{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T14:17:27Z","timestamp":1771424247603,"version":"3.50.1"},"reference-count":44,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"Wannan Medical College Young and Middle-aged Research Fund","award":["WK2024ZQNZ49"],"award-info":[{"award-number":["WK2024ZQNZ49"]}]},{"name":"Three New Project of Affiliated Yijishan Hospital of Wannan Medical College","award":["Y24062"],"award-info":[{"award-number":["Y24062"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Nephrol"],"DOI":"10.1186\/s12882-026-04766-8","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T16:57:59Z","timestamp":1769533079000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between body composition and its longitudinal changes with the progression of coronary artery calcification in hemodialysis patients"],"prefix":"10.1186","volume":"27","author":[{"given":"Yan","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiajun","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deguang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"4766_CR1","doi-asserted-by":"crossref","unstructured":"KDIGO. 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney international 2024;105(4s):S117-s314.","DOI":"10.1016\/j.kint.2023.10.018"},{"issue":"10225","key":"4766_CR2","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1016\/S0140-6736(20)30045-3","volume":"395","author":"regional Global","year":"2020","unstructured":"Global regional, national burden of chronic kidney disease. 1990\u20132017: a systematic analysis for the global burden of disease study 2017. Lancet (London England). 2020;395(10225):709\u201333.","journal-title":"Lancet (London England)"},{"key":"4766_CR3","doi-asserted-by":"publisher","first-page":"101268","DOI":"10.1016\/j.lanwpc.2024.101268","volume":"54","author":"T Chen","year":"2025","unstructured":"Chen T, Sun X, Tsuei S, Yang R, Yip W, Fu H. Care for end-stage kidney disease in china: progress, challenges, and recommendations. Lancet Reg Health Western Pac. 2025;54:101268.","journal-title":"Lancet Reg Health Western Pac"},{"issue":"18","key":"4766_CR4","doi-asserted-by":"publisher","first-page":"1559","DOI":"10.1001\/jama.2024.16338","volume":"332","author":"JE Flythe","year":"2024","unstructured":"Flythe JE, Watnick S. Dialysis for chronic kidney failure: A review. JAMA. 2024;332(18):1559\u201373.","journal-title":"JAMA"},{"issue":"11","key":"4766_CR5","doi-asserted-by":"publisher","first-page":"1157","DOI":"10.1161\/CIRCULATIONAHA.120.050686","volume":"143","author":"J Jankowski","year":"2021","unstructured":"Jankowski J, Floege J, Fliser D, B\u00f6hm M, Marx N. Cardiovascular disease in chronic kidney disease: pathophysiological insights and therapeutic options. Circulation. 2021;143(11):1157\u201372.","journal-title":"Circulation"},{"key":"4766_CR6","doi-asserted-by":"crossref","unstructured":"Yildiz G, Duman A, Aydin H, Yilmaz A, H\u00fcr E, Ma\u011fden K, Cetin G, Candan F. Evaluation of association between atherogenic index of plasma and intima-media thickness of the carotid artery for subclinic atherosclerosis in patients on maintenance hemodialysis. Hemodial Int. 2013;17(3):397\u2013405.","DOI":"10.1111\/hdi.12041"},{"issue":"5","key":"4766_CR7","doi-asserted-by":"publisher","first-page":"1011","DOI":"10.1681\/ASN.2021101327","volume":"33","author":"C Xu","year":"2022","unstructured":"Xu C, Smith ER, Tiong MK, Ruderman I, Toussaint ND. Interventions to attenuate vascular calcification