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  "notes": "Uses a direct quote from academic researchers to undermine the strategic rationale of the acquisition.",
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      "text": "WHY WOULD ILMN RUSH TO CLOSE A $10 BILLION DEAL WHEN RESEARCHERS WERE QUESTIONING THE TEST’S EFFICACY?",
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      "text": "[I]t is not clear whether the tests performs well enough to improve outcomes for patients with early stage disease, particularly when deployed in a clinical setting . . . [A]vailable evidence is not sufficient to establish the effectiveness and safety of this technology, and determining whether any diagnostic test improves outcomes for patients is challenging. A particular concern is that half of the participants in GRAIL’s case-control study had cancer: the high performance observed may not replicate in real world populations with a far lower prevalence of cancer.",
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      "text": "– University of Leeds and University of Cambridge (January 2021)",
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      "text": "GRAIL PROCESS FAILURES: QUESTIONABLE EFFICACY",
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