Serveur d'exploration sur le lymphœdème

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Clinically node negative breast cancer patients undergoing breast conserving therapy, sentinel lymph node procedure versus follow-up: a Dutch randomized controlled multicentre trial (BOOG 2013-08)

Identifieur interne : 009236 ( Ncbi/Merge ); précédent : 009235; suivant : 009237

Clinically node negative breast cancer patients undergoing breast conserving therapy, sentinel lymph node procedure versus follow-up: a Dutch randomized controlled multicentre trial (BOOG 2013-08)

Auteurs : L. M. Van Roozendaal [Pays-Bas] ; M. L. G. Vane [Pays-Bas] ; T. Van Dalen [Pays-Bas] ; J. A. Van Der Hage [Pays-Bas] ; L. J. A. Strobbe [Pays-Bas] ; L. J. Boersma [Pays-Bas] ; S. C. Linn [Pays-Bas] ; M. B. I. Lobbes [Pays-Bas] ; P. M. P. Poortmans [Pays-Bas] ; V. C. G. Tjan-Heijnen [Pays-Bas] ; K. K. B. T. Van De Vijver [Pays-Bas] ; J. De Vries [Pays-Bas] ; A. H. Westenberg [Pays-Bas] ; A. G. H. Kessels [Pays-Bas] ; J. H. W. De Wilt [Pays-Bas] ; M. L. Smidt [Pays-Bas]

Source :

RBID : PMC:5494134

Abstract

Background

Studies showed that axillary lymph node dissection can be safely omitted in presence of positive sentinel lymph node(s) in breast cancer patients treated with breast conserving therapy. Since the outcome of the sentinel lymph node biopsy has no clinical consequence, the value of the procedure itself is being questioned. The aim of the BOOG 2013–08 trial is to investigate whether the sentinel lymph node biopsy can be safely omitted in clinically node negative breast cancer patients treated with breast conserving therapy.

Methods

The BOOG 2013–08 is a Dutch prospective non-inferiority randomized multicentre trial. Women with pathologically confirmed clinically node negative T1–2 invasive breast cancer undergoing breast conserving therapy will be randomized for sentinel lymph node biopsy versus no sentinel lymph node biopsy. Endpoints include regional recurrence after 5 (primary endpoint) and 10 years of follow-up, distant-disease free and overall survival, quality of life, morbidity and cost-effectiveness. Previous data indicate a 5-year regional recurrence free survival rate of 99% for the control arm and 96% for the study arm. In combination with a non-inferiority limit of 5% and probability of 0.8, this result in a sample size of 1.644 patients including a lost to follow-up rate of 10%. Primary and secondary endpoints will be reported after 5 and 10 years of follow-up.

Discussion

If the sentinel lymph node biopsy can be safely omitted in clinically node negative breast cancer patients undergoing breast conserving therapy, this study will cost-effectively lead to a decreased axillary morbidity rate and thereby improved quality of life with non-inferior regional control, distant-disease free survival and overall survival.

Trial registration

The BOOG 2013–08 study is registered in ClinicalTrials.gov since October 20, 2014, Identifier: NCT02271828. https://clinicaltrials.gov/ct2/show/NCT02271828


