The Participation of HPV-Vaccinated Women in a National Cervical Screening Program: Population-Based Cohort Study
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{"title"=>"The participation of HPV-vaccinated women in a national cervical screening program: Population-based cohort study", "type"=>"journal", "authors"=>[{"first_name"=>"Eva", "last_name"=>"Herweijer", "scopus_author_id"=>"55350247800"}, {"first_name"=>"Adina L.", "last_name"=>"Feldman", "scopus_author_id"=>"41861256400"}, {"first_name"=>"Alexander", "last_name"=>"Ploner", "scopus_author_id"=>"8905054200"}, {"first_name"=>"Lisen", "last_name"=>"Arnheim-Dahlström", "scopus_author_id"=>"55350994700"}, {"first_name"=>"Ingrid", "last_name"=>"Uhnoo", "scopus_author_id"=>"7004390376"}, {"first_name"=>"Eva", "last_name"=>"Netterlid", "scopus_author_id"=>"6507576286"}, {"first_name"=>"Joakim", "last_name"=>"Dillner", "scopus_author_id"=>"7007135194"}, {"first_name"=>"Pär", "last_name"=>"Sparén", "scopus_author_id"=>"7004206670"}, {"first_name"=>"Karin", "last_name"=>"Sundström", "scopus_author_id"=>"26650231400"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"605997210", "sgr"=>"84941624979", "issn"=>"19326203", "pmid"=>"26218492", "scopus"=>"2-s2.0-84941624979", "doi"=>"10.1371/journal.pone.0134185", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)"}, "id"=>"65517529-55ef-389c-ac2c-df97471ffa46", "abstract"=>"BACKGROUND: Concerns have been raised that HPV-vaccination might affect women's cervical screening behavior. We therefore investigated the association between opportunistic HPV-vaccination and attendance after invitation to cervical screening.\\nMETHODS: A cohort of all women resident in Sweden, born 1977-1987 (N=629,703), and invited to cervical screening, was followed October 2006 - December 2012. Invitations to screening were identified via the National Quality Register for Cervical Cancer Prevention, as was the primary outcome of a registered smear. Vaccination status was obtained from two nationwide health data registers. Hazard ratios (HR) were estimated using Cox regression adjusted for age, education level and income (HRadj). Women were individually followed for up to 6 years, of which the first and second screening rounds were analyzed separately.\\nRESULTS: Screening attendance after three years of follow-up was 86% in vaccinated women (N=4,897) and 75% in unvaccinated women (N=625,804). The crude HR of screening attendance in vaccinated vs. unvaccinated women was 1.31 (95% CI 1.27-1.35) in the first screening round. Adjustment for education and income reduced but did not erase this difference (HRadj=1.09, 95% CI 1.05-1.13). In the second screening round, attendance was likewise higher in HPV-vaccinated women (crude HR=1.26, 95% CI 1.21-1.32; HRadj=1.15, 95% CI 1.10-1.20).\\nCONCLUSIONS: HPV-vaccination is so far associated with equal or higher attendance to cervical screening in Sweden in a cohort of opportunistically vaccinated young women. Most but not all of the difference in attendance was explained by socioeconomic differences between vaccinated and unvaccinated women. HPV vaccine effectiveness studies should consider screening attendance of HPV-vaccinated women when assessing incidence of screen-detected cervical lesions.", "link"=>"http://www.mendeley.com/research/participation-hpvvaccinated-women-national-cervical-screening-program-populationbased-cohort-study-2", "reader_count"=>18, "reader_count_by_academic_status"=>{"Researcher"=>4, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>1, "Student > Master"=>3, "Student > Bachelor"=>4, "Professor"=>1}, "reader_count_by_user_role"=>{"Researcher"=>4, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>1, "Student > Master"=>3, "Student > Bachelor"=>4, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Nursing and Health Professions"=>1, "Agricultural and Biological Sciences"=>3, "Medicine and Dentistry"=>10, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Psychology"=>1, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>10}, "Psychology"=>{"Psychology"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Unspecified"=>{"Unspecified"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}}, "reader_count_by_country"=>{"United Kingdom"=>1}, "group_count"=>1}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/2192961"], "description"=>"<p>Details on study exclusions and population analyzed to study the association between HPV vaccination status and attendance to cervical screening after invitation.</p>", "links"=>[], "tags"=>["National Quality Register", "screening round", "hr", "National Cervical Screening Program", "HPV vaccine effectiveness studies", "December 2012. Invitations", "health data registers", "unvaccinated women", "Cervical Cancer Prevention", "ci", "screening attendance"], "article_id"=>1496465, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Eva Herweijer", "Adina L. Feldman", "Alexander Ploner", "Lisen Arnheim-Dahlström", "Ingrid Uhnoo", "Eva Netterlid", "Joakim Dillner", "Pär Sparén", "Karin Sundström"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0134185.g001", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Details_on_study_exclusions_and_population_analyzed_to_study_the_association_between_HPV_vaccination_status_and_attendance_to_cervical_screening_after_invitation_/1496465", "title"=>"Details on study exclusions and population analyzed to study the association between HPV vaccination status and attendance to cervical screening after invitation.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-07-28 04:04:40"}
