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Excluding these participants in a sensitivity analysis did not change the results (Juul EU C max versus Cigarette C max , Z = -3.17, p = 0.002

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DISCUSSION Our current Bayesian metaanalyses showed that current smokers were more likely to develop SLE as compared with patients with SLE who had never smoked based on 291,570 subjects observed in 10 case-control and 2 cohort studies, including the recent data of the NHS published in 2018 21

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