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Decompression with or without Duraplasty for Chiari I and Syringomyelia.

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Title: Decompression with or without Duraplasty for Chiari I and Syringomyelia.
Authors: Limbrick DD Jr; Department of Neurosurgery, Virginia Commonwealth University School of Medicine, Richmond., Shannon CN; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville., Bayman EO; Department of Biostatistics, College of Public Health, University of Iowa, Iowa City., Meehan T; Department of Neurological Surgery, Washington University School of Medicine, St. Louis., Kallem M; Department of Biostatistics, College of Public Health, University of Iowa, Iowa City., Ackerman LL; Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis., Adelson PD; Department of Neurosurgery, West Virginia University School of Medicine, Morgantown., Ahmed R; Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison., Albert G; Department of Neurosurgery, University of Arkansas College of Medicine, Little Rock., Aldana PR; Department of Pediatric Neurosurgery, University of Florida College of Medicine, Jacksonville., Alden TD; Department of Pediatric Neurosurgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago., Anderson RCE; Division of Pediatric Neurosurgery, Department of Neurological Surgery, NYU Grossman School of Medicine, New York., Baird LC; Department of Neurosurgery, Harvard Medical School, Boston., Bauer D; Department of Neurosurgery, Baylor College of Medicine, Houston., Bethel-Anderson T; Department of Neurological Surgery, Washington University School of Medicine, St. Louis., Bierbrauer K; Division of Pediatric Neurosurgery, Cincinnati Children's Hospital Medical Center, Cincinnati., Brockmeyer DL; Division of Pediatric Neurosurgery, Primary Children's Hospital, University of Utah, Salt Lake City., Chern JJ; Department of Neurosurgery, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta., Couture DE; Department of Neurosurgery, Wake Forest Baptist Medical Center, Winston-Salem, NC., Daniels DJ; Department of Neurosurgery, Mayo Clinic, Rochester, MN., Dauser RC; Department of Neurosurgery, Baylor College of Medicine, Houston., Dlouhy BJ; Department of Neurosurgery, University of Iowa Hospitals, Iowa City., Durham SR; Division of Neurosurgery, Children's Hospital Los Angeles, Los Angeles., Ellenbogen RG; Department of Neurosurgery, University of Washington Medicine, Seattle., Eskandari R; Department of Neurosurgery, Medical University of South Carolina, Charleston., Gannon SR; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville., Grant GA; Department of Neurosurgery, Duke University School of Medicine, Durham, NC., Graupman PC; Division of Pediatric Neurosurgery, Gillette Children's Hospital, St. Paul, MN., Greenberg JK; Department of Neurological Surgery, Washington University School of Medicine, St. Louis., Greene S; Department of Neurosurgery, Duke University School of Medicine, Durham, NC., Greenfield JP; Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York., Gross NL; Department of Neurosurgery, St. Francis Health System, Tulsa, OK., Guillaume DJ; Department of Neurosurgery, University of Minnesota Medical School, Minneapolis., Hankinson TC; Department of Neurosurgery, Children's Hospital Colorado, Aurora., Heuer G; Division of Pediatric Neurosurgery, Children's Hospital of Philadelphia, Philadelphia., Iantosca M; Department of Neurosurgery, Penn State Health, Hershey, PA., Iskandar BJ; Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison., Jackson EM; Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore., Jallo GI; Department of Neurosurgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL., Johnston JM; Division of Neurosurgery, University of Alabama School of Medicine, Birmingham., Keating RF; Department of Neurosurgery, Children's National Medical Center, Washington, DC., Kelly MP; Division of Orthopedics and Scoliosis, Rady Children's Hospital, San Diego, CA., Kennedy E; Department of Neurological Surgery, Washington University School of Medicine, St. Louis., Krieger MD; Division of Neurosurgery, Children's Hospital Los Angeles, Los Angeles., Kulkarni AV; Division of Neurosurgery, Hospital for Sick Children, Toronto., Labuda R; Conquer Chiari, Wexford, PA., Leonard JR; Department of