{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T21:53:03Z","timestamp":1788472383732,"version":"build-2803163510"},"reference-count":39,"publisher":"Becaris Publishing Limited","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Comp. Eff. Res."],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>\n                    <jats:bold>Aim:<\/jats:bold>\n                    The goal of this study was to assess the impact of economic and social crisis on access to cancer care in Lebanon.\n                    <jats:bold>Materials &amp; methods:<\/jats:bold>\n                    A cancer Drug Access Program in Lebanon was launched, covering 80\u201390% of treatment costs. The program included three drugs for breast cancer, renal cancer, and lung cancer. A longitudinal follow-up of patients was conducted. The Multidimensional Poverty Measure (MPI) was used by year (2019 or 2021), i.e., before and after the onset of the economic crisis.\n                    <jats:bold>Results:<\/jats:bold>\n                    A total of 613 cancer patients were included in 50 hospitals. Mean patient age was 58.5\u00a0years (standard deviation\u00a0=\u00a012.3). The proportion of cancer types was 79.3% breast, 10.6% renal, and 7.3% lung cancer. Treatment with palbociclib (hazard ration [HR]: 1.64; 95% confidence interval [CI]: 1.53\u20131.76, p\u00a0&lt;\u00a00.0004), enrollment prior to 1 January 2019 (HR: 1.24; 95% CI: 1.07\u20131.44, p\u00a0=\u00a00.004), treatment at a hospital with fewer than five physicians (HR: 1.11; 95% CI: 1.00\u20131.23, p\u00a0=\u00a00.04), and lower 2019 MPI (HR: 1.69; 95% CI: 1.30\u20132.20) were significant predictive factors associated with survival. Higher governorate-level MPI was associated with increased mortality (adjusted rate ratio per 0.1-unit, HR: 2.88; 95% CI: 0.95\u20138.77, p\u00a0=\u00a00.06).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Economic crises have negative impacts on health outcomes, and we identified a change in survival pre\/post crisis onset. This study argues strongly for coordinated efforts to mitigate the negative effects of poverty on health.\n                  <\/jats:p>","DOI":"10.57264\/cer-2025-0099","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T14:46:13Z","timestamp":1769006773000},"source":"Crossref","is-referenced-by-count":2,"title":["The impact of socioeconomic crisis on cancer patient outcomes in Lebanon, 2018\u20132020"],"prefix":"10.57264","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2090-8457","authenticated-orcid":false,"given":"Joel","family":"Ladner","sequence":"first","affiliation":[{"name":"Rouen University Hospital, Department of Epidemiology &amp; Health Promotion, Rouen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Saba","sequence":"additional","affiliation":[{"name":"Axios International\/Block 8, No. 12 Blanchardstown. Corporate Park Dublin 15, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anas","family":"Nofel","sequence":"additional","affiliation":[{"name":"Axios International\/Block 8, No. 12 Blanchardstown. Corporate Park Dublin 15, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malak","family":"Ammar","sequence":"additional","affiliation":[{"name":"Axios International\/Block 8, No. 12 Blanchardstown. Corporate Park Dublin 15, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahad","family":"Adnan","sequence":"additional","affiliation":[{"name":"Axios International\/Block 8, No. 12 Blanchardstown. Corporate Park Dublin 15, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Etienne","family":"Audureau","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology &amp; Ageing, Paris Est Universit\u00e9, H\u00f4pital Henri Mondor, Public Heath, Assistance Publique H\u00f4pitaux de Paris, Cr\u00e9teil, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"36897","reference":[{"key":"e_1_3_10_3_2","first-page":"1","article-title":"Cost of oncology drugs in the Middle-Eastern country of Lebanon: an update (2014\u20132016)","volume":"4","author":"Elias F","year":"2018","unstructured":"Elias F, Bou-Orm IR, Adib SM, Gebran S, Gebran A, Ammar W. Cost of oncology drugs in the Middle-Eastern country of Lebanon: an update (2014\u20132016). J. Glob. Oncol. 