{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T09:26:25Z","timestamp":1789809985179,"version":"4.0.1"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T00:00:00Z","timestamp":1721088000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T00:00:00Z","timestamp":1721088000000},"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 Nurs"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Continuing care is needed for the growing number of chronically ill patients who struggle with health problems after discharge. This study aims to elucidate the development process, functionalities, service protocols, and utilization of an Internet Plus Care (IPC) platform devised by our hospital to offer healthcare services to discharged patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This was a mixed study. After describing the development process, function and usage of IPC platform, we retrospectively collect data such as the general information of service recipients and service providers, service items, and service prices through the IPC platform from January 2021 to September 2023 to characterize these services.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>69 nurses delivered a total of 788 services to 211 patients through the IPC platform. The majority of services (<jats:italic>N<\/jats:italic>\u2009=\u2009652, 82.7%) were delivered offline, with almost half of the recipients (<jats:italic>N<\/jats:italic>\u2009=\u2009384, 48.7%) being elderly individuals. 46.4% of nurses provided services\u2009\u2265\u20093 times. Furthermore, 26.5% of patients received services three or more times. Notably, patients\u2019 care requirements exhibited variations across age groups, with wound care (<jats:italic>n<\/jats:italic>\u2009=\u2009243, 63.3%), pressure injuries care (<jats:italic>n<\/jats:italic>\u2009=\u200950, 13.0%), and replacement of indwelling nasogastric tubes (<jats:italic>n<\/jats:italic>\u2009=\u200920, 5.2%) emerging as the top three services favored by the elderly.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The IPC platform demonstrates potential in delivering diverse health services to patients; however, the involvement of nurses and patients needs to be enhanced. It is necessary to implement relevant safeguard policies to promote the effective use of IPC platform for health management of discharged patients in the future.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>What does this paper contribute to the wider global clinical community?<\/jats:title>\n                <jats:p><jats:list list-type=\"bullet\">\n                  <jats:list-item>\n                    <jats:p>The prevalence of chronic diseases is on the rise, and patients with chronic diseases continue to struggle with health problems after discharge and require extended treatment and rehabilitation. Our study proves that IPC platform presents a promising avenue for addressing these challenges.<\/jats:p>\n                  <\/jats:list-item>\n                  <jats:list-item>\n                    <jats:p>It is anticipated that governmental authorities will undertake comprehensive policy, legislative, and medical insurance reforms to facilitate the extensive adoption of IPC platform-based services.<\/jats:p>\n                  <\/jats:list-item>\n                <\/jats:list><\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12912-024-02161-y","type":"journal-article","created":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T05:01:49Z","timestamp":1721106109000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Using an internet-based platform to provide online and offline healthcare services for discharged patients"],"prefix":"10.1186","volume":"23","author":[{"given":"Lei","family":"Cui","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zirong","family":"Tong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoping","family":"Fang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Longxiu","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,16]]},"reference":[{"key":"2161_CR1","unstructured":"About chronic diseases. Centers for Disease Control and Prevention. URL: https:\/\/www.cdc.gov\/chronicdisease\/about\/index.htm. Accessed March 3, 2021."