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Attrition Rates in Multiple Myeloma Treatment under Real World Conditions-An Analysis from the Austrian Myeloma Registry (AMR).

Multiple myeloma (MM) is characterized by serial relapses, necessitating the application of sequential lines of therapy (LoT). Reports on attrition rates (ARs) vary widely. The present study analysed ARs from the Austrian Myeloma Registry. Attrition was defined as being either deceased, progressive without having received another LoT, or lack of follow-up for ≥5 years. A total of 571 patients diagnosed between January 2009 and August 2021 were included (median age: 72 years; median follow-up: 50.8 months). Some 507 patients received at least one LoT. Of the total, 43.6% underwent autologous st…

Network pharmacology- and molecular docking-based investigation of the therapeutic potential and mechanism of daucosterol against multiple myeloma.

BackgroundSome studies have shown that daucosterol has potential anti-tumor activity, but its therapeutic effect on multiple myeloma (MM) has not been reported. This study aimed to evaluate the therapeutic effect daucosterol against MM and explore its possible mechanism through network pharmacology.MethodsWe collected daucosterol and approved drugs for MM, and their potential target profiles were obtained. We used 2 major methods to collect the gene sets related to the physiological process of MM. Based on the protein-protein interaction (PPI) network in the STRING database, the correlation be

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… The RWR algorithm was performed in R 3.5.2 by package dnet (version 1.1.4; R Foundation fr Statistical Computing, Vienna, Austria), and the restart probability was set as the default value 0.75. …

Перспективное сравнительное исследование " Этопосайд " плюс " Г-КСФ " против " Г-СФС " , " Алоне " , последовавшее за " Рискованным " Plerixafor " для периферальной " клеточной мобилизации крови у пациентов с новой диагностированной множественной миеломой: " CAtholic Research Network for Multieloma Study " ( " Интерактивная сеть исследований " )CAREMM-2001).

Чтобы изучить оптимальную мобилизацию для нескольких пациентов, страдающих миеломой (ММ), мы провели перспективное испытание, сравнивая однодозную этопосайд (Etoposide).375 мг/м2 для one Днём) плюс только G-CSF и G-CSF, за которым следует адаптированный к рискам плериксафор. После случайности, 27 пациентов, входящих в этопосайдскую группу и 29 Пациенты, входящие только в группу &quot; G-CSF &quot; , получили помощь. Six (В тыс.22.2%) пациентов этопосайдской группы и 15 (В тыс.51.7%) пациенты только в группе G-CSF получили плеспико, основываясь на периферии крови CD34+ количество клеток < 15/мм

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… All statistical analyses were performed with R version 4.2.2 (R Foundation for Statistical Computing, Vienna, Austria) using the ‘Survival’, ‘tidycmprsk’, ‘ggplot2′, and ‘ggsurvfit’ packages on 15 May 2023. 3. Results 3.1. …

Role of Actinomyces spp. and related organisms in the development of medication-related osteonecrosis of the jaw (MRONJ): Clinical evidence based on a case series.

Medication-related osteonecrosis of the jaw (MRONJ) is an increasingly common consequence of antiresorptive treatment, which often leads to the development of necrotic exposed bone surfaces with inflammatory processes affecting the jawbone. Although the development of MRONJ is often associated with the inflammatory response or infections caused by the colonizing members of the oral microbiota, the exact pathogenesis of MRONJ is still not fully understood. In the present paper, we aimed to provide additional, microbiological culture-supported evidence, supporting the "infection hypothesis" that

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… In the decade-long (2005–2014) of Russmuller and colleages, Actinomyces spp. was identified (either with culture or histology) in 94.6% of elderly patients ( n = 111) with histologically-confirmed MRONJ in Vienna, Austria [ 58 ]. …

Свободные цепочки света, как новые биомаркеры отдельных заболеваний.

Для оказания помощи в диагностике и прогнозировании будущих клинических событий или прогрессирующих заболеваний необходимы диагностические и перспективные маркеры. В качестве перспективных биомаркеров отдельных заболеваний рассматривались бесплатные световые цепи (ФЛК) Δ и Δ. В настоящее время измерения FLC используются в повседневной диагностике, например, множественной миэломы, и хорошо понятна полезность FLC в качестве биомаркеров моноколональных гаммопатий. В связи с этим в настоящем обзоре основное внимание уделяется исследованиям, касающимся КЛС как новых потенциальных биомаркеров других

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… A panel of experts in the management and diagnosis of multiple sclerosis that convened in Vienna, Austria recommend the inclusion of κ FLC measurements in the next revisions of multiple sclerosis diagnostic criteria. …

Trifuhalol A Suppresses Allergic Inflammation through Dual Inhibition of TAK1 and MK2 Mediated by IgE and IL-33.

