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https://www.readbyqxmd.com/read/29916106/comparison-of-models-for-predicting-quality-of-life-after-surgical-resection-of-hepatocellular-carcinoma-a-prospective-study
#1
Chong-Chi Chiu, King-Teh Lee, Hao-Hsien Lee, Jhi-Joung Wang, Ding-Ping Sun, Chien-Cheng Huang, Hon-Yi Shi
BACKGROUND: The essential issue of internal validity has not been adequately addressed in prediction models such as artificial neural network (ANN), support vector machine (SVM), Gaussian process regression (GPR), and multiple linear regression (MLR) models. METHODS: This prospective study compared the accuracy of these four models in predicting quality of life (QOL) after hepatic resection received by 332 patients with hepatocellular carcinoma (HCC) during 2012-2015...
June 18, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29914833/favorable-impact-of-thoracic-endovascular-aortic-repair-on-survival-of-patients-with-acute-uncomplicated-type-b-aortic-dissection
#2
James C Iannuzzi, Sahael M Stapleton, Yanik J Bababekov, David Chang, Robert T Lancaster, Mark F Conrad, Richard P Cambria, Virendra I Patel
BACKGROUND: In uncomplicated type B aortic dissection (UTBAD), the "gold standard" has been nonoperative treatment with medical therapy, although this has been questioned by studies demonstrating improved outcomes in those treated with thoracic endovascular aortic repair (TEVAR). This study assessed long-term survival after acute UTBAD comparing medical therapy, open repair, and TEVAR. METHODS: The California Office of Statewide Hospital Planning Development database was analyzed from 2000 to 2010 for adult patients with acute UTBAD...
June 15, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29907919/discontinuation-of-hormone-therapy-for-elderly-breast-cancer-patients-after-hypofractionated-whole-breast-radiotherapy
#3
Michela Dispinzieri, Eliana La Rocca, Elisabetta Meneghini, Alba Fiorentino, Laura Lozza, Serena Di Cosimo, Massimiliano Gennaro, Vito Cosentino, Milena Sant, Emanuele Pignoli, Riccardo Valdagni, Francesca Bonfantini, Maria Carmen De Santis
The purpose of the study was to examine adherence to hormone therapy (HT) in elderly breast cancer patients (≥ 65 years old) treated with hypofractionated radiotherapy. We analyzed data on 550 ER-positive breast cancer patients given hypofractionated whole-breast radiotherapy from June 2009 to September 2016. Baseline comorbidities considered in the hypertension-augmented Charlson Comorbidity Index (hCCI) were retrospectively retrieved. Total hCCI scores were classified as no comorbidity (hCCI = 0), low burden of comorbidity (hCCI = 1), and high burden of comorbidity (hCCI ≥ 2)...
June 16, 2018: Medical Oncology
https://www.readbyqxmd.com/read/29903507/timing-of-esophagectomy-after-neoadjuvant-chemoradiation-treatment-in-squamous-cell-carcinoma
#4
Jan Franko, Sarah McAvoy
BACKGROUND: Time interval between neoadjuvant (combined) chemotherapy and radiation (nCRT) and surgery has been linked to pathologic response rates and outcomes in patients with various solid cancers. The optimal timing between nCRT and esophagectomy in patients with esophageal squamous cell carcinoma (SCC), however, is not known. Our aim was to analyze the relation between elapsed time from completion of nCRT to esophagectomy and postsurgical mortality and overall survival. METHODS: We reviewed the National Cancer Database for patients with SCC (n = 1,244) of the esophagus diagnosed between 2003 and 2011 who were treated with nCRT followed by esophagectomy within 26 weeks after completion of nCRT...
June 11, 2018: Surgery
https://www.readbyqxmd.com/read/29898583/disability-after-major-abdominal-surgery-determinants-of-recovery-of-walking-ability-in-elderly-patients
#5
Lucia Petrucci, Serena Monteleone, Susanna Ricotti, Erica Giromini, Mariangela Gullace, Emilia Ambrosini, Giorgio Ferriero, Elena Dalla Toffola
BACKGROUND: Increased life expectancy and improved surgical techniques have led to a sharp rise in healthcare resource consumption by older patients. In these patients early recovery of walking ability after abdominal surgery may shorten length of hospital stay and reduce overall healthcare costs, but it is important to understand what factors determine this recovery. AIM: To assess preoperative and postoperative determinants of walking ability recovery after major abdominal surgery in older patients...
