{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T17:03:05Z","timestamp":1793638985648,"version":"4.5.1"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T00:00:00Z","timestamp":1711324800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T00:00:00Z","timestamp":1711324800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>This study aimed to evaluate the correlation admission albumin levels and 30-day readmission after hip fracture surgery in geriatric patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In this retrospective cohort study, 1270 geriatric patients admitted for hip fractures to a level I trauma center were included. Patients were stratified by clinical thresholds\u00a0and\u00a0albumin level quartiles. The association between admission albumin levels\u00a0and\u00a030-day readmission risk was assessed using multivariate logistic regression\u00a0and\u00a0propensity score-matched analyses. The predictive accuracy\u00a0of\u00a0albumin levels for readmission was evaluated by ROC curves. The dose\u2013response relationship between albumin levels\u00a0and\u00a0readmission risk was examined. <\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The incidence of 30-day readmission was significantly higher among hypoalbuminemia patients than those with normal albumin levels (OR\u2009=\u20092.090, 95%CI:1.296\u20133.370, <jats:italic>p<\/jats:italic>\u2009=\u20090.003). Furthermore, propensity score-matched analyses demonstrated that patients in the Q2(35.0\u201337.9 g\/L) (OR 0.621, 95%CI 0.370\u20131.041, <jats:italic>p<\/jats:italic>\u2009=\u20090.070), Q3(38.0\u201340.9 g\/L) (OR 0.378, 95%CI 0.199\u20130.717, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and Q4 (\u2265\u200941 g\/L) (OR 0.465, 95%CI 0.211\u20130.859, <jats:italic>p<\/jats:italic>\u2009=\u20090.047) quartiles had a significantly lower risk of 30-day readmission compared to those in the Q1(&lt;\u200935 g\/L) quartile. These associations remained significant after propensity score matching (PSM) and subgroup analyses. Dose\u2013response relationships between albumin levels and 30-day readmission were observed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Lower admission albumin levels were independently associated with higher 30-day readmission rates in elderly hip fracture patients. Our findings indicate that serum albumin may assist perioperative risk assessment, and prompt correction of hypoalbuminemia and malnutrition could reduce short-term readmissions after hip fracture surgery in this high-risk population.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12891-024-07336-x","type":"journal-article","created":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T07:02:50Z","timestamp":1711350170000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Association between admission albumin levels and 30-day readmission after hip fracture surgery in geriatric patients: a propensity score-matched study"],"prefix":"10.1186","volume":"25","author":[{"given":"Wanyun","family":"Tang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Yao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenbo","family":"Ding","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaomin","family":"Ni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RenJian","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,25]]},"reference":[{"issue":"8","key":"7336_CR1","doi-asserted-by":"publisher","first-page":"1064","DOI":"10.1002\/jbmr.4821","volume":"38","author":"CW Sing","year":"2023","unstructured":"Sing CW, Lin TC, Bartholomew S, Bell JS, Bennett C, Beyene K, Bosco-Levy P, Bradbury BD, Chan AHY, Chandran M, et al. Global epidemiology of hip fractures: secular trends in incidence rate, post-fracture treatment, and all-cause mortality. J Bone Miner Res. 2023;38(8):1064\u201375.","journal-title":"J Bone Miner Res"},{"issue":"8","key":"7336_CR2","doi-asserted-by":"publisher","first-page":"1062","DOI":"10.1002\/jbmr.4881","volume":"38","author":"PR Ebeling","year":"2023","unstructured":"Ebeling PR. Hip fractures and aging: a global problem requiring coordinated global solutions. J Bone Miner Res. 2023;38(8):1062\u20133.","journal-title":"J Bone Miner