Neurological Surgery, Ohio State University College of Medicine, Columbus., Maher CO; Department of Neurosurgery, Stanford Medicine, Palo Alto, CA., Mangano FT; Division of Pediatric Neurosurgery, Cincinnati Children's Hospital Medical Center, Cincinnati., McComb JG; Division of Neurosurgery, Children's Hospital Los Angeles, Los Angeles., McEvoy SD; Department of Neurological Surgery, Washington University School of Medicine, St. Louis., McKinstry RC; Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis., Menezes AH; Department of Neurosurgery, University of Iowa Hospitals, Iowa City., Niazi TN; Department of Pediatric Neurosurgery, Nicklaus Children's Hospital, University of Miami School of Medicine, Miami., Oakes J; Division of Neurosurgery, University of Alabama School of Medicine, Birmingham., Olavarria G; Division of Pediatric Neurosurgery, Arnold Palmer Hospital for Children, Orlando, FL., O'Neill BR; Department of Neurosurgery, Penn State Health, Hershey, PA., Poppe D; Bobby Jones Chiari and Syringomyelia Foundation, New York., Ragheb J; Department of Pediatric Neurosurgery, Nicklaus Children's Hospital, University of Miami School of Medicine, Miami., Reeves S; Palm Beach, FL., Reynolds L; St. Louis., Selden NR; Department of Neurosurgery, Oregon Health and Science University, Portland., Shah MN; Division of Pediatric Neurosurgery, University of Texas McGovern Medical School, Houston., Shimony JS; Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis., Smyth MD; Department of Neurosurgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL., Spears S; Bainbridge Island (Seattle), WA., Stone SSD; Department of Neurosurgery, Harvard Medical School, Boston., Strahle JM; Department of Neurological Surgery, Washington University School of Medicine, St. Louis., Tamber M; Division of Neurosurgery, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, Canada., Tramelli G; Washington University in St. Louis, St. Louis., Tuite GF; Department of Neurosurgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL., Tyler-Kabara EC; Department of Neurosurgery, University of Texas at Austin, Austin., Vance H; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville., Wait SD; Carolina Neurosurgery and Spine Associates, Charlotte, NC., Wellons JC 3rd; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville., Whitehead WE; Department of Neurosurgery, Baylor College of Medicine, Houston., Yahanda AT; Department of Neurological Surgery, Washington University School of Medicine, St. Louis., Yan Y; Department of Surgery, Washington University School of Medicine, St. Louis., Dacey RG Jr; Department of Neurological Surgery, Washington University School of Medicine, St. Louis., Park TS; Department of Neurological Surgery, Washington University School of Medicine, St. Louis., Torner JC; Department of Epidemiology, College of Public Health, University of Iowa, Iowa City.
Corporate Authors: Park-Reeves Syringomyelia Research Consortium Investigators
Source: The New England journal of medicine [N Engl J Med] 2026 May 28; Vol. 394 (20), pp. 2015-2025.
Publication Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Comparative Study
Journal Info: Publisher: Massachusetts Medical Society Country of Publication: United States NLM ID: 0255562 Publication Model: Print Cited Medium: Internet ISSN: 1533-4406 (Electronic) Linking ISSN: 00284793 NLM ISO Abbreviation: N Engl J Med Subsets: MEDLINE
Database: MEDLINE Ultimate
FullText Text:
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DbLabel: MEDLINE Ultimate
An: 42202320
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PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
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  Data: Decompression with or without Duraplasty for Chiari I and Syringomyelia.
