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Drug treatment for chemotherapy-induced peripheral neuropathy in patients with pancreatic cancer.

Pancreatic cancer (PC) is a lethal disease where most tumors are too advanced at diagnosis for resection, leaving chemotherapy as the mainstay of treatment. Although the prognosis of unresectable PC is poor, it has been dramatically improved by new chemotherapy treatments, such as the combination of 5-fluorouracil, oxaliplatin, irinotecan, and leucovorin (FOLFIRINOX) or gemcitabine plus nab-paclitaxel. However, as oxaliplatin and paclitaxel are common neurotoxic drugs, chemotherapy-induced peripheral neuropathy (CIPN) is a common and severe adverse effect of both treatments. As there are no ag

Haematologists' experiences implementing patient reported outcome measures (PROMs) in an outpatient clinic: a qualitative study for applied practice.

BackgroundThe patient-doctor relationship is crucial to provide person-centred care, allowing the alleviation of symptom burden caused by disease or treatment. Implementing Patient Reported Outcome Measures (PROMs) is suggested to inform the decision-making process and lead to initiation of care. Yet there are knowledge gaps regarding how meaningful it is to incorporate PROMs in clinical settings. The aim of this study was to investigate haematologists' experiences when PROMs were implemented in an outpatient setting.MethodsFourteen participant observations, 13 individual interviews and three

Internet-based guided self-help for glioma patients with depressive symptoms: a randomized controlled trial.

Depressive symptoms are common in glioma patients, and can negatively affect health-related quality of life (HRQOL). We performed a nation-wide randomized controlled trial to evaluate the effects of an online guided self-help intervention for depressive symptoms in adult glioma patients. Glioma patients with depressive symptoms were randomized to a 5-week online course based on problem-solving therapy, or a waiting list control group. After having received the intervention, the glioma patient groups combined were compared with patients with cancer outside the central nervous system (non-CNS ca

Shaping the future of multiple myeloma with artificial intelligence and digital twins: from concept to clinic.

Multiple myeloma (MM) is an incurable hematological malignancy with significant clinical and biological heterogeneity. Despite development and refinement of numerous prognostic models for MM, challenges with accurate and reliable risk stratification remain, highlighted by unexpected, early relapse or progression of disease in patients termed functional high-risk (FHR). To improve decision-making and optimise outcome, there is an unmet need for precise identification of high-risk (HR) patients, to enable tailored therapeutic strategies. With a complex and rapidly evolving treatment landscape, a

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… Large language models-enabled digital twins for precision medicine in rare gynecological tumors. NPJ Digit Med. (2025) 8(1):420. 10.1038/s41746-025-01810-z 79. Reiche K, Weirauch U, Kreuz M, Fischer L, Gras L, Neumuth T, et al. Virtual twins for personalised CAR T-cell therapy in myeloma. …

Текущие данные о связи языковой прочности с когнитивным снижением у пожилых людей и известными факторами риска, связанными со слабостью, саркопией и питанием: протокол аналитического обзора.

ВВЕДЕНИЕ: Факты указывают на то, что патология, лежащая в основе когнитивного упадка, ведущего к слабоумию, начинается 15-20 За годы до появления когнитивных симптомов. Таким образом, идентификация биомаркеров на этом предклиническом этапе имеет исключительно важное значение. Связанное с возрастом снижение массы и силы мышц, что является известным фактором риска для саркопсии, слабость и когнитивное упадок, также влияет на язык. В настоящем документе описывается априори протокол, подготовленный междисциплинарной группой для решения следующих вопросов, касающихся взрослых ≥50 возраст:1) Каковы

Real life management of patients hospitalized with multiple myeloma in France.

BACKGROUND: Patients with multiple myeloma included in prospective clinical trials are highly selected and therefore are expected not to be representative of the entire patient population. Additionally recommendations based on literature data and randomized trials are not systematically implemented in all patients. We sought to determine how patients hospitalized with a diagnosis of multiple myeloma are currently treated in France. METHODS AND FINDINGS: We performed a nation-wide search using the Programme de Médicalisation des Systèmes d'Information (PMSI) database which includes anonymous d

Понимание депрессии у людей, живущих с множественным склерозом: обзор последних событий в литературе.

