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Cohen DL, Dickman R, Bermont A, Richter V, Shirin H, Mari A. The Natural History of Esophageal “Absent Contractility” and Its Relationship with Rheumatologic Diseases: A Multi-Center Case–Control Study. J Clin Med 2022; 11:jcm11133922. [PMID: 35807207 PMCID: PMC9267218 DOI: 10.3390/jcm11133922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 06/29/2022] [Accepted: 07/04/2022] [Indexed: 02/01/2023] Open
Abstract
(1) Background: Absent contractility (AC) is an esophageal motility disorder defined as a normal integrated relaxation pressure with 100% failed peristalsis. We sought to clarify the natural history of this disorder and its relationship with rheumatologic diseases, such as systemic sclerosis (scleroderma). (2) Methods: We retrospectively identified patients with AC based on high-resolution manometry findings at three referral institutions and then matched them with controls with esophageal complaints who had normal manometries. (3) Results: Seventy-four patients with AC were included (mean age 56 years; 69% female). Sixteen patients (21.6%) had a rheumatologic disease. Compared to controls, patients with AC were significantly more likely to present with heartburn, dysphagia, vomiting, and weight loss. During follow-up, they were also more likely to be seen by a gastroenterologist, be diagnosed with gastroesophageal reflux disease, take a proton pump inhibitor, and undergo repeat upper endoscopies. No AC patients developed a new rheumatologic disease during follow-up. No significant differences were noted in the clinical presentation or course of AC patients with rheumatologic disease compared to those without. (4) Conclusions: Patients with AC have more esophageal symptoms and require more intense gastrointestinal follow-up than controls. Only a minority of patients with AC have underlying rheumatologic disease. Those without rheumatologic disease at baseline did not subsequently develop one, suggesting that a rheumatologic evaluation is likely unnecessary. The clinical course of AC in patients with rheumatologic disease and those without appears to be similar.
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Affiliation(s)
- Daniel L. Cohen
- The Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center, Zerifin 7030000, Israel; (A.B.); (V.R.); (H.S.)
- Correspondence: ; Tel.: +972-8-977-9720
| | - Ram Dickman
- Division of Gastroenterology, Beilinson Hospital, Rabin Medical Center, Petach Tikva 4941492, Israel;
| | - Anton Bermont
- The Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center, Zerifin 7030000, Israel; (A.B.); (V.R.); (H.S.)
| | - Vered Richter
- The Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center, Zerifin 7030000, Israel; (A.B.); (V.R.); (H.S.)
| | - Haim Shirin
- The Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center, Zerifin 7030000, Israel; (A.B.); (V.R.); (H.S.)
| | - Amir Mari
- Gastroenterology and Endoscopy Unit, Nazareth EMMS Hospital, Nazareth 16100, Israel;
- Faculty of Medicine, Bar Ilan University, Safed 1311502, Israel
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Baker FA, Taher R, Ganayem M, Mari A, Kopelman Y. Ethnic disparities in colorectal cancer outcomes : a population study from Israel. Ethn Health 2022; 27:554-564. [PMID: 32692255 DOI: 10.1080/13557858.2020.1795630] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2020] [Accepted: 07/09/2020] [Indexed: 06/11/2023]
Abstract
Objectives: Colorectal cancer (CRC) is an important cause of morbidity and mortality worldwide. Clear ethnic disparities in the incidence of CRC and its outcomes have been observed globally, but only few research efforts have been invested so far in the unique ethnic scene of Israeli population. This study aims to compare the clinico-pathologic features, tumor's characteristics and prognosis between Arab and Jewish CRC patients as well as among Jewish subgroups living within the same central coastal region in Israel.Methods: In this retrospective, single center study, a total of 401 patients with pathologically confirmed CRCs diagnosed during the years 2008-2015 were included. These were divided into Jewish (n = 334) and Arab (n = 67) groups. Data collected included demographics, country of birth, clinical presentation and family history. Tumor stage, location, histologic grade and mortality rate were compared retrospectively between both groups and within Jewish sub-populations.Results: Arabs were significantly younger at diagnosis (62.7 ± 12.9 vs. 69.3 ± 13.01; P < 0.01), presented more frequently with rectal bleeding, and were less likely to be diagnosed due to positive fecal occult blood test (9% vs. 22.6%; P = 0.012). Tumor distribution through the colon was comparable between both groups and characterized by a distal predominance. Arabs had a significantly higher rate of advanced stage at diagnosis (58% vs. 50.5%, OR = 2.454, 95%CI = 1.201-5.013; P = 0.02) when compared to Jews. Mortality rates were comparable between both groups. In the Jewish subpopulation analysis, we found that immigrants, especially those born in the former USSR, presented with significantly advanced tumor stages when compared to native Israelis (55% vs. 37.5%; P = 0.02).Conclusion: CRC in two major ethnic populations in Israel, Arabs and Jews, varied in terms of age at diagnosis, clinical presentation and stage at diagnosis. Similar findings were documented within a non-native Jewish subpopulation, raising the possibility of a low utilization of screening programs in these groups.
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Affiliation(s)
- Fadi Abu Baker
- Department of Gastroenterology and Hepatology, Hillel Yaffe Medical Center (Affiliated to the Technion Faculty of Medicine, Haifa, Israel), Hadera, Israel
| | - Randa Taher
- Department of Internal Medicine, Hillel Yaffe Medical Center (Affiliated to the Technion Faculty of Medicine, Haifa, Israel), Hadera, Israel
| | - Mohanad Ganayem
- Department of Internal Medicine, Hillel Yaffe Medical Center (Affiliated to the Technion Faculty of Medicine, Haifa, Israel), Hadera, Israel
| | - Amir Mari
- Department of Gastroenterology, Nazareth EMMS Hospital (Affiliated with the Faculty of Medicine, Bar Illan University), Nazareth, Israel
| | - Yael Kopelman
- Department of Gastroenterology and Hepatology, Hillel Yaffe Medical Center (Affiliated to the Technion Faculty of Medicine, Haifa, Israel), Hadera, Israel
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Mari A, Khoury T, Pellicano R. The Impact of Bariatric Surgery on Diverticulitis Outcomes: Another Reason to Lose Weight. Obes Surg 2022; 32:2076-2077. [PMID: 35314947 DOI: 10.1007/s11695-022-06026-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 02/10/2022] [Accepted: 03/07/2022] [Indexed: 11/25/2022]
Affiliation(s)
- Amir Mari
- Gastroenterology and Endoscopy Unit, The Nazareth Hospital, EMMS, Nazareth, Israel
- Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel
| | - Tawfik Khoury
- Department of Gastroenterology, Galilee Medical Center, Nahariya, Israel.
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel.
