{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T18:55:41Z","timestamp":1781204141225,"version":"3.54.1"},"reference-count":47,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100003819","name":"Natural Science Foundation of Hubei Province","doi-asserted-by":"publisher","award":["2023AFD041"],"award-info":[{"award-number":["2023AFD041"]}],"id":[{"id":"10.13039\/501100003819","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"DOI":"10.1186\/s12911-025-03004-9","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T13:53:57Z","timestamp":1744898037000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A machine learning\u2013based framework for predicting postpartum chronic pain: a retrospective study"],"prefix":"10.1186","volume":"25","author":[{"given":"Fan","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongxu","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shengnan","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingrui","family":"Gong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"issue":"10","key":"3004_CR1","doi-asserted-by":"publisher","first-page":"564","DOI":"10.1038\/s41574-023-00871-y","volume":"19","author":"R Haddad-T\u00f3volli","year":"2023","unstructured":"Haddad-T\u00f3volli R, Claret M. Metabolic and feeding adjustments during pregnancy. Nat Rev Endocrinol. 2023;19(10):564\u201380.","journal-title":"Nat Rev Endocrinol"},{"issue":"3","key":"3004_CR2","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1016\/j.yhbeh.2012.02.023","volume":"62","author":"DP Robinson","year":"2012","unstructured":"Robinson DP, Klein SL. Pregnancy and pregnancy-associated hormones alter immune responses and disease pathogenesis. Horm Behav. 2012;62(3):263\u201371.","journal-title":"HORM BEHAV"},{"issue":"9","key":"3004_CR3","doi-asserted-by":"publisher","first-page":"734","DOI":"10.1016\/j.jogc.2017.01.026","volume":"39","author":"A Munro","year":"2017","unstructured":"Munro A, George RB, Chorney J, Snelgrove-Clarke E, Rosen NO. Prevalence and predictors of chronic pain in pregnancy and postpartum. J Obstet Gynaecol Ca. 2017;39(9):734\u201341.","journal-title":"J OBSTET GYNAECOL CA"},{"issue":"6","key":"3004_CR4","doi-asserted-by":"publisher","first-page":"840","DOI":"10.1016\/j.jogc.2018.04.006","volume":"41","author":"H Yimer","year":"2019","unstructured":"Yimer H, Woldie H. Incidence and associated factors of chronic pain after caesarean section: A systematic review. J Obstet Gynaecol Ca. 2019;41(6):840\u201354.","journal-title":"J OBSTET GYNAECOL CA"},{"issue":"2","key":"3004_CR5","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1007\/s10995-008-0336-2","volume":"13","author":"X Wang","year":"2009","unstructured":"Wang X, Wang Y, Zhou S, Wang J, Wang J, Lofstedt P. Women\u2019s postpartum practices and chronic pain in rural China. Matern Child Hlth J. 2009;13(2):206\u201312.","journal-title":"MATERN CHILD HLTH J"},{"issue":"2","key":"3004_CR6","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1016\/j.tins.2016.11.009","volume":"40","author":"JL Pawluski","year":"2017","unstructured":"Pawluski JL, Lonstein JS, Fleming AS. The neurobiology of postpartum anxiety and depression. Trends Neurosci. 2017;40(2):106\u201320.","journal-title":"TRENDS NEUROSCI"},{"key":"3004_CR7","doi-asserted-by":"publisher","first-page":"18022","DOI":"10.1038\/nrdp.2018.22","volume":"4","author":"S Meltzer-Brody","year":"2018","unstructured":"Meltzer-Brody S, Howard LM, Bergink V, Vigod S, Jones I, Munk-Olsen T, Honikman S, Milgrom J. Postpartum psychiatric disorders. Nat Rev Dis Primers. 2018;4:18022.","journal-title":"NAT REV DIS PRIMERS"},{"issue":"6","key":"3004_CR8","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1176\/appi.ajp.2015.14121510","volume":"173","author":"BM Johannsen","year":"2016","unstructured":"Johannsen BM, Larsen JT, Laursen TM, Bergink V, Meltzer-Brody S, Munk-Olsen T. All-Cause mortality in women with severe postpartum psychiatric disorders. Am J Psychiat. 