4, 1\u20137 (2018).","journal-title":"J. Glob. Oncol."},{"key":"e_1_3_10_4_2","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1055\/s-0040-1721291","article-title":"Cancer in Lebanon: a review of incidence rates from 2008 to 2015 and projections till 2025","volume":"9","author":"Khachfe HH","year":"2020","unstructured":"Khachfe HH, Rahal Z, Sammouri J Cancer in Lebanon: a review of incidence rates from 2008 to 2015 and projections till 2025. South Asian J. Cancer 9, 147\u2013152 (2020).","journal-title":"South Asian J. Cancer"},{"key":"e_1_3_10_5_2","doi-asserted-by":"crossref","first-page":"217","DOI":"10.3390\/medicina55060217","article-title":"Epidemiological study of lung cancer incidence in Lebanon","volume":"55","author":"Salhab HA","year":"2019","unstructured":"Salhab HA, Fares MY, Khachfe HH, Khachfe HM. Epidemiological study of lung cancer incidence in Lebanon. Medicina 55, 217 (2019).","journal-title":"Medicina"},{"issue":"2","key":"e_1_3_10_6_2","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1177\/0020731415585990","article-title":"The path toward universal health coverage","volume":"47","author":"Yassoub R","year":"2017","unstructured":"Yassoub R, Alameddine M, Saleh S. The path toward universal health coverage. Int. J. Health Serv. 47(2), 352\u2013373 (2017).","journal-title":"Int. J. Health Serv."},{"key":"e_1_3_10_7_2","unstructured":"UNHCR. Global trends: forced displacement in 2019. Available from: https:\/\/www.unhcr.org\/flagship-reports\/globaltrends\/globaltrends2019\/"},{"key":"e_1_3_10_8_2","doi-asserted-by":"crossref","first-page":"100136","DOI":"10.1016\/j.jmh.2022.100136","article-title":"Healthcare system responses to non-communicable diseases' needs of Syrian refugees: the cases of Jordan and Lebanon","volume":"6","author":"Akik C","year":"2022","unstructured":"Akik C, Asfahani F, Elghossain T Healthcare system responses to non-communicable diseases' needs of Syrian refugees: the cases of Jordan and Lebanon. J. Migr. Health 6, 100136 (2022).","journal-title":"J. Migr. Health"},{"issue":"5","key":"e_1_3_10_9_2","first-page":"e25367","article-title":"The Lebanese healthcare crisis: an infinite calamity","volume":"14","author":"Fleifel M","year":"2022","unstructured":"Fleifel M, Abi Farraj K. The Lebanese healthcare crisis: an infinite calamity. Cureus 14(5), e25367 (2022).","journal-title":"Cureus"},{"issue":"10213","key":"e_1_3_10_10_2","doi-asserted-by":"crossref","first-page":"1974","DOI":"10.1016\/S0140-6736(19)32907-1","article-title":"The political determinants of health and wellbeing in the Lebanese uprising","volume":"394","author":"Nuwayhid I","year":"2019","unstructured":"Nuwayhid I, Zurayk H. The political determinants of health and wellbeing in the Lebanese uprising. Lancet 394(10213), 1974\u20131975 (2019).","journal-title":"Lancet"},{"issue":"10224","key":"e_1_3_10_11_2","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1016\/S0140-6736(20)30407-4","article-title":"Economic crisis hits Lebanese health care","volume":"395","author":"Devi S","year":"2020","unstructured":"Devi S. Economic crisis hits Lebanese health care. Lancet 395(10224), 548 (2020).","journal-title":"Lancet"},{"key":"e_1_3_10_12_2","doi-asserted-by":"crossref","first-page":"E1","DOI":"10.1002\/ajh.26029","article-title":"A land in agony: COVID-19, economic collapse, political corruption, and a deadly blast","volume":"96","author":"Saliba AN","year":"2021","unstructured":"Saliba AN, Taher AT. A land in agony: COVID-19, economic collapse, political corruption, and a deadly blast. Am. J. Hematol. 