progression in chronic kidney disease: A systematic review of clinical trials. J Am Soc Nephrology: JASN. 2022;33(5):1011\u201332.","journal-title":"J Am Soc Nephrology: JASN"},{"issue":"8","key":"4766_CR8","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1016\/j.jacc.2021.11.058","volume":"79","author":"A Mehta","year":"2022","unstructured":"Mehta A, Vasquez N, Ayers CR, Patel J, Hooda A, Khera A, Blumenthal RS, Shapiro MD, Rodriguez CJ, Tsai MY, et al. Independent association of Lipoprotein(a) and coronary artery calcification with atherosclerotic cardiovascular risk. J Am Coll Cardiol. 2022;79(8):757\u201368.","journal-title":"J Am Coll Cardiol"},{"issue":"8","key":"4766_CR9","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1161\/CIRCRESAHA.123.321760","volume":"132","author":"JD Hutcheson","year":"2023","unstructured":"Hutcheson JD, Goettsch C. Cardiovascular calcification heterogeneity in chronic kidney disease. Circul Res. 2023;132(8):993\u20131012.","journal-title":"Circul Res"},{"issue":"8","key":"4766_CR10","doi-asserted-by":"publisher","first-page":"1491","DOI":"10.1080\/03007995.2018.1467886","volume":"34","author":"ZH Liu","year":"2018","unstructured":"Liu ZH, Yu XQ, Yang JW, Jiang AL, Liu BC, Xing CY, Lou JZ, Wang M, Cheng H, Liu J, et al. Prevalence and risk factors for vascular calcification in Chinese patients receiving dialysis: baseline results from a prospective cohort study. Curr Med Res Opin. 2018;34(8):1491\u2013500.","journal-title":"Curr Med Res Opin"},{"issue":"5","key":"4766_CR11","doi-asserted-by":"publisher","first-page":"e2310909","DOI":"10.1001\/jamanetworkopen.2023.10909","volume":"6","author":"H Zhang","year":"2023","unstructured":"Zhang H, Li G, Yu X, Yang J, Jiang A, Cheng H, Fu J, Liang X, Liu J, Lou J, et al. Progression of vascular calcification and clinical outcomes in patients receiving maintenance Dialysis. JAMA Netw Open. 2023;6(5):e2310909.","journal-title":"JAMA Netw Open"},{"issue":"1","key":"4766_CR12","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1186\/s12933-023-01807-6","volume":"22","author":"NE Antonio-Villa","year":"2023","unstructured":"Antonio-Villa NE, Ju\u00e1rez-Rojas JG, Posadas-S\u00e1nchez R, Reyes-Barrera J, Medina-Urrutia A. Visceral adipose tissue is an independent predictor and mediator of the progression of coronary calcification: a prospective sub-analysis of the GEA study. Cardiovasc Diabetol. 2023;22(1):81.","journal-title":"Cardiovasc Diabetol"},{"issue":"1","key":"4766_CR13","doi-asserted-by":"publisher","first-page":"e0280383","DOI":"10.1371\/journal.pone.0280383","volume":"18","author":"H Okabe","year":"2023","unstructured":"Okabe H, Muraoka Y, Naka Y, Setoyama K, Inoue K, Miura T, Shimizu A, Anai R, Miyamoto T, Tsuda Y, et al. Malnutrition leads to the progression of coronary artery calcification in Hemodialysis patients. PLoS ONE. 2023;18(1):e0280383.","journal-title":"PLoS ONE"},{"issue":"9","key":"4766_CR14","first-page":"1480","volume":"37","author":"JE Jun","year":"2021","unstructured":"Jun JE, Choi MS, Park SW, Kim G, Jin SM, Kim K, Hwang YC, Ahn KJ, Chung HY, Jeong IK, et al. Low skeletal muscle mass is associated with the Presence, Incidence, and progression of coronary artery calcification. Can J Cardiol. 