Res"},{"issue":"1","key":"7336_CR3","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1097\/CORR.0000000000001596","volume":"479","author":"LK Cannada","year":"2020","unstructured":"Cannada LK, Mears SC, Quatman C. Clinical faceoff: when should patients 65 years of age and older have surgery for hip fractures, and when is it a bad idea? Clin Orthop Relat Res. 2020;479(1):24\u20137.","journal-title":"Clin Orthop Relat Res"},{"issue":"8","key":"7336_CR4","doi-asserted-by":"publisher","first-page":"1458","DOI":"10.1016\/j.injury.2018.04.015","volume":"49","author":"N Veronese","year":"2018","unstructured":"Veronese N, Maggi S. Epidemiology and social costs of hip fracture. Injury. 2018;49(8):1458\u201360.","journal-title":"Injury"},{"issue":"8","key":"7336_CR5","doi-asserted-by":"publisher","first-page":"342","DOI":"10.5435\/JAAOS-D-19-00104","volume":"28","author":"AR Galivanche","year":"2020","unstructured":"Galivanche AR, Kebaish KJ, Adrados M, Ottesen TD, Varthi AG, Rubin LE, Grauer JN. Postoperative pressure ulcers after geriatric hip fracture surgery are predicted by defined preoperative comorbidities and postoperative complications. J Am Acad Orthop Surg. 2020;28(8):342\u201351.","journal-title":"J Am Acad Orthop Surg"},{"key":"7336_CR6","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1016\/j.amsu.2020.06.022","volume":"56","author":"O Hasan","year":"2020","unstructured":"Hasan O, Amin M, Mahmood F, Rabbani A, Rabbani U, Noordin S. Seasonal influence on postoperative hip fracture complications: retrospective cohort of more than 1000 patients from a tertiary-care university hospital. Ann Med Surg (Lond). 2020;56:86\u201390.","journal-title":"Ann Med Surg (Lond)"},{"key":"7336_CR7","doi-asserted-by":"crossref","unstructured":"Yagi T, Oshita Y, Okano I, Kuroda T, Ishikawa K, Nagai T, Inagaki K. Controlling nutritional status score predicts postoperative complications after hip fracture surgery. BMC Geriatr. 2020;20(1):322\u201330.","DOI":"10.1186\/s12877-020-01643-3"},{"issue":"12","key":"7336_CR8","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1097\/BOT.0000000000002114","volume":"35","author":"JM Bair","year":"2021","unstructured":"Bair JM, O\u2019Mara Gardner K, Tank JC, Georgiadis GM, Redfern RE. Ninety-day readmission rates in a geriatric hip fracture population, from a bundled care payment initiative perspective. J Orthop Trauma. 2021;35(12):637\u201342.","journal-title":"J Orthop Trauma"},{"issue":"11\u201312","key":"7336_CR9","doi-asserted-by":"publisher","first-page":"1156","DOI":"10.1016\/j.nut.2005.06.002","volume":"21","author":"A Watanabe","year":"2005","unstructured":"Watanabe A. Why albumin now? Let\u2019s think about albumin measurement methods, the definition of hypoalbuminemia, and microheterogeneity. Nutrition. 2005;21(11\u201312):1156\u20137.","journal-title":"Nutrition"},{"issue":"1","key":"7336_CR10","doi-asserted-by":"publisher","first-page":"149","DOI":"10.2217\/fon.09.136","volume":"6","author":"CS Roxburgh","year":"2010","unstructured":"Roxburgh CS, McMillan DC. Role of systemic inflammatory response in predicting survival in patients with primary operable cancer. Future Oncol. 2010;6(1):149\u201363.","journal-title":"Future Oncol"},{"issue":"9","key":"7336_CR11","doi-asserted-by":"publisher","first-page":"4496","DOI":"10.3390\/ijms22094496","volume":"22","author":"CJ Wiedermann","year":"2021","unstructured":"Wiedermann CJ. Hypoalbuminemia as surrogate and culprit of infections. IJMS. 2021;22(9):4496.","journal-title":"IJMS"},{"issue":"6","key":"7336_CR12","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1111\/j.0894-0959.2004.17603.x","volume":"17","author":"BR Don","year":"2004","unstructured":"Don BR, Kaysen G. Poor nutritional status and inflammation: serum albumin: relationship to inflammation and nutrition. Semin Dial. 2004;17(6):432\u20137.","journal-title":"Semin Dial"},{"issue":"2","key":"7336_CR13","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1002\/jpen.1451","volume":"43","author":"PB Soeters","year":"2019","unstructured":"Soeters PB, Wolfe RR, Shenkin A. Hypoalbuminemia: pathogenesis and clinical significance. JPEN J Parenter Enteral Nutr. 