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                <title level="j">Neuro-Oncology</title>
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                  <date type="datePub">2025-07</date>
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                <term xml:lang="en">health-related quality of life</term>
                <term xml:lang="en">low-grade glioma</term>
                <term xml:lang="en">oligodendroglioma</term>
                <term xml:lang="en">survivorship</term>
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              <p>Background: Patients with oligodendroglioma have a relatively favourable prognosis. The long-term impacts of the tumour itself and its treatment on health-related quality of life (HRQOL) and cognition remain largely unclear. We investigated associations between treatment and functioning of survivors of oligodendroglioma.Methods: In this cross-sectional observational study, patients with oligodendroglioma, isocitrate dehydrogenase-mutant and 1p/19q-codeleted, diagnosed ≥5 years ago, were recruited. Patients completed patient-reported outcome measures (EORTC QLQ-C30; BN20; MOS Cognitive Complaints Scale) and cognitive tests (HVLT-R, TMT, COWAT). Associations between HRQOL and cognition outcomes, and clinical variables (time since diagnosis; age at diagnosis; progression; tumour location; treatments delivered; time since treatment; current medication;) were explored with regression analyses.Results: In total, 237 patients M=9.9 years post-diagnosis (sd=4.2, range 5.0-25.8) took part from 33 sites across 9 countries. Clinically relevant levels of impairment were noted in &amp;gt;40% of patients on EORTC QLQ-C30 scales for cognitive functioning (56.1%), emotional functioning (49.8%), fatigue (45.1%), and physical functioning (40.5%). In individuals, cognitive impairment ranged from 17.7% for processing speed to 46.0% for episodic verbal memory (delayed recall). Among other clinical factors such as current use of antiseizure medication or antidepressants, age, disease progression, time since diagnosis and time since treatment, and radiotherapy treatment (ever received) was linked to HRQOL and cognitive functioning outcomes (post-hoc analyses for cumulative radiotherapy dose: not significant).Conclusions: In oligodendroglioma survivors, HRQOL and cognitive impairment are prevalent even years into follow-up. Supportive care and rehabilitation should be prioritized to mitigate these challenges and improve daily functioning.Trial registration: NCT04708548.</p>
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        </org>
        <org type="regroupinstitution" xml:id="struct-302859" status="VALID">
          <idno type="IdRef">026451492</idno>
          <idno type="ISNI">0000 0000 9919 9582</idno>
          <idno type="ROR">https://ror.org/01tm6cn81</idno>
          <idno type="Wikidata">Q371522</idno>
          <orgName>Göteborgs Universitet = University of Gothenburg</orgName>
          <orgName type="acronym">GU</orgName>
          <desc>
            <address>
              <addrLine>Box 100, SE-405 30 Göteborg</addrLine>
              <country key="SE"/>
            </address>
            <ref type="url">http://www.gu.se/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-59650" status="VALID">
          <idno type="ROR">https://ror.org/04vgqjj36</idno>
          <orgName>Sahlgrenska University Hospital [Gothenburg]</orgName>
          <desc>
            <address>
              <addrLine>Blå Stråket 5, 413 45 Gothenburg</addrLine>
              <country key="SE"/>
            </address>
            <ref type="url">https://www.sahlgrenska.se/en</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-302346" status="VALID">
          <idno type="IdRef">109201221</idno>
          <idno type="ROR">https://ror.org/05ynxx418</idno>
          <orgName>Linköping University</orgName>
          <orgName type="acronym">LIU</orgName>
          <desc>
            <address>
              <addrLine>SE-581 83 Linköping</addrLine>
              <country key="SE"/>
            </address>
            <ref type="url">http://www.liu.se/?l=en</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-301510" status="VALID">
          <idno type="ROR">https://ror.org/01yezas83</idno>
          <orgName>CRLCC Eugène Marquis</orgName>
          <orgName type="acronym">CRLCC</orgName>
          <desc>
            <address>
              <addrLine>Avenue Bataille Flandres-Dunkerque 35042 RENNES CEDEX</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.centre-eugene-marquis.fr/</ref>
          </desc>
          <listRelation>
            <relation active="#struct-502406" type="direct"/>
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        </org>
        <org type="laboratory" xml:id="struct-1090097" status="VALID">
          <idno type="IdRef">192863495</idno>
          <idno type="RNSR">201521288D</idno>
          <idno type="ROR">https://ror.org/00bf6bf92</idno>
          <orgName>Oncogenesis, Stress, Signaling</orgName>
          <orgName type="acronym">OSS</orgName>
