/10.1016\/j.gerinurse.2023.11.005","DOI":"10.1016\/j.gerinurse.2023.11.005"},{"key":"e_1_3_5_46_2","doi-asserted-by":"crossref","unstructured":"Lopes BNA Garcez FB Suemoto CK et al. Accuracy of two prognostic indexes to predict mortality in older adults with advanced dementia. Dement Neuropsychol 2022; 16: 52\u201360. https:\/\/doi.org\/10.1186\/s12877-023-03945-8","DOI":"10.1590\/1980-5764-dn-2021-0028"},{"key":"e_1_3_5_47_2","doi-asserted-by":"crossref","unstructured":"van der Steen JT Mitchell SL Frijters DH et al. Prediction of 6-month mortality in nursing home residents with advanced dementia: validity of a risk score. J Am Med Dir Assoc 2007; 8: 464\u2013468. https:\/\/doi.org\/10.1016\/j.jamda.2007.05.004","DOI":"10.1016\/j.jamda.2007.05.004"},{"key":"e_1_3_5_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_3_5_49_2","doi-asserted-by":"crossref","unstructured":"Carey EC Covinsky KE Lui LY et al. Prediction of mortality in community-living frail elderly people with long-term care needs. J Am Geriatr Soc 2008; 56: 68\u201375. https:\/\/doi.org\/10.1111\/j.1532-5415.2007.01496.x","DOI":"10.1111\/j.1532-5415.2007.01496.x"},{"key":"e_1_3_5_50_2","doi-asserted-by":"crossref","unstructured":"Mitchell SL Kiely DK Hamel MB et al. Estimating prognosis for nursing home residents with advanced dementia. JAMA 2004; 291: 2734\u20132740. https:\/\/doi.org\/10.1001\/jama.291.22.2734","DOI":"10.1001\/jama.291.22.2734"},{"key":"e_1_3_5_51_2","doi-asserted-by":"crossref","unstructured":"Collins GS Dhiman P Ma J et al. Evaluation of clinical prediction models (part 1): from development to external validation. BMJ 2024; 384: e074819. https:\/\/doi.org\/10.1136\/bmj-2023-074819","DOI":"10.1136\/bmj-2023-074819"}],"container-title":["Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692163261468148","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02692163261468148","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692163261468148","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T09:04:08Z","timestamp":1792487048000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02692163261468148"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,31]]},"references-count":50,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/02692163261468148"],"URL":"https:\/\/doi.org\/10.1177\/02692163261468148","relation":{},"ISSN":["0269-2163","1477-030X"],"issn-type":[{"value":"0269-2163","type":"print"},{"value":"1477-030X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,31]]}}}