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Mari A, Antonelli A, Tafuri A, Tellini R, Brunocilla E, Capitanio U, Di Maida F, Gontero P, Grosso A, Nardoni S, Li Marzi V, Longo N, Montorsi F, Porpiglia F, Porreca A, Rocco B, Simeone C, Schiavina R, Schips L, Siracusano S, Terrone C, Ficarra V, Carini M, Minervini A. Gender disparities in kidney surgery: A real-life snapshot for a large prospective, multicenter observational study (the RECORd2 Project). Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)01069-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Tappero S, Parodi S, Mantica G, Borghesi M, Fiori C, Manfredi M, Bandini M, Mari A, Valastro F, Cerruto M, Gozzo A, Chessa F, Schiavina R, Briganti A, Minervini A, Antonelli A, Porpiglia F, Brunocilla E, Montorsi F, Suardi N, Terrone C. Radical cystectomy for bladder cancer in patients previously treated for prostate cancer: Perioperative and oncological outcomes. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00709-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Katayama S, Pradere B, Grossmann N, Potretzke A, Boorjian S, Daneshmand S, Djaladat H, Sfakianos J, Mari A, Khene Z, D’Andrea D, Kikuchi E, Fujita K, Heindenreich A, Raman J, Roumiguié M, Abdollah F, Marcus J, Breda A, Fontana M, Rouprêt M, Araki M, Nasu Y, Shariat S. Clinical significance of tumor location for ureteroscopic tumor grading in upper tract urothelial carcinoma. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00383-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Tuderti G, Autorino R, Minervini A, Kaouk J, Lau C, Perdonà S, Porpiglia F, Derweesh I, Saidian A, Nguyen M, Carbonara U, Rha K, Schiavina R, Mastroianni R, Misuraca L, Mari A, Brassetti A, Anceschi U, Bove A, Ferriero M, Mottrie A, Gallucci M, Simone G. On-clamp versus off-clamp robotic partial nephrectomy for totally endophytic deep renal masses: Propensity score-matched comparison of perioperative, oncologic and functional outcomes of a multicenter analysis (ROSULA database). Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00420-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Barletta F, Mazzone E, Gandaglia G, Ploussard G, Rahota RG, Valerio M, Campi R, Mari A, Mattei A, Marra G, Beavaul J, Roumiguié M, Afferi L, Moschini M, Gontero P, Van Der Bergh R, Zhuang J, Hongqian T, Stabile A, Fossati N, De Cobelli F, Esposito A, Brembilla G, Montorsi F, Briganti A. Prostate cancers detected at multi-parametric MRI targeted versus systematic biopsies: are they equal? Results from a large multi-institutional series. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00546-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Zlotta A, Ballas L, Niemierko A, Lajkosz K, Kuk C, Miranda G, Drumm M, Mari A, Thio E, Fleshner N, Kulkarni G, Chung P, Bristow R, Berlin A, Sridhar S, Feldman A, Wszolek M, Lee R, Zietman A, Shipley W, Saylor P, Daneshmand S, Efstathiou J. Propensity matched comparison of radical cystectomy with trimodality therapy for muscle invasive bladder cancer (MIBC): A multi-institutional study. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00840-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Anceschi U, Brassetti A, Tuderti G, Mastroianni R, Bove A, Ferriero M, Misuraca L, Minervini A, Mari A, Grosso A, Capitanio U, Larcher A, Montorsi F, Autorino R, Veccia A, Fiori C, Amparore D, Porpiglia F, Eun D, Lee J, Deerwesh I, Sundaram C, Steward J, Gallucci M, Simone G. Risks assessment of significant renal function deterioration after partial nephrectomy and call for reconsidering the imperative setting. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00221-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Tafuri A, Marchioni M, Cerrato C, Mari A, Veccia A, Parma P, Dal Moro F, Schiavina R, Bove P, Cantiello F, Porpiglia F, Ditonno P, Montanari E, Gontero P, Trombetta C, Terrone C, Schips L, Sciarra A, Galosi A, Ferro M, Shariat S, Di Nicola M, Minervini A, Pagliarulo V, Antonelli A. Renal function variation after nephroureterectomy for upper urinary tract carcinoma: Evaluation in a large multicenter cohort (Radical Nephroureterectomy Outcomes (RaNeO) Research Consortium). Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00380-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Gandaglia G, Mazzone E, Ploussard G, Marra G, Valerio M, Campi R, Mari A, Minervini A, Serni S, Moschini M, Marquis A, Beauval JB, Rakauskas A, Sessa F, Van Den Bergh R, Rahota RG, Soeterik T, Roumiguié M, Afferi L, Zhuang J, Guo H, Mattei A, Gontero P, Montorsi F, Briganti A. Definition and predictors of upgrading at final pathology in prostate cancer patients undergoing mri-targeted and systematic biopsies: Results from a large, multi-institutional series. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00700-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Tuderti G, Autorino R, Mastroianni R, Mari A, Carbonara U, Misuraca L, Anceschi U, Brassetti A, Ferriero M, Bove A, Costantini M, Porpiglia F, Kaouk J, Lau C, Derweesh I, Rha K, Schiavina R, Mottrie A, Gallucci M, Simone G. Nephrometry scores predicting value of Trifecta achievement in a multicenter analysis (ROSULA database) of Robotic Partial Nephrectomy for totally endophytic “deep” renal masses. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00146-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Puliatti S, Amato M, Farinha R, Paludo A, Rosiello G, De Groote R, Langhendries L, Lassel M, Mari A, Bianchi L, Piazza P, Van Cleynenbreugel B, Mazzone E, Van Hove K, Meganck S, Maertens L, Boret L, Migliorini F, Forte S, Rocco B, Kiely P, Micali S, Mottrie A, Gallagher A. A prospective, randomized, multi-centre trial on the efficiency and effectiveness of proficiency based progression robotic surgical skills training. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00115-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Stabile A, Mazzone E, Gandaglia G, Ploussard G, Rahota RG, Valerio M, Campi R, Mari A, Mattei A, Marra G, Beavaul J, Roumiguiè M, Afferi L, Moschini M, Gontero P, Van Den Bergh R, Zhuang J, Tuo H, Fossati N, Montorsi F, Briganti A. The prognostic value of the number of positive targeted cores in men with positive multiparametric magnetic resonance imaging of the prostate. Results from a large, multi-institutional series. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00540-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Sbeit W, Sbeit M, Kalisky I, Katz L, Mari A, Khoury T. The Possible Association of Non-Alcoholic Fatty Liver Disease with Acute Cholangitis: A Retrospective Multicenter Cohort Study. Life (Basel) 2021; 12:life12010035. [PMID: 35054428 PMCID: PMC8779558 DOI: 10.3390/life12010035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Revised: 12/24/2021] [Accepted: 12/25/2021] [Indexed: 11/19/2022] Open
Abstract
Non-alcoholic fatty liver disease (NAFLD) is increasingly encountered. It is associated with several comorbid diseases. However, its association with infectious biliary diseases is still unknown. Aims: We aimed to assess whether NAFLD is a risk factor for the development of acute cholangitis among patients with common bile duct (CBD) stones. Methods: We performed a retrospective study, including all patients with a documented diagnosis of CBD stone that had available data on the presence or absence of NAFLD. Descriptive analysis using univariate and multivariate models was used to assess whether an association existed between NAFLD and acute cholangitis. Results: We included 811 patients. Of them, 161 patients presented with acute cholangitis, vs. 650 patients who presented with symptomatic CBD stone without cholangitis. NAFLD was significantly more common in the cholangitis group compared to the non-cholangitis group (15.5% vs. 8.3%, p = 0.01). In univariate analysis, age (Odds ratio (OR) 1.04, p < 0.0001), male gender (OR 1.47, p = 0.03), hypertension (OR 1.81, p = 0.0008), hyperlipidemia (OR 1.59, p = 0.01), and NAFLD (OR 2.04, p = 0.006) were significantly associated with acute cholangitis. In multivariate analysis, NAFLD kept its association with acute cholangitis irrespective of age (OR 2.15, p = 0.005). Conclusions: NALFD showed a significant association with acute cholangitis among patients with a CBD stone. Clinicians should encourage treatment of NAFLD in general, and especially in the setting of gallstone disease.
