{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T03:18:02Z","timestamp":1792725482201,"version":"4.5.0"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T00:00:00Z","timestamp":1769817600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T00:00:00Z","timestamp":1769817600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100000995","name":"Australian National University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000995","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ann Surg Oncol"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study aims to increase the evidence guiding the management of positive or close anterior margins for invasive breast cancer or ductal carcinoma in situ after skin- or nipple-sparing mastectomy (SSM\/NSM) and implant-based breast reconstruction. Re-excision to clear margins has been recommended but is not always feasible. Post-mastectomy radiotherapy may reduce rates of recurrence but also adversely impacts reconstruction outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 160 patients undergoing SSM\/NSM with immediate direct-to-implant- or two-stage expander-to-implant-based breast reconstruction between March 2012 and September 2022 were retrospectively identified. Final margin status and adjuvant therapies were recorded. Primary outcomes assessed were ipsilateral, regional, and distant recurrence rates. Implant loss rates were assessed as a secondary outcome. Analysis of recurrence rates were performed based on margin status and adjusting for the confounding effects of radiotherapy, chemotherapy, and endocrine treatments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Positive or close margins were identified in 19% (\n                      <jats:italic>n<\/jats:italic>\n                      =30) and 11% (\n                      <jats:italic>n<\/jats:italic>\n                      =18) of patients, respectively. The median follow-up period was 60 months. The ipsilateral breast cancer recurrence rate was 6% (\n                      <jats:italic>n<\/jats:italic>\n                      =9), the regional recurrence rate was 3% (\n                      <jats:italic>n<\/jats:italic>\n                      =5), and distant metastasis occurred in 6% (\n                      <jats:italic>n<\/jats:italic>\n                      =10). No statistically significant association was found between margin status and recurrence rates. When the anterior margin was positive or close for cancer or ductal carcinoma in situ, the addition of radiotherapy reduced the rates of ipsilateral breast cancer recurrence (odds ratio 0.08; 95% confidence interval 0.01\u20130.71;\n                      <jats:italic>p<\/jats:italic>\n                      =0.02). Radiotherapy was associated with increased overall rates of unplanned exchange or loss of the initial implant over the study period (relative risk 1.65; 95% confidence interval 1.23\u20132.22,\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Radiotherapy may provide a safe oncologic alternative to management of close anterior margins after SSM\/NSM when re-excision is not possible, but it results in increased implant-related complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1245\/s10434-025-18982-3","type":"journal-article","created":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T20:19:29Z","timestamp":1769890769000},"page":"4494-4502","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Anterior Margin Status Following Skin- or Nipple-Sparing Mastectomy in Patients Undergoing Implant-Based Breast Reconstruction"],"prefix":"10.1245","volume":"33","author":[{"given":"Nicole Dorothea","family":"Taylor","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Rezo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usama","family":"Majeed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi Mike","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca Louise","family":"Read","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,31]]},"reference":[{"issue":"3","key":"18982_CR1","first-page":"10993","volume":"3","author":"BS Mota","year":"2023","unstructured":"Mota BS, Bevilacqua JLB, Barrett J, et al. Skin-sparing mastectomy for the treatment of breast cancer. Cochrane Database Syst Rev. 2023;3(3):10993.","journal-title":"Cochrane Database Syst Rev."