  • {"files"=>["https://ndownloader.figshare.com/files/2192963"], "description"=>"<p>Age at opportunistic HPV vaccination among HPV-vaccinated females in the study cohort.</p>", "links"=>[], "tags"=>["National Quality Register", "screening round", "hr", "National Cervical Screening Program", "HPV vaccine effectiveness studies", "December 2012. Invitations", "health data registers", "unvaccinated women", "Cervical Cancer Prevention", "ci", "screening attendance"], "article_id"=>1496467, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Eva Herweijer", "Adina L. Feldman", "Alexander Ploner", "Lisen Arnheim-Dahlström", "Ingrid Uhnoo", "Eva Netterlid", "Joakim Dillner", "Pär Sparén", "Karin Sundström"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0134185.g002", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Age_at_opportunistic_HPV_vaccination_among_HPV_vaccinated_females_in_the_study_cohort_/1496467", "title"=>"Age at opportunistic HPV vaccination among HPV-vaccinated females in the study cohort.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-07-28 04:04:40"}
  • {"files"=>["https://ndownloader.figshare.com/files/2192981", "https://ndownloader.figshare.com/files/2192982", "https://ndownloader.figshare.com/files/2192983", "https://ndownloader.figshare.com/files/2192984", "https://ndownloader.figshare.com/files/2192985"], "description"=>"<div><p>Background</p><p>Concerns have been raised that HPV-vaccination might affect women’s cervical screening behavior. We therefore investigated the association between opportunistic HPV-vaccination and attendance after invitation to cervical screening.</p><p>Methods</p><p>A cohort of all women resident in Sweden, born 1977-1987 (N=629,703), and invited to cervical screening, was followed October 2006 - December 2012. Invitations to screening were identified via the National Quality Register for Cervical Cancer Prevention, as was the primary outcome of a registered smear. Vaccination status was obtained from two nationwide health data registers. Hazard ratios (HR) were estimated using Cox regression adjusted for age, education level and income (HR<sub>adj</sub>). Women were individually followed for up to 6 years, of which the first and second screening rounds were analyzed separately.</p><p>Results</p><p>Screening attendance after three years of follow-up was 86% in vaccinated women (N=4,897) and 75% in unvaccinated women (N=625,804). The crude HR of screening attendance in vaccinated vs. unvaccinated women was 1.31 (95% CI 1.27-1.35) in the first screening round. Adjustment for education and income reduced but did not erase this difference (HR<sub>adj</sub>=1.09, 95% CI 1.05-1.13). In the second screening round, attendance was likewise higher in HPV-vaccinated women (crude HR=1.26, 95% CI 1.21-1.32; HR<sub>adj</sub>=1.15, 95% CI 1.10-1.20).</p><p>Conclusions</p><p>HPV-vaccination is so far associated with equal or higher attendance to cervical screening in Sweden in a cohort of opportunistically vaccinated young women. Most but not all of the difference in attendance was explained by socioeconomic differences between vaccinated and unvaccinated women. HPV vaccine effectiveness studies should consider screening attendance of HPV-vaccinated women when assessing incidence of screen-detected cervical lesions.</p></div>", "links"=>[], "tags"=>["National Quality Register", "screening round", "hr", "National Cervical Screening Program", "HPV vaccine effectiveness studies", "December 2012. Invitations", "health data registers", "unvaccinated women", "Cervical Cancer Prevention", "ci", "screening attendance"], "article_id"=>1496484, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Eva Herweijer", "Adina L. Feldman", "Alexander Ploner", "Lisen Arnheim-Dahlström", "Ingrid Uhnoo", "Eva Netterlid", "Joakim Dillner", "Pär Sparén", "Karin Sundström"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0134185.s001", "https://dx.doi.org/10.1371/journal.pone.0134185.s002", "https://dx.doi.org/10.1371/journal.pone.0134185.s003", "https://dx.doi.org/10.1371/journal.pone.0134185.s004", "https://dx.doi.org/10.1371/journal.pone.0134185.s005"], "stats"=>{"downloads"=>5, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_Participation_of_HPV_Vaccinated_Women_in_a_National_Cervical_Screening_Program_Population_Based_Cohort_Study_/1496484", "title"=>"The Participation of HPV-Vaccinated Women in a National Cervical Screening Program: Population-Based Cohort Study", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2015-07-28 04:04:40"}
