Study of possible correlation between METASTASES TO CENTRAL NERVOUS SYSTEM and SORAFENIB (RAF KINASE INHIBITOR)
Accompanying discussion about FactMed users Questions and Concerns
About this FactMed analysis covering adverse side effect reports of SORAFENIB (RAF KINASE INHIBITOR) patients who developed METASTASES TO CENTRAL NERVOUS SYSTEM.
FactMed provides MD-approved analysis to help both patients, researchers, and physicians accurately assess the risk profile for more than 20,000 different pharmaceutical products. The below report offers compiled information from Food & Drug Administration and FactMed user submissions. Between January 2004 and October 2012, 23 individuals taking SORAFENIB (RAF KINASE INHIBITOR) reported METASTASES TO CENTRAL NERVOUS SYSTEM to the FDA. A total of 3329 SORAFENIB (RAF KINASE INHIBITOR) drug adverse event reaction reports were made with the FDA during this time period. Often the FDA only receives reports of the most critical and severe cases; these numbers may therefore underrepresent the complication rate of the medication.FDA Research Report
Introduction This page is designed to help you determine the relationship, if any, between SORAFENIB (RAF KINASE INHIBITOR) and METASTASES TO CENTRAL NERVOUS SYSTEM. In doing so, we compare SORAFENIB (RAF KINASE INHIBITOR) with other drugs that cause METASTASES TO CENTRAL NERVOUS SYSTEM, to help you evaluate whether or not SORAFENIB (RAF KINASE INHIBITOR) causes METASTASES TO CENTRAL NERVOUS SYSTEM. Likewise, this page shows the most highly-reported side effects of SORAFENIB (RAF KINASE INHIBITOR), so you can see if METASTASES TO CENTRAL NERVOUS SYSTEM ranks among SORAFENIB (RAF KINASE INHIBITOR)'s most well-known side effects.
Summary StatisticsReports of SORAFENIB (RAF KINASE INHIBITOR) causing METASTASES TO CENTRAL NERVOUS SYSTEM: 23
Reports of any side effect of SORAFENIB (RAF KINASE INHIBITOR) : 3329
Percentage of SORAFENIB (RAF KINASE INHIBITOR) patients where METASTASES TO CENTRAL NERVOUS SYSTEM is a reported side effect: 0.6909%
FDA reports of any drug causing METASTASES TO CENTRAL NERVOUS SYSTEM : 3182
Average percentage for all medicated patients where METASTASES TO CENTRAL NERVOUS SYSTEM is reported as a complication: 0.0199%
Physician opinion on SORAFENIB (RAF KINASE INHIBITOR) as adverse event culprit:
Overall opinion for all reports of this drug:
Most frequent diagnoses/indications for prescribing SORAFENIB (RAF KINASE INHIBITOR):
HEPATIC NEOPLASM MALIGNANT
( 770 patients )RENAL CELL CARCINOMA ( 114 patients )
THYROID CANCER ( 65 patients )
METASTATIC RENAL CELL CARCINOMA ( 44 patients )
THYROID CANCER METASTATIC ( 35 patients )
BREAST CANCER ( 31 patients )
BREAST CANCER METASTATIC ( 27 patients )
GASTRIC CANCER ( 25 patients )
NON-SMALL CELL LUNG CANCER ( 25 patients )
COLORECTAL CANCER METASTATIC ( 22 patients )
RENAL CANCER ( 17 patients )
PRODUCT USED FOR UNKNOWN INDICATION ( 14 patients )
