The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
The New England Journal of Medicine Downloaded from nejm.org at DUKE MEDICAL CENTER LIBRARY on November 16, 2015. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2009 Massachusetts Medical Society. All rights reserved.