},{"key":"2161_CR2","unstructured":"Over 180 million. elderly people suffer from chronic diseases, and China will comprehensively promote elderly health management [in Chinese]. The Central People\u2019s Government of the People\u2019s Republic of China. URL: https:\/\/www.gov.cn\/xinwen\/2019-07\/31\/content_5417631.htm. Accessed July 31, 2019."},{"key":"2161_CR3","unstructured":"Nutrition and chronic diseases in China. (2020) [in Chinese]. The Central People\u2019s Government of the People\u2019s Republic of China. URL: https:\/\/www.gov.cn\/xinwen\/2020-12\/24\/content_5572983.htm. Accessed Dec 24, 2020."},{"issue":"5","key":"2161_CR4","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1097\/NCM.0b013e31822361d8","volume":"16","author":"DE Holland","year":"2011","unstructured":"Holland DE, Mistiaen P, Bowles KH. Problems and unmet needs of patients discharged home to self-care. Prof Case Manag. 2011;16(5):240\u201352.","journal-title":"Prof Case Manag"},{"issue":"1","key":"2161_CR5","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1186\/s12912-023-01247-3","volume":"22","author":"HY Yen","year":"2023","unstructured":"Yen HY, Liu D, Chi MJ, Huang HY. Awareness of and subjective needs for post-discharge healthcare services among older adult patients. BMC Nurs. 2023;22(1):129.","journal-title":"BMC Nurs"},{"issue":"4","key":"2161_CR6","doi-asserted-by":"publisher","first-page":"472","DOI":"10.21470\/1678-9741-2021-0222","volume":"37","author":"S Yin","year":"2022","unstructured":"Yin S, Ou Y, Ting E. Impacts of Omaha System-based Continuing Care on the Medication Compliance, Quality of Life, and prognosis of Coronary Heart Disease patients after PCI. Braz J Cardiovasc Surg. 2022;37(4):472\u201380.","journal-title":"Braz J Cardiovasc Surg"},{"issue":"1","key":"2161_CR7","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1016\/j.apjon.2021.12.006","volume":"9","author":"Y Jin","year":"2021","unstructured":"Jin Y, Tian X, Li Y, Jim\u00e9nez-Herrera M, Wang H. Effects of continuous care on health outcomes in patients with stoma: a systematic review and meta-analysis. Asia Pac J Oncol Nurs. 2021;9(1):21\u201331.","journal-title":"Asia Pac J Oncol Nurs"},{"issue":"8","key":"2161_CR8","doi-asserted-by":"publisher","first-page":"e21088","DOI":"10.2196\/21088","volume":"9","author":"J Keum","year":"2021","unstructured":"Keum J, Chung MJ, Kim Y, Ko H, Sung MJ, Jo JH, et al. Usefulness of smartphone apps for improving Nutritional Status of Pancreatic Cancer patients: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2021;9(8):e21088.","journal-title":"JMIR Mhealth Uhealth"},{"issue":"8","key":"2161_CR9","doi-asserted-by":"publisher","first-page":"578","DOI":"10.2471\/BLT.18.226936","volume":"97","author":"D Wu","year":"2019","unstructured":"Wu D, Hesketh T, Shu H, Lian W, Tang W, Tian J. Description of an online hospital platform, China. Bull World Health Organ. 2019;97(8):578\u20139.","journal-title":"Bull World Health Organ"},{"issue":"13","key":"2161_CR10","doi-asserted-by":"publisher","first-page":"6715","DOI":"10.3390\/ijerph18136715","volume":"18","author":"S Kim","year":"2021","unstructured":"Kim S, Kim GU, Lee W, Park J. Developing an internet-based trauma recovery nursing intervention based on Swanson\u2019s theory of caring for Trauma Recovery. Int J Environ Res Public Health. 2021;18(13):6715.","journal-title":"Int J Environ Res Public Health"},{"issue":"10","key":"2161_CR11","doi-asserted-by":"publisher","first-page":"e35628","DOI":"10.2196\/35628","volume":"10","author":"E Yoshimura","year":"2022","unstructured":"Yoshimura E, Tajiri E, Michiwaki R, Matsumoto N, Hatamoto Y, Tanaka S. Long-term effects of the Use of a Step Count-Specific Smartphone App on Physical Activity and Weight loss: Randomized Controlled Clinical Trial. JMIR Mhealth Uhealth. 