BILE DUCT CANCER ( 14 patients )
SALIVARY GLAND CANCER ( 7 patients )
HEPATIC CANCER METASTATIC ( 7 patients )
COLORECTAL CANCER ( 7 patients )
SMALL CELL LUNG CANCER STAGE UNSPECIFIED ( 6 patients )
RECTAL CANCER ( 5 patients )
PANCREATIC CARCINOMA ( 4 patients )
PROSTATE CANCER ( 4 patients )
INTRAOCULAR MELANOMA ( 4 patients )
HEPATIC NEOPLASM MALIGNANT RECURRENT ( 3 patients )
NEOPLASM ( 3 patients )
LIVER DISORDER ( 3 patients )
ANGIOSARCOMA ( 3 patients )
NON-SMALL CELL LUNG CANCER STAGE IV ( 3 patients )
METASTASES TO LUNG ( 3 patients )
HEPATIC NEOPLASM MALIGNANT NON-RESECTABLE ( 3 patients )
COLORECTAL CANCER STAGE IV ( 3 patients )
NEOPLASM MALIGNANT ( 3 patients )
GALLBLADDER CANCER METASTATIC ( 3 patients )
METASTASIS ( 3 patients )
BILIARY CANCER METASTATIC ( 3 patients )
COLON CANCER METASTATIC ( 2 patients )
HYPOPHARYNGEAL CANCER ( 2 patients )
DESMOID TUMOUR ( 2 patients )
NEUROENDOCRINE CARCINOMA ( 2 patients )
LUNG NEOPLASM MALIGNANT ( 2 patients )
ACUTE MYELOID LEUKAEMIA (IN REMISSION) ( 2 patients )
OESOPHAGEAL CARCINOMA ( 2 patients )
METASTATIC MALIGNANT MELANOMA ( 2 patients )
TONGUE NEOPLASM MALIGNANT STAGE UNSPECIFIED ( 2 patients )
METASTATIC SQUAMOUS CELL CARCINOMA ( 2 patients )
RENAL CELL CARCINOMA STAGE IV ( 2 patients )
ANGINA PECTORIS ( 2 patients )
OSTEOSARCOMA METASTATIC ( 2 patients )
METASTATIC OCULAR MELANOMA ( 2 patients )
BONE SARCOMA ( 2 patients )
METASTATIC SALIVARY GLAND CANCER ( 2 patients )
TONSIL CANCER ( 2 patients )
MYELODYSPLASTIC SYNDROME ( 1 patients )
PROSTATE CANCER METASTATIC ( 1 patients )
GALLBLADDER CANCER ( 1 patients )
NEUROENDOCRINE TUMOUR ( 1 patients )
MALIGNANT NEOPLASM OF RENAL PELVIS ( 1 patients )
GLIOMA ( 1 patients )
BLADDER CANCER ( 1 patients )
OVARIAN CANCER METASTATIC ( 1 patients )
CAROTID ARTERY DISEASE ( 1 patients )
HEPATOBLASTOMA ( 1 patients )
NASOPHARYNGEAL CANCER ( 1 patients )
LUNG ADENOCARCINOMA ( 1 patients )
RENAL CANCER METASTATIC ( 1 patients )
ACUTE MYELOID LEUKAEMIA ( 1 patients )
DIFFUSE LARGE B-CELL LYMPHOMA ( 1 patients )
NEUROENDOCRINE CARCINOMA OF THE SKIN ( 1 patients )
MALIGNANT HISTIOCYTOSIS ( 1 patients )
MALIGNANT SOFT TISSUE NEOPLASM ( 1 patients )
SARCOMA ( 1 patients )
ANTICOAGULANT THERAPY ( 1 patients )
GERM CELL CANCER ( 1 patients )
OESOPHAGEAL ADENOCARCINOMA ( 1 patients )
SQUAMOUS CELL CARCINOMA ( 1 patients )
HEAD AND NECK CANCER ( 1 patients )
OVARIAN EPITHELIAL CANCER ( 1 patients )
( 0 patients )
Drugs with high FDA adverse event association with METASTASES TO CENTRAL NERVOUS SYSTEM:
ZOMETA (821 patients)
HERCEPTIN (394 patients)
XELODA (361 patients)
AREDIA (332 patients)
DECADRON (315 patients)
DEXAMETHASONE (268 patients)
TAXOTERE (261 patients)
CARBOPLATIN (251 patients)
COUMADIN (206 patients)
AVASTIN (190 patients)
NAVELBINE (185 patients)
ASPIRIN (183 patients)
AMBIEN (172 patients)
TAXOL (164 patients)
TAMOXIFEN CITRATE (162 patients)
