Study of possible correlation between RHABDOMYOLYSIS 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 RHABDOMYOLYSIS.
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, 2 individuals taking SORAFENIB (RAF KINASE INHIBITOR) reported RHABDOMYOLYSIS 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 RHABDOMYOLYSIS. In doing so, we compare SORAFENIB (RAF KINASE INHIBITOR) with other drugs that cause RHABDOMYOLYSIS, to help you evaluate whether or not SORAFENIB (RAF KINASE INHIBITOR) causes RHABDOMYOLYSIS. Likewise, this page shows the most highly-reported side effects of SORAFENIB (RAF KINASE INHIBITOR), so you can see if RHABDOMYOLYSIS ranks among SORAFENIB (RAF KINASE INHIBITOR)'s most well-known side effects.
Summary StatisticsReports of SORAFENIB (RAF KINASE INHIBITOR) causing RHABDOMYOLYSIS: 2
Reports of any side effect of SORAFENIB (RAF KINASE INHIBITOR) : 3329
Percentage of SORAFENIB (RAF KINASE INHIBITOR) patients where RHABDOMYOLYSIS is a reported side effect: 0.0601%
FDA reports of any drug causing RHABDOMYOLYSIS : 19825
Average percentage for all medicated patients where RHABDOMYOLYSIS is reported as a complication: 0.1243%
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 )
BILIARY CANCER METASTATIC ( 3 patients )
METASTASIS ( 3 patients )
COLON CANCER METASTATIC ( 2 patients )
HYPOPHARYNGEAL CANCER ( 2 patients )
DESMOID TUMOUR ( 2 patients )
NEUROENDOCRINE CARCINOMA ( 2 patients )
ACUTE MYELOID LEUKAEMIA (IN REMISSION) ( 2 patients )
LUNG NEOPLASM MALIGNANT ( 2 patients )
OESOPHAGEAL CARCINOMA ( 2 patients )
METASTATIC MALIGNANT MELANOMA ( 2 patients )
TONGUE NEOPLASM MALIGNANT STAGE UNSPECIFIED ( 2 patients )
METASTATIC SQUAMOUS CELL CARCINOMA ( 2 patients )
ANGINA PECTORIS ( 2 patients )
RENAL CELL CARCINOMA STAGE IV ( 2 patients )
OSTEOSARCOMA METASTATIC ( 2 patients )
BONE SARCOMA ( 2 patients )
METASTATIC OCULAR MELANOMA ( 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 )
ACUTE MYELOID LEUKAEMIA ( 1 patients )
LUNG ADENOCARCINOMA ( 1 patients )
RENAL CANCER METASTATIC ( 1 patients )
DIFFUSE LARGE B-CELL LYMPHOMA ( 1 patients )
NEUROENDOCRINE CARCINOMA OF THE SKIN ( 1 patients )
MALIGNANT HISTIOCYTOSIS ( 1 patients )
ANTICOAGULANT THERAPY ( 1 patients )
MALIGNANT SOFT TISSUE NEOPLASM ( 1 patients )
SARCOMA ( 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 RHABDOMYOLYSIS:
ZOCOR (2729 patients)
SIMVASTATIN (2437 patients)
ASPIRIN (2405 patients)
LIPITOR (1693 patients)
CRESTOR (1451 patients)
FUROSEMIDE (933 patients)
LASIX (846 patients)
ATENOLOL (675 patients)
OMEPRAZOLE (662 patients)
ALLOPURINOL (653 patients)
LISINOPRIL (637 patients)
PLAVIX (636 patients)
RAMIPRIL (628 patients)
VYTORIN (586 patients)
ACETAMINOPHEN (567 patients)
RISPERDAL (544 patients)
LEVOTHYROXINE SODIUM (519 patients)
AMLODIPINE (489 patients)
NORVASC (484 patients)
ZYPREXA (481 patients)
ZETIA (481 patients)
ATORVASTATIN CALCIUM (455 patients)
SEROQUEL (436 patients)
CYCLOSPORINE (430 patients)
METFORMIN HCL (426 patients)
PROPOFOL (423 patients)
CLARITHROMYCIN (399 patients)
GEMFIBROZIL (392 patients)
LANSOPRAZOLE (384 patients)
LYRICA (354 patients)
INSULIN (348 patients)
DIOVAN (344 patients)
LORAZEPAM (334 patients)
NEXIUM (329 patients)
PREDNISOLONE (318 patients)
BISOPROLOL FUMARATE (296 patients)
CLONAZEPAM (296 patients)
HYDROCHLOROTHIAZIDE (291 patients)
NITROGLYCERIN (291 patients)
FUSIDIC ACID (288 patients)
ISOSORBIDE MONONITRATE (281 patients)
PREDNISONE (280 patients)
WARFARIN SODIUM (279 patients)
AMLODIPINE BESYLATE (279 patients)
METOPROLOL TARTRATE (276 patients)
GABAPENTIN (269 patients)
POTASSIUM CHLORIDE (266 patients)
NEURONTIN (262 patients)
COZAAR (260 patients)
CLOPIDOGREL (254 patients)
ATORVASTATIN (253 patients)
DIAZEPAM (246 patients)
FENOFIBRATE (245 patients)
METFORMIN (241 patients)
ENALAPRIL MALEATE (237 patients)
CARVEDILOL (235 patients)
METOPROLOL (231 patients)
SYNTHROID (231 patients)
XANAX (231 patients)
HALOPERIDOL (231 patients)
IBUPROFEN (227 patients)
ALPRAZOLAM (225 patients)
