{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T18:49:07Z","timestamp":1773946147936,"version":"3.50.1"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"crossref","award":["APP1197324"],"award-info":[{"award-number":["APP1197324"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100020884","name":"Agencia Nacional de Investigaci\u00f3n y Desarrollo","doi-asserted-by":"crossref","award":["72210455"],"award-info":[{"award-number":["72210455"]}],"id":[{"id":"10.13039\/501100020884","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["CJASN"],"published-print":{"date-parts":[[2025,8]]},"abstract":"\n Key Points<\/jats:title>\n \n Patients, caregivers, and health professionals support the use of standardised outcomes in nephrology - life participation as the core outcome measure for life participation in patients with CKD.<\/jats:p><\/jats:list-item>Further work is needed to pilot and validate the standardised outcomes in nephrology - life participation measure in patients with CKD before the need for KRT.<\/jats:p><\/jats:list-item>A core outcome measure will support consistent reporting of life participation in trials in patients with CKD.<\/jats:p><\/jats:list-item><\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n Life participation is of critical importance to patients with CKD not requiring KRT, their caregivers, and health professionals. However, life participation is rarely and inconsistently assessed in trials in CKD. The aim was to establish a core outcome measure for life participation in patients with CKD not requiring KRT.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n An online (English language) and an in-person (Spanish language) consensus workshop, 1 hour in length, were held in March and April 2024, respectively, and were held to discuss and establish a meaningful, relevant, and feasible core patient-reported outcome measure for life participation for trials in CKD. Transcripts were analyzed thematically.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Workshops included 130 participants, including 74 patients and caregivers, and 56 health professionals, from 18 countries. Four themes were identified. Enabling interpretation within individual contexts and circumstances<\/jats:italic> included considering relevance to patients' own priorities, capturing key life activities common to all patients, reflecting the goal of leading a fulfilling life, acknowledging the variability and multiplicity of domains, and facilitating linguistic and cultural translation. Having broad clinical relevance across CKD<\/jats:italic> meant covering the spectrum of CKD stages and diagnoses and allowing comparison across treatment stages. Supporting widespread implementation<\/jats:italic> entailed minimizing burden of administration and completion, establishing psychometric robustness, seeking endorsement to legitimize the measure, and ensuring accessibility and acceptability across different settings. Highlighting opportunities to address life participation<\/jats:italic> captured promoting person-centered clinical care and generating ideas for novel interventions to improve life participation.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n A core outcome measure for life participation in patients with CKD should enable a patient to interpret life participation in their own context, have applicability across the CKD population, and be psychometrically robust and feasible to implement. Measuring life participation in a consistent and meaningful way across trials can better support patient-centered decision making and outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.2215\/cjn.0000000724","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T12:00:40Z","timestamp":1750939240000},"page":"1041-1050","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Core Outcome Measure for Life Participation in Patients with CKD"],"prefix":"10.2215","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5512-0333","authenticated-orcid":false,"given":"Anastasia","family":"Hughes","sequence":"first","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"given":"Andrea","family":"Matus Gonzalez","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"given":"Noa","family":"Amir","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2154-7668","authenticated-orcid":false,"given":"Macarena","family":"Arancibia Garcia","sequence":"additional","affiliation":[{"name":"Cardiorenal Nutrici\u00f3n Center, Santiago, Chile"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5199-3925","authenticated-orcid":false,"given":"Fergus J.","family":"Caskey","sequence":"additional","affiliation":[{"name":"Bristol Medical School, University of