          <date type="start">2022-03-23</date>
          <desc>
            <address>
              <addrLine>Université de Rennes1 - CLCC Eugène Marquis, Rue de la Bataille Flandres Dunkerque, Bat D, 35042 Rennes</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://oss-clcc-rennes.com/</ref>
          </desc>
          <listRelation>
            <relation active="#struct-105160" type="direct"/>
            <relation active="#struct-301510" type="direct"/>
            <relation active="#struct-502406" type="indirect"/>
            <relation name="u1242" active="#struct-303623" type="direct"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-342906" status="VALID">
          <idno type="ROR">https://ror.org/0270ceh40</idno>
          <orgName>Masaryk Memorial Cancer Institute</orgName>
          <orgName type="acronym">MMCI</orgName>
          <desc>
            <address>
              <addrLine>Brno, Czechia</addrLine>
              <country key="CZ"/>
            </address>
          </desc>
        </org>
        <org type="regroupinstitution" xml:id="struct-412450" status="VALID">
          <idno type="IdRef">030138566</idno>
          <idno type="ISNI">0000000121940956</idno>
          <idno type="ROR">https://ror.org/02j46qs45</idno>
          <idno type="Wikidata">Q763586</idno>
          <orgName>Masaryk University [Brno] = Masarykova univerzita [Brno] = Université Masaryk [Brno]</orgName>
          <orgName type="acronym">MU / MUNI</orgName>
          <date type="start">1919-01-28</date>
          <desc>
            <address>
              <addrLine>Žerotínovo nám. 617/9 – 601 77 Brno – Czech Republic</addrLine>
              <country key="CZ"/>
            </address>
            <ref type="url">https://www.muni.cz/en</ref>
          </desc>
        </org>
        <org type="regrouplaboratory" xml:id="struct-259521" status="VALID">
          <orgName>Universitätsklinikum Tübingen = University Hospital of Tuebingen</orgName>
          <desc>
            <address>
              <addrLine>Postfach 2669 72016 Tübingen</addrLine>
              <country key="DE"/>
            </address>
            <ref type="url">https://www.medizin.uni-tuebingen.de/de/en</ref>
          </desc>
          <listRelation>
            <relation active="#struct-209475" type="direct"/>
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        </org>
        <org type="institution" xml:id="struct-323073" status="VALID">
          <idno type="ROR">https://ror.org/05mxhda18</idno>
          <orgName>University Hospital of Cologne [Cologne]</orgName>
          <desc>
            <address>
              <addrLine>Cologne</addrLine>
              <country key="DE"/>
            </address>
            <ref type="url">http://www.uhc-international.com/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-463785" status="VALID">
          <idno type="ROR">https://ror.org/00rcxh774</idno>
          <orgName>Universität zu Köln = University of Cologne</orgName>
          <date type="start">2016-09-14</date>
          <desc>
            <address>
              <addrLine>Albertus-Magnus-Platz, 50923 Köln</addrLine>
              <country key="DE"/>
            </address>
            <ref type="url">https://www.uni-koeln.de</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-1182710" status="VALID">
          <orgName>The Royal Marsden NHS Foundation Trust [London]</orgName>
          <desc>
            <address>
              <country key="GB"/>
            </address>
            <ref type="url">https://www.royalmarsden.nhs.uk/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-1007778" status="VALID">
          <orgName>University Hospitals Birmingham [Birmingham, Royaume-Uni]</orgName>
          <desc>
            <address>
              <country key="GB"/>
            </address>
          </desc>
        </org>
        <org type="institution" xml:id="struct-353778" status="VALID">
          <idno type="ROR">https://ror.org/02mh9a093</idno>
          <orgName>CHU Pitié-Salpêtrière [AP-HP]</orgName>
          <desc>
            <address>
              <addrLine>47-83 Boulevard de l'Hôpital, 75013 Paris</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.aphp.fr/contenu/hopital-universitaire-pitie-salpetriere-0</ref>
          </desc>
          <listRelation>
            <relation active="#struct-300068" type="direct"/>
            <relation active="#struct-413221" type="direct"/>
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        </org>
        <org type="institution" xml:id="struct-14803" status="VALID">
          <orgName>CHU Charles Foix [AP-HP]</orgName>
          <desc>
            <address>
              <addrLine>Ivry sur Seine, F-94200.</addrLine>
              <country key="FR"/>
            </address>
          </desc>
          <listRelation>
            <relation active="#struct-300068" type="direct"/>
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        </org>
        <org type="institution" xml:id="struct-148408" status="VALID">
          <idno type="IdRef">026430584</idno>