2016;173(6):635\u201342.","journal-title":"AM J PSYCHIAT"},{"issue":"3","key":"3004_CR9","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1007\/s00540-017-2339-x","volume":"31","author":"Q Tawfic","year":"2017","unstructured":"Tawfic Q, Kumar K, Pirani Z, Armstrong K. Prevention of chronic post-surgical pain: the importance of early identification of risk factors. J Anesth. 2017;31(3):424\u201331.","journal-title":"J ANESTH"},{"issue":"3","key":"3004_CR10","doi-asserted-by":"publisher","first-page":"e117","DOI":"10.1016\/j.bja.2019.12.037","volume":"124","author":"R Komatsu","year":"2020","unstructured":"Komatsu R, Ando K, Flood PD. Factors associated with persistent pain after childbirth: a narrative review. Brit J Anaesth. 2020;124(3):e117\u201330.","journal-title":"BRIT J ANAESTH"},{"key":"3004_CR11","doi-asserted-by":"publisher","first-page":"102731","DOI":"10.1016\/j.midw.2020.102731","volume":"87","author":"M Ilska","year":"2020","unstructured":"Ilska M, Banas E, Gregor K, Brandt-Salmeri A, Ilski A, Cnota W. Vaginal delivery or caesarean section - Severity of early symptoms of postpartum depression and assessment of pain in Polish women in the early puerperium. Midwifery. 2020;87:102731.","journal-title":"MIDWIFERY"},{"issue":"2","key":"3004_CR12","doi-asserted-by":"publisher","first-page":"593","DOI":"10.3233\/THC-220186","volume":"31","author":"Y Zheng","year":"2023","unstructured":"Zheng Y, Ni L, Ni F, Wang X, Chen Y, Guo M, Dong X, Pan Q, Chen C. The prediction and treatment of postpartum myofascial pelvic pain. Technol Health Care. 2023;31(2):593\u2013605.","journal-title":"TECHNOL HEALTH CARE"},{"issue":"2","key":"3004_CR13","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1007\/s10995-022-03532-0","volume":"27","author":"W Xu","year":"2023","unstructured":"Xu W, Sampson M. Prenatal and childbirth risk factors of postpartum pain and depression: A machine learning approach. Matern Child Hlth J. 2023;27(2):286\u201396.","journal-title":"MATERN CHILD HLTH J"},{"issue":"12","key":"3004_CR14","doi-asserted-by":"publisher","first-page":"2370","DOI":"10.1016\/j.pain.2012.08.003","volume":"153","author":"DBS Stomp-van","year":"2012","unstructured":"Stomp-van DBS, Hendriksen I, Bruinvels DJ, Twisk J, van Mechelen W, van Poppel M. Predictors for postpartum pelvic girdle pain in working women: the Mom@Work cohort study. Pain. 2012;153(12):2370\u20139.","journal-title":"Pain"},{"issue":"5","key":"3004_CR15","doi-asserted-by":"publisher","first-page":"e1002802","DOI":"10.1371\/journal.pmed.1002802","volume":"16","author":"J Allotey","year":"2019","unstructured":"Allotey J, Fernandez-Felix BM, Zamora J, Moss N, Bagary M, Kelso A, Khan R, van der Post JAM, Mol BW, Pirie AM, et al. Predicting seizures in pregnant women with epilepsy: development and external validation of a prognostic model. Plos Med. 2019;16(5):e1002802.","journal-title":"PLOS MED"},{"key":"3004_CR16","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1016\/j.ebiom.2019.11.010","volume":"50","author":"Q Wu","year":"2019","unstructured":"Wu Q, Yao K, Liu Z, Li L, Zhao X, Wang S, Shang H, Lin Y, Wen Z, Zhang X, et al. Radiomics analysis of placenta on T2WI facilitates prediction of postpartum haemorrhage: A multicentre study. Ebiomedicine. 2019;50:355\u201365.","journal-title":"EBIOMEDICINE"},{"issue":"1","key":"3004_CR17","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1186\/s12911-024-02571-7","volume":"24","author":"M Wang","year":"2024","unstructured":"Wang M, Yi G, Zhang Y, Li M, Zhang J. Quantitative prediction of postpartum hemorrhage in Cesarean section on machine learning. BMC Med Inform Decis. 2024;24(1):166.","journal-title":"BMC MED Inf DECIS"},{"issue":"4","key":"3004_CR18","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1097\/j.pain.0000000000001118","volume":"159","author":"J Lotsch","year":"2018","unstructured":"Lotsch J, Ultsch A. Machine learning in pain research. Pain. 2018;159(4):623\u201330.","journal-title":"Pain"},{"issue":"1","key":"3004_CR19","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1186\/s12911-023-02157-9","volume":"23","author":"S Xiao","year":"2023","unstructured":"Xiao S, Liu F, Yu L, Li X, Ye X, Gong X. Development and validation of a nomogram for blood transfusion during intracranial aneurysm clamping surgery: a retrospective analysis. BMC Med Inform Decis. 