1
|
Runnebaum IB, Kather A, Vorwergk J, Cruz JJ, Mothes AR, Beteta CR, Boer J, Keller M, Pölcher M, Mustea A, Sehouli J. Ovarian cancer prevention by opportunistic salpingectomy is a new de facto standard in Germany. J Cancer Res Clin Oncol 2023; 149:6953-6966. [PMID: 36847838 PMCID: PMC10374707 DOI: 10.1007/s00432-023-04578-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 01/06/2023] [Indexed: 03/01/2023]
Abstract
PURPOSE The most prevalent and aggressive subtype of epithelial ovarian carcinoma (EOC), high-grade serous carcinoma (HGSC), originates in many cases from the fallopian tubes. Because of poor prognosis and lack of effective screening for early detection, opportunistic salpingectomy (OS) for prevention of EOC is being implemented into clinical routine in several countries worldwide. Taking the opportunity of a gynecological surgery in women at average cancer risk, extramural fallopian tubes are completely resected preserving the ovaries with their infundibulopelvic blood supply. Until recently, only 13 of the 130 national partner societies of the International Federation of Obstetrics and Gynecology (FIGO) have published a statement on OS. This study aimed to analyze the acceptance of OS in Germany. METHODS (1) Survey of German gynecologists in 2015 and 2022 by the Department of Gynecology of the Jena University Hospital in co-operation with the Department of Gynecology at Charité-University Medicine Berlin with support of NOGGO e. V. and AGO e. V. (2) Salpingectomy numbers in Germany for years 2005-2020 as retrieved from the Federal Statistical Office of Germany (Destatis). RESULTS (1) Survey: Number of participants was 203 in 2015 and 166 in 2022, respectively. Nearly all respondents (2015: 92%, 2022: 98%) have already performed bilateral salpingectomy without oophorectomy in combination with benign hysterectomy with the intention to reduce the risk for malignant (2015: 96%, 2022: 97%) and benign (2015: 47%, 2022: 38%) disorders. Compared to 2015 (56.6%), considerably more survey participants performed OS in > 50% or in all cases in 2022 (89.0%). Recommendation of OS for all women with completed family planning at benign pelvic surgery was approved by 68% in 2015 and 74% in 2022. (2) Case number analysis: In 2020, four times more cases of salpingectomy were reported by German public hospitals compared to 2005 (n = 50,398 vs. n = 12,286). Of all inpatient hysterectomies in German hospitals in 2020, 45% were combined with salpingectomy, and more than 65% in women at the age of 35 to 49 years. CONCLUSION Mounting scientific plausibility regarding involvement of fallopian tubes in the pathogenesis of EOC led to change of clinical acceptance of OS in many countries including in Germany. Case number data and widespread expert judgment demonstrate that OS has become a routine procedure in Germany and a de facto standard for primary prevention of EOC.
Collapse
Affiliation(s)
- I B Runnebaum
- Department of Gynecology and Reproductive Medicine, Jena University Hospital, Friedrich Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany.
| | - A Kather
- Department of Gynecology and Reproductive Medicine, Jena University Hospital, Friedrich Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany
| | - J Vorwergk
- Department of Gynecology and Reproductive Medicine, Jena University Hospital, Friedrich Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany
| | - J J Cruz
- Department of Gynecology and Reproductive Medicine, Jena University Hospital, Friedrich Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany
- Department of Obstetrics and Perinatal Medicine, Bonn University Hospital, Sigmund Freud Street 25, 53127, Bonn, Germany
| | - A R Mothes
- Department of Gynecology and Reproductive Medicine, Jena University Hospital, Friedrich Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany
- Department of Gynecology, St. Georg Hospital Eisenach, Academic Teaching Hospital of University of Jena, Muehlhaeuser Str. 94, 99817, Eisenach, Germany
| | - C R Beteta
- Department of Gynecology with Center for Oncological Surgery, Charité-University Medicine Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany
| | - J Boer
- Nord-Ostdeutsche Gesellschaft für Gynaekologische Onkologie (NOGGO e.V.), Schwedenstraße 9, 13359, Berlin, Germany
| | - M Keller
- Nord-Ostdeutsche Gesellschaft für Gynaekologische Onkologie (NOGGO e.V.), Schwedenstraße 9, 13359, Berlin, Germany
| | - M Pölcher
- Department of Gynecologic Oncology and Minimal Invasive Surgery, Rotkreuzklinikum München Frauenklinik, Taxisstraße 3, 80637, München, Germany
| | - A Mustea
- Gynecology and Gynecologic Oncology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany
| | - J Sehouli
- Department of Gynecology with Center for Oncological Surgery, Charité-University Medicine Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany
- Nord-Ostdeutsche Gesellschaft für Gynaekologische Onkologie (NOGGO e.V.), Schwedenstraße 9, 13359, Berlin, Germany
| |
Collapse
|
2
|
Van der Kolk WL, Van der Zee AGJ, Slomovitz BM, Baldwin PJW, Van Doorn HC, De Hullu JA, Van der Velden J, Gaarenstroom KN, Slangen BFM, Kjolhede P, Brännström M, Vergote I, Holland CM, Coleman R, Van Dorst EBL, Van Driel WJ, Nunns D, Widschwendter M, Nugent D, DiSilvestro PA, Mannel RS, Tjiong MY, Boll D, Cibula D, Covens A, Provencher D, Runnebaum IB, Monk BJ, Zanagnolo V, Tamussino K, Oonk MHM. Unilateral inguinofemoral lymphadenectomy in patients with early-stage vulvar squamous cell carcinoma and a unilateral metastatic sentinel lymph node is safe. Gynecol Oncol 2022; 167:3-10. [PMID: 36085090 DOI: 10.1016/j.ygyno.2022.07.017] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Accepted: 07/18/2022] [Indexed: 11/18/2022]
Abstract