The activation and degranulation of immune cells play a pivotal role in allergic inflammation, a pathological condition that includes anaphylaxis, pruritus, and allergic march-related diseases. In this study, trifuhalol A, a phlorotannin isolated from Agarum cribrosum, inhibited the degranulation of immune cells and the biosynthesis of IL-33 and IgE in differentiated B cells and keratinocytes, respectively. Additionally, trifuhalol A suppressed the IL-33 and IgE-mediated activation of RBL-2H3 cells through the regulation of the TAK1 and MK2 pathways. Hence, the effect of trifuhalol A on allerg

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… The absorbance of each reaction was measured using an M1000 (TECAN, Salzburg, Austria) microplate reader at 405 nm. 4.4. …

Can a Bayesian belief network for survival prediction in patients with extremity metastases (PATHFx) be externally validated in an Asian cohort of 356 surgically treated patients?

Background and purposePredicted survival may influence the treatment decision for patients with skeletal extremity metastasis, and PATHFx was designed to predict the likelihood of a patient dying in the next 24 months. However, the performance of prediction models could have ethnogeographical variations. We asked if PATHFx generalized well to our Taiwanese cohort consisting of 356 surgically treated patients with extremity metastasis.Patients and methodsWe included 356 patients who underwent surgery for skeletal extremity metastasis in a tertiary center in Taiwan between 2014 and 2019 to valid

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… We used R for Mac (v4.0.4) (R Foundation for Statistical Computing, Vienna, Austria) for statistical analyses. …

Recurrent NF1 gene variants and their genotype/phenotype correlations in patients with Neurofibromatosis type I.

Neurofibromatosis type I, a genetic condition due to pathogenic variants in the NF1 gene, is burdened by a high rate of complications, including neoplasms, which increase morbidity and mortality for the disease. We retrospectively re-evaluated the NF1 gene variants found in the period 2000-2019 and we studied for genotype/phenotype correlations of disease complications and neoplasms 34 variants, which were shared by at least two unrelated families (range 2-11) for a total 141 of probands and 21 relatives affected by Neurofibromatosis type I. Recurrent variants could be ascribed to the most com

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… Vienna, Austria: R Foundation for Statistical Computing; 2020. https://www.r-project.org/ 31. Messiaen LM, Callens T, Roux KJ, et al. Exon 10b of the NF1 gene represents a mutational hotspot and harbors a recurrent missense mutation Y489C associated with aberrant splicing. …

Comparison of outcome and characteristics between 6343 COVID-19 patients and 2256 other community-acquired viral pneumonia patients admitted to Dutch ICUs.

PURPOSE: Describe the differences in characteristics and outcomes between COVID-19 and other viral pneumonia patients admitted to Dutch ICUs. MATERIALS AND METHODS: Data from the National-Intensive-Care-Evaluation-registry of COVID-19 patients admitted between February 15th and January 1th 2021 and other viral pneumonia patients admitted between January 1st 2017 and January 1st 2020 were used. Patients' characteristics, the unadjusted, and adjusted in-hospital mortality were compared. RESULTS: 6343 COVID-19 and 2256 other viral pneumonia patients from 79 ICUs were included. The COVID-19 pati

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… All analyses were performed using the R statistical environment (version 3.6.1) (R Foundation for Statistical Computing, Vienna, Austria). Results From February 15th, 2020 to January 1st 2021, 6624 COVID-19 patients were admitted to all 81 ICUs in the Netherlands. …

Всеобъемлющая эхокардиография левого атриума и левого вентрила, использующая современные методы, помогает лучше разоблачать испытательный фибрилляция у пациентов с гипертрофической кардиомиопатией

Предварительная фибрилляция (AF) — важная аритмия в гипертрофической кардиомиопатии (HCM). Мы стремились выяснить, повышает ли сложная оценка левого желудочка (LV) с использованием современных методов эхокардиографии, помимо левого предсердия (LA), вероятность диагностирования АФ. Стандартная эхокардиография, 2D и 3D спекл, была проведена для оценки LA и LV у пациентов HCM и здоровых добровольцев. Из 128 Первоначально квалифицированные пациенты из HCM, 60 К числу выполненных критериев относятся критерии, из которых 43 У него была история AF, и 17 были без AF. Индекс объема LA и пиковый штамм,

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… The statistical analysis was conducted with and R 3.1.2. environment (R Core Team, Vienna, Austria). 3. …

Rehabilitation after Allogeneic Haematopoietic Stem Cell Transplantation: A Special Challenge.