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  Data: <searchLink fieldCode="AU" term="%22Limbrick+DD+Jr%22">Limbrick DD Jr</searchLink>; Department of Neurosurgery, Virginia Commonwealth University School of Medicine, Richmond.<br /><searchLink fieldCode="AU" term="%22Shannon+CN%22">Shannon CN</searchLink>; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville.<br /><searchLink fieldCode="AU" term="%22Bayman+EO%22">Bayman EO</searchLink>; Department of Biostatistics, College of Public Health, University of Iowa, Iowa City.<br /><searchLink fieldCode="AU" term="%22Meehan+T%22">Meehan T</searchLink>; Department of Neurological Surgery, Washington University School of Medicine, St. Louis.<br /><searchLink fieldCode="AU" term="%22Kallem+M%22">Kallem M</searchLink>; Department of Biostatistics, College of Public Health, University of Iowa, Iowa City.<br /><searchLink fieldCode="AU" term="%22Ackerman+LL%22">Ackerman LL</searchLink>; Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis.<br /><searchLink fieldCode="AU" term="%22Adelson+PD%22">Adelson PD</searchLink>; Department of Neurosurgery, West Virginia University School of Medicine, Morgantown.<br /><searchLink fieldCode="AU" term="%22Ahmed+R%22">Ahmed R</searchLink>; Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison.<br /><searchLink fieldCode="AU" term="%22Albert+G%22">Albert G</searchLink>; Department of Neurosurgery, University of Arkansas College of Medicine, Little Rock.<br /><searchLink fieldCode="AU" term="%22Aldana+PR%22">Aldana PR</searchLink>; Department of Pediatric Neurosurgery, University of Florida College of Medicine, Jacksonville.<br /><searchLink fieldCode="AU" term="%22Alden+TD%22">Alden TD</searchLink>; Department of Pediatric Neurosurgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago.<br /><searchLink fieldCode="AU" term="%22Anderson+RCE%22">Anderson RCE</searchLink>; Division of Pediatric Neurosurgery, Department of Neurological Surgery, NYU Grossman School of Medicine, New York.<br /><searchLink fieldCode="AU" term="%22Baird+LC%22">Baird LC</searchLink>; Department of Neurosurgery, Harvard Medical School, Boston.<br /><searchLink fieldCode="AU" term="%22Bauer+D%22">Bauer D</searchLink>; Department of Neurosurgery, Baylor College of Medicine, Houston.<br /><searchLink fieldCode="AU" term="%22Bethel-Anderson+T%22">Bethel-Anderson T</searchLink>; Department of Neurological Surgery, Washington University School of Medicine, St. Louis.<br /><searchLink fieldCode="AU" term="%22Bierbrauer+K%22">Bierbrauer K</searchLink>; Division of Pediatric Neurosurgery, Cincinnati Children's Hospital Medical Center, Cincinnati.<br /><searchLink fieldCode="AU" term="%22Brockmeyer+DL%22">Brockmeyer DL</searchLink>; Division of Pediatric Neurosurgery, Primary Children's Hospital, University of Utah, Salt Lake City.<br /><searchLink fieldCode="AU" term="%22Chern+JJ%22">Chern JJ</searchLink>; Department of Neurosurgery, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta.<br /><searchLink fieldCode="AU" term="%22Couture+DE%22">Couture DE</searchLink>; Department of Neurosurgery, Wake Forest Baptist Medical Center, Winston-Salem, NC.<br /><searchLink fieldCode="AU" term="%22Daniels+DJ%22">Daniels DJ</searchLink>; Department of Neurosurgery, Mayo Clinic, Rochester, MN.<br /><searchLink fieldCode="AU" term="%22Dauser+RC%22">Dauser RC</searchLink>; Department of Neurosurgery, Baylor College of Medicine, Houston.<br /><searchLink fieldCode="AU" term="%22Dlouhy+BJ%22">Dlouhy BJ</searchLink>; Department of Neurosurgery, University of Iowa Hospitals, Iowa City.<br /><searchLink fieldCode="AU" term="%22Durham+SR%22">Durham SR</searchLink>; Division of Neurosurgery, Children's Hospital Los Angeles, Los Angeles.<br /><searchLink fieldCode="AU" term="%22Ellenbogen+RG%22">Ellenbogen RG</searchLink>; Department of Neurosurgery, University of Washington Medicine, Seattle.<br /><searchLink fieldCode="AU" term="%22Eskandari+R%22">Eskandari R</searchLink>; Department of Neurosurgery, Medical University of South Carolina, Charleston.<br /><searchLink fieldCode="AU" term="%22Gannon+SR%22">Gannon SR</searchLink>; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville.<br /><searchLink fieldCode="AU" term="%22Grant+GA%22">Grant GA</searchLink>; Department of Neurosurgery, Duke University School of Medicine, Durham, NC.<br /><searchLink fieldCode="AU" term="%22Graupman+PC%22">Graupman PC</searchLink>; Division of Pediatric Neurosurgery, Gillette Children's Hospital, St. Paul, MN.<br /><searchLink fieldCode="AU" term="%22Greenberg+JK%22">Greenberg JK</searchLink>; Department of Neurological Surgery, Washington University School of Medicine, St. Louis.<br /><searchLink fieldCode="AU" term="%22Greene+S%22">Greene S</searchLink>; Department of Neurosurgery, Duke University School of Medicine, Durham, NC.