Множественный склероз (MS) — хроническое нейродегенеративное и аутоиммунное заболевание, которое затрагивает примерно 1 миллион взрослых людей в США. Психологические расстройства являются типичными коморбидами у людей с MS (PwMS), причем наиболее распространенным явлением является депрессия. Клиническая депрессия в ПТМС может оказать существенное воздействие на качество жизни и фактор, в значительной степени влияющий на состояние лечения. Депрессия может вспыхнуть на ранних стадиях множества, что становится все более распространенным по мере развития болезни и усиления степени клинической инва

The efficiency of risedronate in reducing bone resorption after total hip arthroplasty: a meta-analysis of randomized control trials at a minimum of 6 months' follow-up.

BackgroundRecently risedronate is suggested to be effective for the prevention and treatment of for osteoporosis in total hip arthroplasty. This meta-analysis aimes to evaluate the efficacy of risedronate in reducing femoral periprosthetic bone mineral density loss in patients undergoing primary total hip arthroplasty.MethodsA systematic search was performed in Medline (1966-31 October 2017), PubMed (1966-31 October 2017), Embase (1980-31 October 2017), ScienceDirect (1985-31 October 2017) and the Cochrane Library. Only randomized controlled trial (RCT) were included. Fixed/random effect model

Acute interstitial nephritis - a reappraisal and update.

Acute interstitial nephritis (AIN) is an under recognized and under diagnosed cause of acute kidney injury (AKI). It is estimated to account for 15 - 20% of cases of AKI; it is the reported diagnosis in 2.8% of all kidney biopsies, and 13.5% of biopsies done specifically for acute renal failure. Considerable evidence implicates antigen initiated cell-mediated injury in the pathogenesis of AIN. Drugs account for 70% of all cases, with over 150 different agents incriminated. The remaining cases are due to infections, autoimmune diseases, and rarely idiopathic. The central component of renal inju

Safety of totally implantable venous access devices and peripherally inserted central catheters in hematological malignancies patients: a meta-analysis.

BackgroundThe use of totally implantable venous access devices (TIVADs) and peripherally inserted central catheters (PICCs) are the two options for patients receiving chemotherapy for hematologic malignancies. However, it remains unclear which approach yields superior patient outcomes. This meta-analysis aimed to compare the efficacy of TIVAPs and PICCs in patients undergoing chemotherapy for hematologic malignancies.MethodsA comprehensive literature search was conducted in PubMed, Embase, Cochrane Library, Wanfang, and China National Knowledge Infrastructure (CNKI) to identify available artic

Pricing, price revision, and clinical value of anticancer drugs in Japan: a retrospective observational study.

IntroductionThe high cost of anticancer drugs has raised concerns due to the financial burden on patients and pressure on healthcare systems. We examine the relation between pricing premiums, price revision, and clinical value for anticancer drugs approved in Japan.MethodsWe included anticancer drugs approved in Japan from 2013 to 2023. Differences in clinical value, as measured by the European Society for Medical Oncology Magnitude of Clinical Benefit Scale (ESMO-MCBS), among drugs receiving different premium proportions, were analyzed using the Mann-Whitney U test. Pearson correlation coeffi

Клинические и лабораторные характеристики и методы лечения пациентов, у которых диагностирована миелома: реальная группа пациентов в перуанской поликлинике.

Множественная миелома (ММ) — злокачественное распространение клеток клональной плазмы, вызывающее повреждения костей, почечную недостаточность, анемию и гиперкальцемию. Реальные данные о клинических характеристиках, методах лечения и результатах лечения пациентов с ММ в Латинской Америке, особенно в Перу, по-прежнему являются недостаточными. Цель этого исследования состояла в том, чтобы описать клинические и лабораторные характеристики, характеристики, методы и методы лечения. 5-year Выживание пациентов ММ в перуанской клинике. Мы провели ретроспективное когортное исследование с участием взрос

Combined lifestyle factors, incident cancer, and cancer mortality: a systematic review and meta-analysis of prospective cohort studies.

BackgroundCancer poses a huge disease burden, which could be reduced by adopting healthy lifestyles mainly composed of healthy diet, body weight, physical activity, limited alcohol consumption, and avoidance of smoking. However, no systematic review has summarised the relations of combined lifestyle factors with cancer morbidity and mortality.MethodsEMBASE and PubMed were searched up to April 2019. Cohort studies investigating the association of combined lifestyle factors with risks of incident cancer and cancer mortality were selected. Summary hazard ratios (HRs) and 95% confidence intervals

A practical guide for using registry data to inform decisions about the cost effectiveness of new cancer drugs: lessons learned from the PHAROS registry.