2019;43(2):181\u201393.","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"5","key":"7336_CR14","doi-asserted-by":"publisher","first-page":"1081","DOI":"10.1007\/s40520-023-02385-z","volume":"35","author":"L Residori","year":"2023","unstructured":"Residori L, Bortolami O, Di Francesco V. Hypoalbuminemia increases complications in elderly patients operated for hip fracture. Aging Clin Exp Res. 2023;35(5):1081\u20135.","journal-title":"Aging Clin Exp Res"},{"issue":"7\u20138","key":"7336_CR15","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1080\/00365513.2022.2150982","volume":"82","author":"SJ Borge","year":"2022","unstructured":"Borge SJ, Lauritzen JB, J\u00f8rgensen HL. Hypoalbuminemia is associated with 30-day mortality in hip fracture patients independently of Body Mass Index. Scand J Clin Lab Invest. 2022;82(7\u20138):571\u20135.","journal-title":"Scand J Clin Lab Invest"},{"issue":"1","key":"7336_CR16","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1308\/003588413X13511609954815","volume":"95","author":"WK Kieffer","year":"2013","unstructured":"Kieffer WK, Rennie CS, Gandhe AJ. Preoperative albumin as a predictor of one-year mortality in patients with fractured neck of femur. Ann R Coll Surg Engl. 2013;95(1):26\u20138.","journal-title":"Ann R Coll Surg Engl"},{"issue":"6","key":"7336_CR17","doi-asserted-by":"publisher","first-page":"e789","DOI":"10.3928\/01477447-20180912-03","volume":"41","author":"S Ryan","year":"2018","unstructured":"Ryan S, Politzer C, Fletcher A, Bolognesi M, Seyler T. Preoperative hypoalbuminemia predicts poor short-term outcomes for hip fracture surgery. Orthopedics. 2018;41(6):e789\u201396.","journal-title":"Orthopedics"},{"issue":"2","key":"7336_CR18","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1016\/j.injury.2017.01.005","volume":"48","author":"AM Ali","year":"2017","unstructured":"Ali AM, Gibbons CER. Predictors of 30-day hospital readmission after hip fracture: a systematic review. Injury. 2017;48(2):243\u201352.","journal-title":"Injury"},{"issue":"3","key":"7336_CR19","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1007\/s00402-014-2141-2","volume":"135","author":"SL Kates","year":"2015","unstructured":"Kates SL, Behrend C, Mendelson DA, Cram P, Friedman SM. Hospital readmission after hip fracture. Arch Orthop Trauma Surg. 2015;135(3):329\u201337.","journal-title":"Arch Orthop Trauma Surg"},{"key":"7336_CR20","doi-asserted-by":"publisher","first-page":"317","DOI":"10.2147\/CIA.S395012","volume":"18","author":"M Tian","year":"2023","unstructured":"Tian M, Wang Z, Zhu Y, Tian Y, Zhang K, Li X. Incidence, causes, and risk factors of unplanned readmissions in elderly patients undergoing hip fracture surgery: an observational study. Clin Interv Aging. 2023;18:317\u201326.","journal-title":"Clin Interv Aging"},{"issue":"9","key":"7336_CR21","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1080\/17434440.2023.2238609","volume":"20","author":"WG Hamilton","year":"2023","unstructured":"Hamilton WG, Sershon RA, Gupta A, Goldstein L, Kabiri M, Holy CE, Diaz R. Readmission rate and healthcare utilization outcomes of computer-assisted fluoroscopy-based hip navigation versus manual total hip arthroplasty. Expert Rev Med Devices. 2023;20(9):779\u201389.","journal-title":"Expert Rev Med Devices"},{"issue":"3","key":"7336_CR22","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1177\/2151458515578265","volume":"6","author":"SL Kates","year":"2015","unstructured":"Kates SL, Shields E, Behrend C, Noyes KK. Financial implications of hospital readmission after hip fracture. Geriatr Orthop Surg Rehabil. 2015;6(3):140\u20136.","journal-title":"Geriatr Orthop Surg Rehabil"},{"issue":"3","key":"7336_CR23","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.3758\/s13428-021-01582-w","volume":"54","author":"AJ-M Lim","year":"2022","unstructured":"Lim AJ-M, Cheung MW-L. Evaluating FIML and multiple imputation in joint ordinal-continuous measurements models with missing data. Behav Res Methods. 2022;54(3):1063\u201377.","journal-title":"Behav Res Methods."},{"issue":"6","key":"7336_CR24","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1097\/BOT.0000000000001448","volume":"33","author":"JM Wilson","year":"2019","unstructured":"Wilson JM, Lunati MP, Grabel ZJ, Staley CA, Schwartz AM, Schenker ML. Hypoalbuminemia is an independent risk factor for 30-day mortality, postoperative complications, readmission, and reoperation in the operative lower extremity orthopaedic trauma patient. J Orthop Trauma. 