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Scheiner D, Perucchini D, Fink D, Betschart C. [Gynecology: urinary incontinence - mini-review and case reports]. PRAXIS 2012; 101:585-592. [PMID: 22535454 DOI: 10.1024/1661-8157/a000920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Although urinary incontinence affects one in three women, it is still a taboo topic. Today, effective conservative and surgical treatment options are available. When conservative therapies fail, minimally invasive surgical methods can be offered. The tension-free vaginal tape TVT is gold standard in the treatment of female stress urinary incontinence. In case of immobile urethra or in multi-morbid patients, the minimally invasive technique of periurethral injection of bulking agents may be useful. In patients with refractory overactive bladder, the intravesical injection of botulinum neurotoxin is available.
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Wolfe D, Krisky D, Goss J, Wechuck J, Fink D. Gene transfer for pain: results of a phase II clinical trial. THE JOURNAL OF PAIN 2012. [DOI: 10.1016/j.jpain.2012.01.296] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Fink D, Barea J, Beck D, Blaum K, Böhm C, Borgmann C, Breitenfeldt M, Herfurth F, Herlert A, Kotila J, Kowalska M, Kreim S, Lunney D, Naimi S, Rosenbusch M, Schwarz S, Schweikhard L, Simkovic F, Stanja J, Zuber K. Q value and half-lives for the double-β-decay nuclide 110Pd. PHYSICAL REVIEW LETTERS 2012; 108:062502. [PMID: 22401059 DOI: 10.1103/physrevlett.108.062502] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2011] [Revised: 01/17/2012] [Indexed: 05/31/2023]
Abstract
The 110Pd double-β decay Q value was measured with the Penning-trap mass spectrometer ISOLTRAP to be Q=2017.85(64) keV. This value shifted by 14 keV compared with the literature value and is 17 times more precise, resulting in new phase-space factors for the two-neutrino and neutrinoless decay modes. In addition a new set of the relevant matrix elements has been calculated. The expected half-life of the two-neutrino mode was reevaluated as 1.5(6)×10(20) yr. With its high natural abundance, the new results reveal 110Pd to be an excellent candidate for double-β decay studies.
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Fedosseev VN, Berg LE, Fedorov DV, Fink D, Launila OJ, Losito R, Marsh BA, Rossel RE, Rothe S, Seliverstov MD, Sjödin AM, Wendt KDA. Upgrade of the resonance ionization laser ion source at ISOLDE on-line isotope separation facility: new lasers and new ion beams. THE REVIEW OF SCIENTIFIC INSTRUMENTS 2012; 83:02A903. [PMID: 22380244 DOI: 10.1063/1.3662206] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The resonance ionization laser ion source (RILIS) produces beams for the majority of experiments at the ISOLDE on-line isotope separator. A substantial improvement in RILIS performance has been achieved through a series of upgrade steps: replacement of the copper vapor lasers by a Nd:YAG laser; replacement of the old homemade dye lasers by new commercial dye lasers; installation of a complementary Ti:Sapphire laser system. The combined dye and Ti:Sapphire laser system with harmonics is capable of generating beams at any wavelength in the range of 210-950 nm. In total, isotopes of 31 different elements have been selectively laser-ionized and separated at ISOLDE, including recently developed beams of samarium, praseodymium, polonium, and astatine.
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Fichtner PP, Behar M, Olivieri CA, Livi RP, De Souza JP, Zawislak FC, Fink D, Biersack JP. Large Z1-range effect for Eu, Yb and Au ions implanted in amorphized silicon. ACTA ACUST UNITED AC 2011. [DOI: 10.1080/01422448608209721] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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31
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Seuser A, Wendel M, Navarrete-Duran M, Fink D, Auerswald G, Böhm P. [Analysis of muscle function with kinetic superficial EMG in children with haemophilia - recognizing subclinical changes, establishing individual therapy, quality control]. Hamostaseologie 2011; 31 Suppl 1:S38-S45. [PMID: 22057796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2011] [Accepted: 05/13/2011] [Indexed: 05/31/2023] Open
Abstract
UNLABELLED Electromyography (EMG) measures muscle electricity. It depends on muscle contraction and central motor control. Muscles react very sensitive on external signals (e. g. bleeding), The resulting changes can be shown in EMG. PATIENTS, METHODS A first study included 51 children and young adults from Costa Rica. They underwent a clinical examination and EMG of the hip, knee and ankle joints. Resting muscle tone, maximal isometric contraction and three typical isotonic movements of the joints were measured. First step of analysis was to characterize typical pathogenic changes in the muscles and to find a corresponding physical therapy to minimize these changes. RESULTS It showed that EMG is a good marker for muscle condition. It helps to individualize therapy and improve effectivity of physical and physiotherapeutic treatment of the locomotive system of children and young adults with hemophilia. It can help to recognize early subclinical changes and to control the outcome of therapeutic modalities.
