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As a retrospective cohort analysis, it is inherently subject to biases such as selection bias

[DOI] [PubMed] [Google Scholar] 156.Garczorz W., Gallego-Colon E., Kosowska A., Kych-Ratuszny A., Woniak M., Marcol W., Niesner K.J., Francuz T

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3335 Autoimmunity against DPP4 has also been observed in RA patients, suggesting a potential role for DPP4 in the autoimmune response associated with the disease
Finally, the results of the sensitivity analyses were consistent with those of the primary analysis (supplementary tables H-L)