2021;37(9):1480\u20138.","journal-title":"Can J Cardiol"},{"issue":"3","key":"4766_CR15","doi-asserted-by":"publisher","first-page":"306","DOI":"10.1053\/j.jrn.2020.08.009","volume":"31","author":"Y Xiong","year":"2021","unstructured":"Xiong Y, Yu Y, Jiang H, Yang Q, Liao R, Wang L, Zhang Z, Fu C, Su B. Visceral fat area is a better predictor than coronary artery calcification score for cardiovascular outcomes and All-Cause death in patients on Hemodialysis. J Ren Nutrition: Official J Council Ren Nutr Natl Kidney Foundation. 2021;31(3):306\u201312.","journal-title":"J Ren Nutrition: Official J Council Ren Nutr Natl Kidney Foundation"},{"issue":"10","key":"4766_CR16","doi-asserted-by":"publisher","first-page":"3307","DOI":"10.1007\/s11255-025-04535-w","volume":"57","author":"M Li","year":"2025","unstructured":"Li M, Li Y, Liu S, Yang Y, Jiang P. Risk factors for coronary artery calcification in Chinese patients undergoing maintenance hemodialysis: a meta-analysis. Int Urol Nephrol. 2025;57(10):3307\u201318.","journal-title":"Int Urol Nephrol"},{"issue":"3","key":"4766_CR17","first-page":"1095","volume":"27","author":"B Yaprak","year":"2023","unstructured":"Yaprak B, Arslan N, Alata\u015f H. Multiple factors influencing mortality in Hemodialysis patients. Eur Rev Med Pharmacol Sci. 2023;27(3):1095\u2013103.","journal-title":"Eur Rev Med Pharmacol Sci"},{"issue":"7","key":"4766_CR18","doi-asserted-by":"publisher","first-page":"e009495","DOI":"10.1161\/CIRCIMAGING.119.009495","volume":"13","author":"JC Jensen","year":"2020","unstructured":"Jensen JC, Dardari ZA, Blaha MJ, White S, Shaw LJ, Rumberger J, Rozanski A, Berman DS, Budoff MJ, Nasir K, et al. Association of body mass index with coronary artery calcium and subsequent cardiovascular mortality: the coronary artery calcium consortium. Circulation Cardiovasc Imaging. 2020;13(7):e009495.","journal-title":"Circulation Cardiovasc Imaging"},{"key":"4766_CR19","doi-asserted-by":"crossref","unstructured":"Keane DF, Baxter P, Lindley E, Moissl U, Pavitt S, Rhodes L, Wieskotten S. The body composition monitor: a flexible tool for routine fluid management across the haemodialysis population. Biomedi Phys Eng Express. 2017;3(3).","DOI":"10.1088\/2057-1976\/aa6f45"},{"issue":"1","key":"4766_CR20","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1038\/s41598-021-04366-6","volume":"12","author":"T Yajima","year":"2022","unstructured":"Yajima T, Yajima K, Takahashi H. Annual change in the extracellular fluid\/intracellular fluid ratio and mortality in patients undergoing maintenance Hemodialysis. Sci Rep. 2022;12(1):242.","journal-title":"Sci Rep"},{"issue":"12","key":"4766_CR21","doi-asserted-by":"publisher","first-page":"1417","DOI":"10.1016\/j.jcmg.2016.05.020","volume":"9","author":"DS Berman","year":"2016","unstructured":"Berman DS, Arnson Y, Rozanski A. Coronary artery calcium scanning: the Agatston score and beyond. JACC Cardiovasc Imaging. 2016;9(12):1417\u20139.","journal-title":"JACC Cardiovasc Imaging"},{"issue":"6","key":"4766_CR22","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1053\/j.ajkd.2019.01.024","volume":"73","author":"JD Bundy","year":"2019","unstructured":"Bundy JD, Cai X, Scialla JJ, Dobre MA, Chen J, Hsu CY, Leonard MB, Go AS, Rao PS, Lash JP, et al. Serum calcification propensity and coronary artery calcification among patients with CKD: the CRIC (Chronic renal insufficiency Cohort) study. Am J Kidney Diseases: Official J Natl Kidney Foundation. 