{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T01:54:09Z","timestamp":1781574849410,"version":"3.54.5"},"reference-count":47,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":50,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"Victorian Integrated Cancer Services"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"DOI":"10.1186\/s12913-026-14554-7","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T14:47:03Z","timestamp":1777301223000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Revealing the gaps: unwarranted variations and multidisciplinary solutions in Victorian oesophagogastric cancer care \u2014 A mixed-methods analysis"],"prefix":"10.1186","volume":"26","author":[{"given":"Frances F.","family":"Graham","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Rodi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicklause","family":"Baje","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Cashin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David S.","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanyu","family":"Chu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norah","family":"Finn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommy Hon Ting","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Nolte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"issue":"7370","key":"14554_CR1","doi-asserted-by":"publisher","first-page":"961","DOI":"10.1136\/bmj.325.7370.961","volume":"325","author":"JE Wennberg","year":"2002","unstructured":"Wennberg JE. Unwarranted variations in healthcare delivery: implications for academic medical centres. BMJ. 2002;325(7370):961\u201364.","journal-title":"BMJ"},{"issue":"3","key":"14554_CR2","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1111\/jep.13181","volume":"26","author":"K Sutherland","year":"2020","unstructured":"Sutherland K, Levesque JF. Unwarranted clinical variation in health care: definitions and proposal of an analytic framework. J Eval Clin Pract. 2020;26(3):687\u201396.","journal-title":"J Eval Clin Pract"},{"issue":"1","key":"14554_CR3","first-page":"6","volume":"1","author":"KK Bronner","year":"2022","unstructured":"Bronner KK, Goodman DC. The Dartmouth Atlas of Health Care\u2013bringing health care analyses to health systems, policymakers, and the public. RHSR. 2022;1(1):6.","journal-title":"RHSR"},{"key":"14554_CR4","unstructured":"Australian commission on safety quality in health care. Third Australian atlas of healthcare variation. Australian Commission on Safety and Quality in Health Care; 2018."},{"issue":"13","key":"14554_CR5","first-page":"1","volume":"1","author":"JF Levesque","year":"2022","unstructured":"Levesque JF, Sutherland K. From data to practice change\u2013exploring new territory for atlases of clinical variation. RHSR. 2022;1(13):1\u201310.","journal-title":"RHSR"},{"issue":"1","key":"14554_CR6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.healthpol.2013.11.010","volume":"114","author":"JE Wennberg","year":"2014","unstructured":"Wennberg JE. Forty years of unwarranted variation\u2013and still counting. Health Policy. 2014;114(1):1\u20132.","journal-title":"Health Policy"},{"key":"14554_CR7","unstructured":"Cancer Australia. Optimal Cancer Care Pathways. 2021 [cited 2024 12 August]; Available from: https:\/\/www.canceraustralia.gov.au\/optimalcancer-care-pathways"},{"key":"14554_CR8","volume-title":"Optimal care pathway for people with oesophagogastric cancer","author":"Cancer Council Victoria and Department of Health Victoria","year":"2021","unstructured":"Cancer Council Victoria and Department of Health Victoria. Optimal care pathway for people with oesophagogastric cancer. Cancer Council Victoria: Melbourne; 2021."