ZOFRAN (158 patients)
GEMZAR (146 patients)
CLINDAMYCIN (145 patients)
TYKERB (142 patients)
RADIATION THERAPY (142 patients)
IRESSA (139 patients)
PACLITAXEL (136 patients)
LEVAQUIN (136 patients)
PROTONIX (136 patients)
FOSAMAX (134 patients)
ATIVAN (134 patients)
MORPHINE (133 patients)
CELEBREX (133 patients)
OXYCONTIN (133 patients)
OMEPRAZOLE (128 patients)
LASIX (127 patients)
FEMARA (127 patients)
FASLODEX (126 patients)
METHOTREXATE (126 patients)
ARANESP (125 patients)
CAPECITABINE (123 patients)
VICODIN (121 patients)
CISPLATIN (120 patients)
OXYCODONE HCL (117 patients)
ARIMIDEX (116 patients)
AMOXICILLIN (115 patients)
ACETAMINOPHEN (113 patients)
CHEMOTHERAPEUTICS NOS (113 patients)
COMPAZINE (108 patients)
NEURONTIN (107 patients)
FOLIC ACID (106 patients)
NEXIUM (105 patients)
CEPHALEXIN (104 patients)
XANAX (103 patients)
AROMASIN (102 patients)
SUTENT (99 patients)
MS CONTIN (99 patients)
TARCEVA (98 patients)
ADRIAMYCIN PFS (97 patients)
IBUPROFEN (95 patients)
ABRAXANE (94 patients)
THALOMID (94 patients)
LORAZEPAM (94 patients)
DOCETAXEL (94 patients)
DURAGESIC-100 (93 patients)
PREDNISONE (92 patients)
PERIDEX (92 patients)
SYNTHROID (91 patients)
FLUOROURACIL (90 patients)
LIPITOR (87 patients)
PERCOCET (83 patients)
GEMCITABINE (83 patients)
POTASSIUM CHLORIDE (82 patients)
DILAUDID (81 patients)
RADIATION (81 patients)
LISINOPRIL (78 patients)
AFINITOR (77 patients)
CYTOXAN (77 patients)
LEXAPRO (76 patients)
CALCIUM (76 patients)
PREDNISOLONE (75 patients)
PRILOSEC (75 patients)
REGLAN (75 patients)
TRASTUZUMAB (74 patients)
ZOLOFT (74 patients)
WELLBUTRIN (73 patients)
VITAMIN D (71 patients)
HYDROCHLOROTHIAZIDE (70 patients)
SIMVASTATIN (70 patients)
ZITHROMAX (68 patients)
CYCLOPHOSPHAMIDE (68 patients)
NEULASTA (68 patients)
LAPATINIB (66 patients)
DECADRON /NET/ (65 patients)
LORTAB (64 patients)
GABAPENTIN (63 patients)
MULTI-VITAMINS (61 patients)
PENICILLIN VK (61 patients)
PAXIL (59 patients)
CIPROFLOXACIN (58 patients)
AUGMENTIN '125' (57 patients)
KEFLEX (57 patients)
STEROIDS NOS (56 patients)
DIFLUCAN (56 patients)
VITAMIN B-12 (56 patients)
ALBUTEROL (55 patients)
PROCRIT /00909301/ (54 patients)
RITALIN (54 patients)
MORPHINE SULFATE (54 patients)
ERLOTINIB HYDROCHLORIDE (54 patients)
FENTANYL (54 patients)
LOVENOX (53 patients)
HYDROCODONE (53 patients)
ACYCLOVIR (53 patients)
GLEEVEC (53 patients)
ETOPOSIDE (52 patients)
NORVASC (52 patients)
DOXORUBICIN HCL (51 patients)
FLUCONAZOLE (51 patients)
ONDANSETRON (51 patients)
HUMIRA (51 patients)
PREVACID (51 patients)
COREG (50 patients)
PEPCID (50 patients)
KEPPRA (50 patients)
FUROSEMIDE (49 patients)
CELEXA (49 patients)
NEXAVAR (48 patients)
BENADRYL ^ACHE^ (48 patients)
LEVOTHYROXINE SODIUM (48 patients)
AVELOX (47 patients)
PREMARIN (47 patients)
MARINOL (47 patients)
WARFARIN SODIUM (47 patients)
ALOXI (47 patients)
HYDROCODONE BITARTRATE (46 patients)