96, E1\u2013E40 (2021).","journal-title":"Am. J. Hematol."},{"key":"e_1_3_10_13_2","doi-asserted-by":"crossref","first-page":"114940","DOI":"10.1016\/j.psychres.2022.114940","article-title":"Effects of a multilayered crisis on psychiatric hospitalizations in a university hospital in Lebanon; a retrospective study","volume":"318","author":"Kassab B","year":"2022","unstructured":"Kassab B, El Hachem C, Raad G, Cordahi C, Richa S. Effects of a multilayered crisis on psychiatric hospitalizations in a university hospital in Lebanon; a retrospective study. Psychiatry Res. 318, 114940 (2022).","journal-title":"Psychiatry Res."},{"issue":"11","key":"e_1_3_10_14_2","doi-asserted-by":"crossref","first-page":"e0277883","DOI":"10.1371\/journal.pone.0277883","article-title":"Dissociative experiences among Lebanese university students: association with mental health issues, the economic crisis, the COVID-19 pandemic, and the Beirut port explosion","volume":"17","author":"Mhanna M","year":"2022","unstructured":"Mhanna M, El Zouki C-J, Chahine A, Obeid S, Hallit S. Dissociative experiences among Lebanese university students: association with mental health issues, the economic crisis, the COVID-19 pandemic, and the Beirut port explosion. PLoS ONE 17(11), e0277883 (2022).","journal-title":"PLoS ONE"},{"issue":"8","key":"e_1_3_10_15_2","doi-asserted-by":"crossref","first-page":"384","DOI":"10.2188\/jea.JE20200595","article-title":"Economic recession and the risk of cancer: a cohort study from Eastern Finland","volume":"32","author":"Jarroch R","year":"2022","unstructured":"Jarroch R, Tajik B, Tuomainen T-P, Kauhanen J. Economic recession and the risk of cancer: a cohort study from Eastern Finland. J. Epidemiol. 32(8), 384\u2013390 (2022).","journal-title":"J. Epidemiol."},{"issue":"8","key":"e_1_3_10_16_2","doi-asserted-by":"crossref","first-page":"3998","DOI":"10.3390\/ijerph18083998","article-title":"Economic crisis: a factor the delayed diagnosis of breast cancer","volume":"18","author":"Petrovici I","year":"2021","unstructured":"Petrovici I, Ionica M, Neagoe OC. Economic crisis: a factor the delayed diagnosis of breast cancer. Int. J. Environ. Res. Public Health 18(8), 3998 (2021).","journal-title":"Int. J. Environ. Res. Public Health"},{"issue":"10045","key":"e_1_3_10_17_2","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1016\/S0140-6736(16)00577-8","article-title":"Economic downturns, universal health coverage, and cancer mortality in high-income and middle-income countries, 1990\u20132010: a longitudinal analysis","volume":"388","author":"Maruthappu M","year":"2016","unstructured":"Maruthappu M, Watkins J, Noor AM Economic downturns, universal health coverage, and cancer mortality in high-income and middle-income countries, 1990\u20132010: a longitudinal analysis. Lancet 388(10045), 684\u2013695 (2016).","journal-title":"Lancet"},{"issue":"8","key":"e_1_3_10_18_2","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1111\/j.1742-1241.2009.02124.x","article-title":"Economic crises and mortality: a review of the literature","volume":"63","author":"Falagas ME","year":"2009","unstructured":"Falagas ME, Vouloumanou EK, Mavros MN, Karageorgopoulos DE. Economic crises and mortality: a review of the literature. Int. J. Clin. Pract. 63(8), 1128\u20131135 (2009).","journal-title":"Int. J. Clin. Pract."},{"key":"e_1_3_10_19_2","doi-asserted-by":"crossref","first-page":"114733","DOI":"10.1016\/j.socscimed.2022.114733","article-title":"What do we know about the impact of economic recessions on mortality inequalities? A critical review","volume":"296","author":"Benach J","year":"2022","unstructured":"Benach J, Padilla-Pozo \u00c1, Mart\u00ednez-Herrera E What do we know about the impact of economic recessions on mortality inequalities? A critical review. Soc. Sci. Med. 296, 114733 (2022).","journal-title":"Soc. Sci. Med."