2019;33(6):284\u201391.","journal-title":"J Orthop Trauma"},{"issue":"3","key":"7336_CR25","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1177\/1071100719895222","volume":"41","author":"JM Wilson","year":"2020","unstructured":"Wilson JM, Kukowski NR, Staley CA, Bariteau JT. Role of hypoalbuminemia as an independent predictor of 30-day postoperative complications following surgical fixation of ankle fractures. Foot Ankle Int. 2020;41(3):303\u201312.","journal-title":"Foot Ankle Int"},{"key":"7336_CR26","doi-asserted-by":"publisher","first-page":"115567","DOI":"10.1016\/j.bone.2020.115567","volume":"143","author":"SD Sim","year":"2021","unstructured":"Sim SD, Sim YE, Tay K, Howe TS, Png MA, Chang CCP, Abdullah HR, Koh JSB. Preoperative hypoalbuminemia: poor functional outcomes and quality of life after hip fracture surgery. Bone. 2021;143:115567.","journal-title":"Bone"},{"key":"7336_CR27","first-page":"1","volume":"2020","author":"A Utariani","year":"2020","unstructured":"Utariani A, Rahardjo E, Perdanakusuma DS. Effects of albumin infusion on serum levels of albumin, proinflammatory cytokines (TNF-\u03b1, IL-1, and IL-6), CRP, and MMP-8; tissue expression of EGRF, ERK1, ERK2, TGF-\u03b2, collagen, and MMP-8; and wound healing in sprague dawley rats. Int J Inflam. 2020;2020:1\u201313.","journal-title":"Int J Inflam"},{"key":"7336_CR28","doi-asserted-by":"publisher","first-page":"8743187","DOI":"10.1155\/2016\/8743187","volume":"2016","author":"M H\u00fcbner","year":"2016","unstructured":"H\u00fcbner M, Mantziari S, Demartines N, Pralong F, Coti-Bertrand P, Sch\u00e4fer M. Postoperative albumin drop is a marker for surgical stress and a predictor for clinical outcome: a pilot study. Gastroenterol Res Pract. 2016;2016:8743187.","journal-title":"Gastroenterol Res Pract"},{"key":"7336_CR29","doi-asserted-by":"crossref","unstructured":"Joliat G-R, Schoor A, Sch\u00e4fer M, Demartines N, H\u00fcbner M, Labgaa I. Postoperative decrease of albumin (\u0394Alb) as early predictor of complications after gastrointestinal surgery: a systematic review. Perioper Med. 2022;11(1):7\u201315.","DOI":"10.1186\/s13741-022-00238-3"},{"issue":"11","key":"7336_CR30","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1177\/000313481708301123","volume":"83","author":"S Kim","year":"2017","unstructured":"Kim S, McClave SA, Martindale RG, Miller KR, Hurt RT. Hypoalbuminemia and clinical outcomes: what is the mechanism behind the relationship? Am Surg. 2017;83(11):1220\u20137.","journal-title":"Am Surg"},{"issue":"9","key":"7336_CR31","doi-asserted-by":"publisher","first-page":"1023.e1021","DOI":"10.1016\/j.amjmed.2015.03.032","volume":"128","author":"JL Lee","year":"2015","unstructured":"Lee JL, Oh ES, Lee RW, Finucane TE. Serum albumin and prealbumin in calorically restricted, nondiseased individuals: a systematic review. Am J Med. 2015;128(9):1023.e1021-1023.e1022.","journal-title":"Am J Med"},{"issue":"2","key":"7336_CR32","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1002\/jpen.1451","volume":"43","author":"PB Soeters","year":"2018","unstructured":"Soeters PB, Wolfe RR, Shenkin A. Hypoalbuminemia: pathogenesis and clinical significance. JPEN J Parenter Enteral Nutr. 2018;43(2):181\u201393.","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"3","key":"7336_CR33","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1097\/MOG.0000000000000176","volume":"31","author":"IH Kim","year":"2015","unstructured":"Kim IH, Kisseleva T, Brenner DA. Aging and liver disease. Curr Opin Gastroenterol. 