<br /><searchLink fieldCode="AU" term="%22Greenfield+JP%22">Greenfield JP</searchLink>; Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York.<br /><searchLink fieldCode="AU" term="%22Gross+NL%22">Gross NL</searchLink>; Department of Neurosurgery, St. Francis Health System, Tulsa, OK.<br /><searchLink fieldCode="AU" term="%22Guillaume+DJ%22">Guillaume DJ</searchLink>; Department of Neurosurgery, University of Minnesota Medical School, Minneapolis.<br /><searchLink fieldCode="AU" term="%22Hankinson+TC%22">Hankinson TC</searchLink>; Department of Neurosurgery, Children's Hospital Colorado, Aurora.<br /><searchLink fieldCode="AU" term="%22Heuer+G%22">Heuer G</searchLink>; Division of Pediatric Neurosurgery, Children's Hospital of Philadelphia, Philadelphia.<br /><searchLink fieldCode="AU" term="%22Iantosca+M%22">Iantosca M</searchLink>; Department of Neurosurgery, Penn State Health, Hershey, PA.<br /><searchLink fieldCode="AU" term="%22Iskandar+BJ%22">Iskandar BJ</searchLink>; Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison.<br /><searchLink fieldCode="AU" term="%22Jackson+EM%22">Jackson EM</searchLink>; Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore.<br /><searchLink fieldCode="AU" term="%22Jallo+GI%22">Jallo GI</searchLink>; Department of Neurosurgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL.<br /><searchLink fieldCode="AU" term="%22Johnston+JM%22">Johnston JM</searchLink>; Division of Neurosurgery, University of Alabama School of Medicine, Birmingham.<br /><searchLink fieldCode="AU" term="%22Keating+RF%22">Keating RF</searchLink>; Department of Neurosurgery, Children's National Medical Center, Washington, DC.<br /><searchLink fieldCode="AU" term="%22Kelly+MP%22">Kelly MP</searchLink>; Division of Orthopedics and Scoliosis, Rady Children's Hospital, San Diego, CA.<br /><searchLink fieldCode="AU" term="%22Kennedy+E%22">Kennedy E</searchLink>; Department of Neurological Surgery, Washington University School of Medicine, St. Louis.<br /><searchLink fieldCode="AU" term="%22Krieger+MD%22">Krieger MD</searchLink>; Division of Neurosurgery, Children's Hospital Los Angeles, Los Angeles.<br /><searchLink fieldCode="AU" term="%22Kulkarni+AV%22">Kulkarni AV</searchLink>; Division of Neurosurgery, Hospital for Sick Children, Toronto.<br /><searchLink fieldCode="AU" term="%22Labuda+R%22">Labuda R</searchLink>; Conquer Chiari, Wexford, PA.<br /><searchLink fieldCode="AU" term="%22Leonard+JR%22">Leonard JR</searchLink>; Department of Neurological Surgery, Ohio State University College of Medicine, Columbus.<br /><searchLink fieldCode="AU" term="%22Maher+CO%22">Maher CO</searchLink>; Department of Neurosurgery, Stanford Medicine, Palo Alto, CA.<br /><searchLink fieldCode="AU" term="%22Mangano+FT%22">Mangano FT</searchLink>; Division of Pediatric Neurosurgery, Cincinnati Children's Hospital Medical Center, Cincinnati.<br /><searchLink fieldCode="AU" term="%22McComb+JG%22">McComb JG</searchLink>; Division of Neurosurgery, Children's Hospital Los Angeles, Los Angeles.<br /><searchLink fieldCode="AU" term="%22McEvoy+SD%22">McEvoy SD</searchLink>; Department of Neurological Surgery, Washington University School of Medicine, St. Louis.<br /><searchLink fieldCode="AU" term="%22McKinstry+RC%22">McKinstry RC</searchLink>; Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis.<br /><searchLink fieldCode="AU" term="%22Menezes+AH%22">Menezes AH</searchLink>; Department of Neurosurgery, University of Iowa Hospitals, Iowa City.<br /><searchLink fieldCode="AU" term="%22Niazi+TN%22">Niazi TN</searchLink>; Department of Pediatric Neurosurgery, Nicklaus Children's Hospital, University of Miami School of Medicine, Miami.<br /><searchLink fieldCode="AU" term="%22Oakes+J%22">Oakes J</searchLink>; Division of Neurosurgery, University of Alabama School of Medicine, Birmingham.<br /><searchLink fieldCode="AU" term="%22Olavarria+G%22">Olavarria G</searchLink>; Division of Pediatric Neurosurgery, Arnold Palmer Hospital for Children, Orlando, FL.<br /><searchLink fieldCode="AU" term="%22O'Neill+BR%22">O'Neill BR</searchLink>; Department of Neurosurgery, Penn State Health, Hershey, PA.<br /><searchLink fieldCode="AU" term="%22Poppe+D%22">Poppe D</searchLink>; Bobby Jones Chiari and Syringomyelia Foundation, New York.<br /><searchLink fieldCode="AU" term="%22Ragheb+J%22">Ragheb J</searchLink>; Department of Pediatric Neurosurgery, Nicklaus Children's Hospital, University of Miami School of Medicine, Miami.