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Kumar PS, Wiczer T, Rosen L, Pollauf AJ, Zheng A, Palettas M, Azali L, Bhat SA, Byrd JC, Grever MR, Rogers KA, Woyach JA, Kittai AS. Correction: Evaluation of bleeding events in patients receiving acalabrutinib therapy. Leukemia 2023:10.1038/s41375-023-01927-8. [PMID: 37231141 DOI: 10.1038/s41375-023-01927-8] [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: 05/27/2023]
Affiliation(s)
- Pooja S Kumar
- The Ohio State University, Department of Pharmacy, Columbus, OH, USA
| | - Tracy Wiczer
- The Ohio State University, Department of Pharmacy, Columbus, OH, USA
| | - Lindsay Rosen
- The Ohio State University, Department of Pharmacy, Columbus, OH, USA
| | | | - Amy Zheng
- The Ohio State College of Pharmacy, Columbus, OH, USA
| | - Marilly Palettas
- The Ohio State University, Department of Biomedical Informatics, Center for Biostatistics, Columbus, OH, USA
| | - Leylah Azali
- Driscoll Children's Hospital, Corpus Christi, TX, USA
| | - Seema A Bhat
- The Ohio State University, Department of Internal Medicine, Division of Hematology, Columbus, OH, USA
| | - John C Byrd
- University of Cincinnati, Department of Internal Medicine, Cincinnati, OH, USA
| | - Michael R Grever
- The Ohio State University, Department of Internal Medicine, Division of Hematology, Columbus, OH, USA
| | - Kerry A Rogers
- The Ohio State University, Department of Internal Medicine, Division of Hematology, Columbus, OH, USA
| | - Jennifer A Woyach
- The Ohio State University, Department of Internal Medicine, Division of Hematology, Columbus, OH, USA
| | - Adam S Kittai
- The Ohio State University, Department of Internal Medicine, Division of Hematology, Columbus, OH, USA.
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Bhat SA, Gambril J, Azali L, Chen ST, Rosen L, Palettas M, Wiczer TE, Kalathoor S, Zhao Q, Rogers KA, Kittai A, Grever M, Awan F, Ruz P, Byrd JC, Woyach J, Addison D. Ventricular arrhythmias and sudden death events following acalabrutinib initiation. Blood 2022; 140:2142-2145. [PMID: 35917449 PMCID: PMC10405526 DOI: 10.1182/blood.2022016953] [Citation(s) in RCA: 22] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 07/09/2022] [Indexed: 11/20/2022] Open
Abstract
Acalabrutinib, a next-generation Bruton's tyrosine kinase inhibitor (BTKi), associates with dramatic efficacy against B-cell malignancies. Recently, unexplained ventricular arrhythmias (VAs) with next-generation BTKi-therapy have been reported. Yet, whether acalabrutinib associates with VAs in long-term follow-up is unknown. Leveraging a large-cohort of 290 consecutive B-cell malignancy patients treated with acalabrutinib from 2014 to 2020, we assessed the incidence of VAs. The primary-endpoint was incident VA development (ventricular fibrillation, ventricular tachycardia, and symptomatic premature ventricular contractions). Probability-scores were assessed to determine likelihood of acalabrutinib-association. Incident rates as function of time-on-therapy were calculated. Weighted average observed incidence rates were compared with expected population rates using relative-risks. Absolute excess risk (AER) for acalabrutinib-associated VAs was estimated. Over 1063 person-years of follow-up, there were 8 cases of incident-VAs, including 6 in those without coronary disease (CAD) or heart failure (HF) and 1 sudden-death; median time-to-event 14.9 months. Among those without prior ibrutinib-use, CAD, or HF, the weighted average incidence was 394 per 100 000 person years compared with a reported incidence of 48.1 among similar-aged non-BTKi-treated subjects (relative risk, 8.2; P < .001; AER, 346). Outside of age, no cardiac or electrocardiographic variables associated with VA development. Collectively, these data suggest VAs may be a class-effect of BTKi therapies.
