Surgery for Obesity and Related Diseases最新文献

{"title":"Response to comment on “Magnetic duodenoileal anastomosis with sleeve gastrectomy: a prospective multicenter study” by L. Biertho, S. Marceau, M. Nadeau, S. Lebel, F. Julien, A. Tchernof, T. Ransom, R. T. Spence, and J. Ellsmere","authors":"Laurent Biertho M.D., Simon Marceau M.D., Mélanie Nadeau M.Sc., Stéfane Lebel M.D., François Julien M.D., André Tchernof Ph.D., Thomas Ransom M.D., Richard T. Spence M.D., James Ellsmere M.D.","doi":"10.1016/j.soard.2025.11.010","DOIUrl":"10.1016/j.soard.2025.11.010","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 179-180"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on “Evaluation of patients on immunosuppressants undergoing sleeve gastrectomy, Roux-en-Y gastric bypass, and duodenal switch: analysis of 19,414 patients”","authors":"Prajnasini Satapathy M.D., Rachana Mehta M.Sc., Ranjana Sah M.D.","doi":"10.1016/j.soard.2025.08.005","DOIUrl":"10.1016/j.soard.2025.08.005","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 182-183"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between cardiac axis changes and excess weight loss following bariatric surgery","authors":"Lucas Friedrich Fontoura M.D., Ph.D. ,&nbsp;Lucas S. Matzenbacher M.D. ,&nbsp;Laura Gomes Boabaid de Barros ,&nbsp;Ana Gabriela Rodrigues Haussen ,&nbsp;Mariana Kude Perrone ,&nbsp;Vicenzo Gheno ,&nbsp;Helena Toniazzi Uchôa ,&nbsp;Andres Di Leoni Ferrari M.D., Ph.D. ,&nbsp;Claudio Cora Mottin M.D., Ph.D. ,&nbsp;Alexandre Vontobel Padoin M.D., Ph.D. ,&nbsp;Janine Alessi M.D., Ph.D. ,&nbsp;Gabriela Heiden Telo M.D., Ph.D.","doi":"10.1016/j.soard.2025.08.025","DOIUrl":"10.1016/j.soard.2025.08.025","url":null,"abstract":"<div><h3>Background</h3><div>Excess weight has been linked to leftward QRS axis deviation, but the impact of significant weight loss on cardiac axis remains unclear.</div></div><div><h3>Objectives</h3><div>To evaluate the association between excess weight loss following bariatric surgery and changes in the electrocardiographic cardiac axis.</div></div><div><h3>Setting</h3><div>Single academic medical center in Brazil.</div></div><div><h3>Methods</h3><div>Retrospective cohort including patients who underwent bariatric surgery at a multidisciplinary obesity treatment center in Southern Brazil. Pre- and postoperative electrocardiographies (ECGs) were analyzed, with exact cardiac axis determined using the Novosel equation. The main outcome was the association between the percentage of excess weight loss (EWL%) and the change in cardiac axis (Δθ_a), defined as the difference between the pre- and postoperative cardiac axis values. Multivariable linear regression models were applied, adjusting for time since bariatric surgery.</div></div><div><h3>Results</h3><div>A total of 60 participants (mean age of 42.15 years, 68.3% female) were included. The mean preoperative body mass index was 42.9 ± 6.2 kg/m², decreasing to 28.9 ± 5.2 kg/m² postoperatively, with an average EWL% of 66.7 ± 16%. The mean cardiac axis shifted from 27.99 ± 30.77 degrees preoperatively to 42.37 ± 34.06 degrees postoperatively (Δθ_a = 14.38 ± 26.61 degrees). A 1% increase in EWL% was associated with a .44-degree increase in the cardiac axis (B = .44; 95% confidence interval [CI]: .15–.80; <em>P</em> = .009).</div></div><div><h3>Conclusions</h3><div>Weight loss following bariatric surgery is associated with changes in the electrocardiographic cardiac axis, with a trend toward rightward shifts. The clinical significance of these findings remains uncertain, and further studies are needed to confirm and clarify the prognostic value of these electrocardiographic adaptations.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 84-91"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kidney transplantation after bariatric surgery—Outcomes from a 30-year experience","authors":"Abraham J. Matar M.D. ,&nbsp;M. Caner Aydin M.D. ,&nbsp;Daniel Waller M.S. ,&nbsp;Erika Helgeson Ph.D. ,&nbsp;David Vock Ph.D. ,&nbsp;Matthew Wright M.D. ,&nbsp;Karthik Ramanathan M.D. ,&nbsp;Vanessa Humphreville M.D. ,&nbsp;Erik B. Finger M.D., Ph.D. ,&nbsp;Timothy Pruett M.D. ,&nbsp;Arthur J. Matas M.D. ,&nbsp;Eric Wise M.D. ,&nbsp;Sayeed Ikramuddin M.D. ,&nbsp;Raja Kandaswamy M.D. ,&nbsp;Daniel B. Leslie M.D.","doi":"10.1016/j.soard.2025.09.005","DOIUrl":"10.1016/j.soard.2025.09.005","url":null,"abstract":"<div><h3>Background</h3><div>The clinical impact of metabolic and bariatric surgery (MBS) before kidney transplantation (KTx) is evolving.