          <idno type="ROR">https://ror.org/04jr1s763</idno>
          <orgName>Università degli Studi di Firenze = University of Florence = Université de Florence</orgName>
          <orgName type="acronym">UniFI</orgName>
          <desc>
            <address>
              <addrLine>Piazza di San Marco, 4, 50121 Firenze FI, Italie</addrLine>
              <country key="IT"/>
            </address>
            <ref type="url">https://www.unifi.it/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-523911" status="VALID">
          <orgName>Azienda Ospedaliero Universitaria Careggi [Firenze] = Careggi University Hospital [Florence, Italy]</orgName>
          <orgName type="acronym">AOUC</orgName>
          <desc>
            <address>
              <addrLine>Largo Brambilla, 3, 50134 Firenze FI</addrLine>
              <country key="IT"/>
            </address>
            <ref type="url">https://www.aou-careggi.toscana.it</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-1040226" status="VALID">
          <orgName>The Christie NHS Foundation Trust [Manchester, Royaume-Uni]</orgName>
          <desc>
            <address>
              <country key="GB"/>
            </address>
          </desc>
        </org>
        <org type="laboratory" xml:id="struct-140510" status="VALID">
          <orgName>NHS Foundation Trust [London]</orgName>
          <desc>
            <address>
              <addrLine>The Royal Marsden Fulham Road London SW3 6JJ</addrLine>
              <country key="GB"/>
            </address>
            <ref type="url">http://www.royalmarsden.nhs.uk/pages/home.aspx</ref>
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          <listRelation>
            <relation active="#struct-1182710" type="direct"/>
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        </org>
        <org type="institution" xml:id="struct-1278960" status="INCOMING">
          <orgName>The Clatterbridge Cancer Center</orgName>
          <orgName type="acronym">NHS Foundation Trust</orgName>
          <desc>
            <address>
              <country key="GB"/>
            </address>
          </desc>
        </org>
        <org type="laboratory" xml:id="struct-157123" status="INCOMING">
          <orgName>Tayside University Hospitals NHS Trust</orgName>
          <desc>
            <address>
              <addrLine>Dundee</addrLine>
              <country key="GB"/>
            </address>
          </desc>
          <listRelation>
            <relation active="#struct-339623" type="direct"/>
          </listRelation>
        </org>
        <org type="regrouplaboratory" xml:id="struct-241649" status="VALID">
          <orgName>Cambridge University Hospitals - NHS</orgName>
          <orgName type="acronym">CUH</orgName>
          <desc>
            <address>
              <addrLine>Foundation Trust Cambridge Biomedical Campus Hills Road Cambridge CB2 0QQ</addrLine>
              <country key="GB"/>
            </address>
            <ref type="url">http://www.cuh.org.uk/cms/</ref>
          </desc>
          <listRelation>
            <relation active="#struct-237843" type="direct"/>
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        </org>
        <org type="regroupinstitution" xml:id="struct-334329" status="VALID">
          <orgName>Nottingham University Hospitals NHS Trust</orgName>
          <orgName type="acronym">NUH</orgName>
          <desc>
            <address>
              <country key="GB"/>
            </address>
            <ref type="url">https://www.nuh.nhs.uk</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-132502" status="VALID">
          <orgName>King's College Hospital</orgName>
          <orgName type="acronym">KCH</orgName>
          <desc>
            <address>
              <addrLine>Denmark HillLondon, SE5 9RS</addrLine>
              <country key="GB"/>
            </address>
            <ref type="url">https://www.kch.nhs.uk/</ref>
          </desc>
        </org>
        <org type="laboratory" xml:id="struct-29316" status="VALID">
          <orgName>Hôpital Pellegrin</orgName>
          <desc>
            <address>
              <addrLine>Bordeaux</addrLine>
              <country key="FR"/>
            </address>
          </desc>
          <listRelation>
            <relation active="#struct-300122" type="direct"/>
            <relation active="#struct-300169" type="direct"/>
          </listRelation>
        </org>
        <org type="regroupinstitution" xml:id="struct-1039632" status="VALID">
          <idno type="IdRef">241035694</idno>
          <idno type="ROR">https://ror.org/019tgvf94</idno>
          <orgName>Université Côte d'Azur</orgName>
          <orgName type="acronym">UniCA</orgName>
          <date type="start">2020-01-01</date>
          <desc>
            <address>
              <addrLine>Parc Valrose, 28, avenue Valrose 06108 Nice Cedex 2</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://univ-cotedazur.fr</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-339860" status="VALID">
          <orgName>University Hospital Bonn</orgName>
          <desc>
            <address>
