Using video review to understand the technical variation of robot-assisted radical prostatectomy in a statewide surgical collaborative.
Identifieur interne : 000108 ( Main/Exploration ); précédent : 000107; suivant : 000109Using video review to understand the technical variation of robot-assisted radical prostatectomy in a statewide surgical collaborative.
Auteurs : Richard C. Wu [États-Unis, Taïwan] ; Zachary J. Prebay [États-Unis] ; Parin Patel [États-Unis] ; Tae Kim [États-Unis] ; Ji Qi [États-Unis] ; Jaya Telang [États-Unis] ; Susan Linsell [États-Unis] ; Eduardo Kleer [États-Unis] ; David C. Miller [États-Unis] ; James O. Peabody [États-Unis] ; Khurshid R. Ghani [États-Unis] ; William K. Johnston [États-Unis]Source :
- World journal of urology [ 1433-8726 ] ; 2020.
Abstract
PURPOSE
Video assessment is an emerging tool for understanding surgical technique. Patient outcomes after robot-assisted radical prostatectomy (RARP) may be linked to technical aspects of the procedure. In an effort to refine surgical approaches and improve outcomes, we sought to understand technical variation for the key steps of RARP in a surgical collaborative.
METHODS
The Michigan Urological Surgery Improvement Collaborative (MUSIC) is a statewide quality improvement collaborative with the aim of improving prostate cancer care. MUSIC surgeons were invited to submit representative complete videos of nerve-sparing RARP for blinded analysis. We also analyzed peri-operative outcomes from these surgeons in the registry.
RESULTS
Surgical video data from 20 unique surgeons identified many variations in technique and time to complete different steps. Common to all surgeons was a transperitoneal approach and a running urethrovesical anastomosis. Prior to anastomosis, 25% surgeons undertook a posterior reconstruction and 30% employed urethral suspension. 65% surgeons approached the seminal vesicle anteriorly. For control of the dorsal vein complex, suture ligation was used in 60%, and vascular stapler was 15%. The majority (80%) of surgeons employed clips for managing pedicles. In examining patient outcomes for surgeons, peri-operative outcomes were not correlated with surgeon's operative time; however, surgeons with an EBL > 400 ml had significant difference among the five different techniques employed.
CONCLUSIONS
Despite the worldwide popularity of RARP, the operation is still far from standardized. Correlating variation in technique with clinical outcomes may help provide objective data to support best practices with the goal to improve patient outcomes.
DOI: 10.1007/s00345-019-02906-4
PubMed: 31444604
Affiliations:
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Wu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, E-Da Hospital, Kaohsiung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Urology, E-Da Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Prebay, Zachary J" sort="Prebay, Zachary J" uniqKey="Prebay Z" first="Zachary J" last="Prebay">Zachary J. 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Miller</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Peabody, James O" sort="Peabody, James O" uniqKey="Peabody J" first="James O" last="Peabody">James O. Peabody</name><affiliation wicri:level="2"><nlm:affiliation>Vattikuti Urology Institute, Henry Ford Health System, Detroit, MI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Vattikuti Urology Institute, Henry Ford Health System, Detroit, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Ghani, Khurshid R" sort="Ghani, Khurshid R" uniqKey="Ghani K" first="Khurshid R" last="Ghani">Khurshid R. Ghani</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA. kghani@med.umich.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Johnston, William K" sort="Johnston, William K" uniqKey="Johnston W" first="William K" last="Johnston">William K. Johnston</name><affiliation wicri:level="2"><nlm:affiliation>Oakland University/Beaumont School of Medicine, Auburn Hills, MI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Oakland University/Beaumont School of Medicine, Auburn Hills, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:31444604</idno><idno type="pmid">31444604</idno><idno type="doi">10.1007/s00345-019-02906-4</idno><idno type="wicri:Area/Main/Corpus">000441</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000441</idno><idno type="wicri:Area/Main/Curation">000441</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000441</idno><idno type="wicri:Area/Main/Exploration">000441</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Using video review to understand the technical variation of robot-assisted radical prostatectomy in a statewide surgical collaborative.</title><author><name sortKey="Wu, Richard C" sort="Wu, Richard C" uniqKey="Wu R" first="Richard C" last="Wu">Richard C. Wu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, E-Da Hospital, Kaohsiung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Urology, E-Da Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Prebay, Zachary J" sort="Prebay, Zachary J" uniqKey="Prebay Z" first="Zachary J" last="Prebay">Zachary J. Prebay</name><affiliation wicri:level="2"><nlm:affiliation>School of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Medicine, Medical College of Wisconsin, Milwaukee, WI</wicri:regionArea><placeName><region type="state">Wisconsin</region></placeName></affiliation></author><author><name sortKey="Patel, Parin" sort="Patel, Parin" uniqKey="Patel P" first="Parin" last="Patel">Parin Patel</name><affiliation wicri:level="2"><nlm:affiliation>Department of Urology, Detroit Medical Center, Detroit, MI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, Detroit Medical Center, Detroit, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Kim, Tae" sort="Kim, Tae" uniqKey="Kim