</div></div><div><h3>Methods</h3><div>This was a single-center retrospective study of all adult patients between January 1, 1994, and December 31, 2024, undergoing KTx with a history of antecedent MBS. Primary outcomes included death-censored graft survival and overall patient survival.</div></div><div><h3>Results</h3><div>Among 4538 KTx recipients, 116 (2.6%) had a history of previous MBS. Median time (interquartile range, range) between BS and KTx was 6.8 years (10.9, .3–45.5). Of these, patients underwent Roux-en-Y gastric bypass (RYGB, n = 77, 66.4%), vertical sleeve gastrectomy (VSG, n = 23, 19.8%), gastric banding (n = 6, 5.2%), vertical banded gastroplasty (n = 5, 4.3%), jejunoileal bypass (n = 3, 2.6%), and duodenal switch (n = 2, 1.7%). The type of MBS (VSG versus RYGB) did not impact long-term outcomes. In total, 28 (24.1%) patients underwent planned BS with the specific intention of reaching an acceptable body mass index (BMI) threshold for KTx. Median time between BS and KTx for these patients was 1.1 years (1.3, .3–4.7). Nine patients underwent RYGB, and 19 underwent VSG. Median BMI (IQR) was reduced from 43.8 kg/m² (6.9) at time of MBS to 32.1 kg/m² (7.3) at time of KTx. One-year overall survival and death-censored graft survival were 96.4% and 100%, respectively. At median follow-up of 2.7 years, overall survival and death-censored graft survival were 85.7% and 89.3%. A propensity matched analysis revealed no differences in the rates of surgical complications after KTx among those with BS compared to matched controls without MBS.</div></div><div><h3>Conclusions</h3><div>This study represents the largest single-center series of patients with MBS before KTx. Timing of antecedent BS and type of BS did not impact long-term graft or patient outcomes. Planned MBS with either VSG or RYGB followed by KTx in patients with an initially prohibitive BMI is associated with excellent short- and medium-term outcomes.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 57-65"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145277037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the Eating loss of control scale in a sample of Hispanic persons seeking metabolic and bariatric surgery","authors":"Ryan J. Marek Ph.D ,&nbsp;Valentina Ivezaj Ph.D ,&nbsp;Manish S. Parikh M.S ,&nbsp;Maansi Jayade B.S ,&nbsp;Jessica Lawson Ph.D ,&nbsp;Carlos M. Grilo Ph.D","doi":"10.1016/j.soard.2025.09.009","DOIUrl":"10.1016/j.soard.2025.09.009","url":null,"abstract":"<div><h3>Background</h3><div>Eating disorders are routinely assessed for in persons seeking metabolic and bariatric surgery (MBS). One construct in particular, loss-of-control over eating, appears to be important to understanding clinical needs and outcomes in MBS. The Eating Loss of Control Scale (ELOCS) has received some initial validation for use in MBS settings, but its factor structure remains uncertain and its performance about diverse groups is unknown.</div></div><div><h3>Objectives</h3><div>The purpose of this study is to explore further the psychometric properties and factor structure of ELOCS in Hispanic persons seeking MBS and to establish measurement invariance between the English- and Spanish-language version.</div></div><div><h3>Setting</h3><div>Academic Medical Center</div></div><div><h3>Methods</h3><div>Participants (n = 618) undergoing evaluations prior to bariatric surgery who identified as Hispanic and consented to participate in this research study completed self-report measures of eating disorders and loss of control over eating. Of the 618 participants, a total of 318 persons preferred English and were administered English versions of the measures and 300 persons preferred Spanish and were administered Spanish versions of the measures.</div></div><div><h3>Results</h3><div>Factor analyses supported a one-factor, 18-item ELOCS (after removal of 2 original items 6 and 20), though Comparative Fit Index (CFI) was slightly below conventional cut-offs and RMESA were mediocre. The measure was also invariant across language translations. The 18-item ELOCS had good internal consistency (α = .97), though the internal consistency suggests that there is still considerable redundancy on the measure. The ELOCS-18 also demonstrated good convergent and discriminant validity with an established eating disorder measure.