2019;73(6):806\u201314.","journal-title":"Am J Kidney Diseases: Official J Natl Kidney Foundation"},{"issue":"16","key":"4766_CR23","doi-asserted-by":"publisher","first-page":"1610","DOI":"10.1001\/jama.2010.461","volume":"303","author":"TS Polonsky","year":"2010","unstructured":"Polonsky TS, McClelland RL, Jorgensen NW, Bild DE, Burke GL, Guerci AD, Greenland P. Coronary artery calcium score and risk classification for coronary heart disease prediction. JAMA. 2010;303(16):1610\u20136.","journal-title":"JAMA"},{"issue":"6","key":"4766_CR24","doi-asserted-by":"publisher","first-page":"634","DOI":"10.1001\/jamainternmed.2022.1262","volume":"182","author":"KJL Bell","year":"2022","unstructured":"Bell KJL, White S, Hassan O, Zhu L, Scott AM, Clark J, Glasziou P. Evaluation of the incremental value of a coronary artery calcium score beyond traditional cardiovascular risk assessment: A systematic review and Meta-analysis. JAMA Intern Med. 2022;182(6):634\u201342.","journal-title":"JAMA Intern Med"},{"issue":"3","key":"4766_CR25","doi-asserted-by":"publisher","first-page":"e231557","DOI":"10.1148\/radiol.231557","volume":"310","author":"F Biavati","year":"2024","unstructured":"Biavati F, Saba L, Boussoussou M, Kofoed KF, Benedek T, Donnelly P, Rodr\u00edguez-Palomares J, Erglis A, \u0160t\u011bchovsk\u00fd C, \u0160akalyt\u0117 G, et al. Coronary artery calcium score predicts major adverse cardiovascular events in stable chest pain. Radiology. 2024;310(3):e231557.","journal-title":"Radiology"},{"issue":"10","key":"4766_CR26","doi-asserted-by":"publisher","first-page":"2534","DOI":"10.1681\/ASN.2014070686","volume":"26","author":"HH Malluche","year":"2015","unstructured":"Malluche HH, Blomquist G, Monier-Faugere MC, Cantor TL, Davenport DL. High parathyroid hormone level and osteoporosis predict progression of coronary artery calcification in patients on Dialysis. J Am Soc Nephrology: JASN. 2015;26(10):2534\u201344.","journal-title":"J Am Soc Nephrology: JASN"},{"key":"4766_CR27","doi-asserted-by":"crossref","unstructured":"Onuma OK, Pencina K, Qazi S, Massaro JM, D\u2019Agostino RB, Sr., Chuang ML, Fox CS, Hoffmann U, O\u2019Donnell CJ. Relation of risk factors and abdominal aortic calcium to progression of coronary artery calcium (from the Framingham Heart Study). Am J Cardiol. 2017;119(10):1584\u20139.","DOI":"10.1016\/j.amjcard.2017.02.021"},{"issue":"4","key":"4766_CR28","doi-asserted-by":"publisher","first-page":"990","DOI":"10.1161\/HYPERTENSIONAHA.109.147520","volume":"55","author":"NE Jensky","year":"2010","unstructured":"Jensky NE, Criqui MH, Wright MC, Wassel CL, Brody SA, Allison MA. Blood pressure and vascular calcification. Hypertens (Dallas Tex: 1979). 2010;55(4):990\u20137.","journal-title":"Hypertens (Dallas Tex: 1979)"},{"key":"4766_CR29","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1186\/s12882-015-0103-8","volume":"16","author":"D Shang","year":"2015","unstructured":"Shang D, Xie Q, Ge X, Yan H, Tian J, Kuang D, Hao CM, Zhu T. Hyperphosphatemia as an independent risk factor for coronary artery calcification progression in peritoneal Dialysis patients. BMC Nephrol. 2015;16:107.","journal-title":"BMC Nephrol"},{"key":"4766_CR30","doi-asserted-by":"crossref","unstructured":"Okuno S. Significance of adipose tissue maintenance in patients undergoing hemodialysis. Nutrients. 