Результаты поиска

Comparison of 24-hour versus random urine samples for determination and quantification of Bence Jones protein in a South African population.

BackgroundThe International Myeloma Working Group and College of American Pathologists recommend a 24-h urine collection to determine the Bence Jones protein (BJP) excretion level for monitoring treatment response in patients with multiple myeloma (MM). There are several issues related to sample collection and the method is prone to inaccuracy.ObjectiveThis study compared measured 24-h to random urine collections for the quantitation of BJP in a South African population.MethodsSixty-six patients with MM submitted random urine samples with their routine 24-h urine collection from April 2016 - M

Цифровые симптомы, сообщающие о готовности к лечению до Даратумумаба: слепое перспективное исследование в Множественной миеломе.

Цели: Для пациентов с множественной миеломой (ММ) в настоящее время все большая часть лечения оказывается на дому. Хотя такая смена обеспечивает удобство и способствует непрерывному уходу, она также требует новых путей обеспечения безопасности пациентов вне больницы. Хотя пациенты, проходящие лечение на дому, как правило, являются клинически стабильными, каждая администрация по-прежнему нуждается в предварительной оценке безопасности, которая традиционно проводится по телефону. Мы стремились оценить, могут ли результаты, о которых сообщают пациенты в цифровой форме, заменить эти звонки для опр

The impact of the COVID-19 pandemic on health-related quality of life of cancer patients in British Columbia.

BackgroundThe COVID-19 pandemic resulted in unprecedented changes to cancer care in many countries, impacting cancer patients' lives in numerous ways. This study examines the impact of changes in cancer care on patient's health-related quality of life (HRQL), which is a key outcome in cancer care. The study aims to estimate patients' self-reported HRQL before and during the pandemic and identify predictive factors for their physical and mental wellbeing.MethodThe study employed the large-scale Outpatient Cancer Care (OCC) Patient Experience Survey, including the Veterans RAND 12-Item Health Su

Impact of COVID-19 pandemic on 2-[18F]FDG PET/CT imaging work-flow in a single medical institution: comparison among the three Italian waves.

PurposeTo compare the impact of COVID-19 pandemic on 2-[18F]FDG PET/CT imaging work-flow during the three waves in a medical institution of southern of Italy.MethodsWe retrospectively reviewed the numbers and results of 2-[18F]FDG PET/CT studies acquired during the following three periods of the COVID-19 waves: 1) February 3-April 30, 2020; 2) October 15, 2020-January 15, 2021; and 3) January 18-April 16, 2021.ResultsA total of 861 PET/CT studies in 725 patients (388 men, mean age 64 ± 4 years) was acquired during the three waves of COVID-19 pandemic. The majority (94%) was performed for diagn

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… Therefore, efforts should be made towards balancing security measures and the need to ensure medical assistance without sacrificing patients' healthcare [ 21 ]. …

Межкультурное подтверждение комплексной паллиативной шкалы результатов для неврологических пациентов (IPOS-Neuro S8) у многочисленных склерозов.

ЦЕЛИ: Отсутствуют стандартные меры по оценке неврологических пациентов, проходящих паллиативный уход. Комплексная шкала паллиативных результатов - самоотчет, ориентированный на неврологических пациентов (IPOS) Neuro-S8) помогает определить бремя симптомов, но не имеет подтверждения на немецком языке. Цель этого исследования заключалась в подтверждении ИМПС Neuro-S8 у сильно пострадавших пациентов, страдающих множественным склерозом. МЕТОДЫ: Настоящее аттестационное исследование представляет собой вторичный анализ данных, полученных в ходе клинического исследования на этапе II, проведенного с п

Artificial Intelligence in the Management of Hereditary and Acquired Hemophilia: From Genomics to Treatment Optimization.

Hemophilia, an X-linked bleeding disorder, is characterized by a deficiency in coagulation factors. It manifests as spontaneous bleeding, leading to severe complications if not properly managed. In contrast, acquired hemophilia is an autoimmune condition marked by the development of inhibitory antibodies against coagulation factors. Both forms present significant diagnostic and therapeutic challenges, highlighting the need for advanced genetic, molecular, laboratory, and clinical assessments. Recent advances in artificial intelligence have opened new avenues for the management of hemophilia. M

Building a Sustainable Comprehensive Multiple Myeloma Program in Western Kenya.

