Call 734-936-5780 to speak with a representative in our Orthopaedic Surgery Call Center to learn more or make an appointment for a consultation. Frequently asked questions about total hip replacement surgery. The surgery has a high success rate, and Michigan Medicine's Orthopaedic Surgery program is nationally ranked and performs a high …The MARCQI registry has started an outlier detection process to investigate these sorts of variables and differences between implants. Another limitation was the relatively short follow-up of 2 years. A MARCQI goal is early detection of quality issues, so reporting at this time point on the CPR curves seemed of value to the membership. ...Jan 10, 2022 · Surgeon Dictation Tools. Hip Dictation Tool, Updated January 2022 (as Word document) Knee Dictation Tool, Updated January 2022 (as Word Document) Intra Operative Forms: IntraOp Hip Form, ver. 10, January 2022 (as Word document) IntraOp Knee Form, ver. 10, January 2022 (as Word document) The word documents can be modified for your use. Funding is provided by Blue Cross Blue Shield of Michigan/Blue Care Network. MARCQI is built on a patient registry that collects information on total hip and knee replacement cases performed in participating hospitals. As of the end of 2016, the registry contained 141,822 cases. The data are audited and linked across hospitals. Infection Prevention Toolkit Group Our primary objectives are: Identify the nasal carriage of S. aureus prior to surgery and suppress or treat as appropriate. Decrease the occurrence of post-operative Periprosthetic Joint Infections following total joint replacement surgery. In support of these objectives, the Infection Prevention Group has developed the following educational and training ... Announcement of Periodic Review: Moody's announces completion of a periodic review of ratings of Reckitt Benckiser Group PlcVollständigen Artikel ... Indices Commodities Currencies...It can build up over time—even if you use your exhaust fan. Broadly speaking, there are two ways to deal with messes in the kitchen: Everyday tidying up—like after cooking, eating,...We would like to show you a description here but the site won’t allow us.Learn how Marqii blends AI and HI for timely, genuine and SEO-friendly review responses. Elevate your online presence with our Managed Review Response service. Schedule a demo today! Marqii is a one-stop digital operations platform built for hospitality operators to manage and automate menus, reviews, listings, and local SEO searches.Participation in MARCQI (Michigan Arthroplasty Registry Collaborative Quality Initiative) is a requirement of the Blue Distinction Center (BDC) of Excellence for Knee and Hip Surgery. If you want to submit data to MARCQI, the process may be very time-consuming – every survey must be entered one question at a time noting the score …Feb 8, 2019 · The MARCQI contains data from 66 hospitals and surgery centers and recently reached 250,000 cases in its registry. Michigan Medicine serves as the initiative’s Coordinating Center and funding for the collaborative is provided by Blue Cross Blue Shield of Michigan/Blue Care Network. “The cases are patients who have undergone hip or knee ... MARCQI Annual Report Summary – 10-YEAR THA AND TKA 2023. 2022 Annual Report. 2021 Annual Report. 2020 Annual Report – No report released in 2020 due to COVID-19. 2019 Annual Report. 2018 Annual Report.Background: The Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) noted wide variability between member hospitals in blood transfusion rates after primary total hip and knee arthroplasty (THA and TKA). Blood transfusion has substantial risks and accepted recommendations exist to guide transfusion practices. MARCQI began an … MARCQI enables participating hospitals to collect and disseminate performance and patient outcomes with a reliable data collection system and standardized definitions to measure hip and knee joint replacement, along with the ability to translate this data into meaningful assessment of systems and processes of care to determine best practices. Funding is provided by Blue Cross Blue Shield of Michigan/Blue Care Network. MARCQI is built on a patient registry that collects information on total hip and knee replacement cases performed in participating hospitals. As of the end of 2016, the registry contained 141,822 cases. The data are audited and linked across hospitals.This document is a User Guide that will support the Data Abstractor by describing how to utilize the MARCQI Application in a step-by-step method. Purpose and Audience. This document describes concepts and guidelines to manage the MARCQI application, register patients, administer PRO surveys, analyze data through the use of queries