June 11, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29897154/factors-associated-with-discontinuing-or-not-starting-oral-anticoagulant-therapy-in-older-hospitalized-patients-with-non-valvular-atrial-fibrillation
#6
Jesús Díez-Manglano, José-María Mostaza, Antonio Pose, Francesc Formiga, José-María Cepeda, Alejandra Gullón, Miguel Camafort, Jesús Castiella, Eduardo Rovira, Estíbaliz Jarauta, Carmen Suárez
AIM: To determine the factors associated with discontinuing or not starting oral anticoagulation (OA) therapy in older patients with non-valvular atrial fibrillation (NVAF). METHODS: A prospective, multicenter cohort study was carried out of patients aged >75 years with NVAF hospitalized in internal medicine departments in Spain. For each patient, we recorded creatinine, hemoglobin and platelets levels, as well as CHA2DS2-VASc and HAS-BLED scores and the Charlson Comorbidity Index...
June 13, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29894499/impact-of-acupuncture-treatment-on-the-lumbar-surgery-rate-for-low-back-pain-in-korea-a-nationwide-matched-retrospective-cohort-study
#7
Wonil Koh, Kyungwon Kang, Yoon Jae Lee, Me-Riong Kim, Joon-Shik Shin, Jinho Lee, Jun-Hwan Lee, Kyung-Min Shin, In-Hyuk Ha
INTRODUCTION: Low back pain (LBP) is a globally prevalent disorder with high social significance. Invasive surgical procedures are increasingly being used to treat LBP despite a lack of solid evidence supporting their long-term benefits. This nationwide retrospective cohort study investigated the association between acupuncture treatment and lumbar surgery rate in patients with LBP. METHODS: Using the National Health Insurance Service Sample Cohort Database for 2002-2013, we identified newly diagnosed LBP patients in Korea between 2004 and 2010 and divided them into an acupuncture group and control group according to whether or not they received acupuncture...
2018: PloS One
https://www.readbyqxmd.com/read/29893658/a-retrospective-analysis-of-adverse-events-among-patients-receiving-daptomycin-versus-vancomycin-during-outpatient-parenteral-antimicrobial-therapy
#8
Gregory M Schrank, Sharon B Wright, Westyn Branch-Elliman, Mary T LaSalvia
OBJECTIVE: Outpatient parenteral antimicrobial therapy (OPAT) is a safe and effective alternative to prolonged inpatient stays for patients requiring long-term intravenous antimicrobials, but antimicrobial-associated adverse events remain a significant challenge. Thus, we sought to measure the association between choice of antimicrobial agent (vancomycin vs daptomycin) and incidence of adverse drug events (ADEs). METHODS: Patients receiving OPAT treatment with vancomycin or daptomycin for skin and soft-tissue infections, bone and joint infections, endocarditis, and bacteremia or endovascular infections during the period from July 1, 2013, through September 30, 2016, were included...
June 12, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29891525/weekend-effect-in-emergency-colon-and-rectal-cancer-surgery-a-prospective-study-using-data-from-the-dutch-colorectal-audit
#9
Daniëlle D Huijts, Julia T van Groningen, Onno R Guicherit, Jan Willem T Dekker, Leti van Bodegom-Vos, Esther Bastiaannet, Johannes A Govaert, Michel W Wouters, Perla J Marang-van de Mheen
Background: It is unclear whether emergency weekend colon and rectal cancer surgery are associated with worse outcomes (ie, weekend effect) because previous studies mostly used administrative data, which may insufficiently adjust for case-mix. Materials and Methods: Prospectively collected data from the 2012-2015 Dutch ColoRectal Audit (n=5,224) was used to examine differences in 30-day mortality and severe complication and failure-to-rescue rates for emergency weekend (Saturday and Sunday) versus Monday surgery, stratified for colon and rectal cancer...
June 2018: Journal of the National Comprehensive Cancer Network: JNCCN
https://www.readbyqxmd.com/read/29891224/clinical-and-economic-outcomes-associated-with-malnutrition-in-hospitalized-patients
#10
Alvaro J Ruiz, Giancarlo Buitrago, Nelcy Rodríguez, Gabriel Gómez, Suela Sulo, Carlos Gómez, Jamie Partridge, Juan Misas, Rodolfo Dennis, Magda Jeannette Alba, Walter Chaves-Santiago, Carolina Araque
BACKGROUND & AIMS: Hospitalized patients show a high rate of malnutrition, which is associated with poor patient outcomes and high healthcare costs. However, relatively few studies have investigated the association between clinical and economic outcomes and malnutrition in hospitalized patients, particularly those with cardiac and pulmonary conditions. METHODS: This multicenter prospective observational cohort study included 800 patients hospitalized at four Colombian hospitals with a diagnosis of congestive heart failure, acute myocardial infarction, community-acquired pneumonia, or chronic obstructive pulmonary disease...