2015;31(3):184\u201391.","journal-title":"Curr Opin Gastroenterol"},{"issue":"7\u20138","key":"7336_CR34","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1080\/07853890.2019.1693056","volume":"51","author":"L Sun","year":"2019","unstructured":"Sun L, Yin H, Liu M, Xu G, Zhou X, Ge P, Yang H, Mao Y. Impaired albumin function: a novel potential indicator for liver function damage? Ann Med. 2019;51(7\u20138):333\u201344.","journal-title":"Ann Med"},{"issue":"5","key":"7336_CR35","doi-asserted-by":"publisher","first-page":"574","DOI":"10.1016\/j.clnu.2010.01.012","volume":"29","author":"JI Botella-Carretero","year":"2010","unstructured":"Botella-Carretero JI, Iglesias B, Balsa JA, Arrieta F, Zamarr\u00f3n I, V\u00e1zquez C. Perioperative oral nutritional supplements in normally or mildly undernourished geriatric patients submitted to surgery for hip fracture: a randomized clinical trial. Clin Nutr. 2010;29(5):574\u20139.","journal-title":"Clin Nutr"},{"issue":"15","key":"7336_CR36","doi-asserted-by":"publisher","first-page":"1145","DOI":"10.1016\/j.clinbiochem.2012.05.018","volume":"45","author":"C Lee","year":"2012","unstructured":"Lee C, Rucinski J, Bernstein L. A systematized interdisciplinary nutritional care plan results in improved clinical outcomes. Clin Biochem. 2012;45(15):1145\u20139.","journal-title":"Clin Biochem"},{"issue":"8","key":"7336_CR37","doi-asserted-by":"publisher","first-page":"1601","DOI":"10.3390\/nu14081601","volume":"14","author":"AJ Mart\u00ednez-Ortega","year":"2022","unstructured":"Mart\u00ednez-Ortega AJ, Pi\u00f1ar-Guti\u00e9rrez A, Serrano-Aguayo P, Gonz\u00e1lez-Navarro I, Rem\u00f3n-Ru\u00edz PJ, Pereira-Cunill JL, Garc\u00eda-Luna PP. Perioperative nutritional support: a review of current literature. Nutrients. 2022;14(8):1601.","journal-title":"Nutrients"},{"issue":"3","key":"7336_CR38","doi-asserted-by":"publisher","first-page":"804","DOI":"10.1111\/trf.14488","volume":"58","author":"KE Remy","year":"2018","unstructured":"Remy KE, Hall MW, Cholette J, Juffermans NP, Nicol K, Doctor A, Blumberg N, Spinella PC, Norris PJ, Dahmer MK, et al. Mechanisms of red blood cell transfusion-related immunomodulation. Transfusion. 2018;58(3):804\u201315.","journal-title":"Transfusion"},{"issue":"3","key":"7336_CR39","first-page":"216","volume":"7","author":"GM Liumbruno","year":"2009","unstructured":"Liumbruno GM, Bennardello F, Lattanzio A, Piccoli P, Rossettias G, Medicine ISoT. Immunohaematology Recommendations for the use of albumin and immunoglobulins. Blood Transfus. 2009;7(3):216\u201334.","journal-title":"Blood Transfus"},{"issue":"1","key":"7336_CR40","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/j.resuscitation.2007.03.010","volume":"75","author":"P Cabrales","year":"2007","unstructured":"Cabrales P, Intaglietta M, Tsai AG. Transfusion restores blood viscosity and reinstates microvascular conditions from hemorrhagic shock independent of oxygen carrying capacity. Resuscitation. 2007;75(1):124\u201334.","journal-title":"Resuscitation"},{"issue":"21","key":"7336_CR41","doi-asserted-by":"publisher","first-page":"2189","DOI":"10.1056\/NEJMsr077003","volume":"357","author":"R Wang","year":"2007","unstructured":"Wang R, Lagakos SW, Ware JH, Hunter DJ, Drazen JM. Statistics in medicine \u2014 reporting of subgroup analyses in clinical trials. N Engl J Med. 2007;357(21):2189\u201394.","journal-title":"N Engl J Med"}],"container-title":["BMC Musculoskeletal Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12891-024-07336-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12891-024-07336-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12891-024-07336-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T07:03:57Z","timestamp":1711350237000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/s12891-024-07336-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,25]]},"references-count":41,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["7336"],"URL":"https:\/\/doi.org\/10.1186\/s12891-024-07336-x","relation":{},"ISSN":["1471-2474"],"issn-type":[{"value":"1471-2474","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,25]]},"assertion":[{"value":"5 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 March 2024","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 Dandong Central Hospital (No. DDZX-202210011) and conducted by the ethical principles outlined in the Helsinki Declaration of 1964 and its subsequent amendments. The Ethics Committee of Dandong Central Hospital waived the requirement for informed consent for the cohort study to reduce potential duplication of effort and granted an exemption from 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":"234"}}