and reports ...In 2019, the Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) recommended an evidence-based opioid pain pathway to participating ...after hip and knee replacement. Actual medication usage was determined at multiple MARCQI sites. This work has identified that the majority of hip replacement patients take fewer than 30 oxycodone 5 milligram pills (or equivalent), or 225 oral morphine equivalents (OME), post-operatively and 15% take no opioids after leaving the hospital.MARCQI can submit the data directly to AJRR after the site has negotiated a BAA/DUA /Participation agreement with AJRR. If your hospital chooses to have the MARCQI data submitted to the AJRR by the MARCQI Coordinating Center, the . only . information that would be shared with the AJRR are the 14 data elements listed on the MARCQI Addendum ...Welcome to the Patient Resource page where you can find articles and websites that provide you with information to help make your joint replacement surgery experience as successful as possible. Selections include the Choosing Wisely articles, which are collection of articles that include input from orthopaedic surgeons, medical professionals, and medical societies. These articles include ...MARCQI News. This report only contains data up to 10 years. However, some registry reports provide data beyond this. The Australian report gives CPR data to 15 years and the Finnish report provides 15, 20, and 25 year data. The data are available in Excel spreadsheet form on the MARCQI website (www.MARCQI.org).This document provides supplemental information to the 2022 MARCQI annual report for only the hip and knee chapters. It also provides details on figures and table as well as catalog numbers for implants included in the analysis of individual products and product combinations.Reluctantly or otherwise, Facebook is the place most of us have chosen to share our lives online. In spite of its many useful features, the social media site can be a constant sour...PROMIS v.1.0/1.1 - Global © 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group Page 2of In the past 7 days…FY2023 MARCQI Quality Administrator identification FY2023 MARCQI Data abstraction attestation FY2023 MIDB/MODB Data submission process attestation VBR – Clinical Champion device use template letter (.docx) FY2023 Site based QI project – Case dive report template (docx)Alliance Surgery CenterAscension Borgess Medical CenterAscension Genesys Regional Medical CenterAscension Macomb-Oakland (Warren)Ascension Providence Hospital (Novi)Ascension Providence Hospital (Southfield)Ascension Providence Rochester HospitalAscension St. John’s Hospital – DetroitAscension St. John’s Hospital – Macomb ...This document is a User Guide that will support the Data Abstractor by describing how to utilize the MARCQI Application in a step-by-step method. Purpose and Audience. This document describes concepts and guidelines to manage the MARCQI application, register patients, administer PRO surveys, analyze data through the use of queries and reports ...the mission of MARCQI and participating members to make Michigan the best place in the world to have a joint replacement surgery. Your office has decided to work with MARCQI and other providers across Michigan to obtain Patient Reported Outcome (PRO) surveys on patients that have their hip or knee joint replaced.Oct 19, 2022 · This paper describes the impact of MARCQI on the quality of hip and knee arthroplasty care in the state of Michigan since its inception in 2012, and it briefly summarizes the recently released 5 ... MARCQI enables participating hospitals to collect and disseminate performance and patient outcomes with a reliable data collection system and standardized definitions to measure hip and knee joint replacement, along with the ability to translate this data into meaningful assessment of systems and processes of care to determine best practices.MARCQI uploads level I data to AJRR for hospitals that elect to have data submitted to AJRR. Twelve hospitals have chosen to do this. Limitations and future directions. While MARCQI is an innovative approach to quality improvement and registries in the United States, it has limitations. Most notably, it is a regional effort contained …Your transaction failed, please try again or contact support. Your transaction failed, please try again or contact support. We are an affiliate for products that we recommend and r...Apr 21, 2023 · MARCQI Qualifying Cases . Overview of MARCQI Qualifying Case Types . This section aims to provide supporting information in determining if a joint replacement procedure is . a MARCQI qualifying case. The MARCQI qualifying case types for patients age of 18 or older, at the . time of surgery, include: Elective primary hip and knee arthroplasty. 