2023;23(1):71.","journal-title":"BMC MED Inf DECIS"},{"issue":"1","key":"3004_CR20","doi-asserted-by":"publisher","first-page":"17428","DOI":"10.1038\/s41598-023-44549-x","volume":"13","author":"S Xiao","year":"2023","unstructured":"Xiao S, Jiang F, Chen Y, Gong X. Development and validation of a prediction tool for intraoperative blood transfusion in brain tumor resection surgery: a retrospective analysis. Sci Rep-UK. 2023;13(1):17428.","journal-title":"SCI REP-UK"},{"issue":"Suppl 4","key":"3004_CR21","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1186\/s12911-024-02582-4","volume":"24","author":"C Sirocchi","year":"2024","unstructured":"Sirocchi C, Bogliolo A, Montagna S. Medical-informed machine learning: integrating prior knowledge into medical decision systems. BMC Med Inform Decis. 2024;24(Suppl 4):186.","journal-title":"BMC MED Inf DECIS"},{"key":"3004_CR22","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1016\/j.jad.2023.07.058","volume":"339","author":"L Yu","year":"2023","unstructured":"Yu L, Zhang X, Jiang F, Zheng H, Li X, Ye X, Gong X, Xing H. Development and validation of nomograms to predict preoperative anxiety and postoperative pain in patients undergoing gynecological surgery: an observational analysis. J Affect Disorders. 2023;339:227\u201336.","journal-title":"J AFFECT DISORDERS"},{"issue":"1","key":"3004_CR23","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1186\/s12911-023-02377-z","volume":"23","author":"D Zuo","year":"2023","unstructured":"Zuo D, Yang L, Jin Y, Qi H, Liu Y, Ren L. Machine learning-based models for the prediction of breast cancer recurrence risk. BMC Med Inform Decis. 2023;23(1):276.","journal-title":"BMC MED Inf DECIS"},{"issue":"8","key":"3004_CR24","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1136\/bjsports-2012-091344","volume":"47","author":"K Gjestland","year":"2013","unstructured":"Gjestland K, Bo K, Owe KM, Eberhard-Gran M. Do pregnant women follow exercise guidelines? Prevalence data among 3482 women, and prediction of low-back pain, pelvic girdle pain and depression. Brit J Sport Med. 2013;47(8):515\u201320.","journal-title":"BRIT J SPORT MED"},{"issue":"3","key":"3004_CR25","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1016\/j.jshs.2019.04.003","volume":"10","author":"M Rodriguez-Ayllon","year":"2021","unstructured":"Rodriguez-Ayllon M, Acosta-Manzano P, Coll-Risco I, Romero-Gallardo L, Borges-Cosic M, Estevez-Lopez F, Aparicio VA. Associations of physical activity, sedentary time, and physical fitness with mental health during pregnancy: the GESTAFIT project. J Sport Health Sci. 2021;10(3):379\u201386.","journal-title":"J SPORT HEALTH SCI"},{"issue":"3","key":"3004_CR26","doi-asserted-by":"publisher","first-page":"257","DOI":"10.36076\/ppj.2023.26.257","volume":"26","author":"D Zhou","year":"2023","unstructured":"Zhou D, Liu F, Jiang F, Ye X, Gong X, Zhang M. Sub-Anesthesia dose of S-Ketamine reduces postoperative pain and anxiety in patients receiving breast and thyroid surgery: A randomized, controlled trial. Pain Physician. 2023;26(3):257\u201364.","journal-title":"Pain Physician"},{"issue":"3","key":"3004_CR27","doi-asserted-by":"publisher","first-page":"e1163","DOI":"10.1097\/PR9.0000000000001163","volume":"9","author":"J Liu","year":"2024","unstructured":"Liu J, Liu M, Shi S, Jiang F, Zhang Y, Guo J, Gong X. Evaluation of the effect of intraoperative Tropisetron on postoperative rebound pain after brachial plexus block: a randomized controlled trial. Pain Rep. 2024;9(3):e1163.","journal-title":"PAIN REP"},{"issue":"1","key":"3004_CR28","doi-asserted-by":"publisher","first-page":"79","DOI":"10.32614\/RJ-2014-008","volume":"6","author":"N Lunardon","year":"2014","unstructured":"Lunardon N, Menardi G, Torelli N. ROSE: a package for binary imbalanced learning. R J. 2014;6(1):79.","journal-title":"R J"},{"issue":"2","key":"3004_CR29","first-page":"196","volume":"62","author":"W Hu","year":"2020","unstructured":"Hu W, Shen W, Zhou H, Kong D. Matrix Linear Discriminant Anal. Technometrics. 