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Affiliation(s)
- Seema A. Bhat
- Division of Hematology, James Cancer Hospital and Solove Research Institute at The Ohio State University, Columbus, OH
| | - John Gambril
- Division of Cardiology, Cardio-Oncology Program, The Ohio State University Medical Center, Columbus, OH
| | - Leylah Azali
- Department of Pharmacy, James Cancer Hospital and Solove Research Institute at The Ohio State University, Columbus, OH
| | - Sunnia T. Chen
- Division of Cardiology, Cardio-Oncology Program, The Ohio State University Medical Center, Columbus, OH
| | - Lindsay Rosen
- Department of Pharmacy, James Cancer Hospital and Solove Research Institute at The Ohio State University, Columbus, OH
| | - Marilly Palettas
- Department of Biomedical Informatics, Center for Biostatistics, The Ohio State University, Columbus, OH
| | - Tracy E. Wiczer
- Department of Pharmacy, James Cancer Hospital and Solove Research Institute at The Ohio State University, Columbus, OH
| | - Sujay Kalathoor
- Division of Cardiology, Cardio-Oncology Program, The Ohio State University Medical Center, Columbus, OH
| | - Qiuhong Zhao
- Division of Hematology, James Cancer Hospital and Solove Research Institute at The Ohio State University, Columbus, OH
| | - Kerry A. Rogers
- Division of Hematology, James Cancer Hospital and Solove Research Institute at The Ohio State University, Columbus, OH
| | - Adam Kittai
- Division of Hematology, James Cancer Hospital and Solove Research Institute at The Ohio State University, Columbus, OH
| | - Michael Grever
- Division of Hematology, James Cancer Hospital and Solove Research Institute at The Ohio State University, Columbus, OH
| | - Farrukh Awan
- Division of Hematology, University of Texas - Southwestern, Dallas, TX
| | - Patrick Ruz
- Division of Cardiology, Cardio-Oncology Program, The Ohio State University Medical Center, Columbus, OH
| | - John C. Byrd
- Department of Medicine, University of Cincinnati, Cincinnati, OH
| | - Jennifer Woyach
- Division of Hematology, James Cancer Hospital and Solove Research Institute at The Ohio State University, Columbus, OH
| | - Daniel Addison
- Division of Cardiology, Cardio-Oncology Program, The Ohio State University Medical Center, Columbus, OH
- Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH
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Chen ST, Azali L, Rosen L, Zhao Q, Wiczer T, Palettas M, Gambril J, Kola-Kehinde O, Ruz P, Kalathoor S, Rogers K, Kittai A, Grever M, Awan F, Byrd JC, Woyach J, Bhat SA, Addison D. Hypertension and incident cardiovascular events after next-generation BTKi therapy initiation. J Hematol Oncol 2022; 15:92. [PMID: 35836241 PMCID: PMC9281099 DOI: 10.1186/s13045-022-01302-7] [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] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Accepted: 04/22/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Post-market analyses revealed unanticipated links between first-generation Bruton's tyrosine kinase inhibitor (BTKi) therapy, ibrutinib, and profound early hypertension. Yet, whether this is seen with novel selective second (next)-generation BTKi therapy, acalabrutinib, is unknown. METHODS Leveraging a large cohort of consecutive B cell cancer patients treated with acalabrutinib from 2014 to 2020, we assessed the incidence and ramifications of new or worsened hypertension [systolic blood pressure (SBP) ≥ 130 mmHg] after acalabrutinib initiation. Secondary endpoints were major cardiovascular events (MACE: arrhythmias, myocardial infarction, stroke, heart failure, cardiac death) and disease progression. Observed incident hypertension rates were compared to Framingham heart-predicted and ibrutinib-related rates. Multivariable regression and survival analysis were used to define factors associated with new/worsened hypertension and MACE, and the relationship between early SBP increase and MACE risk. Further, the effect of standard antihypertensive classes on the prevention of acalabrutinib-related hypertension was assessed. RESULTS Overall, from 280 acalabrutinib-treated patients, 48.9% developed new/worsened hypertension over a median of 41 months. The cumulative incidence of new hypertension by 1 year was 53.9%, including 1.7% with high-grade (≥ 3) hypertension. Applying the JNC 8 cutoff BP of ≥ 140/90 mmHg, the observed new hypertension rate was 20.5% at 1 year, > eightfold higher than the Framingham-predicted rate of 2.4% (RR 8.5, P < 0.001), yet 34.1% lower than ibrutinib (12.9 observed-to-expected ratio, P < 0.001). In multivariable regression, prior arrhythmias and Black ancestry were associated with new hypertension (HR 1.63, HR 4.35, P < 0.05). The degree of SBP rise within 1 year of treatment initiation predicted MACE risk (42% HR increase for each + 5 mmHg SBP rise, P < 0.001). No single antihypertensive class prevented worsened acalabrutinib-related hypertension. CONCLUSIONS Collectively, these data suggest that hypertension may be a class effect of BTKi therapies and precedes major cardiotoxic events.
