Barely Significant
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may be significant

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In the literature

Considering that “the potential consequences of overdiagnosis and overtreatment may be significant and include such harms as the psychological and behavioral effects of disease labelling, physical harms and side effects of unnecessary tests or treatments, unnecessary treatment negatively affecting quality of life, increased financial costs to individuals and wasted resources and opportunity cost
This may be significant since there is increasing evidence that the integrity of the sperm chromatin at the actual time of fertilization influences embryo survival [ 9 ]; poor sperm DNA integrity may account for some of the infertility commonly thought to lie with mares.
Furthermore, some studies have shown that interhospital transfers are not without risk, as they may cause depression, pain, and loss of independence, functional status may worsen, patient satisfaction may diminish, the cost of transfer may be significant, and quality of care issues may arise (pressure ulcers, falls, transitions of care leading to medication errors). 17 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 Without understanding the risks of iatrogenic harm, the likelihood of intervention at the receiving hospital and alternative care options, patients and informal caregivers cannot select the care most consistent with their goals and values.
There may be significant advantages of receiving thalidomide for maintenance therapy after transplantation: resistance may be avoided; the risk of thromboembolism can be reduced, since this risk is highest during induction therapy; and the incidence of neurotoxic effects should be reduced with the later introduction of thalidomide at lower doses (50 to 100 mg) during maintenance therapy.