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Prognostic role of neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio in patients with bone metastases.

BackgroundSkeletal metastases are a common problem in patients with cancer, and surgical decision making depends on multiple factors including life expectancy. Identification of new prognostic factors can improve survival estimation and guide healthcare providers in surgical decision making. In this study, we aim to determine the prognostic value of neutrophil/lymphocyte ratio (NLR) and platelet/lymphocyte ratio (PLR) in patients with bone metastasis.MethodsOne thousand and twelve patients from two tertiary referral centers between 2002 and 2014 met the inclusion criteria. Bivariate and multiv

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… The date of death was obtained from medical records and the Social Security Death Index, which is a database of death records created from the US Social Security Administration. 17 The medical records and Social Security Death Index were last checked 11 June 2018. … The Social Security Death Index (SSDI) most accurately reflects true survival for older oncology patients. Am. J. Cancer Res. 2013;3:518–522. 18. Budczies J, et al. Cutoff Finder: a comprehensive and straightforward Web application enabling rapid biomarker cutoff optimization. …

Навигация потерь и рост хронических заболеваний: исследование по вопросу о физической активности и благополучии.

В этом исследовании изучается живой опыт пациентов с хроническими заболеваниями, с тем чтобы понять, каким образом значения, приписываемые хроническим заболеваниям, физической активности и благополучию, переплетаются. Это понимание имеет решающее значение для практики ухода, направленной на поддержку и повышение благосостояния. МЕТОДОЛОГИЧЕСКАЯ ДЕСИГН: Мы провели качественное исследование, основанное на герменевическо-феноменологии, с тем чтобы отразить жизненный опыт участников в описательной форме. В качестве руководящего принципа отчетности используется COREQ. ЭТИЧЕСКИЕ ВОПРОСЫ И УТВЕРЖДЕНИ

Разработка мероприятий по профилактике ВИЧ для новых взрослых МШМ с историей сплочения: качественное исследование.

Опыт, связанный с издевательствами в детстве или подростковом возрасте, влияет на состояние здоровья взрослого человека и является кризисом в области общественного здравоохранения. Особенно страдают молодые люди из числа сексуальных меньшинств, которые подвергаются наибольшему риску жестокого и насильственного издевательства, сероконверсии в связи с ВИЧ и возникновения расстройства, связанного с употреблением наркотиков. Несмотря на то, что научная работа в области борьбы с издевательствами виктимизацией за последние несколько лет позволила добиться значительных успехов за счет совершенствован

Ограничение способности любить и гиперсексуальное поведение в их отношениях с психотиком и паранойей.

Предпосылки к способности к любви (КТЛ) и проблематичной сексуальности можно было бы рассматривать в качестве показателей психопатологических страданий. 521 Темы390 женщин и женщин 131 мужского пола; возрастный период: 18-50) Завербованные субъекты заполнили психометрический протокол, включающий в себя следующие инструменты измерения:1) реестр возможностей любить;2) Гиперсексуальная инвентаризация поведения,3) Краткий список симптомов. Выражения указывают на значительную обратную корреляцию между CTL и как параноидальной идеей, так и психотиком, при этом гиперсексуальность положительно соотнос

Federated Computing in Orthopaedic Surgery: A Paradigm Shift in Collaborative Multicenter Research.

➢ Multicenter studies remain rare in orthopaedics (9.9% of recent publications) due to regulatory complexity, restrictive data-sharing policies, and administrative delays, despite their proven value in generating robust, generalizable evidence. ➢ Federated computing (FC) brings analytic code to each institution's data and returns only encrypted, aggregated results. This preserves patient privacy, maintains institutional control, and streamlines compliance by reducing or eliminating the need for complex data-use agreements. ➢ Extensive applications in other medical fields show that FC can match

Psychometric validation of a Patient-Centred Quality of Cancer Care Questionnaire in Mexico.

ObjectivesTo develop and validate a Patient-Centred Quality of Cancer Care Questionnaire in Spanish (PCQCCQ-S) appropriate to the Mexican context.DesignPsychometric validation of a questionnaire.SettingTwo public oncology hospitals in Mexico City.Participants1809 patients with cancer aged ≥18 years.Source of informationCross-sectional survey.MethodsThe validation procedures comprised (1) content validity through a group of experts and patients; (2) item reduction and evaluation of the factor structure, through an exploratory factor analysis based on the polychoric correlation matrix; (3) inter

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… Stage 2 From April 2018 to April 2019, a cross-sectional survey was conducted in two oncology hospitals in Mexico City, one that belongs to the Ministry of Health (MoH) and another to the Mexican Institute of Social Security (IMSS). … IMSS, Mexican Institute of Social Security; MoH, Ministry of Health. …

Palliative care follow-up for cancer patients combining day-hospital visits and telemedicine: What feasibility?