},{"issue":"2","key":"e_1_3_10_20_2","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.healthpol.2014.02.002","article-title":"Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: a systematic review","volume":"115","author":"Simou E","year":"2014","unstructured":"Simou E, Koutsogeorgou E. Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: a systematic review. Health Policy 115(2\u20133), 111\u2013119 (2014).","journal-title":"Health Policy"},{"issue":"6","key":"e_1_3_10_21_2","doi-asserted-by":"crossref","first-page":"973","DOI":"10.2105\/AJPH.2012.301126","article-title":"Economic crisis, restrictive policies, and the population's health and health care: the Greek case","volume":"103","author":"Kondilis E","year":"2013","unstructured":"Kondilis E, Giannakopoulos S, Gavana M, Ierodiakonou I, Waitzkin H, Benos A. Economic crisis, restrictive policies, and the population's health and health care: the Greek case. Am. J. Public Health 103(6), 973\u2013979 (2013).","journal-title":"Am. J. Public Health"},{"key":"e_1_3_10_22_2","doi-asserted-by":"crossref","first-page":"46423","DOI":"10.1038\/srep46423","article-title":"Medium-term impact of the economic crisis on mortality, health-related behaviours and access to healthcare in Greece","volume":"7","author":"Filippidis FT","year":"2017","unstructured":"Filippidis FT, Gerovasili V, Millett C, Tountas Y. Medium-term impact of the economic crisis on mortality, health-related behaviours and access to healthcare in Greece. Sci. Rep. 7, 46423 (2017).","journal-title":"Sci. Rep."},{"issue":"9918","key":"e_1_3_10_23_2","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/S0140-6736(14)60250-6","article-title":"Mortality and the economic crisis in Greece","volume":"383","author":"Vlachadis N","year":"2014","unstructured":"Vlachadis N, Vrachnis N, Ktenas E, Vlachadi M, Kornarou E. Mortality and the economic crisis in Greece. Lancet 383(9918), 691 (2014).","journal-title":"Lancet"},{"issue":"1","key":"e_1_3_10_24_2","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/s12939-016-0425-6","article-title":"Economic crisis and health inequalities: evidence from the European Union","volume":"15","author":"Maynou L","year":"2016","unstructured":"Maynou L, Saez M. Economic crisis and health inequalities: evidence from the European Union. Int. J. Equity Health 15(1), 135 (2016).","journal-title":"Int. J. Equity Health"},{"issue":"1","key":"e_1_3_10_25_2","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1186\/s12939-021-01412-7","article-title":"The unequal effects of austerity measures between income-groups on the access to healthcare: a quasi-experimental approach","volume":"20","author":"Torfs L","year":"2021","unstructured":"Torfs L, Adriaenssens S, Lagaert S, Willems S. The unequal effects of austerity measures between income-groups on the access to healthcare: a quasi-experimental approach. Int. J. Equity Health 20(1), 79 (2021).","journal-title":"Int. J. Equity Health"},{"issue":"1","key":"e_1_3_10_26_2","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1186\/s12939-023-01885-8","article-title":"Cost of bladder cancer in Lebanon before and after the economic collapse: a probabilistic modeling study","volume":"22","author":"Raad E","year":"2023","unstructured":"Raad E, Helou S, Hage K, Daou M, El Helou E. Cost of bladder cancer in Lebanon before and after the economic collapse: a probabilistic modeling study. Int. J. Equity Health 22(1), 77 (2023).","journal-title":"Int. J. Equity Health"},{"issue":"19","key":"e_1_3_10_27_2","doi-asserted-by":"crossref","first-page":"12161","DOI":"10.3390\/ijerph191912161","article-title":"Spatio-temporal