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Affiliation(s)
- Wisam Sbeit
- Department of Gastroenterology, Galilee Medical Center, Nahariya 2221006, Israel; (W.S.); (M.S.)
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed 1320943, Israel
| | - Moeen Sbeit
- Department of Gastroenterology, Galilee Medical Center, Nahariya 2221006, Israel; (W.S.); (M.S.)
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed 1320943, Israel
| | - Itay Kalisky
- Faculty of Medicine, Institute of Gastroenterology and Hepatology, Hadassah University Medical Center, Hebrew University of Jerusalem, Jerusalem 9103401, Israel; (I.K.); (L.K.)
| | - Lior Katz
- Faculty of Medicine, Institute of Gastroenterology and Hepatology, Hadassah University Medical Center, Hebrew University of Jerusalem, Jerusalem 9103401, Israel; (I.K.); (L.K.)
| | - Amir Mari
- Gastroenterology and Endoscopy United, The Nazareth Hospital, EMMS, Nazareth 1613101, Israel;
- Faculty of Medicine, Bar-Ilan University, Ramat Gan 5290002, Israel
| | - Tawfik Khoury
- Department of Gastroenterology, Galilee Medical Center, Nahariya 2221006, Israel; (W.S.); (M.S.)
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed 1320943, Israel
- Correspondence: ; Tel.: +972-509870611
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Mari A, Sbeit W, Haddad H, Abboud W, Pellicano R, Khoury T. The impact of overweight on diverticular disease: a cross-sectional multicentre study. Pol Arch Intern Med 2021; 132. [PMID: 34935318 DOI: 10.20452/pamw.16177] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
INTRODUCTION The prevalence of colonic diverticulosis and diverticulitis has significantly increased in recent years. Obesity is a well-known risk factor for diverticulitis, but thus far less is known about the association between diverticulitis and overweight. OBJECTIVE To assess the association between overweight and diverticulitis and to study the potential relationship between body mass index (BMI) and disease severity. PATIENTS AND METHODS We conducted a retrospective, multicenter study. Patients who had been diagnosed with diverticulosis, which had been confirmed by colonoscopy, were included. The diagnosis of diverticulitis was confirmed by use of computed tomography. Weight status was defined as normal in cases of BMI = 18.5-24.9kg/m2, overweight when BMI was 25-29.9kg/m2 and obese with BMI ≥30kg/m2. RESULTS 592 patients were included. Among them, 157 patients (26.5%) were of normal BMI, 191 (32.3%) were overweight and 244 (41.2%) were obese. Patients with BMIs above the normal range had a higher odds of diverticulitis as compared with those with normal BMI (OR: 3.10, 95% CI: 2.00-4.73, P <0.001). Obesity was associated with a higher odds of diverticulitis as compared with patients who had normal BMI (OR: 4.50, 95% CI 2.84-7.12, P <0.001). Patients with overweight BMI had a higher odds of diverticulitis than was found in the normal BMI group (OR: 1.85, 95% CI 1.14-3.00, P = 0.01). CONCLUSIONS Overweight was associated with an increased risk of diverticulitis among patients with diverticulosis. Since overweight is a modifiable factor, this observation has preventive importance.
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Affiliation(s)
- Amir Mari
- Gastroenterology and Endoscopy Unit, Nazareth Hospital, EMMS, Nazareth, Faculty of Medicine, Bar-Ilan University, Israel
| | - Wisam Sbeit
- Department of Gastroenterology, Galilee Medical Center, Nahariya, Israel, Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel
| | - Haya Haddad
- Gastroenterology and Endoscopy Unit, Nazareth Hospital, EMMS, Nazareth, Faculty of Medicine, Bar-Ilan University, Israel
| | - Wisam Abboud
- Department of Surgery, Nazareth Hospital, EMMS, Nazareth, Faculty of Medicine, Bar-Ilan University, Israel
| | | | - Tawfik Khoury
- Department of Gastroenterology, Galilee Medical Center, Nahariya, Israel, Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel.
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Khoury T, Mari A, Sbeit W. A Novel Clinical Score Predicting the Presence of Fatty Pancreas. J Clin Med 2021; 10:jcm10245843. [PMID: 34945139 PMCID: PMC8704931 DOI: 10.3390/jcm10245843] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 11/30/2021] [Accepted: 12/10/2021] [Indexed: 12/14/2022] Open
Abstract
Background: Fatty pancreas (FP) has become an increasingly encountered entity in recent years. Several studies have shown an association with several disease states. Aims: we aimed to generate a simple non-invasive scoring model to predict the presence of FP. Method: We performed a retrospective cross-sectional analysis at Galilee Medical Center. Inclusion criteria included patients who underwent endoscopic ultrasound (EUS) for hepatobiliary indications and who had either hyperechogenic pancreas consistent with FP or no sonographic evidence of fatty pancreas. Results: We included 569 patients. Among them, 78 patients had FP by EUS and 491 patients did not have FP. On univariate analysis, obesity (odds ratio (OR) 5.11, p < 0.0001), hyperlipidemia (OR 2.86, p = 0.0005), smoking (OR 2.02, p = 0.04), hypertension (OR 2.58, p = 0.0001) and fatty liver (OR 5.94, p < 0.0001) were predictive of FP. On multivariate analysis, obesity (OR 4.02, p < 0.0001), hyperlipidemia (OR 2.22, p = 0.01) and fatty liver (OR 4.80, p < 0.0001) remained significantly associated with FP. We developed a diagnostic score which included three parameters that were significant on multivariate regression analysis, with assignment of weights for each variable according to the OR estimate. A low cut-off score of ≤1 was associated with a negative predictive value (NPV) of 98.1% for FP, whereas a high cut-off score of ≥2 was associated with a positive predictive value (PPV) of 35–56%. Conclusion: We recommend incorporating this simple score as an aid to identify individuals with FP.