              <country key="DE"/>
            </address>
          </desc>
        </org>
        <org type="institution" xml:id="struct-335372" status="VALID">
          <idno type="ISNI">0000 0000 8517 6224</idno>
          <idno type="ROR">https://ror.org/035rzkx15</idno>
          <idno type="Wikidata">Q2496390</idno>
          <orgName>Universitätsklinikum Jena = Jena University Hospital [Jena, Germany]</orgName>
          <desc>
            <address>
              <addrLine>Bachstraße 18, 07743 Jena</addrLine>
              <country key="DE"/>
            </address>
            <ref type="url">https://www.uniklinikum-jena.de/en/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-554401" status="VALID">
          <idno type="IdRef">026450372</idno>
          <idno type="ISNI">0000 0001 1939 2794</idno>
          <idno type="ROR">https://ror.org/05qpz1x62</idno>
          <idno type="Wikidata">Q154561</idno>
          <orgName>Friedrich-Schiller-Universität Jena = Friedrich Schiller University Jena = Université de Iéna [Jena, Germany]</orgName>
          <orgName type="acronym">FSU</orgName>
          <date type="start">1548-01-01</date>
          <desc>
            <address>
              <addrLine>Universitätshauptgebäude, Fürstengraben 1, 07743 Jena</addrLine>
              <country key="DE"/>
            </address>
            <ref type="url">https://www.uni-jena.de/en/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-309388" status="VALID">
          <idno type="ROR">https://ror.org/01462r250</idno>
          <orgName>University hospital of Zurich [Zurich]</orgName>
          <desc>
            <address>
              <addrLine>Rämistrasse 1008091 Zurich</addrLine>
              <country key="CH"/>
            </address>
            <ref type="url">http://www.en.usz.ch</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-146992" status="VALID">
          <idno type="ROR">https://ror.org/02crff812</idno>
          <orgName>Universität Zürich [Zürich] = University of Zurich</orgName>
          <orgName type="acronym">UZH</orgName>
          <desc>
            <address>
              <addrLine>Rämistrasse 71 CH-8006 Zürich</addrLine>
              <country key="CH"/>
            </address>
            <ref type="url">http://www.uzh.ch/de.html</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-307787" status="VALID">
          <idno type="ROR">https://ror.org/040r8fr65</idno>
          <orgName>Aarhus University Hospital</orgName>
          <desc>
            <address>
              <addrLine>Aarhus University HospitalNorrebrogade 44DK-8000 Aarhus C</addrLine>
              <country key="DK"/>
            </address>
            <ref type="url">http://www.en.auh.dk/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-447266" status="VALID">
          <idno type="ROR">https://ror.org/00ey0ed83</idno>
          <orgName>Odense University Hospital</orgName>
          <orgName type="acronym">OUH</orgName>
          <desc>
            <address>
              <addrLine>J. B. Winsløws Vej 4, 5000 Odense, Danemark</addrLine>
              <country key="DK"/>
            </address>
            <ref type="url">https://en.ouh.dk/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-50786" status="VALID">
          <idno type="IdRef">076624099</idno>
          <idno type="ROR">https://ror.org/03yrrjy16</idno>
          <orgName>University of Southern Denmark = Syddansk Universitet</orgName>
          <orgName type="acronym">SDU</orgName>
          <desc>
            <address>
              <addrLine>5320 Odense</addrLine>
              <country key="DK"/>
            </address>
            <ref type="url">https://www.sdu.dk/en</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-1008107" status="VALID">
          <idno type="ROR">https://ror.org/008fdbn61</idno>
          <orgName>Institut de Cancérologie de Strasbourg Europe</orgName>
          <orgName type="acronym">ICANS</orgName>
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            <address>
              <addrLine>17 Rue Albert Calmette, 67200 Strasbourg</addrLine>
              <country key="FR"/>
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            <ref type="url">https://www.icans.eu/</ref>
          </desc>
        </org>
        <org type="laboratory" xml:id="struct-1063703" status="VALID">
          <idno type="IdRef">23549738X</idno>
          <idno type="RNSR">201722539E</idno>
          <orgName>Imagerie Moléculaire et Stratégies Théranostiques</orgName>
          <orgName type="acronym">IMoST</orgName>
          <date type="start">2021-01-01</date>
          <desc>
            <address>
              <addrLine>58, Rue Montalembert, 63005 Clermont-Ferrand</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://imost.uca.fr</ref>
          </desc>
          <listRelation>
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            <relation name="UMR1240" active="#struct-1063463" type="direct"/>
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        </org>
        <org type="laboratory" xml:id="struct-2612" status="VALID">