The general population is getting older and suffer more haematological malignancies despite being physically fit. These malignancies are mainly only curable via an alloHCT, and they are now carried out more frequently. Patients benefit from intensive rehabilitation earlier and may need it repeatedly in cases of severe side effects (e.g., graft-versus-host disease). They can suffer many problems that other cancer patients do not experience, such as severe infections, continued immunosuppression, nutritional restrictions, acute or chronic GvHD, or organ impairments (e.g., lung, eyes). They may a

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… Cancer Rehabilitation in Austria—Aspects of Physical Medicine and Rehabilitation Wien. Med. Wochenschr. 2016 166 39 43 10.1007/s10354-015-0414-1 26758980 2. Silver J.K. Stout N.L. Fu J.B. Pratt-Chapman M. Haylock P.J. Sharma R. The State of Cancer Rehabilitation in the United States J. …

Adjusted Comparison of Outcomes between Patients from CARTITUDE-1 versus Multiple Myeloma Patients with Prior Exposure to PI, Imid and Anti-CD-38 from a German Registry.

Ciltacabtagene autoleucel (cilta-cel) is a Chimeric antigen receptor T-cell therapy with the potential for long-term disease control in heavily pre-treated patients with relapsed/refractory multiple myeloma (RRMM). As cilta-cel was assessed in the single-arm CARTITUDE-1 clinical trial, we used an external cohort of patients from the Therapie Monitor registry fulfilling the CARTITUDE-1 inclusion criteria to evaluate the effectiveness of cilta-cel for overall survival (OS) and time to next treatment (TTNT) vs. real-world clinical practice. Individual patient data allowed us to adjust the compari

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… Analyses were performed with SAS 9.4 (SAS Institute, Cary, NC, USA) and R version 4.0.3 (R Foundation for Statistical Computing, Vienna, Austria). 2.6. …

PET/MRI versus PET/CT in oncology: a prospective single-center study of 330 examinations focusing on implications for patient management and cost considerations.

PurposePET/MRI has recently been introduced into clinical practice. We prospectively investigated the clinical impact of PET/MRI compared with PET/CT, in a mixed population of cancer patients, and performed an economic evaluation of PET/MRI.MethodsCancer patients referred for routine staging or follow-up by PET/CT underwent consecutive PET/CT and PET/MRI, using single applications of [18F]FDG, [68Ga]Ga-DOTANOC, or [18F]FDOPA, depending on tumor histology. PET/MRI and PET/CT were rated separately, and lesions were assessed per anatomic region; based on regions, per-examination and per-patient a

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… WW is a part-time employee of CBmed Ltd., Graz, Austria, and has received research grants from Scintomics, ITG, Ipsen Pharma, and Eckert-Ziegler AG as well as speaker honoraria from GE Healthcare. …

Oncological Diseases and Social Costs Considerations on Undertaken Health Policy Interventions.

The growing incidence and prevalence of civilization diseases is prompting national and transnational entities to seek instruments that would reverse epidemiological trends. Not without significance is the need to design such solutions that are going to provide an improved relation between the costs incurred to maintain health or recovery and the profit for citizens of continuing to function in good health. In its strategic documents, the European Union indicates the most important development goals in each financial perspective and the tools necessary to achieve them. In the Europe 2020 strat

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… decisions on the directions of allocation of public funds to meet health needs are countries, such as Sweden (identification of regional differences as a consequence of statistical analysis of defined indicators used to estimate health needs; in-depth analysis of selected health issues) [ 52 , 53 , 54 ], Austria …

Pre-transplant depression decreased overall survival of patients receiving allogeneic hematopoietic stem cell transplantation: a nationwide cohort study.

