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Integrating Palliative Care into the Ongoing Care of Children with CNS Tumors

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Brain Tumors in Children

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Abstract

Despite advances in the field of neuro-oncology, children with brain tumors continue to experience high rates of morbidity and mortality and a substantial symptom burden, necessitating the integration of palliative care principles and practices throughout their illness trajectory. As a high-risk disease group, these patients experience a high number of hospital deaths, and there is often only a short interval between the initial palliative care consultation and death. The early introduction of palliative care for these patients is essential, and a broad-based approach that does not exclusively rely on consult-based palliative care services can help optimize the integration of palliative care into the continuum of care for pediatric neuro-oncology patients.

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References

  • American Academy of Pediatrics Committee on Bioethics (1994) Guidelines on foregoing life-sustaining medical treatment. Pediatrics 93:532–536

    Google Scholar 

  • Anghelescu DL, Hamilton H, Faughnan LG et al (2012) Pediatric palliative sedation therapy with propofol: recommendations based on experience in children with terminal cancer. J Palliat Med 15:1082–1090

    Article  PubMed  PubMed Central  Google Scholar 

  • Arias E, MacDorman MF, Strobino DM, Guyer B (2003) Annual summary of vital statistics—2002. Pediatrics 112:1215–1230

    Article  PubMed  Google Scholar 

  • Baker JN, Barfield R, Hinds PS, Kane JR (2007) A process to facilitate decision making in pediatric stem cell transplantation: the individualized care planning and coordination model. Biol Blood Marrow Transplant 13:245–254

    Article  PubMed  Google Scholar 

  • Baker JN, Hinds PS, Spunt SL et al (2008) Integration of palliative care practices into the ongoing care of children with cancer: individualized care planning and coordination. Pediatr Clin North Am 55:223–250. xii

    Article  PubMed  PubMed Central  Google Scholar 

  • Baker JN, Levine DR, Hinds PS et al (2015) Research priorities in pediatric palliative care. J Pediatr 167:467–470

    Article  PubMed  PubMed Central  Google Scholar 

  • Balboni TA, Vanderwerker LC, Block SD et al (2007) Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. J Clin Oncol 25:555–560

    Article  PubMed  Google Scholar 

  • Bausewein C, Booth S, Gysels M, Higginson IJ (2008) Non-pharmacological interventions for breathlessness in advanced stages of malignant and non-malignant diseases. Cochrane Database Syst Rev (2):CD005623

    Google Scholar 

  • Ben-Aharon I, Gafter-Gvili A, Paul M et al (2008) Interventions for alleviating cancer-related dyspnea: a systematic review. J Clin Oncol 26:2396–2404

    Article  PubMed  Google Scholar 

  • Berde CB, Sethna NF (2002) Analgesics for the treatment of pain in children. N Engl J Med 347:1094–1103

    Article  CAS  PubMed  Google Scholar 

  • Bluebond-Langner M, Belasco JB, DeMesquita WM (2010) “I want to live, until I don’t want to live anymore”: involving children with life-threatening and life-shortening illnesses in decision making about care and treatment. Nurs Clin North Am 45:329–343

    Article  PubMed  Google Scholar 

  • Bradshaw G, Hinds PS, Lensing S et al (2005) Cancer-related deaths in children and adolescents. J Palliat Med 8:86–95

    Article  PubMed  Google Scholar 

  • Brown MR, Sourkes B (2006) Psychotherapy in pediatric palliative care. Child Adolesc Psychiatr Clin N Am 15:585–596. viii

    Article  PubMed  Google Scholar 

  • Bruce CA (2007) Helping patients, families, caregivers, and physicians, in the grieving process. J Am Osteopath Assoc 107:ES33–ES40

    PubMed  Google Scholar 

  • Burish TG, Tope DM (1992) Psychological techniques for controlling the adverse side effects of cancer chemotherapy: findings from a decade of research. J Pain Symptom Manag 7:287–301

    Article  CAS  Google Scholar 

  • deCinque N, Monterosso L, Dadd G et al (2004) Bereavement support for families following the death of a child from cancer: practice characteristics of Australian and New Zealand paediatric oncology units. J Paediatr Child Health 40:131–135