2022;10(10):e35628.","journal-title":"JMIR Mhealth Uhealth"},{"key":"2161_CR12","unstructured":"Regarding the pilot program of Internet Nursing Service [in Chinese]. National Health Commission of the People\u2019s Republic of China. URL: https:\/\/www.gov.cn\/xinwen\/2019-02\/13\/content_5365249.htm. Accessed Feb 13, 2019."},{"issue":"2","key":"2161_CR13","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1046\/j.1525-1446.2002.19204.x","volume":"19","author":"S Murashima","year":"2002","unstructured":"Murashima S, Nagata S, Magilvy JK, Fukui S, Kayama M. Home care nursing in Japan: a challenge for providing good care at home. Public Health Nurs. 2002;19(2):94\u2013103.","journal-title":"Public Health Nurs"},{"key":"2161_CR14","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1186\/1472-6963-12-239","volume":"12","author":"P Olivares-Tirado","year":"2012","unstructured":"Olivares-Tirado P, Tamiya N, Kashiwagi M. Effect of in-home and community-based services on the functional status of elderly in the long-term care insurance system in Japan. BMC Health Serv Res. 2012;12:239.","journal-title":"BMC Health Serv Res"},{"key":"2161_CR15","unstructured":"Pilot work plan of. Internet\u2009+\u2009Nursing service[in Chinese]. National Health Commission. URL: https:\/\/www.gov.cn\/zhengce\/2020-12\/16\/content_5569986.htm. Accessed Feb 12, 2019."},{"key":"2161_CR16","unstructured":"Notice on the pilot work of. Internet\u2009+\u2009Nursing service [in Chinese]. National Health Commission. URL: https:\/\/www.gov.cn\/xinwen\/2019-02\/13\/content_5365249.htm. Accessed Feb 13, 2019."},{"issue":"6","key":"2161_CR17","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1080\/0142159X.2023.2200118","volume":"45","author":"A Battista","year":"2023","unstructured":"Battista A, Torre D. Mixed methods research designs. Med Teach. 2023;45(6):585\u20137.","journal-title":"Med Teach"},{"issue":"7","key":"2161_CR18","first-page":"366","volume":"37","author":"C Rydenf\u00e4lt","year":"2019","unstructured":"Rydenf\u00e4lt C, Persson J, Erlingsdottir G, Johansson G. eHealth services in the Near and Distant Future in Swedish Home Care nursing. Comput Inf Nurs. 2019;37(7):366\u201372.","journal-title":"Comput Inf Nurs"},{"issue":"1 Suppl","key":"2161_CR19","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1177\/1355819614552512","volume":"20","author":"J Waring","year":"2015","unstructured":"Waring J, Marshall F, Bishop S. Understanding the occupational and organizational boundaries to safe hospital discharge. J Health Serv Res Policy. 2015;20(1 Suppl):35\u201344.","journal-title":"J Health Serv Res Policy"},{"key":"2161_CR20","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1186\/s12913-015-0750-2","volume":"15","author":"LL Low","year":"2015","unstructured":"Low LL, Vasanwala FF, Ng LB, Chen C, Lee KH, Tan SY. Effectiveness of a transitional home care program in reducing acute hospital utilization: a quasi-experimental study. BMC Health Serv Res. 2015;15:100.","journal-title":"BMC Health Serv Res"},{"issue":"3","key":"2161_CR21","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1097\/NHH.0000000000001060","volume":"40","author":"P Boyd","year":"2022","unstructured":"Boyd P. A day in the life of a hospice nurse. Home Healthc Now. 2022;40(3):173.","journal-title":"Home Healthc Now"},{"issue":"3","key":"2161_CR22","doi-asserted-by":"publisher","first-page":"130","DOI":"10.3928\/19404921-20150105-01","volume":"8","author":"DV Liebel","year":"2015","unstructured":"Liebel DV, Powers BA, Hauenstein EJ. Home health care nurse interactions with homebound geriatric patients with depression and disability. Res Gerontol Nurs. 2015;8(3):130\u20139.","journal-title":"Res Gerontol Nurs"},{"issue":"5","key":"2161_CR23","doi-asserted-by":"publisher","first-page":"742","DOI":"10.4040\/jkan.2015.45.5.742","volume":"45","author":"EG Oh","year":"2015","unstructured":"Oh EG, Lee HJ, Kim Y, Sung JH, Park YS, Yoo JY, et al. Current status of home visit programs: activities and barriers of home care nursing services. J Korean Acad Nurs. 2015;45(5):742\u201351.","journal-title":"J Korean Acad