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32
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Leo C, Fink D. [Erythropoietinin oncologic therapy -- what so we know about the risks?]. PRAXIS 2011; 100:1239-1246. [PMID: 21971618 DOI: 10.1024/1661-8157/a000689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Erythropoietin is a glycoprotein predominantly produced in the kidney. It is an essential regulator of erythropoiesis in the bone marrow. Although cancer-associated anemia is caused by multiple factors, recombinant erythropoietin (rhuEpo) was widely used to treat and prevent this condition. Several clinical studies showed that the use of rhuEpo results in an efficient reduction of red blood cell transfusions in cancer-associated anemia. However, over the past twenty years, Epo and its receptor EpoR were found to be expressed also outside the hematopoietic system and in malignant tumors. This led to a discussion concerning potential risks associated with the application of erythropoiesis-stimulating agents in oncology.
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33
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Shafei R, Baneke A, Fink D, Costello J. 012 Retrospective analysis of cervical spine radiography in a tertiary head injury centre. Arch Emerg Med 2011. [DOI: 10.1136/emermed-2011-200617.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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34
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Aziz O, Fink D, Hobbs L, Williams G, Holme TC. Hospital mortality under surgical care. Ann R Coll Surg Engl 2011; 93:193-200. [PMID: 21477429 DOI: 10.1308/003588411x563411] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
INTRODUCTION The 'hospital standardised mortality ratio' (HSMR) has been used in England since 1999 to measure NHS hospital performance. Large variations in reported HSMR between English hospitals have recently led to heavy criticism of their use as a surrogate measure of hospital performance. This paper aims to review the mortality data for a consultant general surgeon contributed by his NHS trust over a 3-year period as part of the trust's HSMR calculation and evaluate the accuracy of coding the diagnoses and covariates for case mix adjustment. SUBJECTS AND METHODS The Dr Foster Intelligence database was interrogated to extract the NHS trust's HSMR benchmark data on inpatient mortality for the surgeon from 1 April 2006 to 31 March 2009 and compared to the hospital notes. RESULTS 30 patients were identified of whom 12 had no evidence of being managed by the surgeon. This represents a potential 40% inaccuracy rate in designating consultant responsibility. The remaining 18 patients could be separated into 'operative' (11 patients) and 'non-operative' (7 patients) groups. Only 27% in the operative group and 43% of the non-operative mortality group respectively had a Charlson co-morbidity index recorded despite 94% of the cases having significant co-morbidities CONCLUSIONS Highlighting crude and inaccurate clinician-specific mortality data when only 1-5% of deaths under surgical care may be associated with avoidable adverse events seems potentially irresponsible.
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Leo C, Kohl A, Sohr S, Fink D, Horn LC. CSRP2– ein „hypoxie-fixiertes“ Gen – ist im Zervixkarzinom exprimiert. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1286473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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36
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Verreault M, Strutt D, Masin D, Fink D, Gill R, Bally MB. Development of glioblastoma cell lines expressing red fluorescence for non-invasive live imaging of intracranial tumors. Anticancer Res 2011; 31:2161-71. [PMID: 21737636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
UNLABELLED Glioblastoma (GBM) cell lines expressing red fluorescent proteins were evaluated as a tool for non-invasive imaging of orthotopic tumors. MATERIALS AND METHODS mKate2- and mCherry-transduced U251MG GBM lines were sorted by flow cytometry. The growth rates and drug sensitivity of the resulting cell lines were compared to those of the parental line. Following orthotopic implantation, mKate2-expressing cells were detected using multispectral imaging. RESULTS Flow cytometry-sorted fluorescent populations exhibiting growth curves that were comparable to those of the parental line were selected. mKate2-expressing cells were inoculated orthotopically and formed tumors which were visualized non-invasively, allowing monitoring of tumor growth over time and the assessment of tumor response to temozolomide drug treatment. CONCLUSION The strategy reported here led to the successful development of GBM models expressing mKate2 or mCherry. The fluorescence signal intensity measured in the brain of live animals correlates with tumor size, thus providing a method to assess tumor progression and response to treatment.
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Samartzis EP, Samartzis N, Noske A, Fedier A, Caduff R, Fink D, Imesch P. Expression pattern of GPR30 in endometriosis. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1280499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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38
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Wendel M, Navarrete-Duran M, Fink D, Auerswald G, Böhm P, Seuser A. Muskelfunktionsmessung mit kinetischem Oberflächen-EMG bei Kindern mit Hämophilie. Hamostaseologie 2011. [DOI: 10.1055/s-0037-1619748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Abstract
SummaryElectromyography (EMG) measures muscle electricity. It depends on muscle contraction and central motor control. Muscles react very sensitive on external signals (e. g. bleeding), The resulting changes can be shown in EMG.