June 1, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29889880/the-impact-of-comorbidity-on-mortality-in-danish-sarcoma-patients-from-2000-2013-a-nationwide-population-based-multicentre-study
#11
Mathias Raedkjaer, Katja Maretty-Kongstad, Thomas Baad-Hansen, Peter Holmberg Jørgensen, Akmal Safwat, Peter Vedsted, Michael Mørk Petersen, Thea Hovgaard, Tine Nymark, Johnny Keller
INTRODUCTION: Sarcoma is a rare type of cancer. The incidence increases with age and elderly patients may have comorbidity that affects the prognosis. The aim of this study was to describe the type and prevalence of comorbidity in a nationwide population-based study in Denmark from 2000-2013 and to analyse the impact of the different comorbidities on mortality. MATERIAL AND METHODS: The Danish Sarcoma Registry is a national clinical database containing all patients with sarcoma in the extremities or trunk wall from 2000 and onwards...
2018: PloS One
https://www.readbyqxmd.com/read/29885976/the-association-of-gout-with-incident-giant-cell-arteritis-in-older-adults
#12
Jasvinder A Singh, John D Cleveland
OBJECTIVES: To assess whether gout is associated with a higher or lower risk of a new diagnosis of giant cell arteritis (GCA) in older adults, adjusting for known risk factors of GCA. METHODS: We used the 5% Medicare claims to conduct a multivariable Cox regression analyses to assess the association of gout with incident GCA in adults 65 years or older adjusting for age, gender, race (known risk factors for GCA) and Charlson-Romano comorbidity score, the use of medications for cardiovascular diseases (statins, beta-blockers, diuretics, ACE-inhibitors) and gout (allopurinol, febuxostat)...
June 7, 2018: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/29885868/impact-of-pseudomonas-aeruginosa-bacteraemia-in-a-tertiary-hospital-mortality-and-prognostic-factors
#13
Alejandro Callejas-Díaz, Cristina Fernández-Pérez, Antonio Ramos-Martínez, Elena Múñez-Rubio, Isabel Sánchez-Romero, Juan Antonio Vargas Núñez
BACKGROUND AND OBJECTIVES: Pseudomonas aeruginosa bacteraemia is associated with a very high mortality, conditioned by comorbidity, source, severity of the episode and lack of adequate treatment. The aim of the study is to know the mortality and prognostic factors of bacteraemia by P.aeruginosa in our hospital. PATIENTS AND METHODS: We conducted a retrospective study of P.aeruginosa bacteraemia detected between 2009 and 2014. Epidemiological, clinical and microbiological characteristics were described...
June 6, 2018: Medicina Clínica
https://www.readbyqxmd.com/read/29880461/contemporary-outcomes-of-palliative-transurethral-resection-of-the-prostate-in-patients-with-locally-advanced-prostate-cancer
#14
Joanie Pelletier, Sarah-Jeanne Cyr, Anne-Sophie Julien, Yves Fradet, Louis Lacombe, Paul Toren
BACKGROUND: Advanced prostate cancer may cause significant local complications which affect quality of life, including bladder outlet obstruction and hematuria. We performed a detailed review of our outcomes of palliative transurethral resection of the prostate (pTURP) in the era of taxane chemotherapy and potent androgen receptor antagonists at our tertiary-care institution. METHODS: Using hospital coding data, we identified patients with a diagnosis of prostate cancer who underwent a TURP at Hotel-Dieu Hospital in Quebec City between 2006 and 2016 for detailed chart review...
June 4, 2018: Urologic Oncology
https://www.readbyqxmd.com/read/29876995/risk-of-post-operative-surgical-site-infections-after-vedolizumab-vs-anti-tumour-necrosis-factor-therapy-a-propensity-score-matching-analysis-in-inflammatory-bowel-disease
#15
K T Park, L Sceats, M Dehghan, A W Trickey, A Wren, J J Wong, R Bensen, B N Limketkai, K Keyashian, C Kin
BACKGROUND: Perioperative vedolizumab (VDZ) and anti-tumour necrosis factor (TNFi) therapies are implicated in causing post-operative complications in inflammatory bowel disease (IBD). AIM: To compare the risk of surgical site infections (SSIs) between VDZ- and TNFi-treated IBD patients in propensity-matched cohorts. METHODS: The Optum Research Database was used to identify IBD patients who received VDZ or TNFi within 30 days prior to abdominal surgery between January 2015 and December 2016...