    Article  CAS  PubMed  Google Scholar 

  • deCinque N, Monterosso L, Dadd G et al (2006) Bereavement support for families following the death of a child from cancer: experience of bereaved parents. J Psychosoc Oncol 24:65–83

    Article  PubMed  Google Scholar 

  • Collins JJ, Byrnes ME, Dunkel IJ et al (2000) The measurement of symptoms in children with cancer. J Pain Symptom Manag 19:363–377

    Article  CAS  Google Scholar 

  • Collins JJ, Devine TD, Dick GS et al (2002) The measurement of symptoms in young children with cancer: the validation of the Memorial Symptom Assessment Scale in children aged 7–12. J Pain Symptom Manag 23:10–16

    Article  Google Scholar 

  • Contro NA, Larson J, Scofield S et al (2004) Hospital staff and family perspectives regarding quality of pediatric palliative care. Pediatrics 114:1248–1252

    Article  PubMed  Google Scholar 

  • Couluris M, Mayer JL, Freyer DR et al (2008) The effect of cyproheptadine hydrochloride (periactin) and megestrol acetate (megace) on weight in children with cancer/treatment-related cachexia. J Pediatr Hematol Oncol 30:791–797

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dalberg T, Jacob-Files E, Carney PA et al (2013) Pediatric oncology providers' perceptions of barriers and facilitators to early integration of pediatric palliative care. Pediatr Blood Cancer 60:1875–1881

    Article  PubMed  PubMed Central  Google Scholar 

  • Dans M, Smith T, Back A, Baker JN et al (2017) NCCN guidelines insights: palliative care, version 2.2017. J Natl Compr Canc Netw 15(8):989–997. https://doi.org/10.6004/jnccn.2017.0132

    Article  PubMed  Google Scholar 

  • Davies B, Sehring SA, Partridge JC et al (2008) Barriers to palliative care for children: perceptions of pediatric health care providers. Pediatrics 121:282–288

    Article  PubMed  Google Scholar 

  • Diekema DS (2004) Parental refusals of medical treatment: the harm principle as threshold for state intervention. Theor Med Bioeth 25:243–264

    Article  PubMed  Google Scholar 

  • Diekema DS, Botkin JR (2009) Committee on bioethics: clinical report—forgoing medically provided nutrition and hydration in children. Pediatrics 124:813–822

    Article  PubMed  Google Scholar 

  • Dreifuss FE, Rosman NP, Cloyd JC et al (1998) A comparison of rectal diazepam gel and placebo for acute repetitive seizures. N Engl J Med 338:1869–1875

    Article  CAS  PubMed  Google Scholar 

  • Dussel V, Joffe S, Hilden JM et al (2010) Considerations about hastening death among parents of children who die of cancer. Arch Pediatr Adolesc Med 164:231–237

    Article  PubMed  PubMed Central  Google Scholar 

  • Ferrell B, Malloy P, Virani R (2015) The end of life nursing education nursing consortium project. Ann Palliat Med 4:61–69

    PubMed  Google Scholar 

  • Feudtner C (2007) Collaborative communication in pediatric palliative care: a foundation for problem-solving and decision-making. Pediatr Clin North Am 54:583–607. ix

    Article  PubMed  PubMed Central  Google Scholar 

  • Fleischman A (1998) Commentary: ethical issues in pediatric pain management and terminal sedation. J Pain Symptom Manag 15:260–261

    Article  CAS  Google Scholar 

  • Freyer DR (2004) Care of the dying adolescent: special considerations. Pediatrics 113:381–388

    Article  PubMed  Google Scholar 

  • Friebert S, Osenga K (2009) Pediatric palliative care referral criteria. Center to Advance Palliative Care, New York

    Google Scholar 

  • van der Geest IM, Darlington AS, Streng IC et al (2014) Parents' experiences of pediatric palliative care and the impact on long-term parental grief. J Pain Symptom Manag 47:1043–1053

    Article  Google Scholar 

  • Goldman A, Hewitt M, Collins GS et al (2006) Symptoms in children/young people with progressive malignant disease: United Kingdom Children’s Cancer Study Group/Paediatric Oncology Nurses Forum survey. Pediatrics 117:e1179–e1186