},{"key":"14554_CR9","unstructured":"Cancer Australia. Australian Cancer Plan. 2023 [cited 2024 28 August]; Available from: https:\/\/www.australiancancerplan.gov.au"},{"key":"14554_CR10","first-page":"58","volume-title":"Victorian cancer plan 2024\u20132028 - Optimal and equitable cancer outcomes for all Victorians","author":"Department of Health","year":"2024","unstructured":"Department of Health. Victorian cancer plan 2024\u20132028 - Optimal and equitable cancer outcomes for all Victorians. Melbourne: State of Victoria, Department of Health and Human Services; 2024. p. 58."},{"issue":"5","key":"14554_CR11","doi-asserted-by":"publisher","first-page":"1232","DOI":"10.1111\/jan.14315","volume":"76","author":"IJ Berger\u00f8d","year":"2020","unstructured":"Berger\u00f8d IJ, Dalen I, Braut GS, Gilje B, Wiig S. Measuring next of kin satisfaction with hospital cancer care: Using a mixed-method approach as basis for improving quality and safety. J Adv Nurs. 2020;76(5):1232\u201346.","journal-title":"J Adv Nurs"},{"issue":"1","key":"14554_CR12","first-page":"e12936","volume":"28","author":"B Schouten","year":"2019","unstructured":"Schouten B, Bergs J, Vankrunkelsven P, Hellings J. Healthcare professionals\u2019 perspectives on the prevalence, barriers and management of psychosocial issues in cancer care: A mixed methods study. Eur J Cancer Care. 2019;28(1):e12936.","journal-title":"Eur J Cancer Care"},{"issue":"6pt2","key":"14554_CR13","doi-asserted-by":"publisher","first-page":"2208","DOI":"10.1111\/1475-6773.12116","volume":"48","author":"SL Zickmund","year":"2013","unstructured":"Zickmund SL, Yang S, Mulvey EP, Bost JE, Shinkunas LA, LaBrecque DR. Predicting Cancer Mortality: Developing a New Cancer Care Variable Using Mixed Methods and the Quasi-Statistical Approach. Health Serv Res. 2013;48(6pt2):2208\u201323.","journal-title":"Health Serv Res"},{"issue":"4","key":"14554_CR14","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1111\/ans.13752","volume":"88","author":"PR Burton","year":"2018","unstructured":"Burton PR, Ooi GJ, Shaw K, Smith AI, Brown WA, Nottle PD. Assessing quality of care in oesophago-gastric cancer surgery in Australia. ANZ J Surg. 2018;88(4):290\u201395.","journal-title":"ANZ J Surg"},{"key":"14554_CR15","doi-asserted-by":"publisher","first-page":"100279","DOI":"10.1016\/j.sipas.2025.100279","volume":"21","author":"R Sellayah","year":"2025","unstructured":"Sellayah R, Pande G. An Australian regional hospital\u2019s oesophagectomy experience: A 10-year case series from Tasmania. Surg Pract Sci. 2025;21:100279.","journal-title":"Surg Pract Sci"},{"issue":"5","key":"14554_CR16","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1111\/ans.12693","volume":"86","author":"Y Chen","year":"2016","unstructured":"Chen Y, Awan N, Haveman JW, Apostolou C, Chang DK, Merrett ND. Gastric cancer: A ustralian outcomes of multi-modality treatment with curative intent. ANZ J Surg. 2016;86(5):386\u201390.","journal-title":"ANZ J Surg"},{"key":"14554_CR17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-022-07845-2","volume":"22","author":"JC Luijten","year":"2022","unstructured":"Luijten JC, Vissers PA, Brom L, de Bi\u00e8vre M, Buijsen J, Rozema T, Mohammad NH, van Duijvendijk P, Kouwenhoven EA, Eshuis WJ, Rosman C. Clinical variation in the organization of clinical pathways in esophagogastric cancer, a mixed method multiple case study. BMC Health Serv Res. 2022;22:1\u201318.","journal-title":"BMC Health Serv Res"},{"issue":"5","key":"14554_CR18","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1016\/j.ijsu.2010.02.007","volume":"8","author":"D Moher","year":"2010","unstructured":"Moher D, Liberati A, Tetzlaff J, Altman DG, Prisma Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg. 2010;8(5):336\u201341.","journal-title":"Int J Surg"},{"key":"14554_CR19","first-page":"27","volume-title":"Victorian Optimal Care Summits Summary Report of Patient Experience Data: Oesophagogastric Cancer","author":"F McGannon","year":"2025","unstructured":"McGannon F, Macleod A, Graham F, Rodi H, Nolte L. Victorian Optimal Care Summits Summary Report of Patient Experience Data: Oesophagogastric Cancer. Melbourne, Australia: NEMICS; 2025. p. 27."