Patients, methods A first study included 51 children and young adults from Costa Rica. They underwent a clinical examination and EMG of the hip, knee and ankle joints. Resting muscle tone, maximal isometric contraction and three typical isotonic movements of the joints were measured. First step of analysis was to characterize typical pathogenic changes in the muscles and to find a corresponding physical therapy to minimize these changes.
Results It showed that EMG is a good marker for muscle condition. It helps to individualize therapy and improve effectivity of physical and physiotherapeutic treatment of the locomotive system of children and young adults with hemophilia. It can help to recognize early subclinical changes and to control the outcome of therapeutic modalities.
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39
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Leo C, Fink D. Epithelial-zu-mesenchymale Transition (EMT) - Neue molekulare Einsichten in die Tumorprogression. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0030-1250770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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40
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Hnatowicz V, Vacík J, Fink D. Deconvolution of charged particle spectra from neutron depth profiling using Simplex method. THE REVIEW OF SCIENTIFIC INSTRUMENTS 2010; 81:073906. [PMID: 20687741 DOI: 10.1063/1.3463692] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Neutron depth profiling (NDP), based on neutron induced nuclear reactions, is a well known, nondestructive technique for the determination of the concentration depth profiles of some isotopes in the surface layers of solids. The profile determination consists of deconvolution of a relevant part of the energy spectra of the charged reaction products. Several solutions have been suggested for this problem. In this work, an alternative computer code (LIBOR), which makes use of the Simplex minimization technique for the deconvolution of the NDP spectra, is described and its performance is documented on several examples.
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Schilling J, Abou Hadeed M, Fink D, Hagmann PD, Hess T, Infanger E, Müller M, Wyss P. Evaluation of Swiss guidelines for the indication for hysterectomy in relation to patient outcome. GYNAKOLOGISCH-GEBURTSHILFLICHE RUNDSCHAU 2010; 49:315-319. [PMID: 20530947 DOI: 10.1159/000301104] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2009] [Accepted: 07/03/2009] [Indexed: 05/29/2023]
Abstract
BACKGROUND The application of national guidelines which specify the appropriateness for hysterectomy is believed to lead to improved patient outcomes. However, there was no evidence to support this assumption by outcome data. GOALS To evaluate adherence to guidelines and the validity of the 1997 Swiss guidelines for the appropriateness of hysterectomy based on changes in patients' functional and psychosocial status. METHOD Multicentre study of 370 consecutive cases from 18 public hospitals assessing data on appropriateness and changes in patient status following hysterectomy. Data on appropriateness were obtained before the procedure (n = 286). Changes in patient status following hysterectomy were assessed using an adapted and weighted score. Baseline data were collected up to 8 weeks prior to hysterectomy. Outcome data were obtained 16-32 weeks after surgery (n = 237). Patients for whom appropriateness data were available (n = 286) were categorized into three groups: (1) 214 patients (74.82%) with an indication for hysterectomy, (2) 36 patients (12.58%) classified as having an indication with regard to their preference, and (3) 36 patients (12.58%) classified as not being appropriate for surgery according to national guidelines. RESULTS In 87% the indication for hysterectomy was judged as appropriate according to the guidelines. The status of all three groups of patients after hysterectomy was found to be significantly improved compared to baseline levels. Patients with an appropriate indication tended to profit more from hysterectomy. CONCLUSION The appropriateness rating found may be interpreted as an example of justified use of medical procedural intervention. There was a positive correlation between appropriateness and outcome. The 1997 guidelines still seem to be valid.