BackgroundDue to the increasing life expectancy of patients with cancer, palliative care services are increasingly solicited to provide follow-up for individuals living at home. The implementation of teleconsultations represents a potential solution to extend access to palliative care follow-up to a larger number of patients. The aim of this study is to demonstrate the a priori acceptance of teleconsultations among all patients admitted to palliative care, as well as the feasibility of their implementation. We therefore initially explored whether a specific patient profile might limit acceptan

Опыт, накопленный пациентами в ходе видеоконференций: качественный систематический обзор.

Консультация Video (VC) приобрела жизненно важное значение для улучшения доступа к медицинскому обслуживанию во время пандемии COVID-19 и остается таковой. Несмотря на доказательства эффективности, проблемы, включая технологическую грамотность и несоответствия в опыте, указывают на необходимость проведения более широких исследований, ориентированных на пациентов. Несмотря на то, что пациенты ценят удобство ВК, проблемы, возникающие во время сложных проблем и предпочтения пациентов в плане личного ухода, сохраняются. Обобщение качественных исследований дает представление о фрагментированном пон

Disparities in All-Cause Mortality in Older Patients with Colorectal Cancer According to Disability Status: A Nationwide Analysis.

BackgroundAlthough investigating patterns of cancer mortality is important in understanding the effect of cancer on population health, knowledge regarding mortality in cancer patients with disability is scarce. This study examined the association between disability status and all-cause mortality in older patients with colorectal cancer.MethodsData were obtained from the 2008-2019 National Health Insurance Service claims data. The study population included patients with colorectal cancer aged 60 years or above. The outcome measure was all-cause 5-year and overall mortality. A survival analysis

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… Cancer Stage at Diagnosis and Survival among Persons with Social Security Disability Insurance on Medicare Health Serv. Res. 2007 42 611 628 10.1111/j.1475-6773.2006.00619.x 17362209 PMC1955354 27. Park J.H. Lee J.S. Lee J.Y. Gwack J. Park J.H. Kim Y.I. Kim Y. …

Predicting which patients with cancer will see a psychiatrist or counsellor from their initial oncology consultation document using natural language processing.

BackgroundPatients with cancer often have unmet psychosocial needs. Early detection of who requires referral to a counsellor or psychiatrist may improve their care. This work used natural language processing to predict which patients will see a counsellor or psychiatrist from a patient's initial oncology consultation document. We believe this is the first use of artificial intelligence to predict psychiatric outcomes from non-psychiatric medical documents.MethodsThis retrospective prognostic study used data from 47,625 patients at BC Cancer. We analyzed initial oncology consultation documents

Psychological Distress Among Cancer Patients During COVID-19 Pandemic in the World: A Systematic Review.

Aim: Patients with malignancies, experience high rates of psychological distress. Fear of Corona-infection combined with the interruptions in some treatment programs might affect the psychological health of cancer patients. This review study was conducted to investigate the psychological distress among cancer patients during COVID-19 pandemic to offer system-adapted individual solutions. Materials and methods: To identify the psychological distress of cancer patients, a comprehensive search was carried out in PubMed, Web of Science, and Scopus. English language and original articles were inclu

Воздействие непрерывного лечения леналидомидома на людей, живущих с множественным исследованием по оценке качества услуг в одном центре миэломы.

PMOPSE: Непрерывное лечение линалидомида после аутологической трансплантации стволовых клеток способствует повышению уровня свободного развития и общей выживаемости вновь диагностированных пациентов с множественными миеломами и является стандартом ухода в Соединенном Королевстве с марта 2021. Однако имеется мало информации о ее воздействии на повседневную жизнь пациентов. Эта оценка услуг была направлена на качественную оценку пациентов, проходящих курс лечения линалидомидом в раковом центре в Лондоне, с тем чтобы эта служба могла лучше соответствовать потребностям и ожиданиям пациентов.МЕТОДЫ

Nutritional vulnerability, food insecurity, and unmet supportive care needs in multiple myeloma: a cross-sectional study from China.

BACKGROUND: Multiple myeloma patients experience nutritional vulnerability through disease-related factors, treatment toxicity, and systemic inflammation, yet comprehensive assessment integrating validated nutrition screening with health equity dimensions remains limited. This study characterized nutritional vulnerability prevalence, determinants, and supportive-care access barriers among Chinese multiple myeloma patients. METHODS: This single-center, cross-sectional observational study conducted at Shanxi Provincial Key Laboratory, Taiyuan, China (January 2020-December 2024) employed compreh

The needs of cancer patients during the COVID-19 pandemic-psychosocial, ethical and spiritual aspects-systematic review.