},{"key":"14554_CR20","unstructured":"Pancare Foundation, state of the nation in upper gastrointestinal cancers in Australia. Prepared by Insight Economics for Pancare Foundation; 2022."},{"key":"14554_CR21","first-page":"78","volume-title":"Oesophagogastric cancer care in Victoria: Optimal Care Pathway assessment report 2024.","author":"F Graham","year":"2025","unstructured":"Graham F, Rodi H, Cashin P, Liu D, Chu W, Finn N, Baje N, Wong T, Nolte L. Oesophagogastric cancer care in Victoria: Optimal Care Pathway assessment report 2024. Melbourne, Australia: NEMICS; 2025. p. 78."},{"key":"14554_CR22","unstructured":"Victorian Integrated Cancer Service Optimal Care Summits. Victorian Oesophagogastric Cancer Action Register 2024. North Eastern Melbourne Integrated Cancer Service: Melbourne, Australia. 2025;9."},{"issue":"1","key":"14554_CR23","first-page":"e1301","volume":"4","author":"M Kabwe","year":"2021","unstructured":"Kabwe M, Robinson A, Shethia Y, Parker C, Blum R, Solo I, Leach M. Timeliness of cancer care in a regional Victorian health service: A comparison of high-volume (Lung) and low\u2010volume (oesophagogastric) tumour streams. Cancer Rep. 2021;4(1):e1301.","journal-title":"Cancer Rep"},{"issue":"11","key":"14554_CR24","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1038\/nrclinonc.2016.94","volume":"13","author":"M Menon","year":"2016","unstructured":"Menon M, Cunningham C, Kerr D. Addressing unwarranted variations in colorectal cancer outcomes: a conceptual approach. Nat Rev Clin Oncol. 2016;13(11):706\u201312.","journal-title":"Nat Rev Clin Oncol"},{"issue":"6","key":"14554_CR25","first-page":"e13649","volume":"31","author":"KM White","year":"2022","unstructured":"White KM, Walton RJ, Kwedza RK, Rushton S, Currow DC, Seale H, Harrison R. Variation in ovarian cancer care in Australia: An analysis of patterns of care in diagnosis and initial treatment in New South Wales. Eur J Cancer Care. 2022;31(6):e13649.","journal-title":"Eur J Cancer Care"},{"key":"14554_CR26","doi-asserted-by":"crossref","unstructured":"Davis KJ, Campbell C, Costelloe R, Song T, Fylyk G, Yu P, Craig SJ. Causes of unwarranted variation and disparity in breast cancer management in regional and rural area. Breast J. 2024; 2024(1): 9354395.","DOI":"10.1155\/2024\/9354395"},{"key":"14554_CR27","first-page":"34","volume-title":"Addressing Patterns of Care and Unwarranted Variations in Oesophagogastric Cancer: A Rapid Review of the Current Evidence","author":"F Graham","year":"2024","unstructured":"Graham F. Addressing Patterns of Care and Unwarranted Variations in Oesophagogastric Cancer: A Rapid Review of the Current Evidence. Melbourne, Australia: NEMICS; 2024. p. 34."},{"issue":"2","key":"14554_CR28","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1111\/1754-9485.13167","volume":"65","author":"P Conway","year":"2021","unstructured":"Conway P, Leach M, Tejani N, Robinson A, Shethia Y, Solo I. Oesophageal cancer treatment patterns, timeliness of care and outcomes in the Loddon Mallee region of Victoria: A retrospective cohort study. J Med Imaging Radiat Oncol. 2021;65(2):242\u201350.","journal-title":"J Med Imaging Radiat Oncol"},{"key":"14554_CR29","unstructured":"Murnane L. Utilising novel nutritional biomarkers in oesophago-gastric cancer to initiate standardised preoperative nutrition surveillance and intervention across partnered health care services 2023: Unpublished report, Alfred Health, Melbourne."},{"key":"14554_CR30","unstructured":"Liu D. Strong for Oesophago-gastric Cancer Surgery (SOCS) Project. 2023 [cited 2024 28 August]; Available from: https:\/\/www.patientcentralhub.com.au\/projects\/strong-oesophago-gastric-cancer-surgery-project#:~:text=The%20Strong%20for%20Oesophago%2Dgastric%20Cancer%20Surgery%20program%2C%20which%20delivers,Reduced%20anxiety%20levels."