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Context Many biomarkers are proposed in highly cited studies as determinants of disease risk, prognosis, or response to treatment,
but few eventually transform clinical practice.
Objective To examine
whether the magnitude of the effect sizes of biomarkers proposed in
highly cited studies is accurate or overestimated.................
Conclusion Highly cited biomarker studies often report larger effect estimates for postulated associations than are reported in subsequent
meta-analyses evaluating the same associations.
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