OBJECTIVE Optimal management of the contralateral groin in patients with early-stage vulvar squamous cell carcinoma (VSCC) and a metastatic unilateral inguinal sentinel lymph node (SN) is unclear. We analyzed patients who participated in GROINSS-V I or II to determine whether treatment of the contralateral groin can safely be omitted in patients with a unilateral metastatic SN. METHODS We selected the patients with a unilateral metastatic SN from the GROINSS-V I and II databases. We determined the incidence of contralateral additional non-SN metastases in patients with unilateral SN-metastasis who underwent bilateral inguinofemoral lymphadenectomy (IFL). In those who underwent only ipsilateral groin treatment or no further treatment, we determined the incidence of contralateral groin recurrences during follow-up. RESULTS Of 1912 patients with early-stage VSCC, 366 had a unilateral metastatic SN. Subsequently, 244 had an IFL or no treatment of the contralateral groin. In seven patients (7/244; 2.9% [95% CI: 1.4%-5.8%]) disease was diagnosed in the contralateral groin: five had contralateral non-SN metastasis at IFL and two developed an isolated contralateral groin recurrence after no further treatment. Five of them had a primary tumor ≥30 mm. Bilateral radiotherapy was administered in 122 patients, of whom one (1/122; 0.8% [95% CI: 0.1%-4.5%]) had a contralateral groin recurrence. CONCLUSION The risk of contralateral lymph node metastases in patients with early-stage VSCC and a unilateral metastatic SN is low. It appears safe to limit groin treatment to unilateral IFL or inguinofemoral radiotherapy in these cases.
Collapse
Affiliation(s)
- W L Van der Kolk
- University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - A G J Van der Zee
- University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - B M Slomovitz
- Mount Sinai Medical Center, Miami Beach, FL, United States of America
| | - P J W Baldwin
- Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom
| | - H C Van Doorn
- Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - J A De Hullu
- Radboud University Medical Center, Nijmegen, the Netherlands
| | | | | | - B F M Slangen
- Maastricht University Medical Center+, Maastricht, the Netherlands
| | | | - M Brännström
- Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden
| | - I Vergote
- Leuven Cancer Institute, Leuven, Belgium
| | - C M Holland
- Manchester University NHS Foundation Trust-St Marys Hospital, Manchester, United Kingdom
| | - R Coleman
- The University of Texas MD Anderson Cancer Center, Houston, TX, United States of America
| | | | - W J Van Driel
- Center of Gynecological Oncology Amsterdam, The Netherlands Cancer Institute, Amsterdam, the Netherlands
| | - D Nunns
- Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom
| | - M Widschwendter
- European Translational Oncology Prevention and Screening (EUTOPS) Institute, University Innsbruck, Austria
| | - D Nugent
- Leeds Teaching Hospitals NHS Trust, St James' University Hospital, Leeds, United Kingdom
| | - P A DiSilvestro
- Women and Infants Hospital of Rhode Island, Providence, RI, United States of America
| | - R S Mannel
- Stephenson Cancer Center, University of Oklahoma, Oklahoma City, OK, United States of America
| | - M Y Tjiong
- Amsterdam University Medical Center, Amsterdam, the Netherlands
| | - D Boll
- Catharina Ziekenhuis Eindhoven, the Netherlands
| | - D Cibula
- First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic
| | - A Covens
- University of Toronto, Toronto, Ontario, Canada
| | - D Provencher
- CHUM, Université de Montréal, Montréal, Quebec, Canada
| | - I B Runnebaum
- Jena University Hospital, Friedrich Schiller University, Jena, Germany
| | - B J Monk
- St Josephs Hospital and Medical Center, Phoenix, AZ, United States of America
| | - V Zanagnolo
- Department of Obstetrics and Gynaecology, European Cancer Institute, Milan, Italy
| | | | - M H M Oonk
- University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
| |
Collapse
|
3
|
Esber A, Kopera A, Radosa MP, Runnebaum IB, Mothes HK, Mothes AR. “Locus minoris resistentiae” and connective tissue weakness in older women: a case report and literature review on pelvic organ prolapse with inguinal bladder hernia. BMC Womens Health 2021; 21:425. [PMID: 34930209 PMCID: PMC8690437 DOI: 10.1186/s12905-021-01554-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Accepted: 11/29/2021] [Indexed: 11/15/2022] Open
Abstract
Background Conditions such as genital prolapse and hernia are known to be related to connective tissue dysfunction. In this report on cases of the rare simultaneous finding of large genital prolapse and post-prolapse repair female inguinal bladder hernia, we aim to contribute to the discussion of a possible clinical definition of connective tissue weakness, for its clinical assessment and preoperative patient counselling. Case presentation Three cases of medial third-grade (MIII, Aachen classification) inguinal bladder hernia developing or enlarging after successful stage-IV pelvic organ prolapse (POP) repair at a university pelvic floor centre are presented. All patients were aged ≥ 80 years with long-standing postmenopausal status. One patient was followed for 5 years and two patients were followed for 6 months. In all patients, ultrasound revealed that the hernia sac contained the urinary bladder, which had herniated through the inguinal hernia orifice. A literature search revealed only one case report of direct female inguinal bladder hernia and few investigations of the simultaneous occurrence of POP and hernia in general. Conclusion The simultaneous occurrence of inguinal hernia and female POP can lead to bladder herniation following prolapse surgery in the sense of a “locus minoris resistentiae”. Clinical examination for simultaneous signs of connective tissue weakness and counselling prior to pelvic reconstructive surgery could help to increase patients’ compliance with further surgical treatment for hernia.