2021;13(6).","DOI":"10.3390\/nu13061895"},{"issue":"11","key":"4766_CR31","doi-asserted-by":"publisher","first-page":"991","DOI":"10.4065\/mcp.2010.0336","volume":"85","author":"K Kalantar-Zadeh","year":"2010","unstructured":"Kalantar-Zadeh K, Streja E, Kovesdy CP, Oreopoulos A, Noori N, Jing J, Nissenson AR, Krishnan M, Kopple JD, Mehrotra R, et al. The obesity paradox and mortality associated with surrogates of body size and muscle mass in patients receiving Hemodialysis. Mayo Clin Proc. 2010;85(11):991\u20131001.","journal-title":"Mayo Clin Proc"},{"issue":"6","key":"4766_CR32","first-page":"2469","volume":"27","author":"N Arslan","year":"2023","unstructured":"Arslan N. Association of cardiometabolic risks with body composition in Hemodialysis patients. Eur Rev Med Pharmacol Sci. 2023;27(6):2469\u201376.","journal-title":"Eur Rev Med Pharmacol Sci"},{"issue":"5","key":"4766_CR33","doi-asserted-by":"publisher","first-page":"677","DOI":"10.1161\/ATVBAHA.122.317526","volume":"42","author":"JW Gao","year":"2022","unstructured":"Gao JW, You S, Liu ZY, Hao QY, Wang JF, Vuitton DA, Zhang SL, Liu PM. Different metabolic phenotypes of obesity and risk of coronary artery calcium progression and incident cardiovascular disease events: the CARDIA study. Arterioscler Thromb Vasc Biol. 2022;42(5):677\u201388.","journal-title":"Arterioscler Thromb Vasc Biol"},{"key":"4766_CR34","doi-asserted-by":"crossref","unstructured":"Park S, Lee CJ, Jhee JH, Yun HR, Kim H, Jung SY, Kee YK, Yoon CY, Park JT, Kim HC et al. Extracellular fluid excess is significantly associated with coronary artery calcification in patients with chronic kidney disease. J Am Heart Assoc. 2018;7(13).","DOI":"10.1161\/JAHA.118.008935"},{"issue":"1","key":"4766_CR35","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1053\/j.jrn.2022.03.004","volume":"33","author":"C Zhou","year":"2023","unstructured":"Zhou C, Lin X, Ma G, Yuan J, Zha Y. Increased predialysis extracellular to intracellular water ratio is associated with sarcopenia in Hemodialysis patients. J Ren Nutrition: Official J Council Ren Nutr Natl Kidney Foundation. 2023;33(1):157\u201364.","journal-title":"J Ren Nutrition: Official J Council Ren Nutr Natl Kidney Foundation"},{"issue":"4","key":"4766_CR36","doi-asserted-by":"publisher","first-page":"1815","DOI":"10.1111\/j.1523-1755.2005.00600.x","volume":"68","author":"GA Block","year":"2005","unstructured":"Block GA, Spiegel DM, Ehrlich J, Mehta R, Lindbergh J, Dreisbach A, Raggi P. Effects of Sevelamer and calcium on coronary artery calcification in patients new to Hemodialysis. Kidney Int. 2005;68(4):1815\u201324.","journal-title":"Kidney Int"},{"issue":"4","key":"4766_CR37","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1007\/s11914-015-0270-3","volume":"13","author":"CH Byon","year":"2015","unstructured":"Byon CH, Chen Y. Molecular mechanisms of vascular calcification in chronic kidney disease: the link between bone and the vasculature. Curr Osteoporos Rep. 2015;13(4):206\u201315.","journal-title":"Curr Osteoporos Rep"},{"issue":"10","key":"4766_CR38","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1016\/S2213-8587(14)70034-8","volume":"2","author":"RR Kalyani","year":"2014","unstructured":"Kalyani RR, Corriere M, Ferrucci L. Age-related and disease-related muscle loss: the effect of diabetes, obesity, and other diseases. Lancet Diabetes Endocrinol. 2014;2(10):819\u201329.","journal-title":"Lancet Diabetes Endocrinol"},{"issue":"1","key":"4766_CR39","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1186\/s10020-018-0060-3","volume":"24","author":"SL Fishman","year":"2018","unstructured":"Fishman SL, Sonmez H, Basman C, Singh V, Poretsky L. The role of advanced glycation end-products in the development of coronary artery disease in patients with and without diabetes mellitus: a review. Mol Med (Cambridge Mass). 