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Affiliation(s)
- Tawfik Khoury
- Department of Gastroenterology, Galilee Medical Center, Nahariya 22100, Israel;
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed 5290002, Israel;
- Correspondence:
| | - Amir Mari
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed 5290002, Israel;
- Gastroenterology and Endoscopy Units, The Nazareth Hospital, EMMS, Nazareth 16100, Israel
| | - Wisam Sbeit
- Department of Gastroenterology, Galilee Medical Center, Nahariya 22100, Israel;
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed 5290002, Israel;
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Schumacher M, Egli A, Mari A, Navarini AA, Halter JP, Müller SM. Scarce data on skin microbiome in graft-versus-host disease after allogenic haematopoietic cell transplantation - a systematic review. J Eur Acad Dermatol Venereol 2021; 36:e357-e359. [PMID: 34897812 DOI: 10.1111/jdv.17869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- M Schumacher
- Dermatology, Division of Theragnostics, University Hospital Basel, Basel, Switzerland
| | - A Egli
- Clinical Bacteriology and Mycology, University Hospital Basel, Basel, Switzerland.,Applied Microbiology Research, Department of Biomedicine, University of Basel, Basel, Switzerland
| | - A Mari
- Clinical Bacteriology and Mycology, University Hospital Basel, Basel, Switzerland.,Applied Microbiology Research, Department of Biomedicine, University of Basel, Basel, Switzerland
| | - A A Navarini
- Dermatology, Division of Theragnostics, University Hospital Basel, Basel, Switzerland
| | - J P Halter
- Hematology, University Hospital Basel, Basel, Switzerland
| | - S M Müller
- Dermatology, Division of Theragnostics, University Hospital Basel, Basel, Switzerland
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Mari A, Abu Baker F, Said Ahmad H, Omari A, Jawabreh Y, Abboud R, Shahin A, Shibli F, Sbeit W, Khoury T. The Yield of Endoscopy and Histology in the Evaluation of Esophageal Dysphagia: Two Referral Centers’ Experiences. Medicina (B Aires) 2021; 57:medicina57121336. [PMID: 34946281 PMCID: PMC8705225 DOI: 10.3390/medicina57121336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 11/25/2021] [Accepted: 12/02/2021] [Indexed: 11/16/2022] Open
Abstract
Background and Objectives: The initial diagnostic test required to evaluate esophageal dysphagia is upper endoscopy (EGD) to assess the structure of the esophagus and the esophageo-gastric junction (EGJ). Taking biopsies during EGD has become a common practice in patients with dysphagia to rule out eosinophilic esophagitis (EoE). The aims of this study were to evaluate the endoscopic findings of patients who underwent EGD for esophageal dysphagia, to assess the rate of biopsy taking from the esophagus to diagnose/exclude EoE, and to report histology outcomes of these biopsies. Materials and Methods: This was a retrospective multicenter study that included individuals ≥18 years who underwent EGD due to esophageal dysphagia between the years 2015 and2020, (with no other alarm signs, such as weight loss, new iron deficiency anemia, and lymphadenopathy). We obtained data from patients’ electronic files. The endoscopy and histology findings were obtained from endoscopy reports saved in our electronic files. Results: A total of 209 patients were included in the study. The average age was 57.1 ± 17.1 years. The most common endoscopic findings were normal endoscopy in 76 patients (36.4%) and erosive esophagitis in 75 patients (35.9%). Barrett’s esophagus and esophageal malignancy were encountered in 11 patients (5.3%) and 2 patients (0.95%), respectively. Esophageal biopsies were taken in 50.2% of patients, and one patient had histological evidence of EoE (0.5%). On univariate analysis, there was a trend for association between proton pump inhibitors (PPIs) use and a normal EGD, but it was not statistically significant (OR 0.28, 95% CI 0.07–1.11, p = 0.07). Conclusions: Endoscopic findings were prevalent in dysphagia patients even when no other alarm symptoms exist. Neoplastic lesions and EOE were rare in our study.
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Affiliation(s)
- Amir Mari
- Gastroenterology and Endoscopy Units, The Nazareth Hospital, EMMS, Nazareth 16100, Israel;
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed 1311502, Israel; (A.S.); (W.S.); (T.K.)
- Correspondence: ; Tel.: +972-0-54214-2070
| | - Fadi Abu Baker
- Department of Gastroenterology, Hillel Yaffe Medical Center, Hadera 38100, Israel;
| | - Helal Said Ahmad
- Gastroenterology and Endoscopy Units, The Nazareth Hospital, EMMS, Nazareth 16100, Israel;
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed 1311502, Israel; (A.S.); (W.S.); (T.K.)
| | - Ali Omari
- Internal Medicine Department, The Nazareth Hospital, EMMS, Nazareth 16100, Israel; (A.O.); (Y.J.)
| | - Yazed Jawabreh
- Internal Medicine Department, The Nazareth Hospital, EMMS, Nazareth 16100, Israel; (A.O.); (Y.J.)
| | - Rand Abboud
- Surgery Department, The Nazareth Hospital, EMMS, Nazareth 16100, Israel;
| | - Amir Shahin
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed 1311502, Israel; (A.S.); (W.S.); (T.K.)
- Department of Gastroenterology, Galilee Medical Center, Nahariya 22100, Israel
| | - Fahmi Shibli
- Department of Gastroenterology and Liver Disease, Emek Medical Center, Afula 1855701, Israel;
- Rappaport Faculty of Medicine, Technion—Israel Institute of Technology, Haifa 38100, Israel
| | - Wisam Sbeit
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed 1311502, Israel; (A.S.); (W.S.); (T.K.)
- Department of Gastroenterology, Galilee Medical Center, Nahariya 22100, Israel
| | - Tawfik Khoury
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed 1311502, Israel; (A.S.); (W.S.); (T.K.)