Collapse
|
4
|
Mothes AR, Mothes HK, Kather A, Altendorf-Hofmann A, Radosa MP, Radosa JC, Runnebaum IB. Inverse correlation between urethral length and continence before and after native tissue pelvic floor reconstruction. Sci Rep 2021; 11:22011. [PMID: 34759288 PMCID: PMC8580999 DOI: 10.1038/s41598-021-01565-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 10/22/2021] [Indexed: 01/10/2023] Open
Abstract
Urethral length was evaluated retrospectively in patients with prolapse undergoing anterior native-tissue repair. Effects of age, prolapse stage, defect pattern, urodynamic and clinical stress test findings, and tension-free vaginal tape (TVT) surgery indication were analyzed using Mann-Whitney and Wilcoxon tests and linear and logistic regression. Of 394 patients, 61% had stage II/III and 39% had stage IV prolapse; 90% of defects were central (10% were lateral). Median pre- and postoperative urethral lengths were 14 and 22 mm (p < 0.01). Preoperative urethral length was greater with lateral defects [p < 0.01, B 6.38, 95% confidence interval (CI) 4.67-8.08] and increased stress incontinence risk (p < 0.01, odds ratio 1.07, 95% CI 1.03-1.12). Postoperative urethral length depended on prolapse stage (p < 0.01, B 1.61, 95% CI 0.85-2.38) and defect type (p = 0.02, B - 1.42, 95% CI - 2.65 to - 0.2). Postoperatively, TVT surgery was indicated in 5.1% of patients (median 9 months), who had longer urethras than those without this indication (p = 0.043). Native-tissue prolapse repair including Kelly plication increased urethral length, reflecting re-urethralization, particularly with central defects. The functional impact of urethral length in the context of connective tissue aging should be examined further.
Collapse
Affiliation(s)
- A R Mothes
- Women's University Hospital of Jena, Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany
- Department of Gynaecology, St. Georg Hospital Eisenach, Academic Teaching Hospital of University of Jena, Eisenach, Germany
| | - H K Mothes
- Department of General, Visceral and Vascular Surgery, Jena University Hospital, Jena, Germany
- Department of Abdominal and Vascular Surgery, Sophien and Hufeland Hospital Weimar, Academic Teaching Hospital of University of Jena, Weimar, Germany
| | - A Kather
- Women's University Hospital of Jena, Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany
| | - A Altendorf-Hofmann
- Department of General, Visceral and Vascular Surgery, Jena University Hospital, Jena, Germany
| | - M P Radosa
- Women's University Hospital of Jena, Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany
- Department of Gynaecology and Obstetrics, Hospital Bremen North, Bremen, Germany
| | - J C Radosa
- Department of Obstetrics & Gynaecology, Saarland University Hospital, Homburg/Saar, Germany
| | - I B Runnebaum
- Women's University Hospital of Jena, Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany.