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Affiliation(s)
- Sunnia T Chen
- Cardio-Oncology Program, Division of Cardiology, The Ohio State University Medical Center, Columbus, OH, USA
| | - Leylah Azali
- Department of Pharmacy, James Cancer Hospital and Solove Research Institute at The Ohio State University, Columbus, OH, USA
| | - Lindsay Rosen
- Department of Pharmacy, James Cancer Hospital and Solove Research Institute at The Ohio State University, Columbus, OH, USA
| | - Qiuhong Zhao
- Division of Hematology, The Ohio State University, Columbus, OH, USA
| | - Tracy Wiczer
- Department of Pharmacy, James Cancer Hospital and Solove Research Institute at The Ohio State University, Columbus, OH, USA
| | - Marilly Palettas
- Center for Biostatistics, Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USA
| | - John Gambril
- Cardio-Oncology Program, Division of Cardiology, The Ohio State University Medical Center, Columbus, OH, USA
| | - Onaopepo Kola-Kehinde
- Cardio-Oncology Program, Division of Cardiology, The Ohio State University Medical Center, Columbus, OH, USA
| | - Patrick Ruz
- Cardio-Oncology Program, Division of Cardiology, The Ohio State University Medical Center, Columbus, OH, USA
| | - Sujay Kalathoor
- Cardio-Oncology Program, Division of Cardiology, The Ohio State University Medical Center, Columbus, OH, USA
| | - Kerry Rogers
- Division of Hematology, The Ohio State University, Columbus, OH, USA
| | - Adam Kittai
- Division of Hematology, The Ohio State University, Columbus, OH, USA
| | - Michael Grever
- Division of Hematology, The Ohio State University, Columbus, OH, USA
| | - Farrukh Awan
- Division of Hematology, UT-Southwestern, Dallas, TX, USA
| | - John C Byrd
- Department of Medicine, University of Cincinnati, Cincinnati, OH, USA
| | - Jennifer Woyach
- Division of Hematology, The Ohio State University, Columbus, OH, USA
| | - Seema A Bhat
- Division of Hematology, The Ohio State University, Columbus, OH, USA
| | - Daniel Addison
- Cardio-Oncology Program, Division of Cardiology, The Ohio State University Medical Center, Columbus, OH, USA.
- Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA.
- Division of Cardiovascular Medicine, Davis Heart & Lung Research Institute, 473 West 12th Avenue, Suite 200, Columbus, OH, 43210, USA.
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Kleinplatz PJ, Charest M, Paradis N, Rosen L, Ramsay TO. The effectiveness of in-person versus remote group couples therapy for the treatment of low sexual desire or frequency. J Sex Med 2022. [DOI: 10.1016/j.jsxm.2022.03.359] [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]
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Moreno V, Lin J, Tan D, Lassen U, Leyvraz S, Liu Y, Patel J, Rosen L, Solomon B, Rudolph M, Norenberg R, Schulz A, Fellous M, Brega N, Shen L, Kummar S, Drilon A. 61P Updated efficacy and ctDNA analysis of patients with TRK fusion lung cancer treated with larotrectinib. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.02.070] [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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Chen ST, Azali L, Rosen L, Zhao Q, Wiczer T, Palettas M, Gambril J, Kola-Kehinde O, Ruz P, Rogers K, Kittai A, Grever M, Awan F, Byrd JC, Bhat SA, Addison D. INCIDENT HYPERTENSION AND CLINICAL OUTCOMES AFTER ACALABRUTINIB INITIATION FOR B-CELL MALIGNANCIES. J Am Coll Cardiol 2022. [DOI: 10.1016/s0735-1097(22)02821-2] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Drilon A, Lin J, Lassen U, Leyvraz S, Liu Y, Patel J, Rosen L, Solomon B, Norenberg R, Dima L, Brega N, Shen L, Moreno V, Kummar S, Tan D. P53.02 Efficacy and Safety of Larotrectinib in Patients With Tropomyosin Receptor Kinase (TRK) Fusion-Positive Lung Cancer. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.08.551] [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]
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Naing A, Rosen L, Camidge R, Khalil D, Davies J, Miles D, Patel M, Cockle P, Champion B, Krige D, Lillie T. 1011P FORTITUDE phase I study of NG-350A, a novel tumour-selective adenoviral vector expressing an anti-CD40 agonist antibody: Monotherapy dose escalation results. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1395] [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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Garcia VM, Lin J, Patel J, Lassen U, Solomon B, Rosen L, Leyvraz S, Tan D, Reeves J, Beckmann G, Rudolph M, Wierzbinska J, Dima L, Brega N, Kummar S, Drilon A. 162P Long-term efficacy and genomic characteristics of patients with TRK fusion lung cancer treated with larotrectinib. J Thorac Oncol 2021. [DOI: 10.1016/s1556-0864(21)02004-9] [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: 11/28/2022]
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Tan D, Farago A, Kummar S, Moreno V, Patel J, Lassen U, Solomon B, Rosen L, Leyvraz S, Reeves J, Brega N, Dima L, Childs B, Drilon A. MA11.09 Efficacy and Safety of Larotrectinib in Patients with Tropomyosin Receptor Kinase (TRK) Fusion Lung Cancer. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.01.253] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Drilon A, Moreno V, Patel J, Lassen U, Solomon B, Rosen L, Leyvraz S, Tan D, Reeves J, Dima L, Brega N, Kummar S, Farago A. MO01.35 Efficacy and Safety of Larotrectinib in Patients with Tropomyosin Receptor Kinase (TRK) Fusion Lung Cancer. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2020.10.140] [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: 10/22/2022]
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Abstract
For professionals conducting research in the fields of blindness and disability, searching the literature by computer offers speedy access to existing data and facilitates the efficient exchange of information. As computer use becomes more prevalent on an international scale, it is useful for researchers to have knowledge of online searching procedures and resources. This overview outlines important databases produced in the United States and elsewhere, where relevant articles and information may be found.