2018;24(1):59.","journal-title":"Mol Med (Cambridge Mass)"},{"issue":"32","key":"4766_CR40","doi-asserted-by":"publisher","first-page":"5695","DOI":"10.2174\/1381612811319320005","volume":"19","author":"TV Fiorentino","year":"2013","unstructured":"Fiorentino TV, Prioletta A, Zuo P, Folli F. Hyperglycemia-induced oxidative stress and its role in diabetes mellitus related cardiovascular diseases. Curr Pharm Design. 2013;19(32):5695\u2013703.","journal-title":"Curr Pharm Design"},{"issue":"4","key":"4766_CR41","doi-asserted-by":"publisher","first-page":"F663","DOI":"10.1152\/ajprenal.00189.2016","volume":"311","author":"K Zhang","year":"2016","unstructured":"Zhang K, Gao J, Chen J, Liu X, Cai Q, Liu P, Huang H. MICS, an easily ignored contributor to arterial calcification in CKD patients. Am J Physiol Ren Physiol. 2016;311(4):F663\u201370.","journal-title":"Am J Physiol Ren Physiol"},{"issue":"6","key":"4766_CR42","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1097\/MNH.0b013e3282f0d22f","volume":"16","author":"T Shoji","year":"2007","unstructured":"Shoji T, Ishimura E, Nishizawa Y. Body fat measurement in chronic kidney disease: implications in research and clinical practice. Curr Opin Nephrol Hypertens. 2007;16(6):572\u20136.","journal-title":"Curr Opin Nephrol Hypertens"},{"issue":"5","key":"4766_CR43","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1093\/ajcn\/32.5.981","volume":"32","author":"M Barac-Nieto","year":"1979","unstructured":"Barac-Nieto M, Spurr GB, Lotero H, Maksud MG, Dahners HW. Body composition during nutritional repletion of severely undernourished men. Am J Clin Nutr. 1979;32(5):981\u201391.","journal-title":"Am J Clin Nutr"},{"key":"4766_CR44","doi-asserted-by":"crossref","unstructured":"Yajima T, Yajima K, Takahashi H, Yasuda K. Combined predictive value of extracellular fluid\/Intracellular fluid ratio and the geriatric nutritional risk index for mortality in patients undergoing hemodialysis. Nutrients. 2019;11(11).","DOI":"10.3390\/nu11112659"}],"container-title":["BMC Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12882-026-04766-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12882-026-04766-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12882-026-04766-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T13:56:10Z","timestamp":1771422970000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12882-026-04766-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,27]]},"references-count":44,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4766"],"URL":"https:\/\/doi.org\/10.1186\/s12882-026-04766-8","relation":{},"ISSN":["1471-2369"],"issn-type":[{"value":"1471-2369","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,27]]},"assertion":[{"value":"7 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval for this research in accordance with the Declaration of Helsinki was acquired from the Ethics Committee of the First Affiliated Hospital of Zhengzhou University, and written informed consent was obtained from all participants.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"Not applicable. This manuscript does not contain any identifying images, personal information, or clinical details of research participants that could compromise their anonymity.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The author(s) declare that no Gen AI was used in the creation of this manuscript.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Generative AI statement"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"130"}}