| |
Collapse
|
5
|
Kirsche L, Jansen L, Petzold A, Gaßler N, Runnebaum IB, Dürst M. Intratumorale Heterogenität von HPV-Integraten in CIN3-Gewebe. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718206] [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: 10/23/2022] Open
Affiliation(s)
- L Kirsche
- Universitätsklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - L Jansen
- Universitätsklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - A Petzold
- Universitätsklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - N Gaßler
- Universitätsklinikum Jena, Institut für Rechtsmedizin, Sektion Pathologie
| | - IB Runnebaum
- Universitätsklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - M Dürst
- Universitätsklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin
| | | |
Collapse
|
6
|
George S, Jansen L, Weigand W, Runnebaum IB, Dürst M, Backsch C. Three-dimensional tumor spheroid models to investigate tumor-stroma-interactions under the influence of the tumorsuppressor gene ITIH5. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718225] [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: 10/23/2022] Open
Affiliation(s)
- S George
- Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University
| | - L Jansen
- Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University
| | - W Weigand
- Institute of Inorganic and Analytical Chemistry, Friedrich-Schiller-University
| | - IB Runnebaum
- Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University
| | - M Dürst
- Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University
| | - C Backsch
- Department of Gynaecology and Reproductive Medicine, Jena University Hospital, Friedrich-Schiller-University
| |
Collapse
|
7
|
Häfner N, Fritsch F, Kache T, Noack S, Stein M, Diebolder H, Dürst M, Runnebaum IB. Identification and validation of a methylation marker panel for the blood-based detection of epithelial ovarian cancer (EOC) – the ASSURER project. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718212] [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: 10/23/2022] Open
Affiliation(s)
- N Häfner
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - F Fritsch
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - T Kache
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - S Noack
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - M Stein
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - H Diebolder
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - M Dürst
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - IB Runnebaum
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin
| |
Collapse
|
8
|
Bräuer D, Hoppe I, Nicolaus K, Runnebaum IB. Einfluss von Endometriose auf die ovarielle Reaktion während der kontrollierten ovariellen Stimulationsbehandlung, gemessen anhand FORT und der Anzahl der gewonnenen Oozyten. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692097] [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: 10/26/2022] Open
Affiliation(s)
- D Bräuer
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| | - I Hoppe
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| | - K Nicolaus
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| | - IB Runnebaum
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| |
Collapse
|
9
|
Häfner N, Noack S, Dürst M, Runnebaum IB. Etablierung von Methylierungsmarkern für zirkulierende Tumor-DNA von Ovarialkarzinomen – ASSURER Projekt. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692067] [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: 10/26/2022] Open
Affiliation(s)
- N Häfner
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena
| | - S Noack
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena
| | - M Dürst
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena
| | - IB Runnebaum
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena
| |
Collapse
|
10
|
Rothen P, Diebolder H, Runnebaum IB, Häfner N. Untersuchung von Methylierungsmarkern für den Nachweis von Ovarialkarzinomen anhand von Bauchraumspülflüssigkeiten. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692071] [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: 10/26/2022] Open
Affiliation(s)
- P Rothen
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| | - H Diebolder
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| | - IB Runnebaum
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| | - N Häfner
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| |
Collapse
|
11
|
Ziller N, Runnebaum IB, Dürst M, Backsch C. Epigenetische und genetische Aberrationen des Tumorsuppressorgens ITIH5 während der Zervixkarzinogenese. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692074] [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: 10/26/2022] Open
Affiliation(s)
- N Ziller
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| | - IB Runnebaum
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| | - M Dürst
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| | - C Backsch
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| |
Collapse
|
12
|
Backsch C, Daum AK, Runnebaum IB, Dürst M. Einfluss des Tumorsuppressorgens ITIH5 auf zwei Zervixkarzinom-Zelllinien in einem 3D Tumorsphäroid-Modell. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692073] [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: 10/26/2022] Open
Affiliation(s)
- C Backsch
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| | - AK Daum
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| | - IB Runnebaum
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| | - M Dürst
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| |
Collapse
|
13
|
Reckenbeil L, Nicolaus K, Runnebaum IB. Diagnose Endometriose: Art und Dauer der Symptome, Anzahl der Arztkonsultationen und Einfluss auf das Arbeits- und Privatleben der Patientinnen. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692105] [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: 10/26/2022] Open
Affiliation(s)
- L Reckenbeil
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| | - K Nicolaus
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| | - IB Runnebaum
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| |
Collapse
|
14
|
Kroll L, Dürst M, Runnebaum IB, Häfner N. Immunhistochemische Untersuchung zur Korrelation vom Hormonrezeptor-Expression und RUNX3-Expression in Mamma- und Ovarialkarzinomen. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692072] [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: 10/26/2022] Open