Bristol, Bristol, United Kingdom"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9912-5684","authenticated-orcid":false,"given":"Lilia","family":"Cervantes","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Medicine, School of Medicine, University of Colorado, Aurora, Colorado"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3502-9837","authenticated-orcid":false,"given":"Yeoungjee","family":"Cho","sequence":"additional","affiliation":[{"name":"Australasian Kidney Trials Network (AKTN), Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia"},{"name":"Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Queensland, Australia"},{"name":"Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia"}]},{"given":"Rosanna","family":"Cazzolli","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7865-0642","authenticated-orcid":false,"given":"Ellen","family":"Dobrijevic","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5434-2917","authenticated-orcid":false,"given":"Meghan J.","family":"Elliott","sequence":"additional","affiliation":[{"name":"University of Calgary, Calgary, Alberta, Canada"}]},{"given":"Janine","family":"Farragher","sequence":"additional","affiliation":[{"name":"Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6819-8058","authenticated-orcid":false,"given":"Alejandro","family":"Ferreiro","sequence":"additional","affiliation":[{"name":"Programa de Salud Renal de Uruguay., Facultad de Medicina, Universidad de la Rep\u00fablica., Montevideo, Uruguay"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9485-4645","authenticated-orcid":false,"given":"Sharlene","family":"Greenwood","sequence":"additional","affiliation":[{"name":"Kings College Hospital, NHS Trust, London, United Kingdom"},{"name":"Kings College London, London, United Kingdom"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0767-4185","authenticated-orcid":false,"given":"Chandana","family":"Guha","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9740-712X","authenticated-orcid":false,"given":"Martin","family":"Howell","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"},{"name":"Menzies Centre for Health Policy and Economics, The University of Sydney, Sydney, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0203-3271","authenticated-orcid":false,"given":"Brooke M.","family":"Huuskes","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Anatomy, Physiology and Pharmacology, School of Agriculture, Biomedicine and Environment, La Trobe University, Bundoora, Victoria, Australia"}]},{"given":"Mauro","family":"Lampo","sequence":"additional","affiliation":[{"name":"Nephrology Service and Kidney Transplant Unit, Hospital Brit\u00e1nico de Buenos Aires, Buenos Aires, Argentina"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2438-8401","authenticated-orcid":false,"given":"Adeera","family":"Levin","sequence":"additional","affiliation":[{"name":"Division of Nephrology, University of British Columbia, Vancouver, British Colombia, Canada"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3670-075X","authenticated-orcid":false,"given":"Eduardo","family":"Lorca","sequence":"additional","affiliation":[{"name":"Eastern Department of Internal Medicine, Faculty of Medicine, University of Chile, Santiago, Chile"},{"name":"Hospital del Salvador Nephrology Service, Santiago, Chile"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1609-3857","authenticated-orcid":false,"given":"Ana","family":"Malvar","sequence":"additional","affiliation":[{"name":"Nephrology Unit, Hospital Fern\u00e1ndez, Buenos Aires, Argentina"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0552-6074","authenticated-orcid":false,"given":"Karine","family":"Manera","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5624-9179","authenticated-orcid":false,"given":"Claudio A.","family":"Mascheroni","sequence":"additional","affiliation":[{"name":"Servicio de Nefrolog\u00eda San Pedro, Universidad Nacional de Rosario, San Pedro, Argentina"}]},{"given":"Haydee","family":"Mellado","sequence":"additional","affiliation":[{"name":"Clinica Davila, Chile"}]},{"given":"Soledad","family":"Molina","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8359-3651","authenticated-orcid":false,"given":"Matias","family":"Monkowski","sequence":"additional","affiliation":[{"name":"Nephrology Service and Kidney Transplant Unit, Hospital Brit\u00e1nico de Buenos Aires, Buenos Aires, Argentina"}]},{"given":"Javier","family":"Recabarren Silva","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"given":"B\u00e9n\u00e9dicte","family":"Sautenet","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine, Universit\u00e9 Francois Rabelais, Tours, France"},{"name":"Department of Nephrology and Clinical