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Affiliation(s)
- L. Rosen
- M.C. Migel Memorial Library, American Foundation for the Blind, 15 West 16th Street, New York, NY 10011
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Rosen L, Kislev S, Bar-Zeev Y, Levine H. Historic tobacco legislation in Israel: a moment to celebrate. Isr J Health Policy Res 2020; 9:22. [PMID: 32366296 PMCID: PMC7199353 DOI: 10.1186/s13584-020-00384-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Accepted: 04/27/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Israel was once a leader in tobacco control, but fell behind other countries, particularly during the past decade, as smoking rates stagnated. TEXT: Landmark tobacco control legislation, which banned advertising (with the exception of the print press) and limited marketing, was passed in Israel on Dec. 31rst, 2018. The changes occurred following years of attempts which culminated in successful last-minute efforts to promote the legislation just before the early disbanding of the 20th Knesset (Israeli Parliament). Regulations concerning marketing and advertising were substantially strengthened to address all tobacco, nicotine and smoking products. Digital media was included for the first time. Electronic cigarettes, which were previously largely unregulated, now fall under existing tobacco legislation. The changes overcame intense opposition from the tobacco lobby, and occurred despite the fact that the basic elements for prevention policy postulated by the Richmond model were not in place. CONCLUSIONS This legislation represents an important and long-awaited change in Israeli tobacco control policy. Many deficiencies in existing tobacco control regulation were overcome, and some measures went beyond current international regulations. The cohesive partnership between legislators, public health organizations and professionals, advocacy groups, academia, and leading journalists was critical to this success. The progress was lauded by the World Health Organization with its highest award for tobacco control, which was presented to Smoke Free Israel. This case study provides important lessons for up-to-date tobacco control policy, in the age of rapid global changes in the tobacco, vaping and nicotine landscape.
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Affiliation(s)
- L Rosen
- Department of Health Promotion, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, POB 39040, 69978, Ramat Aviv, Israel.
| | - S Kislev
- The National Initiative to Eradicate Smoking (Smoke-Free Israel), Ramat Raziel, Israel
| | - Y Bar-Zeev
- Braun School of Public Health and Community Medicine, Hebrew University-Hadassah Faculty of Medicine, P.O Box 12272, Kiryat Hadassah, Ein Kerem, 91120, Jerusalem, Israel
| | - H Levine
- Braun School of Public Health and Community Medicine, Hebrew University-Hadassah Faculty of Medicine, P.O Box 12272, Kiryat Hadassah, Ein Kerem, 91120, Jerusalem, Israel
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Rosen L. In Brief …. Journal of Visual Impairment & Blindness 2020. [DOI: 10.1177/0145482x8708100914] [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: 11/17/2022]
Affiliation(s)
- L. Rosen
- Bead librarian, M.C. Migel Memorial Library and Information Center, American Foundation for the Blind, New York
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Kossl K, Rosen L, Copperman A, Kolev V, Zakashansky K. 37: Use of colpotomy for contained tissue extraction during laparoscopic myomectomy. Am J Obstet Gynecol 2020. [DOI: 10.1016/j.ajog.2019.12.077] [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: 11/26/2022]
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Evans R, Tanaka S, Tanaka S, Touno S, Shimizu K, Sakui S, Wu J, Faessel H, Hang Y, Alexander R, Rosen L, Hartman D. A Phase 1 single ascending dose study of a novel orexin 2 receptor agonist, TAK-925, in healthy volunteers (HV) and subjects with narcolepsy type 1 (NT1) to assess safety, tolerability, pharmacokinetics, and pharmacodynamic outcomes. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.290] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Farago A, Kummar S, Moreno V, Patel J, Lassen U, Rosen L, Ku N, Cox M, Nanda S, Childs B, Hyman D, Drilon A. MA09.07 Activity of Larotrectinib in TRK Fusion Lung Cancer. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.570] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [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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Fakih M, Wang D, Harb W, Rosen L, Mahadevan D, Berlin J, Basciano P, Brown R, Arogundade O, Cox C, Genova GD, Krige D, McElwaine-Johnn H. SPICE, a phase I study of enadenotucirev in combination with nivolumab in tumours of epithelial origin: Analysis of the metastatic colorectal cancer patients in the dose escalation phase. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz246.089] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Drilon A, Kummar S, Moreno V, Patel J, Lassen U, Rosen L, Childs B, Nanda S, Cox M, Ku N, Farago A. Activity of larotrectinib in TRK fusion lung cancer. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz063.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Rosen L, Finkelstein M, Murphy K, Fenske S, Kolev V, Ascher-Walsh C, Zakashansky K. 62: Robotic-assisted laparoscopy versus conventional laparoscopy for the treatment of endometriosis in New York state, 2009-2016. Am J Obstet Gynecol 2019. [DOI: 10.1016/j.ajog.2019.01.092] [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: 10/27/2022]