- Department of Gastroenterology, Galilee Medical Center, Nahariya 22100, Israel
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Facco G, Mari A, Greco L, Forcellese A, Specchia N, Valenti M. New frontiers in pre-operative planning of complex spinal deformities. Phys Med 2021. [DOI: 10.1016/s1120-1797(22)00286-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Mari A, Capretti C, Sbaraglia F, Cameli A, Pierini L, Misericordia M, Giovagnoni A, Galosi A, Valenti M. Dual energy CT combined with Infrared Spectroscopy: imaging to predict urinary stones composition and stiffness. Phys Med 2021. [DOI: 10.1016/s1120-1797(22)00227-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Mahamid M, Nseir W, Khoury T, Mahamid B, Nubania A, Sub-Laban K, Schifter J, Mari A, Sbeit W, Goldin E. Nonalcoholic fatty liver disease is associated with COVID-19 severity independently of metabolic syndrome: a retrospective case-control study. Eur J Gastroenterol Hepatol 2021; 33:1578-1581. [PMID: 32868652 PMCID: PMC8555881 DOI: 10.1097/meg.0000000000001902] [Citation(s) in RCA: 60] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 07/01/2020] [Indexed: 02/06/2023]
Abstract
AIM Coronavirus disease 2019 (COVID-19) is a recently encountered disease that was declared a pandemic by WHO in 2020. Obesity and other components of the metabolic syndrome may aggravate the severity of COVID-19. Nonalcoholic fatty liver disease (NAFLD) represents the hepatic manifestation of metabolic syndrome. The aim of this study was to investigate a possible association between MAFLD and COVID-19 severity. METHODS We performed a retrospective, case-control study, enrolling 71 consecutive COVID-19 patients who were divided into two groups according to the presence or absence of fatty liver by computed tomography scan. All medical records of eligible patients were reviewed including demographic, clinical, laboratory parameters and data regarding the presence of NAFLD and COVID-19 severity. RESULTS NAFLD was identified in 22/71 (31%) of the study group. Out of 71, thirteen suffered from severe COVID-19. NAFLD patients had more severe COVID-19 compared with non-NAFLD subjects, 8/22 (36.3%) vs. 5/49(10.2%), (P < 0.005), respectively. Multiple logistic regression analysis showed that NAFLD subjects were more likely to have severe COVID-19 disease (odds ratio 3.57, 95% confidence interval: 1.22, 14.48, P = 0.0031). CONCLUSION NAFLD represents a high risk for severe COVID-19 irrespective to gender, and independent of metabolic syndrome specifically in male gender. Moreover, obesity, hypertension and metabolic syndrome were also significantly associated with severe COVID-19.
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Affiliation(s)
- Mahmud Mahamid
- Faculty of Medicine, Hebrew University of Jerusalem
- Department of gastroenterology and liver diseases, Shaare Zedek Medical Center, Jerusalem
| | - Wiliam Nseir
- Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Divisions of Internal Medicine, The Baruch Padeh Medical Center, Poriya
| | - Tawfik Khoury
- Department of Gastroenterology, Galilee Medical Center, Nahariya
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed
- Gastroenterology and liver diseases unit, EMMS, the Nazareth Hospital, Nazareth, Israel
| | - Baker Mahamid
- Gastroenterology and liver diseases unit, EMMS, the Nazareth Hospital, Nazareth, Israel
| | - Adi Nubania
- Faculty of Medicine, Hebrew University of Jerusalem
- Department of gastroenterology and liver diseases, Shaare Zedek Medical Center, Jerusalem
| | - Kamal Sub-Laban
- Faculty of Medicine, Hebrew University of Jerusalem
- Department of gastroenterology and liver diseases, Shaare Zedek Medical Center, Jerusalem
| | - Joel Schifter
- Faculty of Medicine, Hebrew University of Jerusalem
- Department of gastroenterology and liver diseases, Shaare Zedek Medical Center, Jerusalem
| | - Amir Mari
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed
- Gastroenterology and liver diseases unit, EMMS, the Nazareth Hospital, Nazareth, Israel
| | - Wisam Sbeit
- Department of Gastroenterology, Galilee Medical Center, Nahariya
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed
| | - Eran Goldin
- Faculty of Medicine, Hebrew University of Jerusalem
- Department of gastroenterology and liver diseases, Shaare Zedek Medical Center, Jerusalem
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Mari A, Sbeit W, Abboud W, Awadie H, Khoury T. Achalasia in the Elderly: Diagnostic Approach and a Proposed Treatment Algorithm Based on a Comprehensive Literature Review. J Clin Med 2021; 10:jcm10235565. [PMID: 34884267 PMCID: PMC8658648 DOI: 10.3390/jcm10235565] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 11/24/2021] [Accepted: 11/24/2021] [Indexed: 12/12/2022] Open
Abstract
Achalasia is not uncommonly diagnosed in elderly patients and its incidence and prevalence are growing in this population. However, a scarcity of studies has assessed the typical pathophysiological and clinical features of the disease as well as the effectiveness and safety of the various therapeutic options in elderly populations. Botulinum toxin injection has been used for achalasia treatment since 1994 and is traditionally considered the preferred treatment for fragile elder patients. However, recently more evidence has become available regarding the safety and effectiveness of pneumatic balloon dilation (BD), laparoscopic Heller myotomy (LHM) and per-oral endoscopic myotomy (POEM) in elderly patients with achalasia. In the current review we present the current literature on this topic with a focus on the clinical presentation of achalasia in the elderly and manometric features thereof, as well as summarize the effectiveness and safety of the various therapeutic options. Furthermore, we propose a practical management algorithm as a means to guide the treatment of future cases. We recommend that a conservative/BTI approach should be adopted in the fragile unfit patient. In the elderly fit patient, the treatment decision should be based on the achalasia type, patient preference and the available expertise, similar to the approach adopted for the non-elderly population.
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Affiliation(s)
- Amir Mari
- Gastroenterology and Endoscopy United, The Nazareth Hospital, EMMS, Nazareth 1613101, Israel;
- Faculty of Medicine, Bar-Ilan University, Safed 5290002, Israel; (W.S.); (W.A.)
| | - Wisam Sbeit
- Faculty of Medicine, Bar-Ilan University, Safed 5290002, Israel; (W.S.); (W.A.)
- Department of Gastroenterology, Galilee Medical Center, Nahariya 22100, Israel
| | - Wisam Abboud
- Faculty of Medicine, Bar-Ilan University, Safed 5290002, Israel; (W.S.); (W.A.)
- Department of Surgery, The Nazareth Hospital, EMMS, Nazareth 1613101, Israel
| | - Halim Awadie
- Emek Medical Center, Institute of Gastroenterology and Hepatology, Afula 1855701, Israel;
| | - Tawfik Khoury
- Faculty of Medicine, Bar-Ilan University, Safed 5290002, Israel; (W.S.); (W.A.)