2021 MARCQI ANNUAL REPORT. Released December 2021. Available on MARCQI website, www.MARCQI.org. New in 2022. Hip fracture analysis. Knee stability analysis. Knee patellar resurfacing analysis. Updated 2-page summary. 2021 MARCQI ANNUAL REPORT. HIP. THA COUNTS OVER TIME. THA REVISION BURDEN.10:05 AM– 10:20 AM Interpreting MARCQI reports for Quality Improvement (QI) Devon Larese, MSN, RN 10:20 AM - 10:50 AM QI Scavenger hunt & debrief Zachery DeLong, MPH 10:50 AM – 11:00 AM Ortech: QI tools Sara Koralewski, RHIT 11:00 AM - 11:05 AM 11:05 AM – 11:10 AM Ortech: Patient Reported Outcomes (PROs) tools …o Yes, a MARCQI surgeon can attend site-based QI meetings at more than one site in a calendar year to count towards their 3 of 3 site-based QI meeting attendance to meet the VBR metric and ABOS MOC SAE credit. o The MARCQI surgeon must still attend at least 1 site-based QI meeting at a site at which they About MARCQI; MARCQI Coordinating Center; Membership . Benefits of Membership; MARCQI member sites; Current site expectations; MARCQI Registry Reports . MARCQI Annual Reports; MARCQI Surgeon Reports; Device Recall Information; Participants . Quick Links; Abstractors; Surgeons; Quality Improvement; Forms and Resources; Guidelines and Resources ... This document is a User Guide that will support the Data Abstractor by describing how to utilize the MARCQI Application in a step-by-step method. Purpose and Audience. This document describes concepts and guidelines to manage the MARCQI application, register patients, administer PRO surveys, analyze data through the use of queries and reports ...About MARCQI; MARCQI Coordinating Center; Membership . Benefits of Membership; MARCQI member sites; Current site expectations; MARCQI Registry Reports . MARCQI Annual Reports; MARCQI Surgeon Reports; Device Recall Information; Participants . Quick Links; Abstractors; Surgeons; Quality Improvement; Forms and Resources; Guidelines …marcqi-registry-reports-marcqi-annual-reports/ Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) Figure 1: Frequency of using tranexamic acid in MARCQI. Figure 2: Frequency of transfusions after primary hip and knee arthroplasty in MARCQI.The MARCQI Device Committee is responsible for overseeing the analysis of medical devices. It seeks to promote the use of devices with the best evidence of benefit to patients. This evidence is gathered by review of international arthroplasty registries and analysis of MARCQI data. It also oversees the process of notifying sites and surgeons of […]MARCQI Quality Improvement Groups are designed for the exchange of ideas between collaborative sites. This collaboration leads to new quality improvement efforts and the sharing of best practices in a cooperative environment. Our primary objectives [goals] are: Improved quality and safety for hip and knee surgery patients Reduction of inconsistencies and variations in patient outcomes […]Elizabeth Dailey, MD. Elizabeth Dailey, MD serves as the ASC Physician Lead for MARCQI, creating quality improvement resources and guidance for surgery centers performing joint replacements across the state of Michigan. She is a Clinical Associate Professor of Orthopaedic Surgery at the University of Michigan. Dr.MARCQI is a group that collects and analyzes data on hip and knee replacement surgery in Michigan. CODE Technology offers a Data Export Wizard to help …Background: In 2019, the Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) recommended an evidence-based opioid pain pathway to participating physicians and hospitals for patients undergoing total joint arthroplasty (TJA). The purpose of this study was to determine if the education could influence and have lasting effects …The MARCQI has had multiple main quality improvement projects since it first launched, with two additional projects added in 2018. The collaborative has focused on reducing blood transfusions, getting …Description of MARCQI_Five-Year_Report_Nov2017.pdf : Five-year report. Toggle navigation. Log in; Toggle navigation. JavaScript is disabled for your browser. Some features of this site may not work without it. Search Deep Blue. This collection. Communities & Collections Titles Authors Subjects Date.MARCQI staff, resulting in a very high-quality registry. More than 98% of qualifying cases meet our definition of a complete data set. There are 29 MARCQI sites that participate in the AJRR; they transfer their data after downloading it from the MARCQI database. MARCQI captures data on 96% of all hip and knee arthroplasty procedures performedMARCQI PROM questions are designed to be quick yet thorough, with 22 questions for hip replacements and 23 for knee replacements. Most patients