MEGACE (46 patients)
CLONAZEPAM (46 patients)
HEPARIN (46 patients)
FLEXERIL (46 patients)
NYSTATIN (46 patients)
BENADRYL (45 patients)
ANASTROZOLE (45 patients)
VIOXX (44 patients)
DEXAMETHASONE TAB (44 patients)
DIAZEPAM (44 patients)
FAMOTIDINE (44 patients)
INSULIN (44 patients)
FLAGYL (43 patients)
NPLATE (43 patients)
CYCLOBENZAPRINE (43 patients)
TRAMADOL HCL (42 patients)
KYTRIL (42 patients)
SORAFENIB (41 patients)
LYRICA (41 patients)
METRONIDAZOLE (41 patients)
NEUPOGEN (41 patients)
CHEMOTHERAPEUTICS (40 patients)
EFFEXOR (39 patients)
TYLENOL-500 (39 patients)
PROMETHAZINE (39 patients)
TYLENOL (39 patients)
COLACE (39 patients)
ALLOPURINOL (38 patients)
CALCIUM CARBONATE (38 patients)
VANCOMYCIN (38 patients)
TAGAMET (38 patients)
METOPROLOL TARTRATE (37 patients)
IRINOTECAN HCL (37 patients)
PHENERGAN (37 patients)
TOPROL-XL (37 patients)
PROZAC (36 patients)
DOXIL (36 patients)
PREDNISONE TAB (36 patients)
VINORELBINE (36 patients)
ULTRAM (35 patients)
SPIRIVA (34 patients)
LANSOPRAZOLE (34 patients)
ADVAIR DISKUS 100/50 (34 patients)
THALIDOMIDE (34 patients)
ZANTAC (34 patients)
ZOCOR (34 patients)
MOBIC (33 patients)
PREDONINE (33 patients)
MIRALAX (33 patients)
REMICADE (33 patients)
ASCORBIC ACID (33 patients)
PROCHLORPERAZINE (33 patients)
OXYCODONE (33 patients)
ALTACE (33 patients)
LIDOCAINE (33 patients)
AMLODIPINE (33 patients)
SOMA (33 patients)
FORTEO (32 patients)
MELOXICAM (32 patients)
TRAZODONE HCL (32 patients)
DOCUSATE (32 patients)
LUPRON (32 patients)
ALPRAZOLAM (32 patients)
NASONEX (32 patients)
PENICILLIN ^GRUNENTHAL^ (32 patients)
DILANTIN (31 patients)
REVLIMID (31 patients)
LACTULOSE (31 patients)
SKELAXIN (31 patients)
PANITUMUMAB (31 patients)
CLOZARIL (31 patients)
ZOLPIDEM (30 patients)
METOCLOPRAMIDE (30 patients)
VITAMIN E (30 patients)
FLONASE (30 patients)
CYMBALTA (30 patients)
MULTIVITAMIN ^LAPPE^ (29 patients)
DIOVAN (29 patients)
RANITIDINE (29 patients)
Most common side effects for patients taking SORAFENIB (RAF KINASE INHIBITOR):
DIARRHOEA (613 patients) HEPATIC FAILURE (378 patients)
PALMAR-PLANTAR ERYTHRODYSAESTHESIA SYNDROME (342 patients)
HEPATIC ENCEPHALOPATHY (320 patients)
FATIGUE (300 patients)
RASH (276 patients)
ASCITES (253 patients)
ABDOMINAL PAIN (237 patients)
DECREASED APPETITE (226 patients)
UPPER GASTROINTESTINAL HAEMORRHAGE (198 patients)
PYREXIA (191 patients)
ASPARTATE AMINOTRANSFERASE INCREASED (179 patients)
NAUSEA (165 patients)
HYPERTENSION (160 patients)
ASTHENIA (154 patients)
DEHYDRATION (140 patients)
HEPATIC FUNCTION ABNORMAL (133 patients)
DYSPNOEA (131 patients)
CONFUSIONAL STATE (131 patients)
HYPOKALAEMIA (125 patients)
ALOPECIA (124 patients)
VOMITING (118 patients)
CONSTIPATION (115 patients)
INTERSTITIAL LUNG DISEASE (114 patients)
LEFT VENTRICULAR DYSFUNCTION (113 patients)
DEATH (113 patients)
ENDOCARDITIS (112 patients)
ARTHRALGIA (111 patients)
STOMATITIS (111 patients)