},{"key":"18982_CR2","unstructured":"Breast Surgeons of Australia and New Zealand. Australian society of plastic surgeons. breast cancer network Australia. Access to breast reconstruction position statement: access to post-mastectomy breast reconstruction information and services in Australia 2020. Accessed online 05\/12\/25 at https:\/\/ chrome-extension:\/\/efaidnbmnnnibpcajpcglclefindmkaj\/https:\/\/www.breastsurganz.org\/wp-content\/uploads\/2022\/05\/FINAL_Breast-Reconstruction-Position-Statement_April2022.pdf"},{"key":"18982_CR3","first-page":"1","volume":"8","author":"C Cheung","year":"2023","unstructured":"Cheung C, Co M. Recent trends in nipple sparing mastectomy\u2014a narrative review. Ann Breast Surg. 2023;8:1.","journal-title":"Ann Breast Surg."},{"key":"18982_CR4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2022-070346","volume":"378","author":"JR Bundred","year":"2022","unstructured":"Bundred JR, Michael S, Stuart B, et al. Margin status and survival outcomes after breast cancer conservation surgery: prospectively registered systematic review and meta-analysis. BMJ. 2022;378:e070346.","journal-title":"BMJ."},{"issue":"11","key":"18982_CR5","doi-asserted-by":"publisher","first-page":"3148","DOI":"10.1245\/s10434-017-5968-2","volume":"24","author":"JM Glorioso","year":"2017","unstructured":"Glorioso JM, Gonzalez Juarrero AB, Rodysill BR, et al. Margin proximity correlates with local recurrence after mastectomy for patients not receiving adjuvant radiotherapy. Ann Surg Oncol. 2017;24(11):3148\u201356.","journal-title":"Ann Surg Oncol."},{"issue":"5","key":"18982_CR6","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/j.prro.2016.06.011","volume":"6","author":"M Morrow","year":"2016","unstructured":"Morrow M, Van Zee KJ, Solin LJ, et al. Society of surgical oncology-American society for radiation oncology-American society of clinical oncology consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in ductal carcinoma in situ. Pract Radiat Oncol. 2016;6(5):287\u201395.","journal-title":"Pract Radiat Oncol."},{"issue":"2","key":"18982_CR7","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/j.annonc.2023.11.016","volume":"35","author":"S Loibl","year":"2024","unstructured":"Loibl S, Andre F, Bachelot T, Barrios CH, Bergh J, Burstein HJ, Cardoso MJ, Carey LA, Dawood S, Del Mastro L, Denkert C, Fallenberg EM, Francis PA, Gamal-Eldin H, Gelmon K, Geyer CE, Gnant M, Guarneri V, Gupta S, Kim SB, Krug D, Martin M, Meattini I, Morrow M, Janni W, Paluch-Shimon S, Partridge A, Poortmans P, Pusztai L, Regan MM, Sparano J, Spanic T, Swain S, Tjulandin S, Toi M, Trapani D, Tutt A, Xu B, Curigliano G, Harbeck N. On behalf of the ESMO Guidelines Committee Early breast cancer: ESMO clinical practice guideline for diagnosis, treatment and follow-up. Ann Oncol. 2024;35(2):159\u201382.","journal-title":"Ann Oncol."},{"issue":"2","key":"18982_CR8","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/j.annonc.2023.11.016","volume":"35","author":"S Loibl","year":"2024","unstructured":"Loibl S, Andr\u00e9 F, Bachelot T, et al. Early breast cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up. Ann Oncol. 2024;35(2):159\u201382.","journal-title":"Ann Oncol."},{"key":"18982_CR9","unstructured":"United Kingdom Association of Breast Surgery Guidelines: The management of radial surgical margins in relation to breast conserving surgery for invasive breast cancer. 2024. Accessed online on 05\/12\/25 at https:\/\/associationofbreastsurgery.org.uk\/media\/so1frd0u\/invasive-radial-surgical-margins-v1ii.pdf."},{"key":"18982_CR10","unstructured":"National Institute for Health and Care Excellence 2025 Early and locally advanced breast cancer: diagnosis and management NICE London"},{"issue":"5","key":"18982_CR11","doi-asserted-by":"publisher","first-page":"1133","DOI":"10.1016\/j.ijrobp.2012.02.048","volume":"84","author":"SK Childs","year":"2012","unstructured":"Childs SK, Chen YH, Duggan MM, et al. Surgical margins and the risk of local-regional recurrence after mastectomy without radiation therapy. Int J Radiat Oncol Biol Phys. 2012;84(5):1133\u20138.","journal-title":"Int J Radiat Oncol Biol Phys."