Nurs"},{"issue":"1","key":"2161_CR24","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1097\/HMR.0000000000000093","volume":"42","author":"AE Tourangeau","year":"2017","unstructured":"Tourangeau AE, Patterson E, Saari M, Thomson H, Cranley L. Work-related factors influencing home care nurse intent to remain employed. Health Care Manage Rev. 2017;42(1):87\u201397.","journal-title":"Health Care Manage Rev"},{"issue":"4","key":"2161_CR25","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1097\/NHH.0000000000000700","volume":"36","author":"B Bayer","year":"2018","unstructured":"Bayer B. A day in the life of a New Orleans Home Care Nurse. Home Healthc Now. 2018;36(4):265\u20136.","journal-title":"Home Healthc Now"},{"issue":"13","key":"2161_CR26","doi-asserted-by":"publisher","first-page":"1239","DOI":"10.1001\/jama.2020.2648","volume":"323","author":"Z Wu","year":"2020","unstructured":"Wu Z, McGoogan JM. Characteristics of and important lessons from the Coronavirus Disease 2019 (COVID-19) outbreak in China: Summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239\u201342.","journal-title":"JAMA"},{"issue":"07","key":"2161_CR27","first-page":"1067","volume":"55","author":"LT Wang","year":"2020","unstructured":"Wang LT, Tang LJ, Yue LC, Li YH, Xu XH, Zhao YQ, et al. The study on work experience of nurses in internet home-care service (in Chinese). Chin J Nurs. 2020;55(07):1067\u201371.","journal-title":"Chin J Nurs"},{"key":"2161_CR28","unstructured":"He XF, Wu ZH, Yang DY, Deng YJ, Huang QY, Xiong C. (2020). Willingness of nurses in Guangzhou and Foshan to Internet\u2009+\u2009Nursing Service and its influencing factors (in Chinese). Chinese Journal of Modern Nursing. 2020;26(29): 4047\u20134052."},{"issue":"2","key":"2161_CR29","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1111\/jonm.13533","volume":"30","author":"HY Yu","year":"2022","unstructured":"Yu HY, Xu SH, Chen YL, Li YX, Yang QH. Nurses\u2019 perceptions regarding barriers to implementing the internet plus nursing service programme: a qualitative study. J Nurs Manag. 2022;30(2):511\u201320.","journal-title":"J Nurs Manag"},{"issue":"2","key":"2161_CR30","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1080\/10962247.2016.1228551","volume":"67","author":"Y Ikeda","year":"2017","unstructured":"Ikeda Y. Current status of Home Medical Care Waste Collection by nurses in Japan. J Air Waste Manag Assoc. 2017;67(2):139\u201343.","journal-title":"J Air Waste Manag Assoc"},{"key":"2161_CR31","doi-asserted-by":"publisher","first-page":"351","DOI":"10.2147\/PRBM.S207283","volume":"12","author":"H Huang","year":"2019","unstructured":"Huang H, Liu L, Yang S, Cui X, Zhang J, Wu H. Effects of job conditions, occupational stress, and emotional intelligence on chronic fatigue among Chinese nurses: a cross-sectional study. Psychol Res Behav Manag. 2019;12:351\u201360.","journal-title":"Psychol Res Behav Manag"},{"issue":"7","key":"2161_CR32","doi-asserted-by":"publisher","first-page":"e16644","DOI":"10.2196\/16644","volume":"22","author":"R Huang","year":"2020","unstructured":"Huang R, Xu M, Li X, Wang Y, Wang B, Cui N. Internet-based sharing nurse program and nurses\u2019 perceptions in China: cross-sectional survey. J Med Internet Res. 2020;22(7):e16644.","journal-title":"J Med Internet Res"},{"issue":"12","key":"2161_CR33","first-page":"1819","volume":"20","author":"YW Luo","year":"2020","unstructured":"Luo YW, Ma ZQ. Exploration on nurses\u2019 value and legal protection under epidemic situation of severe infectious diseases (in Chinese). Chin Nurs Manag. 2020;20(12):1819\u201322.","journal-title":"Chin Nurs Manag"},{"issue":"08","key":"2161_CR34","first-page":"1388","volume":"34","author":"YS Huang","year":"2020","unstructured":"Huang YS, Yuan CR, Song XP, Huang QM, Zhang W, Yang Y, et al. Development status of internet\u2009+\u2009nursing service (in Chinese). Chin Nurs Res. 2020;34(08):1388\u201393.","journal-title":"Chin Nurs Res"},{"key":"2161_CR35","doi-asserted-by":"publisher","first-page":"2253","DOI":"10.2147\/PPA.S176262","volume":"12","author":"BX Tran","year":"2018","unstructured":"Tran BX, Vu GT, Nguyen THT, Nguyen LH, Pham DD, Truong VQ, et al. Demand and willingness to pay for different treatment and care services among patients with heart diseases in Hanoi, Vietnam. Patient Prefer Adherence. 