Affiliation(s)
- L Kroll
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| | - M Dürst
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| | - IB Runnebaum
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| | - N Häfner
- Klinik für Frauenheilkunde und Fortpflanzungsmedizin Jena, Jena
| |
Collapse
|
15
|
Dargel S, Mothes A, Runnebaum IB. Analyse des klinischen Outcomes nach transzervikaler Radiofrequenzablation mit intrauteriner Ultraschallführung bei Uterusmyomen. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692101] [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: 10/26/2022] Open
Affiliation(s)
- S Dargel
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| | - A Mothes
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| | - IB Runnebaum
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| |
Collapse
|
16
|
Runnebaum IB, Hilpert F, du Bois A, Harter P. Therapy of ovarian cancer (OC) in Germany – Treatment characteristics QS OVAR 2016. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692077] [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: 10/26/2022] Open
Affiliation(s)
- IB Runnebaum
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Universitätsklinikum Jena
| | - F Hilpert
- Onkologisches Therapiezentrum Krankenhaus Jerusalem, Hamburg
| | - A du Bois
- Klinik für Gynäkologie & Gyn. Onkologie, Kliniken Essen-Mitte, Essen
| | - P Harter
- Klinik für Gynäkologie & Gyn. Onkologie, Kliniken Essen-Mitte, Essen
| |
Collapse
|
17
|
Sczesny R, Bräuer D, Nicolaus K, Runnebaum IB. Sterilität, Nulliparität und geringe Myomgröße sind unabhängige Risikofaktoren für eine unerwartete koexistente Endometriose bei Frauen mit symptomatischen uterinen Myomen. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692106] [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: 10/26/2022] Open
Affiliation(s)
- R Sczesny
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| | - D Bräuer
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| | - K Nicolaus
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| | - IB Runnebaum
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| |
Collapse
|
18
|
Möbus V, Jackisch C, Lück HJ, du Bois A, Thomssen C, Kuhn W, Nitz U, Schneeweiss A, Huober J, Harbeck N, von Minckwitz G, Runnebaum IB, Hinke A, Konecny GE, Untch M, Kurbacher C. Ten-year results of intense dose-dense chemotherapy show superior survival compared with a conventional schedule in high-risk primary breast cancer: final results of AGO phase III iddEPC trial. Ann Oncol 2019; 29:178-185. [PMID: 29069370 DOI: 10.1093/annonc/mdx690] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background Primary breast cancer (BC) patients with extensive axillary lymph-node involvement have a limited prognosis. The Arbeitsgemeinschaft fuer Gynaekologische Onkologie (AGO) trial compared intense dose-dense (idd) adjuvant chemotherapy with conventionally scheduled chemotherapy in high-risk BC patients. Here we report the final, 10-year follow-up analysis. Patients and methods Enrolment took place between December 1998 and April 2003. A total of 1284 patients with 4 or more involved axillary lymph nodes were randomly assigned to receive 3 courses each of idd sequential epirubicin, paclitaxel and cyclophosphamide (iddEPC) q2w or standard epirubicin/cyclophosphamide followed by paclitaxel (EC → P) q3w. Event-free survival (EFS) was the primary end point. Results A total of 658 patients were assigned to receive iddEPC and 626 patients were assigned to receive EC → P. The median duration of follow-up was 122 months. EFS was 47% (95% CI 43% to 52%) in the standard group and 56% (95% CI 52% to 60%) in the iddEPC group [hazard ratio (HR) 0.74, 95% CI 0.63-0.87; log-rank P = 0.00014, one-sided]. This benefit was independent of menopausal, hormone receptor or HER2 status. Ten-year overall survival (OS) was 59% (95% CI 55% to 63%) for patients in the standard group and 69% (95% CI 65% to 73%) for patients in the iddEPC group (HR = 0.72, 95% CI 0.60-0.87; log-rank P = 0.0007, two-sided). Nine versus two cases of secondary myeloid leukemia/myelodysplastic syndrome were observed in the iddEPC and the EC → P arm, respectively. Conclusion The previously reported OS benefit of iddEPC in comparison to conventionally dosed EC → P has been further increased and achieved an absolute difference of 10% after 10 years of follow-up.
Collapse
Affiliation(s)
- V Möbus
- Department of Gynecology and Obstetrics, Klinikum Frankfurt Höchst, Frankfurt, Germany
| | - C Jackisch
- Department of Gynecology and Obstetrics, Sana Klinikum Offenbach GmbH, Offenbach am Main, Germany
| | - H J Lück
- Gynecologic Oncology Practice, Hannover, Germany
| | - A du Bois
- Department of Gynecology & Gynecologic Oncology, Klinikum Essen-Mitte, Essen, Germany
| | - C Thomssen
- Department of Gynecology, Martin-Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - W Kuhn
- Department of Gynecology and Obstetrics, University of Bonn, Bonn, Germany
| | - U Nitz
- Breast Center Niederrhein, Evangelic Hospital Bethesda, Mönchengladbach, Germany
| | - A Schneeweiss
- National Centre of Tumor Diseases, University of Heidelberg, Heidelberg, Germany
| | - J Huober
- Department of Gynecology and Obstetrics, University of Ulm, Ulm, Germany
| | - N Harbeck
- Department of Gynecology and Obstetrics, University of Munich, Munich, Germany
| | | | - I B Runnebaum
- Department of Gynecology, University of Jena, Jena, Germany
| | - A Hinke
- WiSP Research Institute, Langenfeld, Germany
| | - G E Konecny
- David Geffen School of Medicine, University of California Los Angeles, Los Angeles, USA
| | - M Untch
- Department of Gynecology and Obstetrics, Helios Klinikum Berlin-Buch, Berlin, Germany
| | - C Kurbacher
- Medical Center, Bonn-Friedensplatz, Bonn, Germany
| | | |
Collapse
|
19
|
Mothes AR, Runnebaum IB. Vaginale ablative Erbium: YAG Lasertherapie bei Atrophie bedingten urogenitalen Symptomen post-menopausaler Mammakarzinom Patientinnen. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671305] [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: 10/28/2022] Open
Affiliation(s)
- AR Mothes
- Klinik für Frauenheilkunde und Reproduktionsmedizin, Universitätsklinikum, Jena, Deutschland
| | - IB Runnebaum