T" first="Tae" last="Kim">Tae Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Qi, Ji" sort="Qi, Ji" uniqKey="Qi J" first="Ji" last="Qi">Ji Qi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Telang, Jaya" sort="Telang, Jaya" uniqKey="Telang J" first="Jaya" last="Telang">Jaya Telang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Linsell, Susan" sort="Linsell, Susan" uniqKey="Linsell S" first="Susan" last="Linsell">Susan Linsell</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Kleer, Eduardo" sort="Kleer, Eduardo" uniqKey="Kleer E" first="Eduardo" last="Kleer">Eduardo Kleer</name><affiliation wicri:level="2"><nlm:affiliation>IHA-Urology, St. Joseph Healthcare, Ypsilanti, MI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>IHA-Urology, St. Joseph Healthcare, Ypsilanti, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Miller, David C" sort="Miller, David C" uniqKey="Miller D" first="David C" last="Miller">David C. Miller</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Peabody, James O" sort="Peabody, James O" uniqKey="Peabody J" first="James O" last="Peabody">James O. Peabody</name><affiliation wicri:level="2"><nlm:affiliation>Vattikuti Urology Institute, Henry Ford Health System, Detroit, MI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Vattikuti Urology Institute, Henry Ford Health System, Detroit, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Ghani, Khurshid R" sort="Ghani, Khurshid R" uniqKey="Ghani K" first="Khurshid R" last="Ghani">Khurshid R. Ghani</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA. kghani@med.umich.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109</wicri:regionArea><wicri:noRegion>48109</wicri:noRegion></affiliation></author><author><name sortKey="Johnston, William K" sort="Johnston, William K" uniqKey="Johnston W" first="William K" last="Johnston">William K. Johnston</name><affiliation wicri:level="2"><nlm:affiliation>Oakland University/Beaumont School of Medicine, Auburn Hills, MI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Oakland University/Beaumont School of Medicine, Auburn Hills, MI</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author></analytic><series><title level="j">World journal of urology</title><idno type="eISSN">1433-8726</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>Video assessment is an emerging tool for understanding surgical technique. Patient outcomes after robot-assisted radical prostatectomy (RARP) may be linked to technical aspects of the procedure. In an effort to refine surgical approaches and improve outcomes, we sought to understand technical variation for the key steps of RARP in a surgical collaborative.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The Michigan Urological Surgery Improvement Collaborative (MUSIC) is a statewide quality improvement collaborative with the aim of improving prostate cancer care. MUSIC surgeons were invited to submit representative complete videos of nerve-sparing RARP for blinded analysis. We also analyzed peri-operative outcomes from these surgeons in the registry.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Surgical video data from 20 unique surgeons identified many variations in technique and time to complete different steps. Common to all surgeons was a transperitoneal approach and a running urethrovesical anastomosis. Prior to anastomosis, 25% surgeons undertook a posterior reconstruction and 30% employed urethral suspension. 65% surgeons approached the seminal vesicle anteriorly. For control of the dorsal vein complex, suture ligation was used in 60%, and vascular stapler was 15%. The majority (80%) of surgeons employed clips for managing pedicles. In examining patient outcomes for surgeons, peri-operative outcomes were not correlated with surgeon's operative time; however, surgeons with an EBL > 400 ml had significant difference among the five different techniques employed.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Despite the worldwide popularity of RARP, the operation is still far from standardized. Correlating variation in technique with clinical outcomes may help provide objective data to support best practices with the goal to improve patient outcomes.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">31444604</PMID><DateRevised><Year>2020</Year><Month>06</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1433-8726</ISSN><JournalIssue CitedMedium="Internet"><Volume>38</Volume><Issue>7</Issue><PubDate><Year>2020</Year><Month>Jul</Month></PubDate></JournalIssue><Title>World journal of urology</Title><ISOAbbreviation>World J Urol</ISOAbbreviation></Journal><ArticleTitle>Using video review to understand the technical variation of robot-assisted radical prostatectomy in a statewide surgical collaborative.</ArticleTitle><Pagination><MedlinePgn>1607-1613</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00345-019-02906-4</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Video assessment is an emerging tool for understanding surgical technique. Patient outcomes after robot-assisted radical prostatectomy (RARP) may be linked to technical aspects of the procedure. In an effort to refine surgical approaches and improve outcomes, we sought to understand technical variation for the key steps of RARP in a surgical collaborative.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The Michigan Urological Surgery Improvement Collaborative (MUSIC) is a statewide quality improvement collaborative with the aim of improving prostate cancer care. MUSIC surgeons were invited to submit representative complete videos of nerve-sparing RARP for blinded analysis. We also analyzed peri-operative outcomes from these surgeons in the registry.