ABDOMINAL PAIN UPPER (110 patients)
JAUNDICE (108 patients)
HEPATIC NEOPLASM MALIGNANT (106 patients)
GASTROINTESTINAL HAEMORRHAGE (106 patients)
RETINAL VASCULAR THROMBOSIS (103 patients)
LOWER GASTROINTESTINAL HAEMORRHAGE (103 patients)
LIVER CARCINOMA RUPTURED (101 patients)
OEDEMA PERIPHERAL (97 patients)
PLEURAL EFFUSION (97 patients)
STAPHYLOCOCCAL INFECTION (96 patients)
PNEUMONIA BACTERIAL (96 patients)
ENTEROBACTER INFECTION (96 patients)
MYOPATHY (95 patients)
DRY MOUTH (94 patients)
PAIN IN EXTREMITY (93 patients)
ANXIETY (90 patients)
MALAISE (89 patients)
PULMONARY EMBOLISM (85 patients)
ANAEMIA (84 patients)
PLATELET COUNT DECREASED (81 patients)
BACK PAIN (79 patients)
SEPSIS (78 patients)
PRURITUS (78 patients)
DUODENAL ULCER (77 patients)
MIGRAINE (76 patients)
MITRAL VALVE INCOMPETENCE (76 patients)
HYPOGLYCAEMIA (76 patients)
C-REACTIVE PROTEIN INCREASED (74 patients)
BLOOD PRESSURE INCREASED (73 patients)
VARICES OESOPHAGEAL (73 patients)
HEADACHE (72 patients)
RETINAL VEIN OCCLUSION (72 patients)
ABASIA (69 patients)
RENAL FAILURE ACUTE (69 patients)
WEIGHT DECREASED (67 patients)
DEEP VEIN THROMBOSIS (67 patients)
DIZZINESS (65 patients)
ERYTHEMA (65 patients)
GENERAL PHYSICAL HEALTH DETERIORATION (64 patients)
CONVULSION (63 patients)
ALANINE AMINOTRANSFERASE INCREASED (62 patients)
DYSPHONIA (62 patients)
CEREBRAL HAEMORRHAGE (60 patients)
APHAGIA (58 patients)
COLITIS (58 patients)
PNEUMONIA (57 patients)
GASTRIC ULCER (56 patients)
HYPONATRAEMIA (55 patients)
HAEMOGLOBIN DECREASED (53 patients)
RESPIRATORY FAILURE (52 patients)
LUNG DISORDER (52 patients)
CEREBRAL ISCHAEMIA (49 patients)
PARAESTHESIA (49 patients)
BLOOD BILIRUBIN INCREASED (48 patients)
GAIT DISTURBANCE (48 patients)
THYROID CANCER METASTATIC (44 patients)
DEPRESSED LEVEL OF CONSCIOUSNESS (43 patients)
PERICARDIAL EFFUSION (41 patients)
THROMBOCYTOPENIA (41 patients)
BLISTER (41 patients)
FEBRILE NEUTROPENIA (40 patients)
BLOOD LACTATE DEHYDROGENASE INCREASED (40 patients)
HALLUCINATION (40 patients)
CHILLS (40 patients)
AMMONIA INCREASED (39 patients)
SKIN ULCER (39 patients)
BLOOD ALKALINE PHOSPHATASE INCREASED (38 patients)
PAIN (38 patients)
HYPOALBUMINAEMIA (38 patients)
HYPOCALCAEMIA (37 patients)
FALL (37 patients)
POLLAKIURIA (37 patients)
BLOOD PRESSURE DECREASED (37 patients)
SKIN EXFOLIATION (37 patients)
INSOMNIA (36 patients)
CARDIAC ARREST (36 patients)
HYPOAESTHESIA (35 patients)
INFECTIOUS PERITONITIS (35 patients)
MYOCARDIAL INFARCTION (35 patients)
RETINAL VASCULAR DISORDER (34 patients)
RENAL FAILURE (34 patients)
LIPASE INCREASED (34 patients)
HYPERKALAEMIA (33 patients)
HYPERGLYCAEMIA (33 patients)
HAEMOPTYSIS (31 patients)
ATRIAL FIBRILLATION (30 patients)
GENERALISED OEDEMA (30 patients)
FAECAL INCONTINENCE (30 patients)
WHITE BLOOD CELL COUNT DECREASED (30 patients)
CELLULITIS (29 patients)
CHEST PAIN (29 patients)
SOMNOLENCE (29 patients)