    Article  PubMed  Google Scholar 

  • Groh G, Borasio GD, Nickolay C et al (2013a) Specialized pediatric palliative home care: a prospective evaluation. J Palliat Med 16:1588–1594

    Article  PubMed  PubMed Central  Google Scholar 

  • Groh G, Vyhnalek B, Feddersen B et al (2013b) Effectiveness of a specialized outpatient palliative care service as experienced by patients and caregivers. J Palliat Med 16:848–856

    Article  PubMed  Google Scholar 

  • Grossoehme DH, Ragsdale JR, McHenry CL et al (2007) Pediatrician characteristics associated with attention to spirituality and religion in clinical practice. Pediatrics 119:e117–e123

    Article  PubMed  Google Scholar 

  • von Gunten CF (2002) Secondary and tertiary palliative care in US hospitals. JAMA 287:875–881

    Article  Google Scholar 

  • Haanpää M, Attal N, Backonja M et al (2011) NeuPSIG guidelines on neuropathic pain assessment. Pain 152:14–27

    Article  PubMed  Google Scholar 

  • Hawton K (2007) Complicated grief after bereavement. BMJ 334:962–963

    Article  PubMed  PubMed Central  Google Scholar 

  • Hays RM, Valentine J, Haynes G et al (2006) The Seattle Pediatric Palliative Care Project: effects on family satisfaction and health-related quality of life. J Palliat Med 9:716–728

    Article  PubMed  Google Scholar 

  • Hendricks-Ferguson V (2008) Physical symptoms of children receiving pediatric hospice care at home during the last week of life. Oncol Nurs Forum 35:E108–E115

    Article  PubMed  Google Scholar 

  • Hesketh PJ, Grunberg SM, Gralla RJ et al (2003) The oral neurokinin-1 antagonist aprepitant for the prevention of chemotherapy-induced nausea and vomiting: a multinational, randomized, double-blind, placebo-controlled trial in patients receiving high-dose cisplatin—the Aprepitant Protocol 052 Study Group. J Clin Oncol 21:4112–4119

    Article  CAS  PubMed  Google Scholar 

  • Himelstein BP, Hilden JM, Boldt AM, Weissman D (2004) Pediatric palliative care. N Engl J Med 350:1752–1762

    Article  CAS  PubMed  Google Scholar 

  • Hinds PS, Oakes L, Furman W et al (2001) End-of-life decision making by adolescents, parents, and healthcare providers in pediatric oncology: research to evidence-based practice guidelines. Cancer Nurs 24:122–134

    Article  CAS  PubMed  Google Scholar 

  • Hinds PS, Drew D, Oakes LL et al (2005a) End-of-life care preferences of pediatric patients with cancer. J Clin Oncol 23:9146–9154

    Article  PubMed  Google Scholar 

  • Hinds PS, Schum L, Baker JN, Wolfe J (2005b) Key factors affecting dying children and their families. J Palliat Med 8(Suppl 1):S70–S78

    Article  PubMed  Google Scholar 

  • Hinds PS, Oakes LL, Hicks J et al (2009) “Trying to be a good parent” as defined by interviews with parents who made phase I, terminal care, and resuscitation decisions for their children. J Clin Oncol 27:5979–5985

    Article  PubMed  PubMed Central  Google Scholar 

  • Jalmsell L, Kreicbergs U, Onelöv E et al (2006) Symptoms affecting children with malignancies during the last month of life: a nationwide follow-up. Pediatrics 117:1314–1320

    Article  PubMed  Google Scholar 

  • Johnson LM, Snaman JM, Cupit MC, Baker JN (2014) End-of-life care for hospitalized children. Pediatr Clin N Am 61:835–854

    Article  Google Scholar 

  • Johnson LM, Church CL, Metzger M, Baker JN (2015) Ethics consultation in pediatrics: long-term experience from a pediatric oncology center. Am J Bioeth 15:3–17