  • {"files"=>["https://ndownloader.figshare.com/files/2192966"], "description"=>"<p>Cumulative incidence proportions of screening attendance since first invitation to screening by vaccination status.</p>", "links"=>[], "tags"=>["National Quality Register", "screening round", "hr", "National Cervical Screening Program", "HPV vaccine effectiveness studies", "December 2012. Invitations", "health data registers", "unvaccinated women", "Cervical Cancer Prevention", "ci", "screening attendance"], "article_id"=>1496470, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Eva Herweijer", "Adina L. Feldman", "Alexander Ploner", "Lisen Arnheim-Dahlström", "Ingrid Uhnoo", "Eva Netterlid", "Joakim Dillner", "Pär Sparén", "Karin Sundström"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0134185.g003", "stats"=>{"downloads"=>5, "page_views"=>19, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Cumulative_incidence_proportions_of_screening_attendance_since_first_invitation_to_screening_by_vaccination_status_/1496470", "title"=>"Cumulative incidence proportions of screening attendance since first invitation to screening by vaccination status.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-07-28 04:04:40"}
  • {"files"=>["https://ndownloader.figshare.com/files/2192967"], "description"=>"<p><sup>a</sup> Women were HPV-vaccinated with at least 1 dose.</p><p>Number of individuals, events, and person time by HPV vaccination status in the entire cohort and per education and income level.</p>", "links"=>[], "tags"=>["National Quality Register", "screening round", "hr", "National Cervical Screening Program", "HPV vaccine effectiveness studies", "December 2012. Invitations", "health data registers", "unvaccinated women", "Cervical Cancer Prevention", "ci", "screening attendance"], "article_id"=>1496471, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Eva Herweijer", "Adina L. Feldman", "Alexander Ploner", "Lisen Arnheim-Dahlström", "Ingrid Uhnoo", "Eva Netterlid", "Joakim Dillner", "Pär Sparén", "Karin Sundström"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0134185.t001", "stats"=>{"downloads"=>3, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Number_of_individuals_events_and_person_time_by_HPV_vaccination_status_in_the_entire_cohort_and_per_education_and_income_level_/1496471", "title"=>"Number of individuals, events, and person time by HPV vaccination status in the entire cohort and per education and income level.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-07-28 04:04:40"}
  • {"files"=>["https://ndownloader.figshare.com/files/2192968"], "description"=>"<p><sup>a</sup> Unadjusted hazard ratios (HRs) with corresponding confidence intervals (CIs).</p><p><sup>b</sup> HRs with corresponding CIs adjusted for income and education. Women were HPV-vaccinated with at least 1 dose.</p><p>Crude and adjusted hazard ratios from the main effects model of screening attendance in HPV-vaccinated women compared to unvaccinated women during the entire study period, and by round 1 and 2 during follow-up.</p>", "links"=>[], "tags"=>["National Quality Register", "screening round", "hr", "National Cervical Screening Program", "HPV vaccine effectiveness studies", "December 2012. Invitations", "health data registers", "unvaccinated women", "Cervical Cancer Prevention", "ci", "screening attendance"], "article_id"=>1496472, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Eva Herweijer", "Adina L. Feldman", "Alexander Ploner", "Lisen Arnheim-Dahlström", "Ingrid Uhnoo", "Eva Netterlid", "Joakim Dillner", "Pär Sparén", "Karin Sundström"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0134185.t002", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Crude_and_adjusted_hazard_ratios_from_the_main_effects_model_of_screening_attendance_in_HPV_vaccinated_women_compared_to_unvaccinated_women_during_the_entire_study_period_and_by_round_1_and_2_during_follow_up_/1496472", "title"=>"Crude and adjusted hazard ratios from the main effects model of screening attendance in HPV-vaccinated women compared to unvaccinated women during the entire study period, and by round 1 and 2 during follow-up.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-07-28 04:04:40"}
  • {"files"=>["https://ndownloader.figshare.com/files/2192969"], "description"=>"<p><sup>a</sup> Hazard ratios (HRs) with corresponding confidence intervals (CIs) adjusted for income and including an interaction term between vaccination and education level. Women were HPV-vaccinated with at least 1 dose.</p><p>Adjusted hazard ratios of screening attendance by HPV vaccination status and education level during the entire study period, and by round 1 and 2 during follow-up.</p>", "links"=>[], "tags"=>["National Quality Register", "screening round", "hr", "National Cervical Screening Program", "HPV vaccine effectiveness studies", "December 2012. Invitations", "health data registers", "unvaccinated women", "Cervical Cancer Prevention", "ci", "screening attendance"], "article_id"=>1496473, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Eva Herweijer", "Adina L. Feldman", "Alexander Ploner", "Lisen Arnheim-Dahlström", "Ingrid Uhnoo", "Eva Netterlid", "Joakim Dillner", "Pär Sparén", "Karin Sundström"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0134185.t003", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Adjusted_hazard_ratios_of_screening_attendance_by_HPV_vaccination_status_and_education_level_during_the_entire_study_period_and_by_round_1_and_2_during_follow_up_/1496473", "title"=>"Adjusted hazard ratios of screening attendance by HPV vaccination status and education level during the entire study period, and by round 1 and 2 during follow-up.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-07-28 04:04:40"}