FOLIC ACID (224 patients)
ARICEPT (224 patients)
HEPARIN SODIUM INJECTION (221 patients)
CLOPIDOGREL BISULFATE (217 patients)
RISPERIDONE (216 patients)
DIGOXIN (215 patients)
COLCHICINE (212 patients)
AMOXICILLIN (212 patients)
CIPROFLOXACIN (211 patients)
ACETYLSALICYLIC ACID SRT (211 patients)
PEPCID (208 patients)
CYMBALTA (207 patients)
PAXIL (206 patients)
FOSAMAX (205 patients)
DEPAKOTE (204 patients)
SPIRONOLACTONE (204 patients)
DIPRIVAN (202 patients)
TOPROL-XL (202 patients)
FLUCONAZOLE (201 patients)
COUMADIN (199 patients)
BISOPROLOL (195 patients)
ZOLOFT (194 patients)
CORDARONE (193 patients)
NICORANDIL (190 patients)
FENTANYL (185 patients)
PRAVASTATIN (181 patients)
FAMOTIDINE (180 patients)
[THERAPY UNSPECIFIED] (179 patients)
PROTONIX (177 patients)
ABILIFY (176 patients)
TRICOR (175 patients)
VIOXX (174 patients)
MIRTAZAPINE (173 patients)
ALBUTEROL (172 patients)
ALDACTONE (171 patients)
AMARYL (171 patients)
NEORAL (170 patients)
TORSEMIDE (170 patients)
GLYBURIDE (168 patients)
VOLTAREN (168 patients)
AMITRIPTYLINE HCL (168 patients)
TRAMADOL HCL (167 patients)
AMBIEN (164 patients)
CITALOPRAM HYDROBROMIDE (164 patients)
OLANZAPINE (162 patients)
PRILOSEC (161 patients)
LEVOFLOXACIN (160 patients)
DEPAS (157 patients)
DILTIAZEM (157 patients)
DILTIAZEM HYDROCHLORIDE (155 patients)
ACTOS (155 patients)
LOPID (155 patients)
PARACETAMOL (155 patients)
MAGNESIUM OXIDE (154 patients)
AMIODARONE HCL (154 patients)
ERYTHROMYCIN (153 patients)
LAMISIL (153 patients)
LOVASTATIN (152 patients)
METOPROLOL SUCCINATE (149 patients)
VERAPAMIL (149 patients)
LANTUS (148 patients)
VANCOMYCIN (148 patients)
LAMICTAL (147 patients)
MICARDIS (146 patients)
MORPHINE SULFATE (146 patients)
DURAGESIC-100 (145 patients)
FLUOXETINE (144 patients)
OXYCONTIN (144 patients)
ALTACE (143 patients)
GLUCOPHAGE (142 patients)
REVLIMID (141 patients)
EFFEXOR (141 patients)
BLOPRESS (141 patients)
WARFARIN (140 patients)
MORPHINE (138 patients)
PANTOPRAZOLE (137 patients)
RANITIDINE (136 patients)
TAHOR (135 patients)
LAMOTRIGINE (134 patients)
ACETYLSALICYLIC ACID (134 patients)
MUCOSTA (133 patients)
PREDNISONE TAB (131 patients)
VALPROIC ACID (131 patients)
CLOZAPINE (131 patients)
TEGRETOL (131 patients)
ZITHROMAX (131 patients)
THEOPHYLLINE (130 patients)
VALPROATE SODIUM (129 patients)
VALSARTAN (129 patients)
VICODIN (128 patients)
KALETRA (127 patients)
ZANTAC (127 patients)
DEPAKENE (126 patients)
SEVOFLURANE (126 patients)
CELEBREX (126 patients)
COREG (126 patients)
HEPARIN (125 patients)
ZOLPIDEM TARTRATE (125 patients)
HYZAAR (124 patients)
TRUVADA (122 patients)
METHOTREXATE (122 patients)
CUBICIN (122 patients)
CANDESARTAN CILEXETIL (122 patients)
LITHIUM CARBONATE (120 patients)
MIDAZOLAM HCL (119 patients)
DEXAMETHASONE (118 patients)
KLONOPIN (118 patients)
PANTOPRAZOLE SODIUM (117 patients)
CLOZARIL (117 patients)
PROZAC (117 patients)
GLIPIZIDE (117 patients)
LOPRESSOR (117 patients)
ZOMETA (116 patients)
NIACIN (116 patients)
JANUVIA (115 patients)
EZETIMIBE (115 patients)
LEXAPRO (115 patients)
TRIMETHOPRIM (115 patients)
HUMALOG (115 patients)
ADALAT (114 patients)
BACTRIM (114 patients)
AMBISOME (114 patients)
RITONAVIR (113 patients)
PRAVASTATIN SODIUM (113 patients)
HYDROCORTISONE (112 patients)
BUMETANIDE (110 patients)
CALCIUM CARBONATE (110 patients)
AZATHIOPRINE (109 patients)
CELLCEPT (108 patients)
PREVACID (108 patients)
TENORMIN (107 patients)
SERTRALINE HYDROCHLORIDE (107 patients)
NIFEDIPINE (107 patients)
LAMIVUDINE (107 patients)
ZOLPIDEM (105 patients)
KEPPRA (104 patients)
GLEEVEC (104 patients)
AZITHROMYCIN (103 patients)
ROSUVASTATIN (103 patients)
FUCIDINE CAP (103 patients)
PAROXETINE HCL (103 patients)
PURSENNID (103 patients)
CLONIDINE (102 patients)
ESOMEPRAZOLE (102 patients)
MYCOPHENOLATE MOFETIL (102 patients)
TAMIFLU (102 patients)
ROHYPNOL (102 patients)
GLICLAZIDE (102 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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