    Article  PubMed  PubMed Central  Google Scholar 

  • Kane JR, Himelstein BP (2007) Palliative care for children. In: Berger AM, Shuster JL, Von Roenn JH (eds) Principles and practice of palliative medicine and supportive oncology, 3rd edn. Lippincott Williams & Wilkins, Philadelphia, PA

    Google Scholar 

  • Kaye EC, Rubenstein J, Levine D et al (2015) Pediatric palliative care in the community. CA Cancer J Clin 65:316–333

    Article  PubMed  Google Scholar 

  • Klick JC, Hauer J (2010) Pediatric palliative care. Curr Probl Pediatr Adolesc Health Care 40:120–151

    Article  PubMed  Google Scholar 

  • Klick JC, Friebert S, Hutton N et al (2014) Developing competencies for pediatric hospice and palliative medicine. Pediatrics 134:e1670–e1677

    Article  PubMed  Google Scholar 

  • Knapp C, Thompson L (2012) Factors associated with perceived barriers to pediatric palliative care: a survey of pediatricians in Florida and California. Palliat Med 26:268–274

    Article  PubMed  Google Scholar 

  • Kreicbergs U, Valdimarsdóttir U, Onelöv E et al (2005) Care-related distress: a nationwide study of parents who lost their child to cancer. J Clin Oncol 23:9162–9171

    Article  PubMed  Google Scholar 

  • Kreicbergs UC, Lannen P, Onelov E, Wolfe J (2007) Parental grief after losing a child to cancer: impact of professional and social support on long-term outcomes. J Clin Oncol 25:3307–3312

    Article  PubMed  Google Scholar 

  • Kyle G (2011) Constipation: symptoms, assessment and treatment. Br J Nurs 20:1432

    Article  PubMed  Google Scholar 

  • Lannering B, Marky I, Lundberg A, Olsson E (1990) Long-term sequelae after pediatric brain tumors: their effect on disability and quality of life. Med Pediatr Oncol 18:304–310

    Article  CAS  PubMed  Google Scholar 

  • Laubisch JE, Baker JN (2013) Methylnaltrexone use in a seventeen-month-old female with progressive cancer and rectal prolapse. J Palliat Med 16:1486–1488

    Article  PubMed  PubMed Central  Google Scholar 

  • Levine D, Cohen K, Wendler D (2012) Shared medical decision-making: considering what options to present based on an ethical analysis of the treatment of brain tumors in very young children. Pediatr Blood Cancer 59:216–220

    Article  PubMed  PubMed Central  Google Scholar 

  • Li J, Precht DH, Mortensen PB, Olsen J (2003) Mortality in parents after death of a child in Denmark: a nationwide follow-up study. Lancet 361:363–367

    Article  PubMed  Google Scholar 

  • Li J, Laursen TM, Precht DH et al (2005) Hospitalization for mental illness among parents after the death of a child. N Engl J Med 352:1190–1196

    Article  CAS  PubMed  Google Scholar 

  • Liben S, Papadatou D, Wolfe J (2008) Paediatric palliative care: challenges and emerging ideas. Lancet 371:852–864

    Article  PubMed  Google Scholar 

  • Maciejewski PK, Zhang B, Block SD, Prigerson HG (2007) An empirical examination of the stage theory of grief. JAMA 297:716–723

    Article  CAS  PubMed  Google Scholar 

  • Mack JW, Wolfe J (2006) Early integration of pediatric palliative care: for some children, palliative care starts at diagnosis. Curr Opin Pediatr 18:10–14

    Article  PubMed  Google Scholar 

  • Mack JW, Hilden JM, Watterson J et al (2005) Parent and physician perspectives on quality of care at the end of life in children with cancer. J Clin Oncol 23:9155–9161

    Article  PubMed  Google Scholar 

  • Mack JW, Wolfe J, Cook EF et al (2007) Hope and prognostic disclosure. J Clin Oncol 25:5636–5642

    Article  PubMed  Google Scholar 

  • Mack JW, Wolfe J, Cook EF et al (2011) Parents’ roles in decision making for children with cancer in the first year of cancer treatment. J Clin Oncol 29:2085–2090