June 7, 2018: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/29876829/external-validation-of-the-paliar-index-for-patients-with-advanced-nononcologic-chronic-diseases
#16
Noelia Gómez-Aguirre, Daniel Fuertes-Ruiz, Borja Gracia-Tello, Carolina Clemente-Sarasa, Ester Artajona-Rodrigo, José-Luis Cabrerizo-García, Begoña de Escalante-Yangüela, María-Carmen Bueno-Castel, José Velilla-Marco, Jesús Díez-Manglano
OBJECTIVE: To externally validate the PALIAR index for patients with advanced, nononcologic chronic diseases. METHODS: We performed a prospective, multicenter cohort study that included patients with advanced, nononcologic chronic diseases hospitalized in internal medicine departments and treated consecutively by the researchers between July 1st and December 31st, 2014. Data were collected from each patient on age, sex, advanced disease, Charlson index, comorbidities, Barthel index, terminal illness symptoms, need for caregiver, hospitalization in the past 3 and 12 months and number of drugs...
June 6, 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29874975/subjective-global-assessment-dialysis-malnutrition-score-and-arteriovenous-fistula-outcome-a-comparison-with-charlson-comorbidity-index
#17
Leonardo Spatola, Silvia Finazzi, Albania Calvetta, Claudio Angelini, Salvatore Badalamenti
INTRODUCTION: Malnutrition is a well-recognized risk factor for all-cause mortality in hemodialysis patients. However, its role for arteriovenous fistulas outcome has not been exhaustively investigated. Our aim was to point out the impact of Subjective Global Assessment-Dialysis Malnutrition Score as independent predictor of arteriovenous fistulas thrombosis (vascular access thrombosis) and/or significant stenosis (vascular access stenosis). In addition, we compared it with the widespread Charlson Comorbidity Index...
June 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29872063/multimorbidity-analysis-according-to-sex-and-age-towards-cardiovascular-diseases-of-adults-in-northeast-china
#18
Lina Jin, Xin Guo, Jing Dou, Binghui Liu, Jiangzhou Wang, Jiagen Li, Mengzi Sun, Chong Sun, Yaqin Yu, Yan Yao
Non-communicable diseases (NCDs) are great challenges in public health, where cardiovascular diseases (CVD) accounted for the large part of mortality that caused by NCDs. Multimorbidity is very common in NCDs especially in CVD, thus multimorbidity could make NCDs worse and bring heavy economic burden. This study aimed to explore the multimorbidity among adults, especially the important role of CVD that played in the entire multimorbidity networks. A total of 21435 participants aged 18-79 years old were recruited in Jilin province in 2012...
June 5, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29871886/risk-factors-and-outcomes-of-rapid-correction-of-severe-hyponatremia
#19
Jason C George, Waleed Zafar, Ion Dan Bucaloiu, Alex R Chang
BACKGROUND AND OBJECTIVES: Rapid correction of severe hyponatremia can result in serious neurologic complications, including osmotic demyelination. Few data exist on incidence and risk factors of rapid correction or osmotic demyelination. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: In a retrospective cohort of 1490 patients admitted with serum sodium <120 mEq/L to seven hospitals in the Geisinger Health System from 2001 to 2017, we examined the incidence and risk factors of rapid correction and osmotic demyelination...
June 5, 2018: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/29870447/preoperative-doxycycline-does-not-reduce-propionibacterium-acnes-in-shoulder-arthroplasty
#20
Allison J Rao, Peter N Chalmers, Gregory L Cvetanovich, Michael C O'Brien, Jon M Newgren, Brian J Cole, Nikhil N Verma, Gregory P Nicholson, Anthony A Romeo
BACKGROUND: Propionibacterium acnes (P. acnes) is the most common bacteria associated with infection after shoulder arthroplasty. These bacteria can be grown on culture of skin after standard preoperative skin preparation and antibiotics. The purpose of this study was to determine whether adding preoperative intravenous doxycycline reduces the prevalence of positive P. acnes cultures of skin and deep tissues at the time of prosthetic joint implantation during shoulder arthroplasty. METHODS: This was a randomized controlled trial...
June 6, 2018: Journal of Bone and Joint Surgery. American Volume
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