- Klinik für Frauenheilkunde und Reproduktionsmedizin, Universitätsklinikum, Jena, Deutschland
| |
Collapse
|
20
|
Dargel S, Mothes A, Runnebaum IB. Analyse des klinischen Outcomes nach transzervikaler Radiofrequenzablation mit intrauteriner Ultraschallführung bei Uterusmyomen. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671089] [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: 10/28/2022] Open
Affiliation(s)
- S Dargel
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| | - A Mothes
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| | - IB Runnebaum
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| |
Collapse
|
21
|
Beiersdorf J, Scheungraber C, Schmitz M, Hansel A, Hoyer H, Gajda M, Greinke C, Runnebaum IB, Dürst M, Backsch C. Korrelation der chromosomalen Aberration 3q26 und Promotormethylierung bei Patientinnen mit CIN2/3 in Abhängigkeit vom Alter. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1670997] [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: 10/28/2022] Open
Affiliation(s)
- J Beiersdorf
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Universitätsklinikum, Jena, Deutschland
| | - C Scheungraber
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Universitätsklinikum, Jena, Deutschland
| | | | - A Hansel
- oncgnostics GmbH, Jena, Deutschland
| | - H Hoyer
- Institut für Medizinische Statistik, Informatik und Dokumentation, Universitätsklinikum, Jena, Deutschland
| | - M Gajda
- Institut für Pathologie, Universitätsklinikum, Jena, Deutschland
| | - C Greinke
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Universitätsklinikum, Jena, Deutschland
| | - IB Runnebaum
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Universitätsklinikum, Jena, Deutschland
| | - M Dürst
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Universitätsklinikum, Jena, Deutschland
| | - C Backsch
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Universitätsklinikum, Jena, Deutschland
| |
Collapse
|
22
|
Mothes AR, Runnebaum IB. Rationale und Ergebnisse nach vaginaler ablativer Erbium:YAG Lasertherapie bei urogynäkologischen Symptomen. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671394] [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: 10/28/2022] Open
Affiliation(s)
- AR Mothes
- Klinik für Frauenheilkunde und Reproduktionsmedizin, Universitätsklinikum, Jena, Deutschland
| | - IB Runnebaum
- Klinik für Frauenheilkunde und Reproduktionsmedizin, Universitätsklinikum, Jena, Deutschland
| |
Collapse
|
23
|
Krüger-Rehberg S, Sobek JM, Scheungraber C, Runnebaum IB. Rezidivrisiko der Vulvären intraepithelialen Neoplasien (VIN) nach Lasertherapie. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671297] [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: 10/28/2022] Open
Affiliation(s)
- S Krüger-Rehberg
- Universitätsklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Reproduktionsmedizin, Jena, Deutschland
| | - JM Sobek
- Universitätsklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Reproduktionsmedizin, Jena, Deutschland
| | - C Scheungraber
- Universitätsklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Reproduktionsmedizin, Jena, Deutschland
| | - IB Runnebaum
- Universitätsklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Reproduktionsmedizin, Jena, Deutschland
| |
Collapse
|
24
|
Eberhardt M, Häfner N, Kritsch D, Rengsberger M, Dürst M, Runnebaum IB. BCL6 function and platin resistance in epithelial ovarian cancer. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671655] [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: 10/28/2022] Open
Affiliation(s)
- M Eberhardt
- Department of Gynecology, Jena University Hospital – Friedrich-Schiller-University Jena, Jena, Deutschland
| | - N Häfner
- Department of Gynecology, Jena University Hospital – Friedrich-Schiller-University Jena, Jena, Deutschland
| | - D Kritsch
- Department of Gynecology, Jena University Hospital – Friedrich-Schiller-University Jena, Jena, Deutschland
| | - M Rengsberger
- Department of Gynecology, Jena University Hospital – Friedrich-Schiller-University Jena, Jena, Deutschland
| | - M Dürst
- Department of Gynecology, Jena University Hospital – Friedrich-Schiller-University Jena, Jena, Deutschland
| | - IB Runnebaum
- Department of Gynecology, Jena University Hospital – Friedrich-Schiller-University Jena, Jena, Deutschland
| |
Collapse
|
25
|
Rengsberger M, Pachmann K, Runnebaum IB. Trajectory of circulating epithelial tumor cells (CTC/CETCs) during adjuvant chemotherapy in patients with primary breast cancer: Early detection of patients at risk of relapse. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671323] [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: 10/28/2022] Open
Affiliation(s)
| | | | - IB Runnebaum
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| |
Collapse
|
26
|
Nicolaus K, Zschauer S, Lehmann T, Runnebaum IB. Erfassung postoperativer Komplikationen bei 400 Endometrioseoperationen mittels der Clavien-Dindo-Klassifikation. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671615] [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: 10/28/2022] Open
Affiliation(s)
- K Nicolaus
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| | - S Zschauer
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| | - T Lehmann
- Institut für Biometrie und Klinische Epidemiologie, Jena, Deutschland
| | - IB Runnebaum
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| |
Collapse
|
27
|
Dargel S, Nicolaus K, Mothes A, Runnebaum IB. Vorstellung der interdisziplinären Myomsprechstunde der Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin Jena. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671065] [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: 10/28/2022] Open
Affiliation(s)
- S Dargel
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| | - K Nicolaus
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| | - A Mothes
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| | - IB Runnebaum
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| |
Collapse
|
28
|
Mothes AR, Nicolaus K, Vorwergk J, Runnebaum IB. Ist die LAVH der TVH bei geplanter Adnexektomie im Rahmen einer Deszensussanierung überlegen? Eine komparative Kohortenstudie. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671393] [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: 10/28/2022] Open
Affiliation(s)
- AR Mothes
- Klinik für Frauenheilkunde und Reproduktionsmedizin, Universitätsklinikum, Jena, Deutschland