},{"issue":"6","key":"18982_CR12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2024.108360","volume":"50","author":"S Sasada","year":"2024","unstructured":"Sasada S, Nagura N, Shimo A, et al. Impact of radiation therapy for breast cancer with involved surgical margin after immediate breast reconstruction: A multi-institutional observational study. Eur J Surg Oncol. 2024;50(6):108360.","journal-title":"Eur J Surg Oncol."},{"issue":"12","key":"18982_CR13","doi-asserted-by":"publisher","first-page":"2185","DOI":"10.1016\/j.ejso.2020.08.015","volume":"46","author":"J Bundred","year":"2020","unstructured":"Bundred J, Michael S, Bowers S, et al. Do surgical margins matter after mastectomy? A systematic review. Eur J Surg Oncol. 2020;46(12):2185\u201394.","journal-title":"Eur J Surg Oncol."},{"key":"18982_CR14","unstructured":"National Comprehensive Cancer Network. Clinical practice guidelines in oncology (NCCN Guidelines\u00ae) for Breast Cancer V.5.2025. National comprehensive cancer network, Inc. 2025."},{"issue":"6","key":"18982_CR15","doi-asserted-by":"publisher","first-page":"1169","DOI":"10.1007\/s12282-025-01788-2","volume":"32","author":"M Ogita","year":"2025","unstructured":"Ogita M, Sawayanagi S, Jinnouchi H, et al. Postmastectomy radiation therapy for implant-based breast reconstruction: a systematic review and meta-analysis for the 2022 Japanese Breast Cancer Society Clinical Practice Guideline. Breast Cancer. 2025;32(6):1169\u201379.","journal-title":"Breast Cancer."},{"key":"18982_CR16","unstructured":"The jamovi project [computer program]. Version 2.3.28. https:\/\/www.jamovi.org2025."},{"key":"18982_CR17","unstructured":"Australian Bureau of Statistics. Australian standard classification of cultural and ethnic groups, 2025. Accessed online on 05\/12\/25 at https:\/\/www.abs.gov.au\/statistics\/classifications\/australian-standard-classification-cultural-and-ethnic-groups-ascceg\/latest-release"},{"issue":"5","key":"18982_CR18","doi-asserted-by":"publisher","first-page":"1330","DOI":"10.1245\/s10434-007-9795-8","volume":"15","author":"D Cao","year":"2008","unstructured":"Cao D, Tsangaris TN, Kouprina N, et al. The superficial margin of the skin-sparing mastectomy for breast carcinoma: factors predicting involvement and efficacy of additional margin sampling. Ann Surg Oncol. 2008;15(5):1330\u201340.","journal-title":"Ann Surg Oncol."},{"issue":"4","key":"18982_CR19","doi-asserted-by":"publisher","first-page":"1071","DOI":"10.1245\/s10434-016-5673-6","volume":"24","author":"S Timbrell","year":"2017","unstructured":"Timbrell S, Al-Himdani S, Shaw O, Tan K, Morris J, Bundred N. Comparison of local recurrence after simple and skin-sparing mastectomy performed in patients with ductal carcinoma in situ. Ann Surg Oncol. 2017;24(4):1071\u20136.","journal-title":"Ann Surg Oncol."},{"key":"18982_CR20","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1016\/j.radonc.2021.06.018","volume":"161","author":"T Tramm","year":"2021","unstructured":"Tramm T, Christiansen P, Offersen BV, Madsen KB, Poortmans P, Kaidar-Person O. Superficial margins in skin sparing and nipple sparing mastectomies for DCIS: a margin of potential concern. Radiother Oncol. 2021;161:177\u201382.","journal-title":"Radiother Oncol."},{"issue":"10","key":"18982_CR21","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2025.110310","volume":"51","author":"O Kaidar-Person","year":"2025","unstructured":"Kaidar-Person O, Poortmans P, Offersen BV, et al. Optimising mastectomy with a focus on skin and nipple-sparing approaches: a multidisciplinary point of view. Eur J Surg Oncol. 2025;51(10):110310.","journal-title":"Eur J Surg Oncol."},{"issue":"8","key":"18982_CR22","doi-asserted-by":"publisher","first-page":"1011","DOI":"10.1016\/S1470-2045(20)30331-4","volume":"21","author":"O Kaidar-Person","year":"2020","unstructured":"Kaidar-Person O, Kuhn T, Poortmans P. Should we worry about residual disease after mastectomy? Lancet Oncol. 2020;21(8):1011\u20133.","journal-title":"Lancet Oncol."},{"issue":"2","key":"18982_CR23","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1007\/s10549-024-07425-4","volume":"208","author":"O Kaidar-Person","year":"2024","unstructured":"Kaidar-Person O, Faermann R, Polikar D, et al. A BRILLIANT-BRCA study: residual breast tissue after mastectomy and reconstruction. Breast Cancer Res Treat. 