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[14] However, in final tier, there is also a divergence, in that depending on the type of E3 ligase, it may not actually be causing the conjugation

And you're never supposed to make it about volumes, but all of these hospital systems are incentivized off volume metrics that are based off cranking out the most amount of surgeries

Accordingly, conclusions should be interpreted as an evidence map and perioperative risk framework rather than confirmation of clinical efficacy or safety