2020;62(2):196\u2013205.","journal-title":"Matrix Linear Discriminant Anal TECHNOMETRICS"},{"issue":"12","key":"3004_CR30","doi-asserted-by":"publisher","first-page":"241","DOI":"10.21037\/atm.2016.03.38","volume":"4","author":"Z Zhang","year":"2016","unstructured":"Zhang Z. Naive Bayes classification in R. Ann Transl Med. 2016;4(12):241.","journal-title":"ANN TRANSL MED"},{"key":"3004_CR31","doi-asserted-by":"publisher","first-page":"m441","DOI":"10.1136\/bmj.m441","volume":"368","author":"RD Riley","year":"2020","unstructured":"Riley RD, Ensor J, Snell K, Harrell FJ, Martin GP, Reitsma JB, Moons K, Collins G, van Smeden M. Calculating the sample size required for developing a clinical prediction model. BMJ-Brit Med J. 2020;368:m441.","journal-title":"BMJ-BRIT MED J"},{"issue":"5","key":"3004_CR32","doi-asserted-by":"publisher","first-page":"586","DOI":"10.3109\/17453674.2015.1044389","volume":"86","author":"TJ Rajamaki","year":"2015","unstructured":"Rajamaki TJ, Jamsen E, Puolakka PA, Nevalainen PI, Moilanen T. Diabetes is associated with persistent pain after hip and knee replacement. Acta Orthop. 2015;86(5):586\u201393.","journal-title":"ACTA ORTHOP"},{"issue":"1","key":"3004_CR33","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1097\/j.pain.0000000000002301","volume":"163","author":"J Lim","year":"2022","unstructured":"Lim J, Chen D, McNicol E, Sharma L, Varaday G, Sharma A, Wilson E, Wright-Yatsko T, Yaeger L, Gilron I, et al. Risk factors for persistent pain after breast and thoracic surgeries: a systematic literature review and meta-analysis. Pain. 2022;163(1):3\u201320.","journal-title":"Pain"},{"key":"3004_CR34","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1186\/1471-2393-14-48","volume":"14","author":"C Bergstrom","year":"2014","unstructured":"Bergstrom C, Persson M, Mogren I. Pregnancy-related low back pain and pelvic girdle pain approximately 14 months after pregnancy - pain status, self-rated health and family situation. BMC Pregnancy Childb. 2014;14:48.","journal-title":"BMC PREGNANCY CHILDB"},{"issue":"3","key":"3004_CR35","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1007\/s00586-001-0357-7","volume":"11","author":"L Noren","year":"2002","unstructured":"Noren L, Ostgaard S, Johansson G, Ostgaard HC. Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up. Eur Spine J. 2002;11(3):267\u201371.","journal-title":"EUR SPINE J"},{"issue":"5","key":"3004_CR36","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1097\/BRS.0000000000003271","volume":"45","author":"N Matsuda","year":"2020","unstructured":"Matsuda N, Kitagaki K, Perrein E, Tsuboi Y, Ebina A, Kondo Y, Murata S, Isa T, Okumura M, Kawaharada R, et al. Association between excessive weight gain during pregnancy and persistent low back and pelvic pain after delivery. Spine. 2020;45(5):319\u201324.","journal-title":"SPINE"},{"issue":"6","key":"3004_CR37","doi-asserted-by":"publisher","first-page":"1535","DOI":"10.1213\/ANE.0000000000001619","volume":"123","author":"JP Kainu","year":"2016","unstructured":"Kainu JP, Halmesmaki E, Korttila KT, Sarvela PJ. Persistent pain after Cesarean delivery and vaginal delivery: A prospective cohort study. Anesth Analg. 2016;123(6):1535\u201345.","journal-title":"ANESTH ANALG"},{"issue":"1","key":"3004_CR38","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1016\/j.ijoa.2009.03.013","volume":"19","author":"JP Kainu","year":"2010","unstructured":"Kainu JP, Sarvela J, Tiippana E, Halmesmaki E, Korttila KT. Persistent pain after caesarean section and vaginal birth: a cohort study. Int J Obstet Anesth. 2010;19(1):4\u20139.","journal-title":"INT J OBSTET ANESTH"},{"issue":"4","key":"3004_CR39","doi-asserted-by":"publisher","first-page":"821","DOI":"10.1093\/bja\/aex236","volume":"119","author":"J Lotsch","year":"2017","unstructured":"Lotsch J, Ultsch A, Kalso E. Prediction of persistent post-surgery pain by preoperative cold pain sensitivity: biomarker development with machine-learning-derived analysis. Brit J Anaesth. 2017;119(4):821\u20139.","journal-title":"BRIT J ANAESTH"},{"issue":"2","key":"3004_CR40","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1097\/ALN.0000000000002960","volume":"132","author":"DA Hashimoto","year":"2020","unstructured":"Hashimoto DA, Witkowski E, Gao L, Meireles O, Rosman G. Artificial intelligence in anesthesiology: current techniques, clinical applications, and limitations. Anesthesiology. 