    Article  PubMed  Google Scholar 

  • Maurer SH, Hinds PS, Spunt SL et al (2010) Decision making by parents of children with incurable cancer who opt for enrollment on a phase I trial compared with choosing a do not resuscitate/terminal care option. J Clin Oncol 28:3292–3298

    Article  PubMed  PubMed Central  Google Scholar 

  • McCallum DE, Byrne P, Bruera E (2000) How children die in hospital. J Pain Symptom Manag 20:417–423

    Article  CAS  Google Scholar 

  • Mercadante S, Giarratano A (2014) Pharmacological management of cancer pain in children. Crit Rev Oncol Hematol 91:93–97

    Article  PubMed  Google Scholar 

  • Miltenburg D, Louw DF, Sutherland GR (1996) Epidemiology of childhood brain tumors. Can J Neurol Sci 23:118–122

    Article  CAS  PubMed  Google Scholar 

  • Mock V, Atkinson A, Barsevick AM et al (2007) Cancer-related fatigue. Clinical Practice Guidelines in Oncology. J Natl Compr Cancer Netw 5:1054–1078

    Article  Google Scholar 

  • National Quality Forum (2006) A National Framework and Preferred Practices for Palliative and Hospice Care Quality. http://www.qualityforum.org/Publications/2006/12/A_National_Framework_and_Preferred_Practices_for_Palliative_and_Hospice_Care_Quality.aspx

  • Nelson-Becker H (2013) Spirituality in end-of-life and palliative care: what matters? J Soc Work End Life Palliat Care 9:112–116

    Article  PubMed  Google Scholar 

  • Nitschke R (2000) Regarding guidelines for assistance to terminally ill children with cancer: report of the SIOP working committee on psychosocial issues in pediatric oncology. Med Pediatr Oncol 34:271–273

    Article  CAS  PubMed  Google Scholar 

  • Nitschke R, Meyer WH, Sexauer CL et al (2000) Care of terminally ill children with cancer. Med Pediatr Oncol 34:268–270

    Article  CAS  PubMed  Google Scholar 

  • Packer RJ (1995) Brain tumors in children. Curr Opin Pediatr 7:64–72

    Article  CAS  PubMed  Google Scholar 

  • Pritchard M, Burghen E, Srivastava DK et al (2008) Cancer-related symptoms most concerning to parents during the last week and last day of their child's life. Pediatrics 121:e1301–e1309

    Article  PubMed  Google Scholar 

  • Pyke-Grimm KA, Degner L, Small A, Mueller B (1999) Preferences for participation in treatment decision making and information needs of parents of children with cancer: a pilot study. J Pediatr Oncol Nurs 16:13–24

    Article  CAS  PubMed  Google Scholar 

  • Quill TE, Abernethy AP (2013) Generalist plus specialist palliative care—creating a more sustainable model. N Engl J Med 368:1173–1175

    Article  CAS  PubMed  Google Scholar 

  • Sanders C (1979) A comparison of adult bereavement in the death of a spouse, child and parent. Omega 10:302–332

    Google Scholar 

  • Santucci G, Mack JW (2007) Common gastrointestinal symptoms in pediatric palliative care: nausea, vomiting, constipation, anorexia, cachexia. Pediatr Clin North Am 54:673–689. x

    Article  PubMed  Google Scholar 

  • Sheldon SH (2001) Insomnia in children. Curr Treat Options Neurol 3:37–50

    Article  CAS  PubMed  Google Scholar 

  • Stevens MM, Dalla Pozza L, Cavalletto B et al (1994) Pain and symptom control in paediatric palliative care. Cancer Surv 21:211–231

    CAS  PubMed  Google Scholar 

  • Surkan PJ, Kreicbergs U, Valdimarsdóttir U et al (2006) Perceptions of inadequate health care and feelings of guilt in parents after the death of a child to a malignancy: a population-based long-term follow-up. J Palliat Med 9:317–331

    Article  PubMed  Google Scholar 

  • Theunissen JM, Hoogerbrugge PM, van Achterberg T et al (2007) Symptoms in the palliative phase of children with cancer. Pediatr Blood Cancer 49:160–165

    Article  CAS  PubMed  Google Scholar 

  • Thiel MM, Robinson MR (1997) Physicians' collaboration with chaplains: difficulties and benefits. J Clin Ethics 8:94–103