complete their MARCQI PROM in about 3 to 4 minutes. MARCQI PROM program helps sites meet CMS requirement for the Patient Reported Outcome-Performance Measure (PRO-PM)After receiving instruction regarding the MARCQI Database and the Data Elements at the MARCQI New CDA Training, the Clinical Data Abstractor (CDA) will recognize this specifications manual as a definitions resource for completing the Data Elements. The CDA will be able to use and apply the definitions to abstract cases into the MARCQI database.MARCQI Specifications Manual for Data Abstractors Introduction The MARCQI database is designed to allow sites to enter information through a combination of both ...The MARCQI has had multiple main quality improvement projects since it first launched, with two additional projects added in 2018. The collaborative has focused on reducing blood transfusions, getting more patients straight home after surgery, simplifying blood clot prevention, and reducing complications like infection, early fracture and ...CQI Collaboration. MVC collaborates with the other BCBSM collaborative quality initiatives (CQIs) to promote value. By combining clinical and claims data, MVC is able to evaluate the impact and value of CQI-led clinical initiatives. These value assessments are performed in partnership with peer CQIs. MVC also partners with its peers to develop ...MARCQI staff, resulting in a very high-quality registry. More than 98% of qualifying cases meet our definition of a complete data set. There are 29 MARCQI sites that participate in the AJRR; they transfer their data after downloading it from the MARCQI database. MARCQI captures data on 96% of all hip and knee arthroplasty procedures performedMARCQI has three goals: 1) improve patient safety and the quality of care for patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA) procedures in Michigan, 2) improve quality of total joint replacement procedures by rapidly identifying poorly performing new orthopedic technologies through the analysis of registry ... MARCQI Qualifying Cases Overview of MARCQI Qualifying Case Types This section aims to provide supporting information in determining if a joint replacement procedure is a MARCQI qualifying case. The MARCQI qualifying case types for patients age of 18 or older, at the time of surgery, include: Elective primary hip and knee arthroplasty. Michigan Arthroplasty Registry Collaborative Quality Initiative 2021 MARCQI ANNUAL REPORT. Released December 2021. Available on MARCQI website, www.MARCQI.org. New in 2022. Hip fracture analysis. Knee stability analysis. Knee patellar resurfacing analysis. Updated 2-page summary. 2021 MARCQI ANNUAL REPORT. HIP. THA COUNTS OVER TIME. THA REVISION BURDEN.Since it's inception 10 years ago, Ortech has been the technical foundation for the MARCQI Registry. The Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) is a group of orthopaedic surgeons and medical professionals dedicated to improving the quality of care for patients undergoing hip and knee replacement procedures in ...One of my favorite things to do on a lazy Friday afternoon (when I should be working, but I have a few posts already done in advance and my mind is wandering a bit) is to do a “bra...the mission of MARCQI and participating members to make Michigan the best place in the world to have a joint replacement surgery. Your office has decided to work with MARCQI and other providers across Michigan to obtain Patient Reported Outcome (PRO) surveys on patients that have their hip or knee joint replaced.MARCQI enables participating hospitals to collect and disseminate performance and patient outcomes with a reliable data collection system and standardized definitions to measure hip and knee joint replacement, along with the ability to translate this data into meaningful assessment of systems and processes of care to determine best practices. ... MARCQI is a Blue Cross Blue Shield of Michigan and Blue Care Network supported collaborative that began in 2012. MARCQI has created a statewide quality improvement infrastructure by developing a consortium of healthcare facilities and providers in Michigan that engage in quality improvement activities for hip and knee replacement procedures. MARCQI is a Blue Cross Blue Shield of Michigan and Blue Care Network supported collaborative that began in 2012. MARCQI has created a statewide quality improvement infrastructure by developing a consortium of healthcare facilities and providers in Michigan that engage in quality improvement activities for hip and knee replacement procedures. MARCQI Qualifying Cases Overview of MARCQI Qualifying Case Types This section aims to provide supporting information in determining if a joint replacement procedure is