| | - K Nicolaus
- Klinik für Frauenheilkunde und Reproduktionsmedizin, Universitätsklinikum, Jena, Deutschland
| | - J Vorwergk
- Klinik für Frauenheilkunde und Reproduktionsmedizin, Universitätsklinikum, Jena, Deutschland
| | - IB Runnebaum
- Klinik für Frauenheilkunde und Reproduktionsmedizin, Universitätsklinikum, Jena, Deutschland
| |
Collapse
|
29
|
Dargel S, Nicolaus K, Mothes A, Diebolder H, Runnebaum IB, Rengsberger M. Risikostratifizierung für das gleichzeitige Auftreten von Endometriose im Rahmen einer laparoskopischen Myomenukleation. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671090] [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: 10/28/2022] Open
Affiliation(s)
- S Dargel
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| | - K Nicolaus
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| | - A Mothes
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| | - H Diebolder
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| | - IB Runnebaum
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| | - M Rengsberger
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin, Jena, Deutschland
| |
Collapse
|
30
|
Dargel S, Nicolaus K, Runnebaum IB. Risikostratifizierung für das gleichzeitige Auftreten von Endometriose im Rahmen einer laparoskopischen Myomenukleation. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1645897] [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: 10/27/2022] Open
Affiliation(s)
- S Dargel
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - K Nicolaus
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - IB Runnebaum
- Uniklinikum Jena, Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin
| |
Collapse
|
31
|
Zschauer S, Lehmann T, Nicolaus K, Runnebaum IB. Erfassung postoperativer Komplikationen bei 400 Endometrioseoperationen mittels der Clavien-Dindo-Klassifikation. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1645895] [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: 10/27/2022] Open
Affiliation(s)
- S Zschauer
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| | - T Lehmann
- Institut für Medizinische Statistik, Informatik und Datenwissenschaften des Universitätsklinikum Jena
| | - K Nicolaus
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| | - IB Runnebaum
- Klinik und Poliklinik für Frauenheilkunde und Fortpflanzungsmedizin des Universitätsklinikums Jena
| |
Collapse
|
32
|
Bräuer D, Nicolaus K, Runnebaum IB. Uterine Fehlbildungen und Endometriose. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1645896] [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: 10/27/2022] Open
Affiliation(s)
- D Bräuer
- Universitätsklinikum Jena, Friedrich-Schiller-Universität Jena, Klinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - K Nicolaus
- Universitätsklinikum Jena, Friedrich-Schiller-Universität Jena, Klinik für Frauenheilkunde und Fortpflanzungsmedizin
| | - IB Runnebaum
- Universitätsklinikum Jena, Friedrich-Schiller-Universität Jena, Klinik für Frauenheilkunde und Fortpflanzungsmedizin
| |
Collapse
|
33
|
Jiménez Cruz J, Nicolaus K, Meissner W, Mothes A, Owsianowski Z, Rengsberger M, Runnebaum IB. Akutschmerzanalyse nach gynäkologischen Operationen: Eine unizentrische, prospektive Register-basierte Studie an 3020 Patientinnen. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593280] [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
|
34
|
Nicolaus K, Jimenez Cruz J, Mothes A, Runnebaum IB. Ermittlung eines Cut-Off-Wertes der initialen Beta-HCG-Konzentration zur präoperativen Risikoeinschätzung einer notwendigen Salpingektomie bei Patientinnen mit Extrauteringravidität. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593107] [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
|
35
|
Schmitz M, Hansel A, Wunsch K, Greinke C, Scheungraber C, Runnebaum IB, Dürst M. Clinical performance of GynTect – DNA methylation markers for triaging HPV-positive women. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593024] [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
|
36
|
Geitner M, Hoppe I, Biskup C, Runnebaum IB, Weiss JM. Ulipristal hemmt Progesteron-vermittelte Kalziumsignale und könnte mit der für die Spermienfunktion wichtigen Progesteronwirkung interagieren. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592780] [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
|
37
|
Mothes AR, Lehmann T, Kwetkat A, Radosa MP, Runnebaum IB. Gynaecological Prolapse Surgery in Very Old Female Patients: A Case-Control Study on Co-Morbidity and Surgical Complications. Geburtshilfe Frauenheilkd 2016; 76:869-874. [PMID: 27582580 DOI: 10.1055/s-0042-109868] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
BACKGROUND The aim of this study is to compare very elderly female patients with a younger control group after prolapse surgery with regard to co-morbidity and complications. METHOD In a case-control design, the consecutive data of patients after prolapse surgery at the age of over 80 years and those of a control group were analysed by means of the Clavien-Dindo (CD) classification of surgical complications, the Charlson Comorbidity Index and the Cumulative Illness Rating Scale Geriatrics (CIRS-G). Statistics: Student's t, Fisher's exact and Mann-Whitney U tests. RESULTS The analysis comprised n = 57 vs. n = 60 operations. In the very elderly patients there was often a grade IV prolapse (p < 0.001), apical fixations were more frequent (p < 0.001), but the operating times were not different. In the very elderly patients 21 % CD II+III complications were observed, in the control group 6.6 % (p = 0.031). No CD IV and V complications occurred in either group, the duration of inpatient stay amounted to 5 (± 1) vs. 4.1 (± 0.8; p < 0.001) days, the very elderly patients needed an inpatient follow-up more frequently (p < 0.001). The co-morbidities of the very elderly patients differed from those of the control group in number (median 2.0 vs. 1.5; p < 0.001), in CIRS-G (4.1 ± 2.2 vs. 2.4 ± 1.7; p < 0.01) and in Charlson Index (1.6 ± 1.6 vs. 0.5 ± 0.7; p < 0.001). CONCLUSIONS A prolapse in very elderly women can be safely managed by surgery. In no case did the complications require intensive care treatment nor were they life-threatening, but they did lead to a longer duration of hospital stay and more frequently to further treatment geriatric or inpatient internal medicine facilities.