- Department of Gastroenterology, Galilee Medical Center, Nahariya 22100, Israel
- Correspondence:
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Taher R, Kopelman Y, Zeina AR, Mari A, Abu Baker F. Predictors of Clinical Course and Outcomes of Acute Diverticulitis: The Role of Age and Ethnicity. Medicina (B Aires) 2021; 57:medicina57111269. [PMID: 34833487 PMCID: PMC8625937 DOI: 10.3390/medicina57111269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 11/09/2021] [Accepted: 11/15/2021] [Indexed: 11/18/2022] Open
Abstract
Background and Objectives: Acute diverticulitis (AD) is the leading and most burdensome complication of colonic diverticulosis. However, risk factors for its development and predictors of its course are still poorly defined. In this regard, the association of a young age with a complicated course and worse outcome are still controversial. Moreover, little research has addressed the effect of ethnicity on the course of AD. The current study aimed to evaluate the impact of these variables on AD’s course and outcome in the diverse and unique ethnic landscape of Israel. Materials and Methods: We performed a retrospective review of the charts of patients with a radiologically confirmed diagnosis of AD. Patients’ outcomes and disease course, including hospitalization duration, complications, and recurrent episodes, were documented and compared among different age and ethnic groups. Multivariate analysis was performed to identify predictors of complicated AD. Results: Overall, 637 patients with AD were included, the majority (95%) had distal colon AD, and almost one quarter of them were aged less than 50 years. The majority of patients in the young age (<50) group were males (69.7%). Nonetheless, the rate of recurrent episodes (35.3% vs. 37.3%, p = 0.19), hospitalization duration (5 ± 4.7 vs. 6 ± 3.2, p = 0.09) and complications rate (17.3% vs. 13.7%; p = 0.16) were similar for both age groups. In the ethnicity group analysis, Arab minority patients had a first episode of AD at a significantly younger age compared to their Jewish counterparts (51.8 vs. 59.4 years, p < 0.001). However, factors such as a complicated course (16% vs. 15%; p = 0.08) and relapsing episode rates (33% vs. 38%; p = 0.36) did not differ significantly between groups. None of the variables, including young age and ethnic group, were predictors of complicated AD course in the multivariate analysis. Conclusion: AD is increasingly encountered in young patients, especially in ethnic minority groups, but neither ethnicity nor young age was associated with worse outcomes.
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Affiliation(s)
- Randa Taher
- Department of Internal Medicine, Hillel Yaffe Medical Center, Affiliated to the Technion Faculty of Medicine, Haifa 38100, Israel;
| | - Yael Kopelman
- Department of Gastroenterology and Hepatology, Hillel Yaffe Medical Center, Affiliated to the Technion Faculty of Medicine, Haifa 38100, Israel;
| | - Abdel-Rauf Zeina
- Department of Radiology, Hillel Yaffe Medical Center, Affiliated to the Technion Faculty of Medicine, Haifa 38100, Israel;
| | - Amir Mari
- Department of Gastroenterology, Nazareth EMMS Hospital, Affiliated with the Faculty of Medicine, Bar Illan University, Safed 13100, Israel;
| | - Fadi Abu Baker
- Department of Gastroenterology and Hepatology, Hillel Yaffe Medical Center, Affiliated to the Technion Faculty of Medicine, Haifa 38100, Israel;
- Correspondence: ; Tel.: +972-526-467-172
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Afferi L, Lonati C, Montorsi F, Briganti A, Mari A, Schulz G, Black P, Di Trapani E, Karnes R, Mir M, Rink M, Zamboni S, Antonelli A, Tafuri A, Krajewski W, Xylinas E, Soria F, Teoh JC, Mattei A, Albisinni S, Roghmann F, Alvarez-Maestro M, Shariat S, Moschini M. Selecting the best candidates for cisplatin-based adjuvant chemotherapy after radical cystectomy in patients with pN+ bladder cancer. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)03193-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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77
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Puliatti S, Amato M, Farinha R, Paludo A, Rosiello G, De Groote R, Langhendries L, Lassel M, Mari A, Bianchi L, Piazza P, Van Cleynenbreugel B, Mazzone E, Migliorini F, Forte S, Rocco B, Kiely P, Mottrie A, Gallagher A. A prospective, randomized, multi-centre trial on the efficiency and effectiveness of proficiency based progression robotic surgical skills training. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)02264-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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78
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Palminteri E, Preto M, Mari A, Vitelli D, Iacovelli V, Ferrari G. Non-transecting dorsal mucosal anastomosis plus ventral oral graft for the treatment of bulbar strictures. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00764-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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79
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Veccia A, Carbonara U, Tellini R, Meherazin R, Eun D, Margulis V, Uzzo R, Porter J, Sundaram C, Abdollah F, Mottrie A, Minervini A, Mari A, Rha K, Cacciamani G, Simone G, Ferro M, Wu Z, Djaladat H, Derweesh I, Autorino R. Surgical quality of robotic vs laparoscopic radical nephroureterectomy for upper tract urothelial carcinoma: a multicenter retrospective analysis (ROBUUST collaborative group). EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00823-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Misuraca L, Tuderti G, Autorino R, Carbonara U, Mari A, Amparore D, Mastroianni R, Bove A, Anceschi U, Ferriero M, Brassetti A, Perdonà S, Lau C, Koon H, Leonardo C, Schiavina R, Derweesh I, Porpiglia F, Mottrie A, Kaouk J, Minervini A, Simone G. Nephrometry scores predicting value of trifecta achievement in a multicenter analysis (ROSULA database) of robotic partial nephrectomy for totally endophytic “deep” renal masses. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00734-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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81
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Lonati C, Baumeister P, Afferi L, Mari A, Minervini A, Krajewski W, Hendricksen K, Montorsi F, Briganti A, Colombo R, Antonelli A, Rouprêt M, Masson-Lecomte A, Shariat S, D’Andrea D, Soria F, Hurle R, Mir M, Zamboni S, Simeone C, Klatte T, Teoh J, Schulz G, Mattei A, Moschini M. Survival outcomes after radical cystectomy versus conservative management for T1 high grade non-muscle invasive micropapillary bladder cancer: a multicentre collaboration by the European Association of Urology – young academic urologists (EAU-YAU): urothelial carcinoma working group. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00702-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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82
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Veccia A, Carbonara U, Tellini R, Meherazin R, Eun D, Margulis V, Uzzo R, Porter J, Sundaram C, Abdollah F, Mottrie A, Minervini A, Mari A, Rha K, Cacciamani G, Simone G, Ferro M, Wu Z, Djaladat H, Derweesh I, Autorino R. Oncological outcomes of patients who achieved surgical quality during minimally invasive radical nephroureterectomy for upper tract urothelial carcinoma: a multicenter retrospective analysis (ROBUUST collaborative group). EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00822-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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83