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Moreno V, Gil-Martin M, Johnson M, Aljumaily R, Lopez Criado P, Northfelt D, Crittenden M, Jabbour S, Rosen L, Garrido P, Hervás Morón A, Rietschel P, Mohan K, Li J, Stankevich E, Feng M, Lowy I, Fury M. Cemiplimab, a human monoclonal anti-PD-1, plus radiotherapy (RT) in advanced non-small cell lung cancer (NSCLC): Results from a phase I expansion cohort (EC 2). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy487.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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22
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Moreno V, Gil-Martin M, Johnson M, Aljumaily R, Lopez Criado P, Northfelt D, Crittenden M, Jabbour S, Rosen L, Garrido Lopez P, Hervás Morón A, Rietschel P, Mohan K, Li J, Stankevich E, Rowlands T, Feng M, Lowy I, Fury M. Cemiplimab, a human monoclonal anti-PD-1, plus radiotherapy (RT) in advanced non-small cell lung cancer (NSCLC): Results from a phase I expansion cohort (EC 2). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy288.035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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23
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Moreno V, Gil-Martin M, Johnson M, Aljumaily R, Lopez-Criado M, Northfelt D, Crittenden M, Jabbour S, Rosen L, Calvo E, Papadopoulos K, Garrido P, Hervás Morón A, Rietschel P, Mohan K, Li J, Stankevich E, Feng M, Lowy I, Fury M. MA04.01 Cemiplimab, a Human Monoclonal Anti-PD-1, Alone or in Combination with Radiotherapy: Phase 1 NSCLC Expansion Cohorts. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.340] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [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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Gaigbe-Togbe B, Roy-McMahon C, Rosen L, Huntly J, Ahron D, Ascher-Walsh C. Risk Factors for an Extended Length of Stay in Patients Undergoing Robot-Assisted Laparoscopic Myomectomy, a 10-Year Review. J Minim Invasive Gynecol 2017. [DOI: 10.1016/j.jmig.2017.08.161] [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: 10/18/2022]
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Short GF, Rosen L, Liu J, Hegarty B, Szegda J, Westphal C, Cermak J, Wessel T. 1164 THE USE OF CHEMICAL NEURO STIMULATION TO MINIMIZE SLEEP DISTURBANCE ASSOCIATED WITH MUSCLE CRAMPING AND SPASTICITY. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.1163] [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: 11/12/2022] Open
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26
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Rosen L, El Hachem L, Hoan K, Mathews S, Gretz HF. Laparoscopic Cornuostomy for the Removal of Essure Microinserts. J Minim Invasive Gynecol 2016. [DOI: 10.1016/j.jmig.2016.08.679] [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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Mathews S, Barr Grzesh R, Rosen L, Weinberg A, Ascher-Walsh C. Competitive Laparoscopic Skills Training Among Obstetrics and Gynecology Residents. J Minim Invasive Gynecol 2016. [DOI: 10.1016/j.jmig.2016.08.586] [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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Mathews S, Rosen L, D’Angelo D, Mudiraj S, Friedman F, Brodman M, Ascher-Walsh C. Predictors of Laparoscopic Virtual Reality Simulation Performance in Attending Obstetrician/Gynecologists to Establish Cut-Offs for Additional Training and Annual Testing. J Minim Invasive Gynecol 2016. [DOI: 10.1016/j.jmig.2016.08.219] [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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Severino NP, Chadi SA, Rosen L, Coiro S, Choman E, Berho M, Wexner SD. Survival following salvage abdominoperineal resection for persistent and recurrent squamous cell carcinoma of the anus: do these disease categories affect survival? Colorectal Dis 2016; 18:959-966. [PMID: 26850085 DOI: 10.1111/codi.13288] [Citation(s) in RCA: 16] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2015] [Accepted: 12/01/2015] [Indexed: 02/08/2023]
Abstract
AIM This study aimed to investigate the results of salvage abdominoperineal excision (APR) in patients with persistent or recurrent squamous cell carcinoma of the anus (SCCA). METHOD Patients with anal neoplasia were identified from a prospective database. Patients with invasive SCCA with demonstrated failure of chemoradiation therapy (CRT) who underwent salvage APR for one of three disease categories (persistent, < 6 months post-CRT; early recurrent, 6-24 months post-CRT; late recurrent, > 24 months post-CRT) were included. The primary outcome was overall survival after salvage APR. Tumour size, metastatic lymph nodes (LN), circumferential resection margin positivity (CRM) and neurolymphovascular invasion (NLVI) were correlated with the outcome. RESULTS Thirty-six patients with a median 3-year overall survival of 46% (median follow-up 24 months) underwent salvage APR due to persistent or recurrent SCCA (14 men, mean age 59 years). Eleven (31%) patients were diagnosed with persistent disease, 17 (47%) with early and 8 (22%) with late recurrence. Two-year overall survival of Stage 0/I/II and III/IV disease was 81.5% and 33.74%, respectively (P = 0.022). Overall disease stage was associated with disease categorization (P = 0.009): patients with persistent disease or early recurrence had a significantly higher disease stage than patients with late recurrence (OR = 20.9 and 17.2). Despite apparently improved survival in patients with late disease recurrence on live table analysis, no significant difference was identified in overall survival when stratified by disease category on log-rank test analysis. CONCLUSION Persistent and recurrent disease does not show any significant difference in survival, but patients with late recurrence may have a better prognosis.