a MARCQI qualifying case. The MARCQI qualifying case types for patients age of 18 or older, at the time of surgery, include: Elective primary hip and knee arthroplasty.Life on a Nuclear Submarine - Life on a nuclear submarine is pretty cramped and can be quite dangerous. Learn about life on a nuclear submarine and how submariners avoid nuclear ra... Surgeons. Quality Improvement. Forms and Resources. Guidelines and Resources. MARCQI Brochure. MARCQI Pain Control Pathway & Resources. Infection Prevention. Infection Risk Calculator. Patient Reported Outcome Measures (PROMs) MARCQI sites are invited by Blue Cross Blue Shield Michigan to join the collaborative. Eligible sites will be sent an application to participate in MARCQI from Blue Cross Blue Shield of Michigan. If your facility is interested, the following steps are required for participation. 1. Recruitment packets from BCBSM sent to sites in August 2.MARCQI Specifications Manual for Data Abstractors Introduction The MARCQI database is designed to allow sites to enter information through a combination of both ...MARCQI Coordinating Center | 2929 Plymouth Road, Suite 300, Ann Arbor, MI 48105 Phone: 734.998.0495 | Fax: 734.998.9905 Join us in November for the next MARCQI Quarterly Meeting We look forward to seeing all of you at the next MARCQI Quarter-ly Meeting. The meeting will be held on Friday, November 13, 2015 at Lansing Community …MARCQI Collaborative-wide Meeting 10 Years of Quality Improvement Program pdf MARCQI Articles Please note: The content found in this section contains links to various sites. Some of the listed items are found on the PubMed website. The links marked with ‘(link to abstract)’ will take you to the abstract. With PubMed papers, you or your […]The MARCQI annual report is based on 139,970 hip cases. 8% of these cases are revisions. Of primary hip cases, 97% are conventional, 2% are conversions, and 1% are resurfacing. Inclusion criteria for this figure: (1) at least 500 cases in MARCQI database, (2) at least 250 cases at risk at 1 year, and (3) implant must be conventional.Surgeon Dictation Tools. Hip Dictation Tool, Updated January 2022 (as Word document) Knee Dictation Tool, Updated January 2022 (as Word Document) Intra Operative Forms: IntraOp Hip Form, ver. 10, January 2022 (as Word document) IntraOp Knee Form, ver. 10, January 2022 (as Word document) The word documents can be … MARCQI Qualifying Cases Overview of MARCQI Qualifying Case Types This section aims to provide supporting information in determining if a joint replacement procedure is a MARCQI qualifying case. The MARCQI qualifying case types for patients age of 18 or older, at the time of surgery, include: Elective primary hip and knee arthroplasty. The MARCQI conducted an analysis of the safety of TXA in hip and knee replacements, showing it did not increase the risk of readmission, length of stay, cardiovascular events, or venous thromboembolism . This result was shared with the collaborative once the analysis was complete. Transfusions in the MARCQI were dramatically reduced [5,6 ...2021 MARCQI ANNUAL REPORT. Released December 2021. Available on MARCQI website, www.MARCQI.org. New in 2022. Hip fracture analysis. Knee stability analysis. Knee patellar resurfacing analysis. Updated 2-page summary. 2021 MARCQI ANNUAL REPORT. HIP. THA COUNTS OVER TIME. THA REVISION BURDEN.This document is a User Guide that will support the Data Abstractor by describing how to utilize the MARCQI Application in a step-by-step method. Purpose and Audience. This document describes concepts and guidelines to manage the MARCQI application, register patients, administer PRO surveys, analyze data through the use of queries and reports ...About MARCQI; MARCQI Coordinating Center; Membership . Benefits of Membership; MARCQI member sites; Current site expectations; MARCQI Registry Reports . MARCQI Annual Reports; MARCQI Surgeon Reports; Device Recall Information; Participants . Quick Links; Abstractors; Surgeons; Quality Improvement; Forms and Resources; Guidelines …MARCQI abstractors are the front line of the collaborative. They are responsible for the timely and accurate collection of data and entry/upload into the web-based data tables. The MARCQI Coordinating Center is dedicated to each site’s success and is always available for any questions that arise. Abstractors will be trained on how the database works […]Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS, JR.), English version 1.0 KOOS, JR. KNEE SURVEY. INSTRUCTIONS: This questionnaire asks for your view about your knee.About MARCQI. MARCQI Coordinating Center. Membership. Benefits of Membership. MARCQI member sites. Current site expectations. MARCQI Registry Reports. MARCQI Annual Reports. MARCQI Surgeon Reports.This document is a User Guide that will support the Data Abstractor by describing how to utilize the MARCQI Application in a step-by-step method. Purpose and Audience. This document describes concepts and guidelines to manage the MARCQI application, register patients, administer PRO surveys, analyze data through the use of queries and reports ...