2024;208(2):359\u201367.","journal-title":"Breast Cancer Res Treat."},{"issue":"11","key":"18982_CR24","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2024.108607","volume":"50","author":"O Kaidar-Person","year":"2024","unstructured":"Kaidar-Person O, Sklair-Levy M, Anaby D, et al. Residual breast tissue after mastectomy and reconstruction: a substudy of the spatial location of breast cancer local recurrence after mastectomy (SECRET) project. Eur J Surg Oncol. 2024;50(11):108607.","journal-title":"Eur J Surg Oncol."},{"issue":"7","key":"18982_CR25","doi-asserted-by":"publisher","first-page":"935","DOI":"10.1016\/j.ejso.2016.04.055","volume":"42","author":"S Al-Himdani","year":"2016","unstructured":"Al-Himdani S, Timbrell S, Tan KT, Morris J, Bundred NJ. Prediction of margin involvement and local recurrence after skin-sparing and simple mastectomy. Eur J Surg Oncol. 2016;42(7):935\u201341.","journal-title":"Eur J Surg Oncol."},{"issue":"5","key":"18982_CR26","doi-asserted-by":"publisher","first-page":"e323","DOI":"10.1016\/j.ejso.2021.03.106","volume":"47","author":"H Rizki","year":"2021","unstructured":"Rizki H, Quinn E, Arthur L, et al. P102. Reporting and management of close\/involved anterior margins after skin\/nipple-sparing mastectomy: multi-centre experience of national oncoplastic fellows in England. Eur J Surg Oncol. 2021;47(5):e323.","journal-title":"Eur J Surg Oncol."},{"issue":"9","key":"18982_CR27","doi-asserted-by":"publisher","DOI":"10.1016\/j.adro.2024.101569","volume":"9","author":"WJ Talcott","year":"2024","unstructured":"Talcott WJ, Marta GN, Moran MS. Underuse of postoperative radiation after nipple-sparing mastectomy for standard radiation indications. Adv Radiat Oncol. 2024;9(9):101569.","journal-title":"Adv Radiat Oncol."},{"issue":"9935","key":"18982_CR28","doi-asserted-by":"publisher","first-page":"2127","DOI":"10.1016\/S0140-6736(14)60488-8","volume":"383","author":"P McGale","year":"2014","unstructured":"McGale P, Taylor C, Correa C, et al. Effect of radiotherapy after mastectomy and axillary surgery on 10-year recurrence and 20-year breast cancer mortality: meta-analysis of individual patient data for 8135 women in 22 randomised trials. Lancet. 2014;383(9935):2127\u201335.","journal-title":"Lancet."},{"issue":"2","key":"18982_CR29","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1007\/s10549-024-07246-5","volume":"205","author":"MM Voets","year":"2024","unstructured":"Voets MM, Hassink NS, Veltman J, Slump CH, Koffijberg H, Siesling S. Opportunities for personalised follow-up in breast cancer: the gap between daily practice and recurrence risk. Breast Cancer Res Treat. 2024;205(2):313\u201322.","journal-title":"Breast Cancer Res Treat."},{"issue":"3","key":"18982_CR30","doi-asserted-by":"publisher","first-page":"523","DOI":"10.1007\/s10549-018-4937-1","volume":"172","author":"WP Weber","year":"2018","unstructured":"Weber WP, Haug M, Kurzeder C, et al. Oncoplastic Breast Consortium consensus conference on nipple-sparing mastectomy. Breast Cancer Res Treat. 2018;172(3):523\u201337.","journal-title":"Breast Cancer Res Treat."},{"issue":"3","key":"18982_CR31","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1245\/s10434-014-3480-5","volume":"21","author":"N Houssami","year":"2014","unstructured":"Houssami N, Macaskill P, Marinovich ML, Morrow M. The association of surgical margins and local recurrence in women with early-stage invasive breast cancer treated with breast-conserving therapy: a meta-analysis. Ann Surg Oncol. 2014;21(3):717\u201330.","journal-title":"Ann Surg Oncol."},{"issue":"4","key":"18982_CR32","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1308\/rcsann.2019.0017","volume":"101","author":"L O'Connell","year":"2019","unstructured":"O\u2019Connell L, Walsh S, Evoy D, et al. The approach to an isolated close anterior margin in breast conserving surgery. Ann R Coll Surg Engl. 2019;101(4):268\u201372.","journal-title":"Ann R Coll Surg Engl."},{"issue":"4","key":"18982_CR33","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1016\/j.ejso.2012.01.004","volume":"38","author":"R Mullen","year":"2012","unstructured":"Mullen R, Macaskill EJ, Khalil A, et al. Involved anterior margins after breast conserving surgery: is re-excision required? Eur J Surg Oncol. 