2020;132(2):379\u201394.","journal-title":"Anesthesiology"},{"issue":"10180","key":"3004_CR41","doi-asserted-by":"publisher","first-page":"1537","DOI":"10.1016\/S0140-6736(19)30352-6","volume":"393","author":"P Glare","year":"2019","unstructured":"Glare P, Aubrey KR, Myles PS. Transition from acute to chronic pain after surgery. Lancet. 2019;393(10180):1537\u201346.","journal-title":"Lancet"},{"key":"3004_CR42","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.pneurobio.2013.01.002","volume":"104","author":"R Deumens","year":"2013","unstructured":"Deumens R, Steyaert A, Forget P, Schubert M, Lavand\u2019Homme P, Hermans E, De Kock M. Prevention of chronic postoperative pain: cellular, molecular, and clinical insights for mechanism-based treatment approaches. Prog Neurobiol. 2013;104:1\u201337.","journal-title":"PROG NEUROBIOL"},{"key":"3004_CR43","doi-asserted-by":"publisher","first-page":"1054","DOI":"10.12688\/f1000research.11101.1","volume":"6","author":"D Correll","year":"2017","unstructured":"Correll D. Chronic postoperative pain: recent findings in Understanding and management. F1000Res. 2017;6:1054.","journal-title":"F1000Res"},{"issue":"12","key":"3004_CR44","doi-asserted-by":"publisher","first-page":"1086","DOI":"10.1046\/j.1600-0412.2003.00235.x","volume":"82","author":"WWK To","year":"2003","unstructured":"To WWK, Wong MWN. Factors associated with back pain symptoms in pregnancy and the persistence of pain 2 years after pregnancy. Acta Obstet Gyn Scan. 2003;82(12):1086\u201391.","journal-title":"ACTA OBSTET GYN SCAN"},{"issue":"1","key":"3004_CR45","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.pain.2008.07.011","volume":"140","author":"JC Eisenach","year":"2008","unstructured":"Eisenach JC, Pan PH, Smiley R, Lavand\u2019Homme P, Landau R, Houle TT. Severity of acute pain after childbirth, but not type of delivery, predicts persistent pain and postpartum depression. Pain. 2008;140(1):87\u201394.","journal-title":"Pain"},{"issue":"3","key":"3004_CR46","doi-asserted-by":"publisher","first-page":"590","DOI":"10.1097\/ALN.0000000000002238","volume":"129","author":"P Richebe","year":"2018","unstructured":"Richebe P, Capdevila X, Rivat C. Persistent postsurgical pain: pathophysiology and preventative pharmacologic considerations. Anesthesiology. 2018;129(3):590\u2013607.","journal-title":"Anesthesiology"},{"issue":"5","key":"3004_CR47","first-page":"479","volume":"22","author":"G Fregoso","year":"2019","unstructured":"Fregoso G, Wang A, Tseng K, Wang J. Transition from acute to chronic pain: evaluating risk for chronic postsurgical pain. Pain Physician. 2019;22(5):479\u201388.","journal-title":"Pain Physician"}],"container-title":["BMC Medical Informatics and Decision Making"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-025-03004-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12911-025-03004-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-025-03004-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T15:03:18Z","timestamp":1744902198000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmedinformdecismak.biomedcentral.com\/articles\/10.1186\/s12911-025-03004-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,17]]},"references-count":47,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3004"],"URL":"https:\/\/doi.org\/10.1186\/s12911-025-03004-9","relation":{},"ISSN":["1472-6947"],"issn-type":[{"value":"1472-6947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,17]]},"assertion":[{"value":"25 September 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 April 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 April 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Ethics Committee of Xiangyang Central Hospital. All study procedures were performed in accordance with the Declaration of Helsinki. The Ethics Committee of the Xiangyang Central Hospital provided an exempt determination and waived the requirement for informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"168"}}