Despite improved treatment strategies for multiple myeloma (MM), patient outcomes in low- and middle-income countries remain poor, unlike high-income countries. Scarcity of specialized human resources and diagnostic, treatment, and survivorship infrastructure are some of the barriers that patients with MM, clinicians, and policymakers have to overcome in the former setting. To improve outcomes of patients with MM in Western Kenya, the Academic Model Providing Access to Healthcare (AMPATH) MM Program was set up in 2012. In this article, the program's activities, challenges, and future plans are

Personalized home-based interval exercise training may improve cardiorespiratory fitness in cancer patients preparing to undergo hematopoietic cell transplantation.

Impaired cardiorespiratory fitness is associated with inferior survival in patients preparing to undergo hematopoietic cell transplantation (HCT). Exercise training based on short, higher intensity intervals has the potential to efficiently improve cardiorespiratory fitness. We studied home-based interval exercise training (IET) in 40 patients before autologous (N=20) or allogeneic (N=20) HCT. Each session consisted of five, 3 min intervals of walking, jogging or cycling at 65-95% maximal heart rate (MHR) with 3 min of low-intensity exercise (<65% MHR) between intervals. Participants were aske

Video head impulse testing before and after canalith repositioning for benign paroxysmal positional vertigo.

ObjectiveTo evaluate video head impulse testing (vHIT) outcomes in patients with benign paroxysmal positional vertigo (BPPV) before canalith repositioning maneuver (CRM), immediately after treatment, and 1 week post-treatment.Study designProspective before-after study.SettingTertiary referral center.PatientsOf 156 patients with vertigo and positional nystagmus, 63 were diagnosed with BPPV using standard maneuvers; 51 had posterior canal BPPV, 11 had lateral canal BPPV and 1 had anterior canal BPPV. All underwent vHIT to assess vestibulo-ocular reflex (VOR) gain across all 6 semicircular canals

Cancer medicines: a private vice for public benefit?

Cancer medicines have become one of the most dominant global medical technologies. They generate huge profits for the biopharmaceutical industry as well as fuel the research and advocacy activities of public funders, patient organisations, clinical and scientific communities and entire federal political ecosystems. The mismatch between the price, affordability and value of many cancer medicines and global need has generated significant policy debate, yet we see little change in behaviours from any of the major actors from public research funders through to regulatory authorities. In this polic

Множественная выживаемость миеломы в Новом Южном Уэльсе, Австралия, в период лечения 2020.

ЦЕЛЬ: В Австралии наблюдаются относительно высокие показатели заболеваемости миеломой (ММ) и смертности. За последние десятилетия улучшение положения в области лечения от болезней, связанных с беременностью и родами, привело к улучшению показателей выживания в странах с высоким уровнем дохода; однако отчетность в Австралии носит ограниченный характер. Мы изучили временные тенденции в области выживания ММ в масштабах всего населения 3 - продолжительность лечения в Новом Южном Уэльсе (НЮУ), Австралия.МЕТОДЫ: Лица, имеющие диагноз MM в регистре рака НЮУ 1985 и 2015 с жизненно важными последующими

Abstracts of the Cell Therapy Transplant Canada 2022 Annual Conference.

On behalf of Cell Therapy Transplant Canada (CTTC), we are pleased to present the Abstracts of the CTTC 2022 Annual Conference. The conference was held in-person 15-18 June 2022, in Niagara Falls, Ontario. Poster authors presented their work during a lively and engaging welcome reception on Thursday, 16 June, and oral abstract authors were featured during the oral abstract session in the afternoon on Friday, 17 June 2022. Thirty-three (33) abstracts were selected for presentation as posters and six (6) as oral presentations. The top abstracts in each of four (4) categories, (1) Basic/Translati

Distress and quality of life after autologous stem cell transplantation: a randomized clinical trial to evaluate the outcome of a web-based stepped care intervention.

BackgroundPsychological distress (i.e. depression and anxiety) is a strong predictor of functional status and other aspects of quality of life in autologous stem cell transplantation following high-dose chemotherapy. Treatment of psychological distress is hypothesized to result in improvement of functional status and other aspects of quality of life. The aim is to evaluate the outcome of stepped care for psychological distress on functional status and other aspects of quality of life in patients with hematological malignancy treated with autologous stem cell transplantation.Methods/designThe s

Application of wearables for remote monitoring of oncology patients: A scoping review.