variation of lung cancer in Crete, 1992\u20132013. Economic or health crisis?","volume":"19","author":"Sifaki-Pistolla D","year":"2022","unstructured":"Sifaki-Pistolla D, Chatzea VE, Mechili EA Spatio-temporal variation of lung cancer in Crete, 1992\u20132013. Economic or health crisis? Int. J. Environ. Res. Public Health 19(19), 12161 (2022).","journal-title":"Int. J. Environ. Res. Public Health"},{"issue":"8","key":"e_1_3_10_28_2","doi-asserted-by":"crossref","first-page":"727","DOI":"10.7150\/jca.11886","article-title":"The impact of economic recession on the incidence and treatment of cancer","volume":"6","author":"Ennis KY","year":"2015","unstructured":"Ennis KY, Chen MH, Smith GC The impact of economic recession on the incidence and treatment of cancer. J. Cancer 6(8), 727\u2013733 (2015).","journal-title":"J. Cancer"},{"key":"e_1_3_10_29_2","unstructured":"United Nations Economic and Social Commission for Western Asia. Multidimensional poverty in Lebanon (2019\u20132021): painful reality and uncertain prospect. (2021). Available from: https:\/\/www.unescwa.org\/publications\/multidimensional-poverty-lebanon-2019-2021"},{"key":"e_1_3_10_30_2","unstructured":"The World Bank. Multidimensional poverty measure. Available from: https:\/\/www.worldbank.org\/en\/topic\/poverty\/brief\/multidimensional-poverty-measure"},{"issue":"6","key":"e_1_3_10_31_2","first-page":"2277","article-title":"A multidimensional poverty analysis: evidence from Lebanese data","volume":"7","author":"Ashaal A","year":"2019","unstructured":"Ashaal A, Bakri A. A multidimensional poverty analysis: evidence from Lebanese data. Int. J. Recent Tech. Eng. 7(6S5), 2277\u20133878 (2019).","journal-title":"Int. J. Recent Tech. Eng."},{"issue":"1","key":"e_1_3_10_32_2","doi-asserted-by":"crossref","first-page":"e006960","DOI":"10.1136\/bmjgh-2021-006960","article-title":"The relationship between multidimensional poverty, income poverty and youth depressive symptoms: cross-sectional evidence from Mexico, South Africa and Colombia","volume":"7","author":"Zimmerman A","year":"2022","unstructured":"Zimmerman A, Lund C, Araya R The relationship between multidimensional poverty, income poverty and youth depressive symptoms: cross-sectional evidence from Mexico, South Africa and Colombia. BMJ Glob. Health 7(1), e006960 (2022).","journal-title":"BMJ Glob. Health"},{"issue":"1","key":"e_1_3_10_33_2","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1038\/s41533-020-0188-9","article-title":"A cohort study of medication adherence among patients with chronic obstructive pulmonary disease in Egypt","volume":"30","author":"Ladner J","year":"2020","unstructured":"Ladner J, El Badrawy M, Nofal A, Saba J, Audureau E. A cohort study of medication adherence among patients with chronic obstructive pulmonary disease in Egypt. NPJ Prim. Care. Respir. Med. 30(1), 31 (2020).","journal-title":"NPJ Prim. Care. Respir. Med."},{"issue":"2","key":"e_1_3_10_34_2","doi-asserted-by":"crossref","first-page":"243","DOI":"10.3349\/ymj.2018.59.2.243","article-title":"Effects of physician volume on readmission and mortality in elderly patients with heart failure: nationwide cohort study","volume":"59","author":"Lee JE","year":"2018","unstructured":"Lee JE, Park EC, Jang SY, Lee SA, Choy YS, Kim TH. Effects of physician volume on readmission and mortality in elderly patients with heart failure: nationwide cohort study. Yonsei Med. J. 59(2), 243\u2013251 (2018).","journal-title":"Yonsei Med. J."},{"issue":"18","key":"e_1_3_10_35_2","doi-asserted-by":"crossref","first-page":"e012282","DOI":"10.1161\/JAHA.119.012282","article-title":"Number of cardiologists per cardiovascular beds and in-hospital mortality for acute heart failure: a nationwide study in Japan","volume":"8","author":"Kanaoka K","year":"2019","unstructured":"Kanaoka K, Okayama S, Nakai M Number of cardiologists per cardiovascular beds and in-hospital mortality for acute heart failure: a nationwide study in Japan. J. Am. Heart Assoc. 