Immunology, Tours Hospital, Tours, France"},{"name":"Universit\u00e9 de Tours, Universit\u00e9 de Nantes, INSERM, methodS in Patient-centered outcomes and HEalth ResEarch (SPHERE) - UMR 1246, Tours, France"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8260-0453","authenticated-orcid":false,"given":"Nicole","family":"Scholes-Robertson","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9810-2432","authenticated-orcid":false,"given":"Alejandro","family":"Sepulveda","sequence":"additional","affiliation":[{"name":"Cardiorenal Nutrici\u00f3n Center, Santiago, Chile"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3003-4354","authenticated-orcid":false,"given":"Amanda","family":"Sluiter","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3269-3908","authenticated-orcid":false,"given":"Laura","family":"Sola","sequence":"additional","affiliation":[{"name":"Latin American Society of Nephrology and Hypertension-SLANH, Panama City, Panama"},{"name":"Hemodialysis Center-CASMU-IAMPP, Montevideo, Uruguay"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9389-2516","authenticated-orcid":false,"given":"Armando","family":"Teixeira-Pinto","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6921-4811","authenticated-orcid":false,"given":"Herman","family":"Trimarchi","sequence":"additional","affiliation":[{"name":"Nephrology Service and Kidney Transplant Unit, Hospital Brit\u00e1nico de Buenos Aires, Buenos Aires, Argentina"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4564-5825","authenticated-orcid":false,"given":"Anita","family":"van Zwieten","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0029-1824","authenticated-orcid":false,"given":"Jorge","family":"Guti\u00e9rrez Ventura","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2314-6654","authenticated-orcid":false,"given":"Andrea K.","family":"Viecelli","sequence":"additional","affiliation":[{"name":"Australasian Kidney Trials Network (AKTN), Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia"},{"name":"Department of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Queensland, Australia"},{"name":"Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6395-2240","authenticated-orcid":false,"given":"Bill","family":"Wang","sequence":"additional","affiliation":[{"name":"Patient Liaison Advisory Group, International Society of Nephrology, Brussels, Belgium"}]},{"given":"Linda","family":"Weng","sequence":"additional","affiliation":[{"name":"Servicio de Nefrolog\u00eda San Pedro, San Pedro, Argentina"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8422-7269","authenticated-orcid":false,"given":"Germaine","family":"Wong","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3977-7585","authenticated-orcid":false,"given":"Rebecca","family":"Wu","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8973-9538","authenticated-orcid":false,"given":"Allison","family":"Jaure","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia"}]},{"name":"on behalf of the SONG-CKD Life Participation Workshop Investigators","sequence":"additional","affiliation":[]}],"member":"276","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"issue":"10105","key":"B1-20250808","doi-asserted-by":"crossref","first-page":"1888","DOI":"10.1016\/S0140-6736(17)30788-2","article-title":"Global kidney health 2017 and beyond: a roadmap for closing gaps in care, research, and policy","volume":"390","author":"Levin","year":"2017","journal-title":"Lancet."},{"issue":"6","key":"B2-20250808","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.1016\/j.kint.2018.01.009","article-title":"Predicting timing of clinical outcomes in patients with chronic kidney disease and severely decreased glomerular filtration rate","volume":"93","author":"Grams","year":"2018","journal-title":"Kidney Int."},{"issue":"13","key":"B3-20250808","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1056\/NEJMoa041031","article-title":"Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization","volume":"351","author":"Go","year":"2004","journal-title":"New Engl J Med."},{"issue":"4","key":"B4-20250808","doi-asserted-by":"crossref","first-page":"687","DOI":"10.2215\/CJN.01650216","article-title":"Symptom management of the patient with CKD: the role of dialysis","volume":"12","author":"Cabrera","year":"2017","journal-title":"Clin J Am Soc Nephrol."},{"issue":"2","key":"B5-20250808","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1093\/ndt\/gfac035","article-title":"Long-term cognitive impairments in kidney transplant recipients: impact on participation and quality of life","volume":"38","author":"Ziengs","year":"2023","journal-title":"Nephrol Dial Transplant."