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Romanowski K, Zaborina O, Zaborin A, Morozova I, Babrowski T, Poroyko V, Fernandez H, Fink D, Liu D, Alverdy J. Manipulation of pH Can Modify the Protective Effect of Phosphate to Prevent Lethal Gut-Derived Sepsis. J Surg Res 2010. [DOI: 10.1016/j.jss.2009.11.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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43
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Glazerman L, Hart S, Bajka M, Fink D, Bassaly R. Preliminary Experience with Virtual Reality Simulation vs. Animal Model for Hysteroscopic Myomectomy Training. J Minim Invasive Gynecol 2009. [DOI: 10.1016/j.jmig.2009.08.209] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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44
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Fedier A, Imesch P, Fink D. Mit Antennapedia oder Liposomen ins Zytoplasma transportiertes Cytochrom c aktiviert die Apoptose in Zervixkarzinomzellen. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1238941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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45
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Leo C, Horn LC, Koschke C, Böhlig L, Engeland K, Fink D, Höckel M. Der Einfluss wiederholter Hypoxie/Reoxygenierungs-Zyklen auf die Genexpression in Zervixkarzinomzellen. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1238986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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46
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Imesch P, Schneider M, Samartzis E, Fink D, Fedier A. Veränderung der Genexpression in Endometriosezellen durch epigenetische Modulation mit Histondeazetylase-Inhibitoren. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1238971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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47
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Wiener-Well Y, Fink D, Schlesinger Y, Raveh D, Rudensky B, Yinnon AM. Q fever endocarditis; not always expected. Clin Microbiol Infect 2009; 16:359-62. [PMID: 19519847 DOI: 10.1111/j.1469-0691.2009.02805.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Q fever endocarditis is a chronic disease with protean manifestations. The clinical and serological manifestations of nine patients diagnosed as having Q fever endocarditis during a 19-year period are reviewed. Four patients (44%) required valve replacement due to congestive heart failure. Three of these four patients were diagnosed as having Q fever endocarditis only after elective valve surgery, by histopathological examination of the valve and subsequent serological tests. Prior to surgery they were afebrile and had no other symptom or sign indicative of endocarditis. The antibiotic treatment and the decreasing titres of Q fever antibodies of all nine patients during several years of follow-up are summarized. Careful assessment of heart valves for histopathological evidence of inflammation is suggested, even after elective replacement. If found, clinical and laboratory evaluation should include determination of anti-Coxiella burnetti antibodies.
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Imthurn B, Kimmig R, Lang U, Fink D. [New developments in reproductive medicine]. GYNAKOLOGISCH-GEBURTSHILFLICHE RUNDSCHAU 2009; 49:53-54. [PMID: 19346748 DOI: 10.1159/000197902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Several developments in the field of reproductive medicine intend to improve the efficiency of the treatment and to reduce the number of unwanted side effects. These advancements are among others the production of long-acting FSH, polar body biopsy and the identification of factors, which can optimize the implantation potential of the endometrium. Cryopreservation of ovarian tissue enables the maintenance of fertility in tumor patients.
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Harter P, Hahmann M, Lueck HJ, Poelcher M, Wimberger P, Ortmann O, Canzler U, Richter B, Wagner U, Hasenburg A, Burges A, Loibl S, Meier W, Huober J, Fink D, Schroeder W, Muenstedt K, Schmalfeldt B, Emons G, du Bois A. Surgery for recurrent ovarian cancer: role of peritoneal carcinomatosis: exploratory analysis of the DESKTOP I Trial about risk factors, surgical implications, and prognostic value of peritoneal carcinomatosis. Ann Surg Oncol 2009; 16:1324-30. [PMID: 19225844 DOI: 10.1245/s10434-009-0357-0] [Citation(s) in RCA: 107] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2008] [Revised: 01/17/2009] [Accepted: 01/17/2009] [Indexed: 11/18/2022]
Abstract
BACKGROUND Almost all retrospective trials pointed out that a benefit of surgery for recurrent ovarian cancer may be limited to patients in whom a macroscopic complete resection could be achieved. Peritoneal carcinomatosis has been reported to be either a negative predictor for resectability or a negative prognostic factor, or both. The role of peritoneal carcinomatosis in a multicenter trial was investigated. METHODS Exploratory analysis of the DESKTOP I trial (multicenter trial of patients undergoing surgery for recurrent ovarian cancer, 2000 to 2003). RESULTS A total of 125 patients (50%) who underwent surgery for recurrent ovarian cancer had peritoneal carcinomatosis. Univariate analyses showed worse overall survival for patients with peritoneal carcinomatosis compared with patients without carcinomatosis (P < .0001). Patients with and without peritoneal carcinomatosis had a complete resection rate of 26% and 74%, respectively (P < .0001). This corresponded with the observation that patients with complete resection had a better prognosis than those with minimal residual disease of 1 to 5 mm, which commonly reflects peritoneal carcinomatosis (P = .0002). However, patients who underwent complete resection, despite peritoneal carcinomatosis, had a 2-year survival rate of 77%, which was similar to the 2-year survival rate of patients with completely debulked disease who did not have peritoneal carcinomatosis (81%) (P = .96). Analysis of prognostic factors did not show any independent effect of peritoneal carcinomatosis on survival in patients who underwent complete resection. CONCLUSIONS Peritoneal carcinomatosis was a negative predictor for complete resection but had no effect on prognosis if complete resection could be achieved. Improving surgical skills might be one step to increase the proportion of patients who might benefit from surgery for recurrent disease.
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50
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Lang U, Fink D, Kimmig R. [Intrauterine programming of specific organ systems]. GYNAKOLOGISCH-GEBURTSHILFLICHE RUNDSCHAU 2009; 49:1. [PMID: 19204395 DOI: 10.1159/000188283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Apart from long-term cardiovascular and metabolic effects of intrauterine deficiency or oversupply situations of the fetus, cerebral, renal and reproductive functions also seem to be influenced by a disturbed intrauterine environment.
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