The COVID-19 pandemic resulted in unprecedented changes in the functioning of the health care system, which were connected with the occurrence of new challenges for both the health care system's employees and for the patients. The purpose of the present article is to analyze the needs of persons with oncological diseases. Taking into account the multiple aspects of the term health, psychological, social, and existential needs of the patients were analyzed. This article is directed mainly at persons who remain in a direct therapeutic relation with a patient. It is to facilitate recognizing the

Социальные детерминанты здоровья, качества ухода за больными и результаты лечения неврологических расстройств: систематический обзор.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Социальные детерминанты здоровья (SDOH) оказывают значительное влияние на оказание медицинской помощи и ее результаты, однако их конкретное воздействие на качество неврологической медицинской помощи по-прежнему недостаточно синтезировано. ЦЕЛЬ: Цель этого систематического обзора заключалась в обобщении данных о связях между СДОГ и качеством медицинского обслуживания и результатах лечения пациентов в связи с серьезными неврологическими расстройствами. МЕТОДЫ: ПОСЛЕ ПРИСМА 2020 Руководящие принципы, мы систематически искали Пуббмеда, Интернет науки и Эмбазу для исследовани

Effect of a community-based nursing intervention on mortality in chronically ill older adults: a randomized controlled trial.

BackgroundImproving the health of chronically ill older adults is a major challenge facing modern health care systems. A community-based nursing intervention developed by Health Quality Partners (HQP) was one of 15 different models of care coordination tested in randomized controlled trials within the Medicare Coordinated Care Demonstration (MCCD), a national US study. Evaluation of the HQP program began in 2002. The study reported here was designed to evaluate the survival impact of the HQP program versus usual care up to five years post-enrollment.Methods and findingsHQP enrolled 1,736 adult

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… The data source used to establish death was the online Social Security Death Master File (SSDMF) ( http://www.ssdmf.com ). Social security numbers obtained from participants following informed consent and prior to randomization were used to check vital status in the SSDMF. … There was a 100% match between deaths known to nurse care managers in the intervention group and deaths identified in the Social Security Death Master File (SSDMF). Adverse Events No known program-related adverse events were identified. …

Supportive care needs of adults living with a peripherally inserted central catheter (PICC) at home: a qualitative content analysis.

BackgroundPeripherally inserted central catheters (PICCs) are common vascular access devices inserted for adults undergoing intravenous treatment in the community setting. Individuals with a PICC report challenges understanding information and adapting to the device both practically and psychologically at home. There is a lack of research investigating the supportive care needs of individuals with a PICC to inform nursing assessment and the provision of additional supports they may require to successfully adapt to life with a PICC. The aim of this study was to identify the supportive care need

Socioeconomic Deprivation and Health Care Use in Patients Enrolled in SWOG Cancer Clinical Trials.

ImportanceReducing acute care use is an important strategy for improving value. Patients with cancer are at risk for unplanned emergency department (ED) visits and hospital stays (HS). Clinical trial patients have homogeneous treatment; despite this, structural barriers to care may independently impact acute care use.ObjectiveTo examine whether ED visits and HS within 12 months of trial enrollment are more common among Medicare enrollees who live in areas of socioeconomic deprivation or have Medicaid insurance.Design, setting, and participantsThis cohort study included patients with cancer who

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… Trial records were linked to Medicare claims data according to social security number, sex, and date of birth. To be included, patients were required to be aged 65 years or older at time of enrollment and to have at least 12 months’ Medicare Parts A and B coverage with no concurrent HMO coverage. … Statistical Analysis To assess the potential for bias, baseline characteristics were compared between those included in this analysis and those aged 65 years or older from the same studies who were not included due to HMO membership or lack of social security number. …

Impact of COVID-19 on immunocompromised populations during the Omicron era: insights from the observational population-based INFORM study.

BackgroundImmunocompromised individuals are not optimally protected by COVID-19 vaccines and potentially require additional preventive interventions to mitigate the risk of severe COVID-19. We aimed to characterise and describe the risk of severe COVID-19 across immunocompromised groups as the pandemic began to transition to an endemic phase.MethodsCOVID-19-related hospitalisations, intensive care unit (ICU) admissions, and deaths (01/01/2022-31/12/2022) were compared among different groups of immunocompromised individuals vs the general population, using a retrospective cohort design and elec

The GIMEMA-ALLIANCE Digital Health Platform for Patients With Hematologic Malignancies in the COVID-19 Pandemic and Postpandemic Era: Protocol for a Multicenter, Prospective, Observational Study.

BACKGROUND: The COVID-19 pandemic has raised unprecedented challenges in the management of patients with cancer and has increased the demands for digital health tools that, for example, could facilitate remote monitoring of patients. Based on this, the Gruppo Italiano Malattie Ematologiche dell'Adulto (GIMEMA) has recently developed a digital health tool dedicated to patients with hematologic malignancies: the GIMEMA-ALLIANCE platform. OBJECTIVE: The main objectives of this web-based platform are to generate relevant data to better understand quality of life, symptoms, and medication adherenc