HYPERBILIRUBINAEMIA (28 patients)
HYPOTENSION (28 patients)
MUSCLE SPASMS (28 patients)
ABDOMINAL DISTENSION (27 patients)
WHITE BLOOD CELL COUNT INCREASED (27 patients)
VISION BLURRED (27 patients)
HEPATIC PAIN (26 patients)
BLOOD ALBUMIN DECREASED (26 patients)
DYSURIA (25 patients)
RASH GENERALISED (25 patients)
BLOOD SODIUM DECREASED (25 patients)
BLOOD URIC ACID INCREASED (25 patients)
COMA (25 patients)
COUGH (25 patients)
PANCYTOPENIA (25 patients)
ACUTE ABDOMEN (24 patients)
EOSINOPHIL COUNT INCREASED (24 patients)
CEREBROVASCULAR ACCIDENT (24 patients)
METASTASES TO CENTRAL NERVOUS SYSTEM (23 patients)
CEREBRAL INFARCTION (23 patients)
HYPOMAGNESAEMIA (23 patients)
RETINAL VEIN THROMBOSIS (23 patients)
GAMMA-GLUTAMYLTRANSFERASE INCREASED (23 patients)
TUMOUR LYSIS SYNDROME (22 patients)
HYPOPHOSPHATAEMIA (22 patients)
INFECTION (22 patients)
ORAL PAIN (22 patients)
BLOOD CREATININE INCREASED (22 patients)
NEUTROPENIA (22 patients)
RENAL IMPAIRMENT (22 patients)
LETHARGY (22 patients)
SKIN TOXICITY (21 patients)
TONGUE BLISTERING (21 patients)
LIVER ABSCESS (21 patients)
HAEMATEMESIS (21 patients)
OESOPHAGEAL VARICES HAEMORRHAGE (20 patients)
MENTAL IMPAIRMENT (20 patients)
NERVOUSNESS (20 patients)
NEPHROTIC SYNDROME (20 patients)
HYPOPHAGIA (20 patients)
ADRENAL INSUFFICIENCY (19 patients)
DRY SKIN (19 patients)
BLOOD AMYLASE INCREASED (19 patients)
OEDEMA (19 patients)
INFECTIOUS PLEURAL EFFUSION (19 patients)
DYSPEPSIA (19 patients)
COMA HEPATIC (19 patients)
HEART RATE INCREASED (18 patients)
HYPERTENSIVE CRISIS (18 patients)
MYALGIA (18 patients)
ECZEMA (18 patients)
URINARY TRACT INFECTION (18 patients)
NEUROMYOPATHY (18 patients)
MEDICAL DEVICE COMPLICATION (18 patients)
DIVERTICULITIS (18 patients)
OSTEOMYELITIS (18 patients)
CEREBRAL ATROPHY (18 patients)
CEREBRAL VENTRICLE DILATATION (18 patients)
DIABETIC FOOT INFECTION (18 patients)
NECK PAIN (18 patients)
OLIGURIA (17 patients)
GASTROINTESTINAL DISORDER (17 patients)
HAEMATOCHEZIA (17 patients)
DISSEMINATED INTRAVASCULAR COAGULATION (17 patients)
HYPOTHYROIDISM (17 patients)
TRANSAMINASES INCREASED (17 patients)
OROPHARYNGEAL PAIN (17 patients)
CHRONIC MYELOID LEUKAEMIA (17 patients)
NEOPLASM PROGRESSION (17 patients)
METASTASES TO ADRENALS (16 patients)
LYMPHOCYTE COUNT DECREASED (16 patients)
INTERNATIONAL NORMALISED RATIO INCREASED (16 patients)
MULTI-ORGAN FAILURE (16 patients)
FEAR (16 patients)
PANCREATIC CARCINOMA (16 patients)
HYPERSOMNIA (16 patients)
EPILEPSY (16 patients)
SUBARACHNOID HAEMORRHAGE (16 patients)
METASTASES TO LUNG (16 patients)
TACHYCARDIA (16 patients)
MUSCULAR WEAKNESS (16 patients)
KLEBSIELLA SEPSIS (16 patients)
MYOCARDIAL ISCHAEMIA (16 patients)
DYSGEUSIA (16 patients)
LUNG INFECTION (16 patients)
FAECES DISCOLOURED (16 patients)
PAIN OF SKIN (16 patients)
SPINAL FRACTURE (16 patients)
PANIC REACTION (16 patients)
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