Url:
DOI: 10.1186/s12885-017-3443-x
PubMed: 28668073
PubMed Central: 5494134

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PMC:5494134

Le document en format XML

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<nlm:aff id="Aff6">
<institution-wrap>
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<institution>Department of Radiation Oncology,</institution>
<institution>Maastricht University Medical Centre (MAASTRO clinic),</institution>
</institution-wrap>
Maastricht, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Maastricht</wicri:regionArea>
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<author>
<name sortKey="Linn, S C" sort="Linn, S C" uniqKey="Linn S" first="S. C." last="Linn">S. C. Linn</name>
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<nlm:aff id="Aff7">
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<institution-id institution-id-type="GRID">grid.430814.a</institution-id>
<institution>Division of Medical Oncology,</institution>
<institution>Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital,</institution>
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Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Amsterdam</wicri:regionArea>
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<author>
<name sortKey="Lobbes, M B I" sort="Lobbes, M B I" uniqKey="Lobbes M" first="M. B. I." last="Lobbes">M. B. I. Lobbes</name>
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<nlm:aff id="Aff8">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.412966.e</institution-id>
<institution>Department of Radiology and Nuclear Medicine,</institution>
<institution>Maastricht University Medical Centre,</institution>
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Maastricht, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Maastricht</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Poortmans, P M P" sort="Poortmans, P M P" uniqKey="Poortmans P" first="P. M. P." last="Poortmans">P. M. P. Poortmans</name>
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<nlm:aff id="Aff9">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 0444 9382</institution-id>
<institution-id institution-id-type="GRID">grid.10417.33</institution-id>
<institution>Department of Radiation Oncology,</institution>
<institution>Radboud University Medical Centre,</institution>
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Nijmegen, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Nijmegen</wicri:regionArea>
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<author>
<name sortKey="Tjan Heijnen, V C G" sort="Tjan Heijnen, V C G" uniqKey="Tjan Heijnen V" first="V. C. G." last="Tjan-Heijnen">V. C. G. Tjan-Heijnen</name>
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<nlm:aff id="Aff2">
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<institution-id institution-id-type="GRID">grid.412966.e</institution-id>
<institution>GROW - School for Oncology and Developmental Biology,</institution>
<institution>Maastricht University Medical Centre,</institution>
</institution-wrap>
Maastricht, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Maastricht</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:aff id="Aff10">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.412966.e</institution-id>
<institution>Division of Medical Oncology,</institution>
<institution>Maastricht University Medical Centre,</institution>
</institution-wrap>
Maastricht, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Maastricht</wicri:regionArea>
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</author>
<author>
<name sortKey="Van De Vijver, K K B T" sort="Van De Vijver, K K B T" uniqKey="Van De Vijver K" first="K. K. B. T." last="Van De Vijver">K. K. B. T. Van De Vijver</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff11">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.430814.a</institution-id>
<institution>Department of Pathology,</institution>
<institution>Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital,</institution>
</institution-wrap>
Amsterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Amsterdam</wicri:regionArea>
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</author>
<author>
<name sortKey="De Vries, J" sort="De Vries, J" uniqKey="De Vries J" first="J." last="De Vries">J. De Vries</name>
<affiliation wicri:level="1">
<nlm:aff id="Aff12">
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0001 0943 3265</institution-id>
<institution-id institution-id-type="GRID">grid.12295.3d</institution-id>
<institution>Department of Medical and Clinical Psychology,</institution>
<institution>Tilburg University,</institution>
</institution-wrap>
Tilburg, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Tilburg</wicri:regionArea>
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<name sortKey="Westenberg, A H" sort="Westenberg, A H" uniqKey="Westenberg A" first="A. H." last="Westenberg">A. H. Westenberg</name>