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Affiliation(s)
- N P Severino
- Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA
| | - S A Chadi
- Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA
| | - L Rosen
- Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA
| | - S Coiro
- Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA
| | - E Choman
- Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA
| | - M Berho
- Department of Pathology, Cleveland Clinic Florida, Weston, Florida, USA
| | - S D Wexner
- Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA.
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Maynard M, Chen K, Rosen L, Wu H. SU-F-J-191: Dosimetric Evaluation of a Left Chestwall Patient Treated with a Compact Proton Pencil Beam Gantry Utilizing Daily Setup CBCT. Med Phys 2016. [DOI: 10.1118/1.4956099] [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: 11/07/2022] Open
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Syh J, Wu H, Rosen L. SU-F-T-136: Breath Hold Lung Phantom Study in Using CT Density Versus Relative Stopping Power Ratio for Proton Pencil Beam Scanning System. Med Phys 2016. [DOI: 10.1118/1.4956272] [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: 11/07/2022] Open
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Robbins A, Sekhon L, Rosen L, Mandelberger A, Ascher-Walsh C. Risk of Recurrence of Myomas Following Robotic-Assisted Laparoscopic Myomectomy. J Minim Invasive Gynecol 2015; 22:S25. [DOI: 10.1016/j.jmig.2015.08.074] [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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Rosen L, Sekhon L, Alicia R, Mandelberger A, Ascher-Walsh C. Fertility and Pregnancy Outcomes Following Robotic Myomectomy. J Minim Invasive Gynecol 2015; 22:S72. [DOI: 10.1016/j.jmig.2015.08.192] [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: 10/22/2022]
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Syh J, Ding X, Syh J, Patel B, Rosen L, Wu H. SU-E-T-110: An Investigation On Monitor Unit Threshold and Effects On IMPT Delivery in Proton Pencil Beam Planning System. Med Phys 2015. [DOI: 10.1118/1.4924471] [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: 11/07/2022] Open
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Ding X, Patel B, Song X, Syh J, Syh J, Zhang J, Freund D, Rosen L, Wu H. SU-E-T-188: Commission of World 1st Commercial Compact PBS Proton System. Med Phys 2015. [DOI: 10.1118/1.4924549] [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: 11/07/2022] Open
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Syh J, Patel B, Syh J, Rosen L, Wu H. SU-E-T-566: Neutron Dose Cloud Map for Compact ProteusONE Proton Therapy. Med Phys 2015. [DOI: 10.1118/1.4924928] [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: 11/07/2022] Open
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Ding X, Rosen L, Wu H. SU-E-T-189: Commission Range Shifter On a Spot Scanning Proton System Using Raystation Treatment Planning System. Med Phys 2015. [DOI: 10.1118/1.4924550] [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: 11/07/2022] Open
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Ding X, Wu H, Rosen L. SU-E-T-73: A Robust Proton Beam Therapy Technique for High-Risk Prostate Cancer Whole Pelvis Irradiation: Bilateral Opposed Single Field Uniform Dose (SFUD) Plan with Lateral Penumbra Gradient Matching. Med Phys 2015. [DOI: 10.1118/1.4924434] [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: 11/07/2022] Open
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Freund D, Ding X, Zhang J, Rosen L, Wu H. SU-E-T-27: A Dosimetric Evaluation of Boney Anatomy Versus Fiducial Marker Alignment for the Treatment of Prostate Cancer Using Scanned Beam Proton Therapy. Med Phys 2015. [DOI: 10.1118/1.4924388] [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: 11/07/2022] Open
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Ding X, Traneus E, Zhang J, Lin H, Zhai H, Rosen L, Wu H. SU-E-T-780: Use Robustness Optimization (RO) Method to Improve the Planning Efficiency for Pencil Beam Scanning Cranial Spinal Irradiation. Med Phys 2015. [DOI: 10.1118/1.4925144] [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: 11/07/2022] Open
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Syh J, Syh J, Patel B, Zhang J, Wu H, Rosen L. SU-E-T-10: A Clinical Implementation and the Dosimetric Evidence in High Dose Rate Vaginal Multichannel Applicator Brachytherapy. Med Phys 2015. [DOI: 10.1118/1.4924371] [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: 11/07/2022] Open
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Syh J, Ding X, Rosen L, Wu H. SU-E-T-280: Dose Evaluation in Using CT Density Versus Relative Stopping Power for Pencil Beam Planning and Treating IROC Proton Phantom. Med Phys 2015. [DOI: 10.1118/1.4924642] [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: 11/07/2022] Open
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Zhang J, Durci M, Wu H, Rosen L, Ding X. SU-E-T-143: Automatic PBS Treatment Planning for Prostate Cancer. Med Phys 2015. [DOI: 10.1118/1.4924505] [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: 11/07/2022] Open
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Reategui C, Chiang FF, Rosen L, Sands D, Weiss EG, Wexner SD. Phantom rectum following abdominoperineal excision for rectal neoplasm: appearance and disappearance. Colorectal Dis 2014; 15:1309-12. [PMID: 23746116 DOI: 10.1111/codi.12312] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [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: 11/16/2012] [Accepted: 02/15/2013] [Indexed: 12/28/2022]