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Tuderti G, Autorino R, Carbonara U, Mari A, Amparore D, Mastroianni R, Bove A, Anceschi U, Perdonà S, Lau C, Koon H, Leonardo C, Misuraca L, Ferriero M, Brassetti A, Schiavina R, Derweesh I, Porpiglia F, Mottrie A, Kaouk J, Minervini A, Simone G. Renal function deterioration assessment in totally endophytic “deep” renal masses treated with robotic partial nephrectomy: comparison with a whole cohort of cT1-2 renal tumors patients from a multicenter analysis (ROSULA database). EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00753-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Presutti M, Sessa F, Vittori G, Mari A, Campi R, Bisegna C, Polverino P, Di Maida F, Minervini A, Serni S, Carini M. High intensity focused ultrasound (HIFU) for treatment of localized prostate cancer: high-volume single-center experience. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)01008-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Gandaglia G, Mazzone E, Stabile A, Barletta F, Bravi C, Cirulli G, Scuderi S, Afferi L, Moschini M, Campi R, Mari A, Rahota R, Ploussard G, Valerio M, Marra G, Marquis A, Beauval J, Roumiguié M, Gontero P, Zhuang J, Tuo H, Fossati N, Montorsi F, Briganti A. Added value of radiological tumor stage in predicting early oncological outcomes in prostate cancer patients undergoing radical prostatectomy within clinical stage: a stage-by-stage analysis. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00972-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Mazzone E, Stabile A, Barletta F, Scuderi S, Cirulli G, Robesti D, Ploussard G, Rahota R, Valerio M, Campi R, Mari A, Marra G, Marquis A, Beavaul J, Roumiguié M, Afferi L, Moschini M, Gontero P, Zhuang J, Tuo H, Gandaglia G, Fossati N, Montorsi F, Briganti A. Individualized risk stratification of patients candidate to radical prostatectomy based on clinical and multi-parametric MRI parameters: beyond the conventional clinical risk models. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00967-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Tellini R, Mari A, Antonelli A, Grosso A, Bove P, Brunocilla E, Capitanio U, Checcucci E, Di Maida F, Gontero P, Longo N, Montanari E, Montorsi F, Porpiglia F, Porreca A, Rocco B, Schiavina R, Serni S, Simeone C, Trombetta C, Ficarra V, Carini M, Minervini A. Laparoscopic versus robotic partial nephrectomy in obese patients: perioperative and early functional outcomes from a large prospective contemporary series (RECORd2 project). EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00949-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Colombo C, Foppiani A, Bisogno A, Gambazza S, Daccò V, Nazzari E, Leone A, Giana A, Mari A, Battezzati A. Lumacaftor/ivacaftor in cystic fibrosis: effects on glucose metabolism and insulin secretion. J Endocrinol Invest 2021; 44:2213-2218. [PMID: 33586024 PMCID: PMC8421269 DOI: 10.1007/s40618-021-01525-4] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 01/30/2021] [Indexed: 12/26/2022]
Abstract
PURPOSE The question whether the new cystic fibrosis transmembrane conductance regulator (CFTR) modulator drugs aimed at restoring CFTR protein function might improve glucose metabolism is gaining attention, but data on the effect of lumacaftor/ivacaftor treatment (LUMA/IVA) on glucose tolerance are limited. We evaluated the variation in glucose metabolism and insulin secretion in CF patients homozygous for Phe508del CFTR mutation after one-year treatment with LUMA/IVA in comparison to patients with the same genotype who did not receive such treatment. METHODS We performed a retrospective case-control study on 13 patients with a confirmed diagnosis of CF, homozygous for the Phe508del CFTR mutation, who received LUMA/IVA for one year (cases) and 13 patients with identical genotype who did not receive this treatment (controls). At the beginning and conclusion of the follow-up, all subjects received a modified 3 h OGTT, sampling at baseline, and at 30 min intervals for plasma glucose, serum insulin, and c-peptide concentrations to evaluate glucose tolerance, and quantify by modeling beta-cell insulin secretion responsiveness to glucose, insulin clearance and insulin sensitivity. RESULTS LUMA/IVA did not produce differences in glucose tolerance, insulin secretory parameters, clearance and sensitivity with respect to matched controls over one-year follow-up. CONCLUSION We found no evidence of improvements in glucose tolerance mechanisms in patients with CF after one-year treatment with LUMA/IVA.
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Affiliation(s)
- C Colombo
- Cystic Fibrosis Center, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Via Commenda 9, 20122, Milan, Italy.
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
| | - A Foppiani
- International Center for the Assessment of Nutritional Status (ICANS), Department of Food Environmental and Nutritional Sciences (DeFENS), University of Milan, Milan, Italy
| | - A Bisogno
- Cystic Fibrosis Center, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Via Commenda 9, 20122, Milan, Italy
| | - S Gambazza
- Cystic Fibrosis Center, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Via Commenda 9, 20122, Milan, Italy
- Direzione delle Professioni Sanitarie, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - V Daccò
- Cystic Fibrosis Center, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Via Commenda 9, 20122, Milan, Italy
| | - E Nazzari
- Cystic Fibrosis Center, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Via Commenda 9, 20122, Milan, Italy
| | - A Leone
- International Center for the Assessment of Nutritional Status (ICANS), Department of Food Environmental and Nutritional Sciences (DeFENS), University of Milan, Milan, Italy
| | - A Giana
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
| | - A Mari
- National Research Council (CNR), Institute of Neuroscience, Padua, Italy
| | - A Battezzati
- International Center for the Assessment of Nutritional Status (ICANS), Department of Food Environmental and Nutritional Sciences (DeFENS), University of Milan, Milan, Italy
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89
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Minervini A, Antonelli A, Mari A, Tafuri A, Tellini R, Brunocilla E, Capitanio U, Di Maida F, Diminutto A, Gontero P, Grosso A, Li Marzi V, Longo N, Montorsi F, Porpiglia F, Porreca A, Rocco B, Simeone C, Schiavina R, Schips L, Siracusano S, Terrone C, Ficarra V, Carini M. Significant renal function decline after partial nephrectomy: martini’s nomogram validation in RECORD 2 project cohort. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00759-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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90
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Grosso A, Tellini R, Verrienti P, Salvi M, Sessa F, Campi R, Di Maida F, Di Camillo M, Lambertini L, Mormile N, Nardoni S, Olivera L, Valastro F, Cangemi V, Viola L, Scelzi S, Mari A, Masieri L, Carini M, Minervini A, Tuccio A. Predictors of early catheter replacement after HoLEP: results from a high-volume laser center. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00799-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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91
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Misuraca L, Tuderti G, Autorino R, Carbonara U, Mari A, Amparore D, Mastroianni R, Bove A, Anceschi U, Ferriero M, Brassetti A, Perdonà S, Lau C, Koon H, Leonardo C, Schiavina R, Derweesh I, Porpiglia F, Mottrie A, Kaouk J, Minervini A, Simone G. Robotic partial nephrectomy for totally endophytic “deep” renal masses: perioperative, pathologic, oncologic and functional outcomes of a multicenter analysis (ROSULA database). EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00755-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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92
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Tellini R, Mari A, Amparore D, Antonelli A, Allasia M, Bove P, Brunocilla E, Capitanio U, Di Maida F, Gontero P, Longo N, Montorsi F, Gallioli A, Grosso A, Porpiglia F, Porreca A, Rocco B, Schiavina R, Li Marzi V, Trombetta C, Ficarra V, Carini M, Minervini A. Partial versus radical nephrectomy for the treatment of T1 renal tumors: a large contemporary matched-cohort study (RECORd2 project). EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)01000-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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93