2012;38(4):302\u20136.","journal-title":"Eur J Surg Oncol."},{"issue":"4","key":"18982_CR34","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1016\/j.ejso.2012.01.004","volume":"38","author":"RME Mullen","year":"2012","unstructured":"Mullen RME, Khalil A, Elseedawy E, Brown DC, Lee AC, Purdie CA, Jordan LB, Thompson AM. Involved anterior margins after breast conserving surgery: is re-excision required? Eur J Surg Oncol. 2012;38(4):302\u20136.","journal-title":"Eur J Surg Oncol."},{"issue":"3","key":"18982_CR35","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1093\/jjco\/hyy002","volume":"48","author":"S Park","year":"2018","unstructured":"Park S, Ahn SD, Choi EK, Kim SS. The effect of escalating the boost dose for patients with involved resection margin after breast-conserving surgery. Jpn J Clin Oncol. 2018;48(3):272\u20137.","journal-title":"Jpn J Clin Oncol."},{"key":"18982_CR36","doi-asserted-by":"publisher","first-page":"6486859","DOI":"10.1155\/2017\/6486859","volume":"2017","author":"N Bertozzi","year":"2017","unstructured":"Bertozzi N, Pesce M, Santi P, Raposio E. One-Stage Immediate Breast Reconstruction: A Concise Review. Biomed Res Int. 2017;2017:6486859.","journal-title":"Biomed Res Int."},{"key":"18982_CR37","doi-asserted-by":"crossref","unstructured":"Early Breast Cancer Trialist\u2019s Collaborative Group. McGale P, Taylor C, et al. Effect of radiotherapy after mastectomy and axillary surgery on 10-year recurrence and 20-year breast cancer mortality: meta-analysis of individual patient data for 8135 women in 22 randomised trials. Lancet. 2014; 383(9935):2127\u20132135.","DOI":"10.1016\/S0140-6736(14)60488-8"},{"issue":"30","key":"18982_CR38","doi-asserted-by":"publisher","first-page":"3292","DOI":"10.1200\/JCO-25-01747","volume":"43","author":"RB Jimenez","year":"2025","unstructured":"Jimenez RB, Abdou Y, Anderson P, et al. Postmastectomy radiation therapy: An ASTRO-ASCO-SSO clinical practice guideline. J Clin Oncol. 2025;43(30):3292\u2013311.","journal-title":"J Clin Oncol."},{"issue":"3","key":"18982_CR39","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1007\/s10549-013-2770-0","volume":"142","author":"M Eriksson","year":"2013","unstructured":"Eriksson M, Anveden L, Celebioglu F, et al. Radiotherapy in implant-based immediate breast reconstruction: risk factors, surgical outcomes, and patient-reported outcome measures in a large Swedish multicenter cohort. Breast Cancer Res Treat. 2013;142(3):591\u2013601.","journal-title":"Breast Cancer Res Treat."},{"issue":"4","key":"18982_CR40","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1097\/PRS.0000000000003168","volume":"139","author":"MD Chetta","year":"2017","unstructured":"Chetta MD, Aliu O, Zhong L, et al. Reconstruction of the irradiated breast: a national claims-based assessment of postoperative morbidity. Plast Reconstr Surg. 2017;139(4):783\u201392.","journal-title":"Plast Reconstr Surg."},{"issue":"4","key":"18982_CR41","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1007\/s00066-024-02334-3","volume":"201","author":"MD Piroth","year":"2025","unstructured":"Piroth MD, Krug D, Baumann R, et al. Implant-based reconstruction and adjuvant radiotherapy in breast cancer patients-current status and DEGRO recommendations. Strahlenther Onkol. 2025;201(4):353\u201367.","journal-title":"Strahlenther Onkol."}],"container-title":["Annals of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-025-18982-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1245\/s10434-025-18982-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-025-18982-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T12:27:17Z","timestamp":1776256037000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1245\/s10434-025-18982-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,31]]},"references-count":41,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["18982"],"URL":"https:\/\/doi.org\/10.1245\/s10434-025-18982-3","relation":{},"ISSN":["1068-9265","1534-4681"],"issn-type":[{"value":"1068-9265","type":"print"},{"value":"1534-4681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,31]]},"assertion":[{"value":"29 May 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}