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<nlm:aff id="Aff13">Radiation Oncology, Radiotherapy group, Arnhem, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Radiation Oncology, Radiotherapy group, Arnhem</wicri:regionArea>
<wicri:noRegion>Arnhem</wicri:noRegion>
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<author>
<name sortKey="Kessels, A G H" sort="Kessels, A G H" uniqKey="Kessels A" first="A. G. H." last="Kessels">A. G. H. Kessels</name>
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<nlm:aff id="Aff14">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.412966.e</institution-id>
<institution>Department of Clinical Epidemiology and Medical Technology Assessment,</institution>
<institution>Maastricht University Medical Centre,</institution>
</institution-wrap>
Maastricht, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Maastricht</wicri:regionArea>
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<author>
<name sortKey="De Wilt, J H W" sort="De Wilt, J H W" uniqKey="De Wilt J" first="J. H. W." last="De Wilt">J. H. W. De Wilt</name>
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<nlm:aff id="Aff15">
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<institution>Radboud University Medical Centre,</institution>
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Nijmegen, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Nijmegen</wicri:regionArea>
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<author>
<name sortKey="Smidt, M L" sort="Smidt, M L" uniqKey="Smidt M" first="M. L." last="Smidt">M. L. Smidt</name>
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<nlm:aff id="Aff1">
<institution-wrap>
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<institution>Division of Surgical Oncology,</institution>
<institution>Maastricht University Medical Centre,</institution>
</institution-wrap>
P.O. Box 5800, 6202 AZ Maastricht, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>P.O. Box 5800, 6202 AZ Maastricht</wicri:regionArea>
<wicri:noRegion>6202 AZ Maastricht</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="Aff2">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.412966.e</institution-id>
<institution>GROW - School for Oncology and Developmental Biology,</institution>
<institution>Maastricht University Medical Centre,</institution>
</institution-wrap>
Maastricht, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Maastricht</wicri:regionArea>
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</analytic>
<series>
<title level="j">BMC Cancer</title>
<idno type="eISSN">1471-2407</idno>
<imprint>
<date when="2017">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
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<profileDesc>
<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p id="Par1">Studies showed that axillary lymph node dissection can be safely omitted in presence of positive sentinel lymph node(s) in breast cancer patients treated with breast conserving therapy. Since the outcome of the sentinel lymph node biopsy has no clinical consequence, the value of the procedure itself is being questioned. The aim of the BOOG 2013–08 trial is to investigate whether the sentinel lymph node biopsy can be safely omitted in clinically node negative breast cancer patients treated with breast conserving therapy.</p>
</sec>
<sec>
<title>Methods</title>
<p id="Par2">The BOOG 2013–08 is a Dutch prospective non-inferiority randomized multicentre trial. Women with pathologically confirmed clinically node negative T1–2 invasive breast cancer undergoing breast conserving therapy will be randomized for sentinel lymph node biopsy versus no sentinel lymph node biopsy. Endpoints include regional recurrence after 5 (primary endpoint) and 10 years of follow-up, distant-disease free and overall survival, quality of life, morbidity and cost-effectiveness. Previous data indicate a 5-year regional recurrence free survival rate of 99% for the control arm and 96% for the study arm. In combination with a non-inferiority limit of 5% and probability of 0.8, this result in a sample size of 1.644 patients including a lost to follow-up rate of 10%. Primary and secondary endpoints will be reported after 5 and 10 years of follow-up.</p>
</sec>
<sec>
<title>Discussion</title>
<p id="Par3">If the sentinel lymph node biopsy can be safely omitted in clinically node negative breast cancer patients undergoing breast conserving therapy, this study will cost-effectively lead to a decreased axillary morbidity rate and thereby improved quality of life with non-inferior regional control, distant-disease free survival and overall survival.</p>
</sec>
<sec>
<title>Trial registration</title>
<p id="Par4">The BOOG 2013–08 study is registered in
<ext-link ext-link-type="uri" xlink:href="http://clinicaltrials.gov">ClinicalTrials.gov</ext-link>
since October 20, 2014, Identifier: NCT02271828.
<ext-link ext-link-type="uri" xlink:href="https://clinicaltrials.gov/ct2/show/NCT02271828">https://clinicaltrials.gov/ct2/show/NCT02271828</ext-link>
</p>
</sec>
</div>
</front>