8(18), e012282 (2019).","journal-title":"J. Am. Heart Assoc."},{"key":"e_1_3_10_36_2","first-page":"100709","article-title":"The association between physician staff numbers and mortality in English hospitals","volume":"32","author":"Harvey PR","year":"2021","unstructured":"Harvey PR, Trudgill NJ. The association between physician staff numbers and mortality in English hospitals. E. Clin. Med. 32, 100709 (2021).","journal-title":"E. Clin. Med."},{"key":"e_1_3_10_37_2","doi-asserted-by":"crossref","first-page":"101827","DOI":"10.1016\/j.canep.2020.101827","article-title":"Socio-economic inequalities on cancer mortality in nine European areas: the effect of the last economic recession","volume":"69","author":"Pal\u00e8ncia L","year":"2020","unstructured":"Pal\u00e8ncia L, Ferrando J, Mar\u00ed-Dell'Olmo M Socio-economic inequalities on cancer mortality in nine European areas: the effect of the last economic recession. Cancer Epidemiol. 69, 101827 (2020).","journal-title":"Cancer Epidemiol."},{"issue":"1","key":"e_1_3_10_38_2","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1093\/ije\/dyx193","article-title":"The Great Recession and inequalities in access to health care: a study of unemployment and unmet medical need in Europe in the economic crisis","volume":"47","author":"Madureira-Lima J","year":"2018","unstructured":"Madureira-Lima J, Reeves A, Clair A, Stuckler D. The Great Recession and inequalities in access to health care: a study of unemployment and unmet medical need in Europe in the economic crisis. Int. J. Epidemiol. 47(1), 58\u201368 (2018).","journal-title":"Int. J. Epidemiol."},{"key":"e_1_3_10_39_2","first-page":"431","article-title":"Governance and capacity to manage resilience of health systems: towards a new conceptual framework","volume":"6","author":"Blanchet K","year":"2017","unstructured":"Blanchet K, Nam SL, Ramalingam B, Pozo-Martin F. Governance and capacity to manage resilience of health systems: towards a new conceptual framework. Int. J. Health Pol. Manag. 6, 431\u2013435 (2017).","journal-title":"Int. J. Health Pol. Manag."},{"key":"e_1_3_10_40_2","doi-asserted-by":"crossref","first-page":"j2323","DOI":"10.1136\/bmj.j2323","article-title":"Building resilient health systems: a proposal for a resilience index","volume":"357","author":"Kruk ME","year":"2017","unstructured":"Kruk ME, Ling EJ, Bitton A Building resilient health systems: a proposal for a resilience index. Brit. Med. J. 357, j2323 (2017).","journal-title":"Brit. Med. J."},{"key":"e_1_3_10_41_2","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.jclinepi.2013.08.005","article-title":"Applying an equity lens to interventions: using PROGRESS-Plus","volume":"67","author":"O'Neill J","year":"2014","unstructured":"O'Neill J, Tabish H, Welch V Applying an equity lens to interventions: using PROGRESS-Plus. J. Clin. Epidemiol. 67, 56\u201364 (2014).","journal-title":"J. Clin. Epidemiol."}],"container-title":["Journal of Comparative Effectiveness Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/becarispublishing.com\/doi\/pdf\/10.57264\/cer-2025-0099","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T10:15:25Z","timestamp":1770286525000},"score":1,"resource":{"primary":{"URL":"https:\/\/becarispublishing.com\/doi\/10.57264\/cer-2025-0099"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":39,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.57264\/cer-2025-0099"],"URL":"https:\/\/doi.org\/10.57264\/cer-2025-0099","relation":{},"ISSN":["2042-6305","2042-6313"],"issn-type":[{"value":"2042-6305","type":"print"},{"value":"2042-6313","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"article-number":"e250099"}}