},{"key":"14554_CR31","doi-asserted-by":"crossref","unstructured":"Graham F, Chu W, Rodi H, Cashin P, Liu DS, Finn N, Wong TH, Nolte L. Understanding unwarranted variation in care for Victorian oesophagogastric cancer patients using linked data: a comparative analysis between 2012\u20132016 and 2017\u20132021. ANZ J Surg. 2025:1\u201310.","DOI":"10.1111\/ans.70196"},{"issue":"1","key":"14554_CR32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s44178-024-00099-4","volume":"3","author":"D Chaji","year":"2024","unstructured":"Chaji D, Malloy L, Meredyth D, Milch V, Toms C, Howlett C, Keefe D. Implementing Australia\u2019s first national cancer control plan to shape Australian cancer control policy for the next decade and beyond. Holist Integ Oncol. 2024;3(1):1\u20138.","journal-title":"Holist Integ Oncol"},{"key":"14554_CR33","doi-asserted-by":"publisher","first-page":"790","DOI":"10.1007\/s10120-021-01157-w","volume":"24","author":"EK Yee","year":"2021","unstructured":"Yee EK, Coburn NG, Zuk V, Davis LE, Mahar AL, Liu Y, Gupta V, Darling G, Hallet J. Geographic impact on access to care and survival for non-curative esophagogastric cancer: a population-based study. Gastric Cancer. 2021;24:790\u201399.","journal-title":"Gastric Cancer"},{"key":"14554_CR34","doi-asserted-by":"publisher","first-page":"101404","DOI":"10.1016\/j.eclinm.2022.101404","volume":"47","author":"E Morgan","year":"2022","unstructured":"Morgan E, Arnold M, Camargo MC, Gini A, Kunzmann AT, Matsuda T, Meheus F, Verhoeven RH, Vignat J, Laversanne M, Ferlay J. The current and future incidence and mortality of gastric cancer in 185 countries, 2020\u201340: a population-based modelling study. EClinicalMedicine. 2022;47:101404.","journal-title":"EClinicalMedicine"},{"issue":"5","key":"14554_CR35","first-page":"690","volume":"84","author":"JF Rothwell","year":"1997","unstructured":"Rothwell JF, Feehan E, Reid I, Walsh TN, Hennessy TP. Delay in treatment for oesophageal cancer. Br J Surg. 1997;84(5):690\u201393.","journal-title":"Br J Surg"},{"issue":"1","key":"14554_CR36","doi-asserted-by":"publisher","first-page":"20200501","DOI":"10.3399\/bjgpopen20X101001","volume":"4","author":"E Humphrys","year":"2020","unstructured":"Humphrys E, Walter FM, Rubin G, Emery JD, Johnson M, Richards A, Fitzgerald RC, Viswanath YK, Burt J. Patient symptom experience prior to a diagnosis of oesophageal or gastric cancer: a multi-methods study. BJGP Open. 2020;4(1):20200501.","journal-title":"BJGP Open"},{"issue":"6","key":"14554_CR37","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1111\/ajr.12280","volume":"24","author":"MJ Rogers","year":"2016","unstructured":"Rogers MJ, Matheson LM, Garrard B, Mukaro V, Riches S, Sheridan M, Ashley D, Pitson G. Cancer diagnosed in the emergency department of a regional health service. Aust J Rural Health. 2016;24(6):409\u201314.","journal-title":"Aust J Rural Health"},{"key":"14554_CR38","doi-asserted-by":"crossref","unstructured":"Hui D, De La Cruz M, Mori M, Parsons HA, Kwon JH, Torres-Vigil I, Kim SH, Dev R, Hutchins R, Liem C, Kang DH. Concepts and definitions for supportive care, best supportive care,palliative care, and hospice care in the published literature, dictionaries, and textbooks. Supportive Care in Cancer. 2013;21:659\u2013685.","DOI":"10.1007\/s00520-012-1564-y"},{"issue":"4","key":"14554_CR39","doi-asserted-by":"publisher","first-page":"518","DOI":"10.1177\/0884533614532501","volume":"29","author":"Y Lu","year":"2014","unstructured":"Lu Y, Carey S. Translating evidence-based practice guidelines into a summary of recommendations for the nutrition management of upper gastrointestinal cancers. Nutr Clin Pract. 2014;29(4):518\u201325.","journal-title":"Nutr Clin Pract"},{"issue":"4","key":"14554_CR40","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1111\/j.1747-0080.2010.01466.x","volume":"67","author":"S Carey","year":"2010","unstructured":"Carey S, He L, Ferrie S. Nutritional management of patients undergoing major upper gastrointestinal surgery: a survey of current practice in Australia. Nutr Diet. 2010;67(4):219\u201323.","journal-title":"Nutr Diet"},{"key":"14554_CR41","unstructured":"Marshall K, Loeliger J. Investigating practices relating to malnutrition in victorian cancer services\u2013summary report, in Melbourne, VIC: State Government of Victoria. 