PMC Usage Stats | Further Information

  • {"unique-ip"=>"59", "full-text"=>"53", "pdf"=>"35", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2015", "month"=>"8"}
  • {"unique-ip"=>"22", "full-text"=>"23", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"9"}
  • {"unique-ip"=>"22", "full-text"=>"21", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"10"}
  • {"unique-ip"=>"11", "full-text"=>"12", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"2"}
  • {"unique-ip"=>"23", "full-text"=>"18", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"11"}
  • {"unique-ip"=>"31", "full-text"=>"11", "pdf"=>"25", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"12"}
  • {"unique-ip"=>"14", "full-text"=>"12", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"1"}
  • {"unique-ip"=>"12", "full-text"=>"14", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"3"}
  • {"unique-ip"=>"9", "full-text"=>"23", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"4"}
  • {"unique-ip"=>"17", "full-text"=>"18", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"5"}
  • {"unique-ip"=>"14", "full-text"=>"11", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"6"}
  • {"unique-ip"=>"8", "full-text"=>"8", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"7"}
  • {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"8"}
  • {"unique-ip"=>"12", "full-text"=>"13", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"9"}
  • {"unique-ip"=>"8", "full-text"=>"10", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"10"}
  • {"unique-ip"=>"11", "full-text"=>"15", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"11"}
  • {"unique-ip"=>"12", "full-text"=>"12", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"12"}
  • {"unique-ip"=>"13", "full-text"=>"11", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2017", "month"=>"1"}
  • {"unique-ip"=>"6", "full-text"=>"5", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"2"}
  • {"unique-ip"=>"6", "full-text"=>"5", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"3"}
  • {"unique-ip"=>"7", "full-text"=>"7", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"4"}
  • {"unique-ip"=>"15", "full-text"=>"18", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"8", "full-text"=>"11", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"4", "full-text"=>"4", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"7"}
  • {"unique-ip"=>"5", "full-text"=>"4", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"7", "full-text"=>"6", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
  • {"unique-ip"=>"6", "full-text"=>"6", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"10", "full-text"=>"12", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
  • {"unique-ip"=>"5", "full-text"=>"6", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"12"}
  • {"unique-ip"=>"5", "full-text"=>"4", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
  • {"unique-ip"=>"10", "full-text"=>"9", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
  • {"unique-ip"=>"11", "full-text"=>"12", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"1"}
  • {"unique-ip"=>"8", "full-text"=>"6", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"10", "full-text"=>"14", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"17", "full-text"=>"17", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"4"}
  • {"unique-ip"=>"9", "full-text"=>"12", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"28", "full-text"=>"40", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"10", "full-text"=>"7", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"16", "full-text"=>"16", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"7", "full-text"=>"7", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"12", "full-text"=>"11", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"10"}
  • {"unique-ip"=>"8", "full-text"=>"7", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"8", "full-text"=>"9", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"11", "full-text"=>"8", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"10", "full-text"=>"10", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"8"}
  • {"unique-ip"=>"11", "full-text"=>"5", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2019", "month"=>"9"}
  • {"unique-ip"=>"11", "full-text"=>"11", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"10"}

Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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