    CAS  PubMed  Google Scholar 

  • Truog RD, Meyer EC, Burns JP (2006) Toward interventions to improve end-of-life care in the pediatric intensive care unit. Crit Care Med 34:S373–S379

    Article  PubMed  Google Scholar 

  • Uman LS, Birnie KA, Noel M, et al (2013) Psychological interventions for needle-related procedural pain and distress in children and adolescents. Cochrane Database Syst Rev (10):CD005179

    Google Scholar 

  • Varma S, Jenkins T, Wendler D (2008) How do children and parents make decisions about pediatric clinical research? J Pediatr Hematol Oncol 30:823–828

    Article  PubMed  Google Scholar 

  • Vollenbroich R, Duroux A, Grasser M et al (2012) Effectiveness of a pediatric palliative home care team as experienced by parents and health care professionals. J Palliat Med 15:294–300

    Article  PubMed  Google Scholar 

  • Von Roenn JH (2011) Palliative care and the cancer patient: current state and state of the art. J Pediatr Hematol Oncol 33(Suppl 2):S87–S89

    Article  Google Scholar 

  • Waldman E, Wolfe J (2013) Palliative care for children with cancer. Nat Rev Clin Oncol 10:100–107

    Article  PubMed  Google Scholar 

  • Weaver MS, Baker JN, Gattuso JS et al (2015) Adolescents’ preferences for treatment decisional involvement during their cancer. In: Cancer, vol 121, pp 4416–4424

    Google Scholar 

  • Weisman SJ, Bernstein B, Schechter NL (1998) Consequences of inadequate analgesia during painful procedures in children. Arch Pediatr Adolesc Med 152:147–149

    Article  CAS  PubMed  Google Scholar 

  • Wentlandt K, Krzyzanowska MK, Swami N et al (2014) Referral practices of pediatric oncologists to specialized palliative care. Support Care Cancer 22:2315–2322

    Article  PubMed  Google Scholar 

  • Wiener L, Ballard E, Brennan T et al (2008) How I wish to be remembered: the use of an advance care planning document in adolescent and young adult populations. J Palliat Med 11:1309–1313

    Article  PubMed  PubMed Central  Google Scholar 

  • Wolfe J, Grier HE, Klar N et al (2000) Symptoms and suffering at the end of life in children with cancer. N Engl J Med 342:326–333

    Article  CAS  PubMed  Google Scholar 

  • Wolfe J, Friebert S, Hilden J (2002) Caring for children with advanced cancer integrating palliative care. Pediatr Clin North Am 49:1043–1062

    Article  PubMed  Google Scholar 

  • Wolfe J, Hammel JF, Edwards KE et al (2008) Easing of suffering in children with cancer at the end of life: is care changing? J Clin Oncol 26:1717–1723

    Article  PubMed  Google Scholar 

  • Zelcer S, Cataudella D, Cairney AE, Bannister SL (2010) Palliative care of children with brain tumors: a parental perspective. Arch Pediatr Adolesc Med 164:225–230

    Article  PubMed  Google Scholar 

  • Zhang B, El-Jawahri A, Prigerson HG (2006) Update on bereavement research: evidence-based guidelines for the diagnosis and treatment of complicated bereavement. J Palliat Med 9:1188–1203

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Quality of Life and Palliative Care, Department of Oncology, St Jude Children’s Research Hospital, Memphis, TN, USA

    Justin N. Baker

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Editors and Affiliations

  1. Department of Oncology, St. Jude Children’s Research Hospital, Memphis, TN, USA

    Amar Gajjar

  2. Children’s National Medical Center, George Washington University, Silver Spring, WA, USA

    Gregory H. Reaman

  3. Cincinnati, OH, USA

    Judy M. Racadio

  4. Medpace, Cincinnati, OH, USA

    Franklin O. Smith

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Baker, J.N. (2018). Integrating Palliative Care into the Ongoing Care of Children with CNS Tumors. In: Gajjar, A., Reaman, G., Racadio, J., Smith, F. (eds) Brain Tumors in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-43205-2_16

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