2012. p. 20."},{"key":"14554_CR42","first-page":"5963","volume":"28","author":"M Findlay","year":"2020","unstructured":"Findlay M, Purvis M, Venman R, Luong R, Carey S. Nutritional management of patients with oesophageal cancer throughout the treatment trajectory: benchmarking against best practice. Support Care Cancer. 2020;28:5963\u201371.","journal-title":"Support Care Cancer"},{"issue":"4","key":"14554_CR43","doi-asserted-by":"publisher","first-page":"416","DOI":"10.1111\/1747-0080.12631","volume":"77","author":"N Kiss","year":"2020","unstructured":"Kiss N, Loeliger J, Findlay M, Isenring E, Baguley BJ, Boltong A, Butler A, Deftereos I, Eisenhuth M, Fraser SF, Fichera R. Clinical Oncology Society of Australia: position statement on cancer-related malnutrition and sarcopenia. Nutr Diet. 2020;77(4):416\u201325.","journal-title":"Nutr Diet"},{"key":"14554_CR44","unstructured":"Pancare Foundation. Trust Your Gut. 2025 [cited 2025 26 May]; Available from: https:\/\/pancare.org.au\/gp-ed\/"},{"key":"14554_CR45","unstructured":"Victorian Integrated Cancer Services. BSW Regional MDM QOOL-Vic Implementation Project. [cited 2025 3 October]; Available from: https:\/\/vics.org.au\/projects\/bsw-regional-mdm-qool-vic-implementation-project"},{"issue":"1","key":"14554_CR46","doi-asserted-by":"publisher","first-page":"1222","DOI":"10.1186\/s12885-023-11615-6","volume":"23","author":"SM Evans","year":"2023","unstructured":"Evans SM, Ivanova K, Rome R, Cossio D, Pilgrim CH, Zalcberg J, Antill Y, Blake L, Du Guesclin A, Garrett A, Giffard D. Registry-derived stage (RD-Stage) for capturing cancer stage at diagnosis for endometrial cancer. BMC Cancer. 2023;23(1):1222.","journal-title":"BMC Cancer"},{"issue":"1","key":"14554_CR47","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1186\/s12913-022-07625-y","volume":"22","author":"NN Khan","year":"2022","unstructured":"Khan NN, Maharaj A, Evans S, Pilgrim C, Zalcberg J, Brown W, Cashin P, Croagh D, Michael N, Shapiro J, White K. A qualitative investigation of the supportive care experiences of people living with pancreatic and oesophagogastric cancer. BMC Health Serv Res. 2022;22(1):213.","journal-title":"BMC Health Serv Res"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-026-14554-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-026-14554-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-026-14554-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T01:33:39Z","timestamp":1781573619000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12913-026-14554-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,27]]},"references-count":47,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["14554"],"URL":"https:\/\/doi.org\/10.1186\/s12913-026-14554-7","relation":{},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,27]]},"assertion":[{"value":"21 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 April 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":"This study was conducted in accordance with the Declaration of Helsinki. Ethics approval was obtained on 28 February 2025 from the Austin Health Human Research Ethics Committee (HREC): VicTRI-19783: Consumer Experiences of People with Cancer and their Carers. Informed written consent, including for audio recording of interviews, was obtained from all human participants. The use of Victorian data to study variations in EC care was granted by the Cancer Council Victoria\u2019s Human Research Ethics Committee (HREC numbers 1312 and 1412).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"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":"827"}}