          <orgName>Centre d'Investigation Clinique [CHU Clermont-Ferrand]</orgName>
          <orgName type="acronym">CIC 1405</orgName>
          <desc>
            <address>
              <addrLine>CHU Clermont-Ferrand - Site Gabriel-Montpied, 58 Rue Montalembert, 63000 Clermont-Ferrand</addrLine>
              <country key="FR"/>
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            <ref type="url">https://drci-chu-clermontferrand.fr/centre-d-investigation-clinique</ref>
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            <relation active="#struct-300144" type="indirect"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-30615" status="VALID">
          <idno type="ISNI">0000 0004 1795 1689</idno>
          <idno type="ROR">https://ror.org/02pwnhd33</idno>
          <orgName>Centre Jean Perrin [Clermont-Ferrand]</orgName>
          <orgName type="acronym">UNICANCER/CJP</orgName>
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            <address>
              <addrLine>58 rue Montalembert, 63011 Clermont-Ferrand</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.cjp.fr/</ref>
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        <org type="institution" xml:id="struct-301261" status="VALID">
          <idno type="IdRef">031239218</idno>
          <idno type="ISNI">0000000121067843</idno>
          <idno type="ROR">https://ror.org/02x9y0j10</idno>
          <idno type="Wikidata">Q2944815</idno>
          <orgName>Centre Régional de Lutte contre le Cancer François Baclesse [Caen]</orgName>
          <orgName type="acronym">UNICANCER/CRLC</orgName>
          <desc>
            <address>
              <addrLine>3 avenue général Harris, 14000 Caen</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.baclesse.fr/</ref>
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        <org type="institution" xml:id="struct-344154" status="VALID">
          <orgName>Hygeia Hospital</orgName>
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            <address>
              <addrLine>Erithrou Stavrou 4, Marousi 151 23</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.hygeia.gr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-1123965" status="VALID">
          <idno type="ISNI">0000000417916429</idno>
          <idno type="ROR">https://ror.org/03mchdq19</idno>
          <idno type="Wikidata">Q3357360</idno>
          <orgName>Rigshospitalet [Copenhagen, Denmark]</orgName>
          <date type="start">1757-01-01</date>
          <desc>
            <address>
              <addrLine>Blegda​msvej 9 – 2100 Copenhagen – Denmark</addrLine>
              <country key="DK"/>
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            <ref type="url">https://www.rigshospitalet.dk/</ref>
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        <org type="institution" xml:id="struct-62433" status="VALID">
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          <orgName>Vrije Universiteit Amsterdam [Amsterdam]</orgName>
          <orgName type="acronym">VU</orgName>
          <desc>
            <address>
              <addrLine>De Boelelaan 1105 1081 HV Amsterdam</addrLine>
              <country key="NL"/>
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            <ref type="url">http://www.vu.nl/</ref>
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        </org>
        <org type="institution" xml:id="struct-301743" status="VALID">
          <orgName>Leeds Teaching Hospitals NHS Trust</orgName>
          <desc>
            <address>
              <country key="GB"/>
            </address>
            <ref type="url">https://www.leedsth.nhs.uk/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-303623" status="VALID">
          <idno type="IdRef">026388278</idno>
          <idno type="ROR">https://ror.org/02vjkv261</idno>
          <orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
          <orgName type="acronym">INSERM</orgName>
          <desc>
            <address>
              <addrLine>101, rue de Tolbiac, 75013 Paris</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.inserm.fr</ref>
          </desc>
        </org>
        <org type="regroupinstitution" xml:id="struct-441569" status="VALID">
          <idno type="IdRef">02636817X</idno>
          <idno type="ISNI">0000000122597504</idno>
          <idno type="ROR">https://ror.org/02feahw73</idno>
          <orgName>Centre National de la Recherche Scientifique</orgName>
          <orgName type="acronym">CNRS</orgName>
          <date type="start">1939-10-19</date>
          <desc>
            <address>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.cnrs.fr/</ref>
          </desc>
        </org>
        <org type="regroupinstitution" xml:id="struct-1100589" status="VALID">
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          <orgName>Université de Montpellier</orgName>
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              <addrLine>43, boulevard du 11 novembre 1918, 69622 Villeurbanne cedex</addrLine>
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