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Gemma L, Di Maida F, Mari A, Grosso A, Verrienti P, Lambertini L, Bacchiani M, Valastro F, Bisegna C, Bossa R, Lapini A, Scelzi S, Masieri L, Carini M, Minervini A. Robot assisted radical cystectomy with florence robotic intracorporeal neobladder (FloRIN): a six-month assessment of functional and urodynamic features compared with a contemporary series of open vescica ileale padovana (VIP). EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00862-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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94
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Di Maida F, Mari A, Grosso A, Lambertini L, Valastro F, Bisegna C, Giudici S, Cangemi V, Viola L, Tellini R, Fantechi R, Vittori G, Masieri L, Carini M, Minervini A. Robot assisted radical cystectomy with florence robotic intracorporeal neobladder (FloRIN): analysis of survival and functional outcomes after first 100 consecutive patients upon accomplishment of phase 3 ideal framework. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00857-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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95
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Mari A, Tellini R, Antonelli A, Porpiglia F, Schiavina R, Amparore D, Brunocilla E, Capitanio U, Checcucci E, Da Pozzo L, Di Maida F, Fiori C, Furlan M, Gontero P, Longo N, Roscigno M, Simeone C, Siracusano S, Ficarra V, Carini M, Minervini A. A nomogram for the prediction of long-term significant renal function loss after robot-assisted partial nephrectomy for localized renal tumors: a prospective multicenter observational study (RECORd2 project). EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00751-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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96
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Afferi L, Lonati C, Montorsi F, Briganti A, Mari A, Schulz G, Black P, Di Trapani E, Karnes R, Mir M, Rink M, Zamboni S, Simeone C, Antonelli A, Tafuri A, Krajewski W, Xylinas E, Soria F, Teoh J, Mattei A, Albisinni S, Roghmann F, Alvarez-Maestro M, Shariat S, Moschini M. Selecting the best candidates for cisplatin-based adjuvant chemotherapy after radical cystectomy in pN+ bladder cancer patients. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00860-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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97
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Bove P, Bertolo R, Sandri M, Cindolo L, Annino F, Cipriani C, Leonardo C, Parma P, Nucciotti R, Porreca A, Falsaperla M, Veneziano D, Celia A, Veccia A, Veccia A, Sessa F, Mari A, Minervini A, Antonelli A. Cross-analysis of two randomized trials to compare pure versus robot-assisted off-clamp laparoscopic partial nephrectomy. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00956-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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98
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Anceschi U, Flammia R, Brassetti A, Tuderti G, Ferriero M, Minervini A, Mari A, Grosso A, Capitanio U, Larcher A, Montorsi F, Autorino R, Veccia A, Fiori C, Amparore D, Porpiglia F, Eun D, Lee J, Deerwesh I, Sundaram C, Steward J, Gallucci M, Simone G. Imperative versus elective minimally-invasive partial nephrectomy: results of a multi-institutional collaborative series. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00953-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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99
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Tuderti G, Autorino R, Carbonara U, Mari A, Amparore D, Mastroianni R, Bove A, Anceschi U, Misuraca L, Ferriero M, Brassetti A, Perdonà S, Lau C, Koon H, Leonardo C, Schiavina R, Derweesh I, Porpiglia F, Mottrie A, Kaouk J, Minervini A, Simone G. Trifecta assessment in totally endophytic “deep” renal masses treated with robotic partial nephrectomy: comparison with a whole cohort of cT1-2 renal tumors patients from a multicenter analysis (ROSULA database). EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00754-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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100
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Naftali T, Richter V, Mari A, Khoury T, Shirin H, Broide E. The inflammatory bowel disease disk application: A platform to assess patients' priorities and expectations from treatment. J Dig Dis 2021; 22:582-589. [PMID: 34431218 DOI: 10.1111/1751-2980.13045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2021] [Revised: 08/18/2021] [Accepted: 08/23/2021] [Indexed: 12/11/2022]
Abstract
OBJECTIVE Inflammatory bowel disease (IBD) significantly impacts on patients' well-being. Patients' preferences for treatment outcomes do not necessarily fit physicians' goals. We aimed to investigate patients' priorities and expectations from treatment. METHODS A questionnaire based on the IBD Disk application was distributed to patients through social media. Patient's preferences were assessed by grading the 10 IBD Disk items on a Likert-type scale from 1 to 10. A cluster analysis was used to classify patients into homogeneous subgroups according to their preferred items, using the K-means method. RESULTS Among the 224 patients, 69.2% had Crohn's disease (CD). Their mean age was (38.9 ± 14.9) years and 62.9% were female. More CD patients compared with those with ulcerative colitis were treated with biologics compared with those with ulcerative colitis (71.0% vs 39.1%, P < 0.001). Most IBD Disk items ranked high in patients' preferences for treatment outcomes. Their leading preference was reducing abdominal pain, which was more prominent in CD patients, followed by regulating defecation and energy. Least important were interpersonal interactions, sexual functions, and body image. Patients were categorized into three clusters. Cluster 3 patients gave lower scores to most items and were characterized by tertiary education (P = 0.001), higher income (P < 0.001), less active disease (P = 0.02), and higher prevalence of successful treatment (P = 0.04). CONCLUSIONS Patients' preferences for treatment outcomes are influenced by higher education, higher income, rural-dwelling, and disease activity. Better understanding of individual patient's preferences and the factors that affect them might bridge the gap between patients' and physicians' priorities to achieve better teamwork in controlling disease outcomes.
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Affiliation(s)
- Timna Naftali
- Department of Gastroenterology, Meir Medical Center, Kfar Saba, Israel.,Faculty of Medicine, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Vered Richter
- Gonczarowski Family Institute of Gastroenterology and Liver Disease, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel
| | - Amir Mari
- Gastroenterology and Hepatology Institute, Nazareth Hospital, Nazareth, Israel.,Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel
| | - Tawifik Khoury
- Gastroenterology and Hepatology Institute, Nazareth Hospital, Nazareth, Israel.,Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel
| | - Haim Shirin
- Faculty of Medicine, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Gonczarowski Family Institute of Gastroenterology and Liver Disease, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel
| | - Efrat Broide
- Faculty of Medicine, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Gonczarowski Family Institute of Gastroenterology and Liver Disease, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.,Jecheskiel Sigi Gonczarowski Pediatric Gastroenterology Unit, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel
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