2018;12:2253\u201361.","journal-title":"Patient Prefer Adherence"},{"issue":"1","key":"2161_CR36","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1186\/s12877-021-02474-6","volume":"21","author":"B Zhao","year":"2021","unstructured":"Zhao B, Zhang X, Huang R, Yi M, Dong X, Li Z. Barriers to accessing internet-based home care for older patients: a qualitative study. BMC Geriatr. 2021;21(1):565.","journal-title":"BMC Geriatr"},{"key":"2161_CR37","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1007\/5584_2014_74","volume":"834","author":"MM Bujnowska-Fedak","year":"2015","unstructured":"Bujnowska-Fedak MM, Mastalerz-Migas A. Usage of medical internet and e-health services by the elderly. Adv Exp Med Biol. 2015;834:75\u201380.","journal-title":"Adv Exp Med Biol"},{"issue":"11","key":"2161_CR38","doi-asserted-by":"publisher","first-page":"15543","DOI":"10.2196\/15543","volume":"22","author":"J Quittschalle","year":"2020","unstructured":"Quittschalle J, Stein J, Luppa M, Pabst A, L\u00f6bner M, Koenig HH, et al. Internet use in Old Age: results of a German Population-Representative Survey. J Med Internet Res. 2020;22(11):15543.","journal-title":"J Med Internet Res"},{"issue":"2","key":"2161_CR39","first-page":"97","volume":"39","author":"Z Sheng","year":"2020","unstructured":"Sheng Z, Wang J, Sun K, Xu Q, Zhou H, Liu C, et al. Nurses\u2019 attitudes toward Internet-Based Home Care: a Survey Study. Comput Inf Nurs. 2020;39(2):97\u2013104.","journal-title":"Comput Inf Nurs"},{"key":"2161_CR40","unstructured":"Internet-plus nursing program offers convenience to patients. XINHUA. URL: http:\/\/en.nhc.gov.cn\/2019-03\/22\/c_74874.htm. Accessed March 22, 2019."},{"issue":"3","key":"2161_CR41","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1016\/j.jamda.2008.12.002","volume":"10","author":"V Hirth","year":"2009","unstructured":"Hirth V, Baskins J, Dever-Bumba M. Program of all-inclusive care (PACE): past, present, and future. J Am Med Dir Assoc. 2009;10(3):155\u201360.","journal-title":"J Am Med Dir Assoc"},{"key":"2161_CR42","doi-asserted-by":"publisher","first-page":"8735099","DOI":"10.1155\/2022\/8735099","volume":"2022","author":"Y Fan","year":"2022","unstructured":"Fan Y, Ma Y, Zhang Y, Sun C. A retrospective analysis of internet-based sharing nursing service Appointment Data. Comput Math Methods Med. 2022;2022:8735099.","journal-title":"Comput Math Methods Med"}],"container-title":["BMC Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12912-024-02161-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12912-024-02161-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12912-024-02161-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T05:02:12Z","timestamp":1721106132000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcnurs.biomedcentral.com\/articles\/10.1186\/s12912-024-02161-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,16]]},"references-count":42,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2161"],"URL":"https:\/\/doi.org\/10.1186\/s12912-024-02161-y","relation":{},"ISSN":["1472-6955"],"issn-type":[{"value":"1472-6955","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,16]]},"assertion":[{"value":"15 January 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 July 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":"All study procedures involving human participants complied with the Declaration of Helsinki. The study protocol was approved by the ethics committee of the First Affiliated Hospital with Nanjing Medical University (approval number 2023-SR-237). Due to the retrospective nature of this study, participants\u2019 informed consent was waived by the ethics committee of the First Affiliated Hospital with Nanjing Medical University.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent of 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":"486"}}