Abstract
AIM The sensation that the rectum remains or is functioning after abdominoperineal excision (APE) is called phantom rectum (PR). Its postoperative and long-term morbidity are not well documented. Informed consent may not include the risk and consequences of this condition. We assessed the incidence and morbidity of PR after APE and compared those with vs those without vertical rectus abdominis myocutaneous flaps. METHOD Patients who underwent APE between 1 January 2004 and 31 December 2008 were identified. Preoperative radiation and operative reconstruction by vertical rectus abdominis myocutaneous (VRAM) flaps were noted. Patients were interviewed by telephone to assess the presence and timing of PR symptoms and their effect on quality of life. RESULTS Thirty-six of 80 patients who underwent APE were available for follow-up. Twenty-three (64%) described PR symptoms including urgency to evacuate [22 (61%)], sensation of faeces in the rectum [19 (52%)] and sensation of passing flatus [17 (48%)]. Eleven (47%) who had VRAM vs 25 who did not, reported having symptoms of PR at < 3 months after APE. Patients described their symptoms as 'unchanged over time' [20 (56%)], 'gradually decreasing and ultimately disappearing' [13 (35%)] or 'worsening' [3 (9%)]. Preoperative radiation and laparoscopic approach were not associated with PR symptoms. Significantly more patients having a VRAM flap reported early PR symptoms [7/11 (64%) vs 4/25 (16%)] (P = 0.008). CONCLUSION PR sensations were experienced by 23 (64%) patients who underwent APE for rectal cancer. VRAM reconstruction was associated with early PR presentation. The possibility of PR should be discussed preoperatively in patients undergoing APE for anorectal neoplasm.
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Affiliation(s)
- C Reategui
- Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA
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Rosen L, Goldman J, Hubbard J, Roos M, Capdevila J, Maynes J, Lin W, O'Keeffe B, Lackner M, Spoerke J, Ware J, Arnieri B, Freas E, Leong S. 382 Phase Ib study of oral dual-PI3K/mTOR inhibitor GDC-0980 in combination with capecitabine and mFOLFOX6 + bevacizumab in patients with advanced solid tumors and colorectal cancer. Eur J Cancer 2014. [DOI: 10.1016/s0959-8049(14)70508-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [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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Ascher-Walsh C, Rosen L, Perera E, Robbins A, Sekhon L, Barr R, Mamik M. Morcellated Uterine Pathology in 815 Consecutive Patients at a Single Academic Institution. J Minim Invasive Gynecol 2014. [DOI: 10.1016/j.jmig.2014.08.014] [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]
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Sekhon L, Robbins A, Rosen L, Barr R, Mamik M, Ascher-Walsh C. Risk Factors for an Extended Length of Stay in Patients Undergoing Robot-Assisted Laparoscopic Myomectomy. J Minim Invasive Gynecol 2014. [DOI: 10.1016/j.jmig.2014.08.153] [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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Mann D, Knaus M, McCullagh L, Sofianou A, Rosen L, McGinn T, Kannry J. Measures of user experience in a streptococcal pharyngitis and pneumonia clinical decision support tools. Appl Clin Inform 2014; 5:824-35. [PMID: 25298820 PMCID: PMC4187097 DOI: 10.4338/aci-2014-04-ra-0043] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [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: 04/28/2014] [Accepted: 08/09/2014] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To understand clinician adoption of CDS tools as this may provide important insights for the implementation and dissemination of future CDS tools. MATERIALS AND METHODS Clinicians (n=168) at a large academic center were randomized into intervention and control arms to assess the impact of strep and pneumonia CDS tools. Intervention arm data were analyzed to examine provider adoption and clinical workflow. Electronic health record data were collected on trigger location, the use of each component and whether an antibiotic, other medication or test was ordered. Frequencies were tabulated and regression analyses were used to determine the association of tool component use and physician orders. RESULTS The CDS tool was triggered 586 times over the study period. Diagnosis was the most frequent workflow trigger of the CDS tool (57%) as compared to chief complaint (30%) and diagnosis/antibiotic combinations (13%). Conversely, chief complaint was associated with the highest rate (83%) of triggers leading to an initiation of the CDS tool (opening the risk prediction calculator). Similar patterns were noted for initiation of the CDS bundled ordered set and completion of the entire CDS tool pathway. Completion of risk prediction and bundled order set components were associated with lower rates of antibiotic prescribing (OR 0.5; CI 0.2-1.2 and OR 0.5; CI 0.3-0.9, respectively). DISCUSSION Different CDS trigger points in the clinician user workflow lead to substantial variation in downstream use of the CDS tool components. These variations were important as they were associated with significant differences in antibiotic ordering. CONCLUSIONS These results highlight the importance of workflow integration and flexibility for CDS success.