},{"issue":"3","key":"B6-20250808","doi-asserted-by":"crossref","first-page":"443","DOI":"10.2215\/CJN.05890616","article-title":"Perspectives of older kidney transplant recipients on kidney transplantation","volume":"12","author":"Pinter","year":"2017","journal-title":"Clin J Am Soc Nephrol."},{"issue":"5","key":"B7-20250808","doi-asserted-by":"crossref","first-page":"E554","DOI":"10.1111\/ctr.12198","article-title":"Health-related quality of life in kidney transplant patients with diabetes","volume":"27","author":"Dukes","year":"2013","journal-title":"Clin Transplant."},{"issue":"1","key":"B8-20250808","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.ekir.2023.10.018","article-title":"Validation of a core patient-reported outcome measure for life participation in kidney transplant recipients: the SONG life participation instrument","volume":"9","author":"Jaure","year":"2024","journal-title":"Kidney Int Rep."},{"issue":"6","key":"B9-20250808","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1177\/08968608221096560","article-title":"Establishing a core outcome measure for life participation in patients receiving peritoneal dialysis: a Standardised Outcomes in Nephrology-Peritoneal Dialysis consensus workshop report","volume":"42","author":"Cheetham","year":"2022","journal-title":"Perit Dial Int."},{"issue":"8","key":"B10-20250808","doi-asserted-by":"crossref","first-page":"1310","DOI":"10.1093\/ndt\/gfae010","article-title":"Outcomes for clinical trials involving adults with chronic kidney disease: a multinational Delphi survey involving patients, caregivers, and health professionals","volume":"39","author":"Matus Gonzalez","year":"2024","journal-title":"Nephrol Dial Transplant."},{"issue":"1","key":"B11-20250808","doi-asserted-by":"crossref","first-page":"sfae341","DOI":"10.1093\/ckj\/sfae341","article-title":"Patient-reported outcome measures for life participation in patients with chronic kidney disease: a systematic review","volume":"18","author":"Hughes","year":"2025","journal-title":"Clin Kidney J."},{"issue":"3","key":"B12-20250808","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1016\/j.kint.2019.03.015","article-title":"An international Delphi survey helped develop consensus-based core outcome domains for trials in peritoneal dialysis","volume":"96","author":"Manera","year":"2019","journal-title":"Kidney Int."},{"issue":"6","key":"B14-20250808","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1097\/TP.0000000000002476","article-title":"Establishing a core outcome measure for life participation: a standardized outcomes in nephrology-kidney transplantation consensus workshop report","volume":"103","author":"Ju","year":"2019","journal-title":"Transplantation."},{"issue":"3","key":"B15-20250808","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.kint.2020.05.054","article-title":"Establishing core outcome domains in pediatric kidney disease: report of the Standardized Outcomes in Nephrology-Children and Adolescents (SONG-KIDS) consensus workshops","volume":"98","author":"Hanson","year":"2020","journal-title":"Kidney Int."},{"issue":"5","key":"B16-20250808","doi-asserted-by":"crossref","first-page":"673","DOI":"10.2215\/CJN.13101019","article-title":"Identifying outcomes important to patients with glomerular disease and their caregivers","volume":"15","author":"Carter","year":"2020","journal-title":"Clin J Am Soc Nephrol."},{"key":"B17-20250808","doi-asserted-by":"crossref","first-page":"20543581241263168","DOI":"10.1177\/20543581241263168","article-title":"Characterizing interventions used to promote life participation in adults on peritoneal dialysis therapy: a scoping review","volume":"11","author":"Kateb","year":"2024","journal-title":"Can J Kidney Health Dis."},{"issue":"2","key":"B18-20250808","first-page":"189","article-title":"Self-management interventions for facilitating life participation for persons with kidney failure: a systematic review","volume":"19","author":"Moreels","year":"2024","journal-title":"Clin J Am Soc Nephrol."}],"container-title":["Clinical Journal of the American Society of Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.2215\/CJN.0000000724","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T14:01:58Z","timestamp":1754661718000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.2215\/CJN.0000000724"}},"subtitle":["Standardized Outcomes in Nephrology Workshops Report"],"short-title":[],"issued":{"date-parts":[[2025,6,26]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2215\/cjn.0000000724","relation":{},"ISSN":["1555-9041","1555-905X"],"issn-type":[{"value":"1555-9041","type":"print"},{"value":"1555-905X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,26]]},"assertion":[{"value":"2025-01-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}