Decision makers increasingly request evidence on the real-world cost effectiveness of a new treatment. There is, however, a lack of practical guidance on how to conduct an economic evaluation based on registry data and how this evidence can be used in actual decision making. This paper explains the required steps on how to perform a sound economic evaluation using examples from an economic evaluation conducted with real-world data from the Dutch Population based HAematological Registry for Observational Studies. There are three main issues related to using registry data: confounding by indicat

What are determinants of utilisation of pharmaceutical anticancer treatment during the last year of life in Norway? A retrospective registry study.

OBJECTIVES: The objective of this study was to investigate the use of, and predictors for, pharmaceutical anticancer treatment (PACT) towards the end of a patient's life in a country with a public healthcare system. DESIGN: Retrospective registry study. SETTING: Secondary care in Norway. PARTICIPANTS: All Norwegian patients with cancer (International Classification of Diseases tenth revision (ICD-10) codes C00-99, D00-09, D37-48) in contact with a somatic hospital in Norway between 2009 and 2017 (N=420 655). Analyses were performed on a subsample of decedents with follow-back time of more t

Данные о дисфункции мозга в крови и синтезе иммуноглобулина CSF в расстройстве регрессии синдрома Дауна.

ЦЕЛИ: Данное исследование было направлено на оценку протеомических, метаболомических и иммунных сигнатур в цереброспинной жидкости лиц с нарушением регрессии синдрома Дауна (DDRD). МЕТОДЫ: Было проведено перспективное исследование по контролю за конкретными случаями, сравнивающее протеомные, метаболомные и иммунные профили у отдельных лиц с ДСРД. Образцы были получены из биорепозитории затронутых лиц по сравнению с клиническими данными и ранее были получены результаты нейродиагностических исследований. Лица с ДСРД сравнивались с лицами с установленными нейро-воспалительными заболеваниями (напр

Инфодемиология и инфовелленс множественных склерозов в Италии

Множественный склероз (MS) является хроническим изнурительным заболеванием вероятной аутоиммунной провокационной природы, аэтология которого не в полной мере понята, несмотря на многочисленные усилия и исследования. В этой рукописи мы пересматриваем концепцию < < мультипликаторного склероза 2.0 > > , т.е. использование Интернета пациентами, страдающими MS, для поиска медицинских и связанных с болезнями материалов для целей самообслуживания и саморегулирования, и внедряем основанный на Google Trends подход к мониторингу связанных с MS запросов и поисков в Google, который называется

Exploring the association and causal effect between white blood cells and psoriasis using large-scale population data.

IntroductionPsoriasis is a chronic inflammatory disease of the skin. A few studies have shown that psoriasis is an immune-mediated disease in which multiple immune cells play crucial roles. However, the association between circulating immune cells and psoriasis remains elusive.MethodsTo explore the role of circulating immune cells in psoriasis, 361,322 individuals from the UK Biobank (UKB) and 3,971 patients with psoriasis from China were included to investigate the association between white blood cells and psoriasis via an observational study. Genome-wide association studies (GWAS) and Mendel

Machine learning-based identification of co-expressed genes in prostate cancer and CRPC and construction of prognostic models.

The objective of this study was to employ machine learning to identify shared differentially expressed genes (DEGs) in prostate cancer (PCa) initiation and castration resistance, aiming to establish a robust prognostic model and enhance understanding of patient prognosis for personalized treatment strategies. mRNA transcriptome data associated with Castration-Resistant Prostate Cancer (CRPC) were obtained from the GEO database. Differential expression analysis was conducted using the limma R package to compare normal prostate samples with PCa samples, and PCa samples with CRPC samples. Next, w

Increased Cytoplasmic CD138 Expression Is Associated with Aggressive Characteristics in Prostate Cancer and Is an Independent Predictor for Biochemical Recurrence.

Syndecan-1 (CD138) is a transmembrane proteoglycan expressed in various normal and malignant tissues. It is of interest due to a possible prognostic effect in tumors and its role as a target for the antibody-drug conjugate indatuximab ravtansine. Here, we analyzed 17,747 prostate cancers by immunohistochemistry. Membranous and cytoplasmic CD138 staining was separately recorded. In normal prostate glands, CD138 staining was limited to basal cells. In cancers, membranous CD138 positivity was seen in 19.6% and cytoplasmic CD138 staining in 11.2% of 12,851 interpretable cases. A comparison with cl