</div></div><div><h3>Conclusions</h3><div>The 18-item ELOCS is a reliable and valid measure to use in MBS settings, though factor analyses suggest further psychometric work is warranted. A Spanish-translated version assesses the construct of LOC similarly to its English counterpart. Due to some below threshold indices, the ELOCS factor structure should be further studied.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 99-105"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145369393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of neoadjuvant glucagon-like-peptide 1 receptor agonists on weight loss after bariatric surgery","authors":"Maria Charina Benavidez M.D.,&nbsp;Sophia Redpath B.A.,&nbsp;Stephanie Trautmann M.D.,&nbsp;Santiago Ceron M.D,&nbsp;Scott Schimpke M.D.,&nbsp;Jonathan Myers M.D.,&nbsp;Philip Omotosho M.D.,&nbsp;Alfonso Torquati M.D.,&nbsp;Nicholas J. Skertich M.D.","doi":"10.1016/j.soard.2025.09.010","DOIUrl":"10.1016/j.soard.2025.09.010","url":null,"abstract":"<div><h3>Background</h3><div>Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are increasingly prevalent medications used to treat patients with obesity. While bariatric surgery remains the most successful single intervention, many surgical patients have been on a GLP-1RA.</div></div><div><h3>Objectives</h3><div>This study aims to determine if the neoadjuvant use of GLP-1RA affects surgical weight loss.</div></div><div><h3>Setting</h3><div>University Hospital, United States.</div></div><div><h3>Methods</h3><div>This retrospective cohort study compared outcomes of patients undergoing sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) who were treated preoperatively with and without GLP-1RAs from July 2022 to June 2023. T-tests and multivariable analyses were utilized to determine significant differences in weight loss.</div></div><div><h3>Results</h3><div>Of 422 patients, 36 (8.5%) received neoadjuvant GLP-1RAs and 386 (91.5%) did not. Mean preoperative body mass index (BMI) was 47 for both groups. Median time for GLP1-RAs was 12 months prior to bariatric surgery but not resumed after. There was a significant difference between patients who received neoadjuvant GLP1-RAs versus those who did not at 2 weeks (mean change in BMI of −4.9 vs −3.8, <em>P</em> = .006), but not at 3- (−9 vs −8.4, <em>P</em> = .25), 6- (−12.4 vs −11.2, <em>P</em> = .13), or 12 months (−14.2 [n = 21] vs −12.9 [n = 249], <em>P</em> = .25) postoperatively. Multivariable analysis showed no difference in weight loss at any time point when adjusting for operation type.</div></div><div><h3>Conclusions</h3><div>Although neoadjuvant GLP-1RAs did not significantly impact weight loss after bariatric surgery, there was an additive weight loss effect.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 18-23"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: “Assessment of changes in left ventricular myocardial work using the pressure strain loop after metabolic and bariatric surgery: a prospective nonrandomized cohort study”","authors":"Rodolfo J. Oviedo M.D., F.A.C.S., F.R.C.S., F.I.C.S., F.A.S.M.B.S., D.A.B.S.-F.P.D.M.B.S.","doi":"10.1016/j.soard.2025.11.002","DOIUrl":"10.1016/j.soard.2025.11.002","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 37-38"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term outcomes of Roux-en-Y gastric bypass in the adolescent population: a systematic review and single-arm meta-analysis","authors":"Baraa Saad M.B.B.S. ,&nbsp;Kenan Rahima M.B.B.S. ,&nbsp;Mohammed M. Mourad B.Sc. ,&nbsp;Dilip K. Vankayalapati M.B.B.S. ,&nbsp;Omotayo Segun-Omosehin B.Sc. ,&nbsp;Hafsa O. Sulaiman M.D. ,&nbsp;James W.F. Burns M.B.B.S. ,&nbsp;Hayato Nakanishi M.B.B.S., M.S. ,&nbsp;Christian A. Than M.B.B.S., Ph.D. ,&nbsp;Akheel A. Syed M.B.B.S., Ph.D., F.R.C.P.E. ,&nbsp;Bilal Alkhaffaf M.B.Ch.B., Ph.D., F.R.C.S.","doi":"10.1016/j.soard.2025.09.003","DOIUrl":"10.1016/j.soard.2025.09.003","url":null,"abstract":"<div><div>Long-term outcomes of Roux-en-Y gastric bypass (RYGB) in adolescents are limited. This systematic review and meta-analysis evaluates the safety and efficacy of RYGB in adolescents with obesity. A comprehensive literature search was conducted across databases, including MEDLINE, EMBASE, Cochrane, and SCOPUS up to July 2023. Included studies reported outcomes for participants