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Surgical video data from 20 unique surgeons identified many variations in technique and time to complete different steps. Common to all surgeons was a transperitoneal approach and a running urethrovesical anastomosis. Prior to anastomosis, 25% surgeons undertook a posterior reconstruction and 30% employed urethral suspension. 65% surgeons approached the seminal vesicle anteriorly. For control of the dorsal vein complex, suture ligation was used in 60%, and vascular stapler was 15%. The majority (80%) of surgeons employed clips for managing pedicles. In examining patient outcomes for surgeons, peri-operative outcomes were not correlated with surgeon's operative time; however, surgeons with an EBL > 400 ml had significant difference among the five different techniques employed.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Despite the worldwide popularity of RARP, the operation is still far from standardized. Correlating variation in technique with clinical outcomes may help provide objective data to support best practices with the goal to improve patient outcomes.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Richard C</ForeName><Initials>RC</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Urology, E-Da Hospital, Kaohsiung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Prebay</LastName><ForeName>Zachary J</ForeName><Initials>ZJ</Initials><AffiliationInfo><Affiliation>School of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Patel</LastName><ForeName>Parin</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Urology, Detroit Medical Center, Detroit, MI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Tae</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Qi</LastName><ForeName>Ji</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Telang</LastName><ForeName>Jaya</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Linsell</LastName><ForeName>Susan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kleer</LastName><ForeName>Eduardo</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>IHA-Urology, St. Joseph Healthcare, Ypsilanti, MI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Miller</LastName><ForeName>David C</ForeName><Initials>DC</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Peabody</LastName><ForeName>James O</ForeName><Initials>JO</Initials><AffiliationInfo><Affiliation>Vattikuti Urology Institute, Henry Ford Health System, Detroit, MI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ghani</LastName><ForeName>Khurshid R</ForeName><Initials>KR</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, North Campus Research Complex Building 16, 114W, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA. kghani@med.umich.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Johnston</LastName><ForeName>William K</ForeName><Initials>WK</Initials><Suffix>3rd</Suffix><AffiliationInfo><Affiliation>Oakland University/Beaumont School of Medicine, Auburn Hills, MI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>Michigan Urological Surgery Improvement Collaborative</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>08</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>World J Urol</MedlineTA><NlmUniqueID>8307716</NlmUniqueID><ISSNLinking>0724-4983</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Prostate cancer</Keyword><Keyword MajorTopicYN="N">Radical prostatectomy</Keyword><Keyword MajorTopicYN="N">Robotic surgery</Keyword><Keyword MajorTopicYN="N">Technique</Keyword><Keyword MajorTopicYN="N">Video assessment</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>04</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>08</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31444604</ArticleId><ArticleId IdType="doi">10.1007/s00345-019-02906-4</ArticleId><ArticleId IdType="pii">10.1007/s00345-019-02906-4</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Taïwan</li><li>États-Unis</li></country><region><li>Michigan</li><li>Wisconsin</li></region></list><tree><country name="États-Unis"><noRegion><name sortKey="Wu, Richard C" sort="Wu, Richard C" uniqKey="Wu R" first="Richard C" last="Wu">Richard C. Wu</name></noRegion><name sortKey="Ghani, Khurshid R" sort="Ghani, Khurshid R" uniqKey="Ghani K" first="Khurshid R" last="Ghani">Khurshid R. Ghani</name><name sortKey="Johnston, William K" sort="Johnston, William K" uniqKey="Johnston W" first="William K" last="Johnston">William K. Johnston</name><name sortKey="Kim, Tae" sort="Kim, Tae" uniqKey="Kim T" first="Tae" last="Kim">Tae Kim</name><name sortKey="Kleer, Eduardo" sort="Kleer, Eduardo" uniqKey="Kleer E" first="Eduardo" last="Kleer">Eduardo Kleer</name><name sortKey="Linsell, Susan" sort="Linsell, Susan" uniqKey="Linsell S" first="Susan" last="Linsell">Susan Linsell</name><name sortKey="Miller, David C" sort="Miller, David C" uniqKey="Miller D" first="David C" last="Miller">David C. Miller</name><name sortKey="Patel, Parin" sort="Patel, Parin" uniqKey="Patel P" first="Parin" last="Patel">Parin Patel</name><name sortKey="Peabody, James O" sort="Peabody, James O" uniqKey="Peabody J" first="James O" last="Peabody">James O. Peabody</name><name sortKey="Prebay, Zachary J" sort="Prebay, Zachary J" uniqKey="Prebay Z" first="Zachary J" last="Prebay">Zachary J. Prebay</name><name sortKey="Qi, Ji" sort="Qi, Ji" uniqKey="Qi J" first="Ji" last="Qi">Ji Qi</name><name sortKey="Telang, Jaya" sort="Telang, Jaya" uniqKey="Telang J" first="Jaya" last="Telang">Jaya Telang</name></country><country name="Taïwan"><noRegion><name sortKey="Wu, Richard C" sort="Wu, Richard C" uniqKey="Wu R" first="Richard C" last="Wu">Richard C. Wu</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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