<back>
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<pmc-dir>properties open_access</pmc-dir>
<front>
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<journal-id journal-id-type="nlm-ta">BMC Cancer</journal-id>
<journal-id journal-id-type="iso-abbrev">BMC Cancer</journal-id>
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<issn pub-type="epub">1471-2407</issn>
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<article-id pub-id-type="pmc">5494134</article-id>
<article-id pub-id-type="publisher-id">3443</article-id>
<article-id pub-id-type="doi">10.1186/s12885-017-3443-x</article-id>
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<subj-group subj-group-type="heading">
<subject>Study Protocol</subject>
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Maastricht, the Netherlands</aff>
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<label>8</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.412966.e</institution-id>
<institution>Department of Radiology and Nuclear Medicine,</institution>
<institution>Maastricht University Medical Centre,</institution>
</institution-wrap>
Maastricht, the Netherlands</aff>
<aff id="Aff9">
<label>9</label>
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 0444 9382</institution-id>
<institution-id institution-id-type="GRID">grid.10417.33</institution-id>
<institution>Department of Radiation Oncology,</institution>
<institution>Radboud University Medical Centre,</institution>
</institution-wrap>
Nijmegen, the Netherlands</aff>
<aff id="Aff10">
<label>10</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.412966.e</institution-id>
<institution>Division of Medical Oncology,</institution>
<institution>Maastricht University Medical Centre,</institution>
</institution-wrap>
Maastricht, the Netherlands</aff>
<aff id="Aff11">
<label>11</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.430814.a</institution-id>
<institution>Department of Pathology,</institution>
<institution>Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital,</institution>
</institution-wrap>
Amsterdam, the Netherlands</aff>
<aff id="Aff12">
<label>12</label>
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0001 0943 3265</institution-id>
<institution-id institution-id-type="GRID">grid.12295.3d</institution-id>
<institution>Department of Medical and Clinical Psychology,</institution>
<institution>Tilburg University,</institution>
</institution-wrap>
Tilburg, the Netherlands</aff>
<aff id="Aff13">
<label>13</label>
Radiation Oncology, Radiotherapy group, Arnhem, the Netherlands</aff>
<aff id="Aff14">
<label>14</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.412966.e</institution-id>
<institution>Department of Clinical Epidemiology and Medical Technology Assessment,</institution>
<institution>Maastricht University Medical Centre,</institution>
</institution-wrap>
Maastricht, the Netherlands</aff>
<aff id="Aff15">
<label>15</label>
<institution-wrap>
<institution-id institution-id-type="ISNI">0000 0004 0444 9382</institution-id>
<institution-id institution-id-type="GRID">grid.10417.33</institution-id>
<institution>Division of Surgical Oncology,</institution>
<institution>Radboud University Medical Centre,</institution>
</institution-wrap>
Nijmegen, the Netherlands</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>1</day>
<month>7</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>1</day>
<month>7</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>17</volume>
<elocation-id>459</elocation-id>
<history>
<date date-type="received">
<day>24</day>
<month>11</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>22</day>
<month>6</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author(s). 2017</copyright-statement>
<license license-type="OpenAccess">
<license-p>
<bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1">
<sec>
<title>Background</title>
<p id="Par1">Studies showed that axillary lymph node dissection can be safely omitted in presence of positive sentinel lymph node(s) in breast cancer patients treated with breast conserving therapy. Since the outcome of the sentinel lymph node biopsy has no clinical consequence, the value of the procedure itself is being questioned. The aim of the BOOG 2013–08 trial is to investigate whether the sentinel lymph node biopsy can be safely omitted in clinically node negative breast cancer patients treated with breast conserving therapy.</p>
</sec>
<sec>
<title>Methods</title>
<p id="Par2">The BOOG 2013–08 is a Dutch prospective non-inferiority randomized multicentre trial. Women with pathologically confirmed clinically node negative T1–2 invasive breast cancer undergoing breast conserving therapy will be randomized for sentinel lymph node biopsy versus no sentinel lymph node biopsy. Endpoints include regional recurrence after 5 (primary endpoint) and 10 years of follow-up, distant-disease free and overall survival, quality of life, morbidity and cost-effectiveness. Previous data indicate a 5-year regional recurrence free survival rate of 99% for the control arm and 96% for the study arm. In combination with a non-inferiority limit of 5% and probability of 0.8, this result in a sample size of 1.644 patients including a lost to follow-up rate of 10%. Primary and secondary endpoints will be reported after 5 and 10 years of follow-up.</p>