Studies investigating association of depression with overall survival (OS) after allogeneic hematopoietic stem cell transplantation (allo-HSCT) yielded conflicting results. A nationwide cohort study, which included all adult patients [n = 7,170; depression group, 13.3% (N = 956); non-depression group, 86.7% (N = 6,214)] who received allo-HSCT from 2002 to 2018 in South Korea, analyzed risk of pre-transplant depression in OS of allo-HSCT. Subjects were followed from the day they received allo-HSCT, to occurrence of death, or last follow-up day (December 31, 2018). Median age at allo-HSCT for de

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… For all statistical analysis, we used R statistical software (ver. 3.1.1, R Foundation for Statistical Computing, Vienna, Austria, 2012). …

Budget impact analysis of the use of oral and intravenous therapy regimens for the treatment of relapsed or refractory multiple myeloma in Germany.

BackgroundIn Germany, several triplet therapies for treating relapsed or refractory multiple myeloma (rrMM) patients have recently been approved. While most of them are administered intravenously, ixazomib-based combination is the only orally bioavailable regimen.ObjectiveTo conduct a 1-year and 3-year budget impact analysis (BIA) of different novel triplets to treat patients with rrMM in second or subsequent therapy lines accounting for costs covered by German statutory health insurance (SHI).MethodsA 3-state partitioned survival model (PSM) was developed to evaluate the budget impact of the

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… Economic analysis of costs and resource consumption of ixazomib in patients with relapsed/refractory multiple myeloma in Austria. Value Health. 2018 doi: 10.1016/j.jval.2018.09.187. 40. van Beurden-Tan CHY, Franken MG, Blommestein HM, et al. …

The avoidance of G-CSF and the addition of prophylactic corticosteroids after autologous stem cell transplantation for multiple myeloma patients appeal for the at-home setting to reduce readmission for neutropenic fever.

BackgroundAutologous stem cell transplantation (ASCT) remains the standard of care for young multiple myeloma (MM) patients; indeed, at-home ASCT has been positioned as an appropriate therapeutic strategy. However, despite the use of prophylactic antibiotics, neutropenic fever (NF) and hospital readmissions continue to pose as the most important limitations in the outpatient setting. It is possible that the febrile episodes may have a non-infectious etiology, and engraftment syndrome could play a more significant role. The aim of this study was to analyze the impact of both G-CSF withdrawal an

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… All analyses were performed using R.3.6.1 (R Foundation for Statistical Computing, Vienna, Austria, http://www.R-project.org ). Results Patient characteristics Patient demographics and clinical characteristics are summarized in Table 1 . …

Exercise before, during, and after Hospitalization for Allogeneic Hematological Stem Cell Transplant: A Feasibility Randomized Controlled Trial.

People with cancer who undergo allogeneic hematological stem cell transplant (allo-HSCT) experience significant deconditioning that can compromise quality of life. Exercise has shown to be beneficial before or after allo-HSCT; however, little is known about exercise therapy delivered across the continuum of care. We conducted a feasibility randomized controlled trial of exercise delivered prior to admission, during the inpatient stay, and after discharge versus control in people with planned allo-HSCT. Feasibility was assessed via recruitment and retention rates, the incidence of adverse event

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… All analyses were done in R version 3.6.1 (R Foundation for Statistical Computing, Vienna, Austria). 3. …

Management of Medication-Related Osteonecrosis of the Jaw (MRONJ) Using Leukocyte- and Platelet-Rich Fibrin (L-PRF) and Photobiomodulation: A Retrospective Study.

BACKGROUND: The aim of this study was to compare retrospectively the effect of three different treatment protocols on the healing outcome in patients with established medication-related osteonecrosis of the jaw (MRONJ). METHODS: A total of 34 MRONJ patients were recruited from the Department database and were divided according to the treatment protocols in a study group (G1) and two control groups (G2 and G3). G1 was treated with antibiotic therapy, surgery, leukocyte- and platelet-rich fibrin (L-PRF), and photobiomodulation; G2 was treated with antibiotic therapy and surgery; G3 was treated

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… Statistical Analysis The R statistical package (version 3.6.1; R Foundation for Statistical Computing, Vienna, Austria) was used for the statistical analysis. Descriptive statistics were obtained for quantitative and qualitative variables. …

Relationship among symptom clusters, quality of life, and treatment-specific optimism in patients with cancer

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… Methods Study design, sample, and setting This study is based on data from a cross-sectional quantitative survey in several day care units and inpatient departments treating patients with cancer at a large university medical center in Vienna (Austria). …