Collapse
Affiliation(s)
- A R Mothes
- Universitätsfrauenklinik, Friedrich-Schiller-Universität, Jena
| | - T Lehmann
- Institut für Medizinische Statistik, Informatik und Dokumentation, Friedrich-Schiller-Universität, Jena
| | - A Kwetkat
- Klinik für Geriatrie, Universitätsklinikum, Friedrich-Schiller-Universität, Jena
| | - M P Radosa
- Universitätsfrauenklinik, Friedrich-Schiller-Universität, Jena
| | - I B Runnebaum
- Universitätsfrauenklinik, Friedrich-Schiller-Universität, Jena
| |
Collapse
|
38
|
Nicolaus K, Jimenez-Cruz J, Mothes A, Runnebaum IB. Bestimmung eines Cut-Off-Wertes der präoperativen Beta-HCG-Serumkonzentration für das Risiko einer Salpingektomie bei Tubargravidität. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1583572] [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: 10/21/2022] Open
|
39
|
Jiménez Cruz J, Meißner W, Radosa MP, Runnebaum IB. Ist minimal-invasiv gleich minimal schmerzhaft? Schmerz-Ranking gynäkologischer Operationen und Evaluation von Risikofaktoren. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1551622] [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: 10/23/2022] Open
|
40
|
Mothes AR, Köhler A, Radosa MP, Runnebaum IB. Vaginalruptur mit Evisceration 7 Monate nach vorderer vaginaler Netzeinlage bei Rezidiv-Descensus vaginae – Ein Fallbericht. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1551626] [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: 10/23/2022] Open
|
41
|
Cruz JJ, Meissner W, Radosa MP, Runnebaum IB. Ist minimal-invasiv gleich minimal schmerzhaft? Schmerz-Ranking gynäkologischer Operationen. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388261] [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: 10/24/2022] Open
|
42
|
Hansel A, Steinbach D, Greinke C, Schmitz M, Eiselt J, Scheungraber C, Gajda M, Hoyer H, Runnebaum IB, Dürst M. DNA methylation markers for the triage of high-risk human papillomavirus infected women. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388604] [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: 10/24/2022] Open
|
43
|
Koch I, Runnebaum IB. Einschätzung der Relevanz einer Brustuntersuchung und der Leopoldschen Handgriffe durch Studierende im Vergleich zu den eigenen Fähigkeiten. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388298] [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: 10/24/2022] Open
|
44
|
Scheungraber C, Skusa E, Hoyer H, Runnebaum IB. Einfluss der Schlingenkonisation auf Schwangerschaft und Geburt. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388388] [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: 10/24/2022] Open
|
45
|
Mothes AR, Radosa MP, Runnebaum IB. Adopting Clavien – Dindo classification of surgical complications in 438 cases of vaginal native tissue repair for pelvic organ prolapse. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388299] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
|
46
|
Häfner N, Kritsch D, Hoffmann F, Steinbach D, Diebolder H, Dürst M, Runnebaum IB. Analyse von Genen mit Cisplatin-Resistenz-assoziierter Hypermethylierung in Ovarialkarzinomzelllinien. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388431] [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: 10/24/2022] Open
|
47
|
Nicolaus K, Häfner N, Gajda M, Diebolder H, Dürst M, Runnebaum IB. p53-Autoantikörper – ein sensitiver Marker für den Krankheitsverlauf für Ovarialkarzinom-Patientinnen. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388459] [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: 10/24/2022] Open
|
48
|
Schütze S, Rengsberger M, Mothes H, Settmacher U, Hochhaus A, Eigendorff E, Schmalenberg H, Runnebaum IB. Synchrones Auftreten eines Endometrium- und Kolonkarzinoms – welche adjuvante Therapie ist die richtige? Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388534] [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: 10/24/2022] Open
|
49
|
Koch I, Egbe A, Diebolder H, Schneider U, Goetze S, Runnebaum IB. Metastasierendes Melanom der Mamma in der Gravidität. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388523] [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: 10/24/2022] Open
|
50
|
Häfner N, Vogler A, Aning O, Nicolaus K, Diebolder H, Dürst M, Runnebaum IB. Entwicklung von p53-Autoantikörpern – warum nur in einem Teil der Ovarialkarzinompatientinnen? Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388357] [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: 10/24/2022] Open
|