ObjectiveThis review aims to systematically map and categorize the current state of wearable applications among oncology patients and to identify determinants impeding clinical implementation.MethodsA Medline, Embase and clinicaltrials.gov search identified journal articles, conference abstracts, letters, reports, dissertations and registered studies on the use of wearables in patients with malignancies published up to 10 November 2021.ResultsOf 2509 records identified, 112 met the eligibility criteria. Of these, 9.8% (11/112) were RCTs and 47.3% (53/112) of publications were observational. We

Мирабегрон 50 мг один раз в день, длительная терапия максимизирует пользу у людей среднего и пожилого возраста с синдромом гиперактивности мочевого пузыря: систематическое обзор и мета-анализ девяти фаз II/III, рандомизированных, двойных слепых, параллельных, плейсебо-контролируемых, многоцентровых и межнародных испытаний.

Превалирование и серьезность гиперактивного мочевого пузыря увеличиваются с возрастом, и мирабегрон является одобренным лечением для этого состояния. Настоящий мета-анализ систематически оценил эффективность и безопасность мирабегрона по сравнению с плацебо при лечении гиперактивного мочевого пузыря. Мы провели поиск в PubMed и Cochrane Library (30 октября 2023 г.) по релевантным статьям (источники: MEDLINE, EMBASE, ClinicalTrials.gov, ICTRP, CINAHL). Включенные были рандомизированные контролируемые испытания у взрослых с синдромом гиперактивного мочевого пузыря, сравнивающие мирабегрон с плац

Past Happiness and Broken Future Horizon of Oncological Patients during Chemotherapy-A Quantitative Exploration of a Phenomenological Hypothesis.

Understanding the impact of cancer on the experience of time is crucial in the context of hope and recovery. This study, a follow-up to a previous qualitative study of ovarian cancer patients - explored two types of such experiences-the memory of past happiness and the limited future planning. A sociodemographic questionnaire with nine questions about the experience of time was used on a convenience sample of 202 patients with various cancers, predominantly women with breast, ovarian, and cervical cancer. It was found that the respondents experienced increased focus on the present, decreased f

What are the attitudes of health professionals regarding patient reported outcome measures (PROMs) in oncology practice? A mixed-method synthesis of the qualitative evidence.

BackgroundThe adoption of Patient Reported Outcome Measures (PROMs) in cancer care has been widely advocated, but little is known about the evidence for the implementation of PROMs in practice. Qualitative research captures the perspectives of health professionals as end-users of PROMs and can be used to inform adoption efforts. This paper presents a systematic review and synthesis of qualitative research conducted to address the question: What are the attitudes of health professionals towards PROMs in oncology, including any barriers and facilitators to the adoption of PROMS, reported in qual

A Prospective Study of the IlluminOss Photodynamic Nail System for Pelvic Stabilization: Treatment of Impending and Actual Fractures from Metastatic Bone Disease, Multiple Myeloma, and Primary Bone Lymphoma.

BackgroundThe stabilization of metastatic lesions in the periacetabular region can be successfully performed using percutaneous techniques. Photodynamic nails (PDNs) are among the available tools for stabilization. Data on postoperative complications and functional outcomes are, however, scarce.MethodsPatients undergoing percutaneous stabilization using PDNs (IlluminOss Medical) for impending or actual minimally displaced pathological fractures of the pelvis from metastatic bone disease, multiple myeloma, or primary bone lymphoma were enrolled prospectively. Outcomes were assessed preoperative

The impact of government reimbursement negotiation on targeted anticancer medicines use and cost in China: A cohort study based on national health insurance data.

BackgroundHigh prices of targeted anticancer medicines (TAMs) result in financial toxicity for patients and the health insurance system. How national price negotiation and reimbursement policy affect the accessibility of TAMs for cancer patients remains unknown.MethodsIn this population-based cohort study, we used national health insurance claims data in 2017 and identified adult patients with cancer diagnoses for which price-negotiated TAMs were indicated. We estimated the half-month prevalence of price-negotiated TAMs use before and after the policy implementation in September 2017. We calcu

Cannabis stigma and symptom management considerations in cancer survivors: a mixed-methods exploration of patient perspectives.

PurposeThis study aims to assess for indications of stigma and attitudes toward cannabis among cancer survivors (CS) who use or consider the use of cannabis.MethodsThis study employed a convergent, parallel mixed methods design utilizing focus group and questionnaire data to assess the presence of stigma among a sample of CS (n = 23) who use (n = 10) and do not use (n = 13) cannabis to manage symptoms. CS were recruited from a multi-site observational study in the Northeast U.S. region that assesses cannabis use among oncology patients.ResultsA total of 23 CS participated in this study. In gen