younger than 21 years of age undergoing RYGB, with a minimum follow-up of 2 years. A random-effects model was used for pooled analysis. Twelve studies were included involving 522 adolescents. The mean age was 17.5 years (13-21 years), 73.6% of patients were female, and the mean follow-up was 48.4 months. Baseline body mass index (BMI) was 50.1 kg/m². BMI reduction peaked at 1 year with an absolute reduction of 19.1 kg/m², 36.6% total loss, and 67.7% excess BMI loss. At 5 years, absolute reduction of BMI was 19.1 kg/m², percentage loss was 31.5%, and excess BMI loss was 70.5%. Comorbidity remission rates were 85% for dyslipidemia, 73% for hypertension, 85% for type 2 diabetes, and 68% for obstructive sleep apnea. Iron and vitamin B12 deficiency rates were greater postoperatively. The complication rate was 29.1%. RYGB in adolescents leads to significant weight loss and comorbidity resolution but carries risk of complications and requires monitoring for nutritional deficiencies. Further long-term studies are essential.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 164-177"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of chronic anticoagulation on perioperative outcomes in patients undergoing minimally invasive bariatric surgery—Propensity score–matched analysis using the 2020–2021 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program","authors":"Elad Boaz M.D. ,&nbsp;Pauline Aeschbacher M.D. ,&nbsp;Noam Kahana M.D. ,&nbsp;Nir Horesh M.D. ,&nbsp;Emanuele Lo Menzo M.D. Ph.D., F.A.C.S. ,&nbsp;Samuel Szomstein M.D., F.A.C.S., F.A.S.M.B.S. ,&nbsp;Raul J. Rosenthal M.D., F.A.C.S., F.A.S.M.B.S.","doi":"10.1016/j.soard.2025.09.004","DOIUrl":"10.1016/j.soard.2025.09.004","url":null,"abstract":"<div><h3>Background</h3><div>The management of individuals receiving chronic anticoagulation (CAC) who are undergoing bariatric surgery presents a complex challenge, because there is a delicate balance between risks of perioperative bleeding and thromboembolic events.</div></div><div><h3>Objectives</h3><div>To evaluate and compare rates of bleeding, thrombotic events, and overall outcomes of patients on CAC undergoing bariatric surgery.</div></div><div><h3>Setting</h3><div>United States.</div></div><div><h3>Methods</h3><div>Data spanning 2020 to 2021 were extracted from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database, with a focus on patients who underwent primary minimally invasive bariatric surgery. A multivariable regression analysis examined 30-day outcomes for patients anticoagulated preoperatively. In addition, a propensity-matched analysis was performed comparing outcomes among patients on CAC and those without.</div></div><div><h3>Results</h3><div>In total 331,201 patients were analyzed, with 8428 (2.5%) receiving CAC. Propensity score matching revealed that patients on CAC exhibited greater rates of reoperations within 30 days (1.9% versus 1.3%, <em>P</em> &lt; .001), overall readmissions after 30 days (7.2% versus 3.3% respectively, <em>P</em> &lt; .0001), and reinterventions within 30 days (1.6% versus .9%, <em>P</em> &lt; .0001) compared with patients not on preoperative CAC. Transfusion intra/postoperative and postoperative gastrointestinal tract bleeding events were elevated in the preoperative therapeutic anticoagulant group (2.2% versus .8%, <em>P</em> &lt; .0001 and 1.4% versus .3%, <em>P</em> &lt; .0001, respectively) compared with no preoperative CAC group.</div></div><div><h3>Conclusions</h3><div>Patients undergoing bariatric surgery while on preoperative CAC face significantly increased risks of adverse postoperative outcomes. Individuals requiring long-term anticoagulation should undergo careful consideration before proceeding with bariatric surgery.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 49-55"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: “impact of chronic anticoagulation on perioperative outcomes in patients undergoing minimally invasive bariatric surgery - propensity score matched analysis using the 2020-2021 MBSAQIP”","authors":"Kamal Abi Mosleh M.D.,&nbsp;Hugh Babineau M.D.","doi":"10.1016/j.soard.2025.11.012","DOIUrl":"10.1016/j.soard.2025.11.012","url":null,"abstract":"","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"22 1","pages":"Pages 55-56"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145663149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}