The MARCQI annual report is based on 139,970 hip cases. 8% of these cases are revisions. Of primary hip cases, 97% are conventional, 2% are conversions, and 1% are resurfacing. Inclusion criteria for this figure: (1) at least 500 cases in MARCQI database, (2) at least 250 cases at risk at 1 year, and (3) implant must be conventional.. Tin roof on demonbreun
Investigation performed at the MARCQI Coordinating Center, University of Michigan, Ann Arbor, Michigan Background: The efficacy of tranexamic acid (TXA) in reducing blood loss and transfusion requirements in total hip and knee arthroplasty has been well established in small controlled clinical trials and meta-analyses. The purpose of theThe Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) is a group of orthopaedic surgeons and medical professionals dedicated to improving the quality of care for patients undergoing hip and knee replacement procedures in Michigan.MARCQI Demonstrates Value and Impact of Registries, from AAOS Aspirin After Knee Surgery Offers Effective Clot Prevention, Study Finds, from M Health Lab, Michigan ...Medical Device Recalls MARCQI posts Class I and Class II recalls that involve implantable devices because of the risk to patients. For reference, the definitions of these classes, according to the Food and Drug Administration (FDA), are: Class 1 recall: a situation in which there is a reasonable probability that the use of or exposure to […]The MARCQI annual report is based on 245,499 knee cases, of which 8% of these are revision cases. Of primary knee cases, 84% are TKA, 6% are UKA, 1% are PFJ, and 9% are other/unclassified cases. Inclusion criteria for this figure: (1) at least 500 cases in MARCQI database, and (2) at least 250 cases at risk at 1 year. 2022 4-YEAR …MARCQI. Founded in 2010, MARCQI is a consortium of Michigan hospitals that is funded through the Blue Cross Blue Shield of Michigan and the Blue Care Network Value Partnerships program. MARCQI will be used to address variations in patient outcomes related to hip and knee joint replacement surgery in the state of Michigan.The goals of MARCQI are to create a statewide quality improvement infrastructure by developing a consortium of hospitals in Michigan to engage in quality improvement activities for hip and knee ...Dermarolling is the at-home DIY version of professional microneedling that's performed by a doctor or dermatologist. This comprehensive guide includes everything you need to know a...Elizabeth Dailey, MD. Elizabeth Dailey, MD serves as the ASC Physician Lead for MARCQI, creating quality improvement resources and guidance for surgery centers performing joint replacements across the state of Michigan. She is a Clinical Associate Professor of Orthopaedic Surgery at the University of Michigan. Dr.Search engine Pronounce Names—perhaps unsurprisingly—contains a database of names complete with proper pronunciation, saving you from embarrassment next time you face a challenging...MARCQI Coordinating Center | 2929 Plymouth Road, Suite 300, Ann Arbor, MI 48105 Phone: 734.998.0495 | Fax: 734.998.9905 Join us in November for the next MARCQI Quarterly Meeting We look forward to seeing all of you at the next MARCQI Quarter-ly Meeting. The meeting will be held on Friday, November 13, 2015 at Lansing Community …We would like to show you a description here but the site won’t allow us.This paper describes the impact of MARCQI on the quality of hip and knee arthroplasty care in the state of Michigan since its inception in 2012, and it briefly summarizes the recently released 5 ...MARCQI DATA •100% of qualifying cases entered into registry at each site •97% of THA and TKA cases in Michigan •Data entry audited annually •90-day collection period •Revisions are tracked indefinitely •257 data elements manually abstracted •Administrative data uploads for comorbiditiesThe Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) follows the CQI model with statewide quality improvement projects based on …Investigation performed at the MARCQI Coordinating Center, University of Michigan, Ann Arbor, Michigan Background: The efficacy of tranexamic acid (TXA) in reducing blood loss and transfusion requirements in total hip and knee arthroplasty has been well established in small controlled clinical trials and meta-analyses. The purpose of the.
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