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Affiliation(s)
- D. Mann
- Department of Medicine, Section of Preventive Medicine and Epidemiology, Boston University School of Medicine, Boston, MA, USA
| | - M. Knaus
- Department of Medicine, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY, USA
| | - L. McCullagh
- Department of Medicine, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY, USA
| | - A. Sofianou
- Department of Medicine, Division of General Internal Medicine, Mount Sinai School of Medicine, New York, NY, USA
| | - L. Rosen
- Department of Medicine, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY, USA
| | - T. McGinn
- Department of Medicine, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY, USA
| | - J. Kannry
- Department of Medicine, Division of General Internal Medicine, Mount Sinai School of Medicine, New York, NY, USA
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Dean M, Rosen L, Durci M, Katz S, Wilkinson B, Wu T. Definitive Contemporary Chemoradiation With Dose Escalation for Esophageal Cancer. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.1096] [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]
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Rosen L, Rozhavski V, Levine H, Sela T, Bar-Ze'ev Y, Molina-Hazan V, Zarka S. Smoking initiation among Israeli adolescents: a 24-year time-to-event analysis. Prev Med 2014; 65:141-7. [PMID: 24905864 DOI: 10.1016/j.ypmed.2014.05.020] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [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: 12/26/2013] [Revised: 05/21/2014] [Accepted: 05/23/2014] [Indexed: 12/01/2022]
Abstract
INTRODUCTION Preventing smoking initiation will protect future generations from smoking-attributable death and disease. This study examines the correlates and patterns of initiation among Israeli youth using time-to-event analysis and other methods. METHODS Twenty-four consecutive representative samples (1986-2009) of new military recruits (N=50,254) were analyzed. Cox regression and Kaplan-Meier analysis were used to identify factors associated with smoking initiation, and logistic regression was used to identify factors associated with smoking status. RESULTS The most hazardous age for smoking initiation was seventeen, subsequent to the mean age of smoking initiation (males: 15.7, females: 16.0). Age of initiation and age of greatest hazard for initiation declined among recruits between the years 1986 and 2009. Earlier smoking initiation among boys and girls was significantly associated with low education levels (<12years) (males: HR=2.98, CI: [2.79, 3.18]; females: HR=3.35, CI: [2.96, 3.80]), low paternal education levels, Russian birthplace, and religion. Earlier initiation in boys was associated with high fitness levels and low/medium socio-economic status. Earlier initiation in girls was associated with being Western-born and ever-use of contraception. CONCLUSIONS Smoking initiation among Israeli youth recruited to the armed forces is associated with individual and family characteristics, particularly low education levels. Time-to-event analysis complements traditional means of understanding smoking initiation by identifying ages at which initiation hazard is high.
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Affiliation(s)
- L Rosen
- Dept. of Health Promotion, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Israel.
| | - V Rozhavski
- Preventive Medicine Branch, Medical Corps, Israel Defense Force, Israel.
| | - H Levine
- Preventive Medicine Branch, Medical Corps, Israel Defense Force, Israel; Hebrew University-Hadassah Braun School of Public Health and Community Medicine, Ein Kerem, Jerusalem, Israel.
| | - T Sela
- Preventive Medicine Branch, Medical Corps, Israel Defense Force, Israel.
| | - Y Bar-Ze'ev
- Dept. of Health Promotion, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Israel; Preventive Medicine Branch, Medical Corps, Israel Defense Force, Israel.
| | - V Molina-Hazan
- Preventive Medicine Branch, Medical Corps, Israel Defense Force, Israel; The Health Systems Management Program, Department of Management, Bar Ilan University, Israel.
| | - S Zarka
- Preventive Medicine Branch, Medical Corps, Israel Defense Force, Israel; School of Public Health, University of Haifa, Israel.
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