<br /><searchLink fieldCode="AU" term="%22Reeves+S%22">Reeves S</searchLink>; Palm Beach, FL.<br /><searchLink fieldCode="AU" term="%22Reynolds+L%22">Reynolds L</searchLink>; St. Louis.<br /><searchLink fieldCode="AU" term="%22Selden+NR%22">Selden NR</searchLink>; Department of Neurosurgery, Oregon Health and Science University, Portland.<br /><searchLink fieldCode="AU" term="%22Shah+MN%22">Shah MN</searchLink>; Division of Pediatric Neurosurgery, University of Texas McGovern Medical School, Houston.<br /><searchLink fieldCode="AU" term="%22Shimony+JS%22">Shimony JS</searchLink>; Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis.<br /><searchLink fieldCode="AU" term="%22Smyth+MD%22">Smyth MD</searchLink>; Department of Neurosurgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL.<br /><searchLink fieldCode="AU" term="%22Spears+S%22">Spears S</searchLink>; Bainbridge Island (Seattle), WA.<br /><searchLink fieldCode="AU" term="%22Stone+SSD%22">Stone SSD</searchLink>; Department of Neurosurgery, Harvard Medical School, Boston.<br /><searchLink fieldCode="AU" term="%22Strahle+JM%22">Strahle JM</searchLink>; Department of Neurological Surgery, Washington University School of Medicine, St. Louis.<br /><searchLink fieldCode="AU" term="%22Tamber+M%22">Tamber M</searchLink>; Division of Neurosurgery, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, Canada.<br /><searchLink fieldCode="AU" term="%22Tramelli+G%22">Tramelli G</searchLink>; Washington University in St. Louis, St. Louis.<br /><searchLink fieldCode="AU" term="%22Tuite+GF%22">Tuite GF</searchLink>; Department of Neurosurgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL.<br /><searchLink fieldCode="AU" term="%22Tyler-Kabara+EC%22">Tyler-Kabara EC</searchLink>; Department of Neurosurgery, University of Texas at Austin, Austin.<br /><searchLink fieldCode="AU" term="%22Vance+H%22">Vance H</searchLink>; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville.<br /><searchLink fieldCode="AU" term="%22Wait+SD%22">Wait SD</searchLink>; Carolina Neurosurgery and Spine Associates, Charlotte, NC.<br /><searchLink fieldCode="AU" term="%22Wellons+JC+3rd%22">Wellons JC 3rd</searchLink>; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville.<br /><searchLink fieldCode="AU" term="%22Whitehead+WE%22">Whitehead WE</searchLink>; Department of Neurosurgery, Baylor College of Medicine, Houston.<br /><searchLink fieldCode="AU" term="%22Yahanda+AT%22">Yahanda AT</searchLink>; Department of Neurological Surgery, Washington University School of Medicine, St. Louis.<br /><searchLink fieldCode="AU" term="%22Yan+Y%22">Yan Y</searchLink>; Department of Surgery, Washington University School of Medicine, St. Louis.<br /><searchLink fieldCode="AU" term="%22Dacey+RG+Jr%22">Dacey RG Jr</searchLink>; Department of Neurological Surgery, Washington University School of Medicine, St. Louis.<br /><searchLink fieldCode="AU" term="%22Park+TS%22">Park TS</searchLink>; Department of Neurological Surgery, Washington University School of Medicine, St. Louis.<br /><searchLink fieldCode="AU" term="%22Torner+JC%22">Torner JC</searchLink>; Department of Epidemiology, College of Public Health, University of Iowa, Iowa City.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Massachusetts+Medical+Society%22">Massachusetts Medical Society </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>0255562 <i>Publication Model: </i>Print <i>Cited Medium: </i>Internet <i>ISSN: </i>1533-4406 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2200284793%22">00284793 </searchLink><i>NLM ISO Abbreviation: </i>N Engl J Med <i>Subsets: </i>MEDLINE
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        Value: 10.1056/NEJMoa2402821
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        Text: English
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          Dates:
            – D: 28
              M: 05
              Text: 2026 May 28
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1533-4406
          Numbering:
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              Value: 394
            – Type: issue
              Value: 20
          Titles:
            – TitleFull: The New England journal of medicine
              Type: main
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