Glenn E Talboy a, Kamani Lankachandra b, Diane M Harper c, d, e 
a Department of Surgery, University of Missouri-Kansas City, School of Medicine, Kansas City, MO 64139, USA
b Department of Pathology, University of Missouri-Kansas City, School of Medicine, Kansas City, MO 64139, USA
c Department of Obstetrics and Gynecology, University of Missouri-Kansas City, School of Medicine, Kansas City, MO 64139, USA
d Department of Community and Family Medicine, University of Missouri-Kansas City, School of Medicine, Kansas City, MO 64139, USA
e Department of Biomedical and Health Informatics, University of Missouri-Kansas City, School of Medicine, Kansas City, MO 64139, USA