</sec>
<sec>
<title>Discussion</title>
<p id="Par3">If the sentinel lymph node biopsy can be safely omitted in clinically node negative breast cancer patients undergoing breast conserving therapy, this study will cost-effectively lead to a decreased axillary morbidity rate and thereby improved quality of life with non-inferior regional control, distant-disease free survival and overall survival.</p>
</sec>
<sec>
<title>Trial registration</title>
<p id="Par4">The BOOG 2013–08 study is registered in
<ext-link ext-link-type="uri" xlink:href="http://clinicaltrials.gov">ClinicalTrials.gov</ext-link>
since October 20, 2014, Identifier: NCT02271828.
<ext-link ext-link-type="uri" xlink:href="https://clinicaltrials.gov/ct2/show/NCT02271828">https://clinicaltrials.gov/ct2/show/NCT02271828</ext-link>
</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Breast neoplasms</kwd>
<kwd>Breast cancer</kwd>
<kwd>Sentinel lymph node biopsy</kwd>
<kwd>Breast conserving therapy</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>
<institution>Centraal Ziekenfonds (CZ)</institution>
</funding-source>
<award-id>201400316</award-id>
</award-group>
<award-group>
<funding-source>
<institution-wrap>
<institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/501100001826</institution-id>
<institution>ZonMw</institution>
</institution-wrap>
</funding-source>
<award-id>843002624</award-id>
</award-group>
<award-group>
<funding-source>
<institution-wrap>
<institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/501100004622</institution-id>
<institution>KWF Kankerbestrijding</institution>
</institution-wrap>
</funding-source>
<award-id>20146679</award-id>
</award-group>
</funding-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2017</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Pays-Bas</li>
</country>
</list>
<tree>
<country name="Pays-Bas">
<noRegion>
<name sortKey="Van Roozendaal, L M" sort="Van Roozendaal, L M" uniqKey="Van Roozendaal L" first="L. M." last="Van Roozendaal">L. M. Van Roozendaal</name>
</noRegion>
<name sortKey="Boersma, L J" sort="Boersma, L J" uniqKey="Boersma L" first="L. J." last="Boersma">L. J. Boersma</name>
<name sortKey="Boersma, L J" sort="Boersma, L J" uniqKey="Boersma L" first="L. J." last="Boersma">L. J. Boersma</name>
<name sortKey="De Vries, J" sort="De Vries, J" uniqKey="De Vries J" first="J." last="De Vries">J. De Vries</name>
<name sortKey="De Wilt, J H W" sort="De Wilt, J H W" uniqKey="De Wilt J" first="J. H. W." last="De Wilt">J. H. W. De Wilt</name>
<name sortKey="Kessels, A G H" sort="Kessels, A G H" uniqKey="Kessels A" first="A. G. H." last="Kessels">A. G. H. Kessels</name>
<name sortKey="Linn, S C" sort="Linn, S C" uniqKey="Linn S" first="S. C." last="Linn">S. C. Linn</name>
<name sortKey="Lobbes, M B I" sort="Lobbes, M B I" uniqKey="Lobbes M" first="M. B. I." last="Lobbes">M. B. I. Lobbes</name>
<name sortKey="Poortmans, P M P" sort="Poortmans, P M P" uniqKey="Poortmans P" first="P. M. P." last="Poortmans">P. M. P. Poortmans</name>
<name sortKey="Smidt, M L" sort="Smidt, M L" uniqKey="Smidt M" first="M. L." last="Smidt">M. L. Smidt</name>
<name sortKey="Smidt, M L" sort="Smidt, M L" uniqKey="Smidt M" first="M. L." last="Smidt">M. L. Smidt</name>
<name sortKey="Strobbe, L J A" sort="Strobbe, L J A" uniqKey="Strobbe L" first="L. J. A." last="Strobbe">L. J. A. Strobbe</name>
<name sortKey="Tjan Heijnen, V C G" sort="Tjan Heijnen, V C G" uniqKey="Tjan Heijnen V" first="V. C. G." last="Tjan-Heijnen">V. C. G. Tjan-Heijnen</name>
<name sortKey="Tjan Heijnen, V C G" sort="Tjan Heijnen, V C G" uniqKey="Tjan Heijnen V" first="V. C. G." last="Tjan-Heijnen">V. C. G. Tjan-Heijnen</name>
<name sortKey="Van Dalen, T" sort="Van Dalen, T" uniqKey="Van Dalen T" first="T." last="Van Dalen">T. Van Dalen</name>
<name sortKey="Van De Vijver, K K B T" sort="Van De Vijver, K K B T" uniqKey="Van De Vijver K" first="K. K. B. T." last="Van De Vijver">K. K. B. T. Van De Vijver</name>
<name sortKey="Van Der Hage, J A" sort="Van Der Hage, J A" uniqKey="Van Der Hage J" first="J. A." last="Van Der Hage">J. A. Van Der Hage</name>
<name sortKey="Van Roozendaal, L M" sort="Van Roozendaal, L M" uniqKey="Van Roozendaal L" first="L. M." last="Van Roozendaal">L. M. Van Roozendaal</name>
<name sortKey="Vane, M L G" sort="Vane, M L G" uniqKey="Vane M" first="M. L. G." last="Vane">M. L. G. Vane</name>
<name sortKey="Vane, M L G" sort="Vane, M L G" uniqKey="Vane M" first="M. L. G." last="Vane">M. L. G. Vane</name>
<name sortKey="Westenberg, A H" sort="Westenberg, A H" uniqKey="Westenberg A" first="A. H." last="Westenberg">A. H. Westenberg</name>
</country>
</tree>
</affiliations>
</record>

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