Search results for " OUTCOMES"

showing 10 items of 356 documents

Primary HBB gene mutation severity and long-term outcomes in a global cohort of β-thalassaemia

2021

In β-thalassaemia, the severity of inherited β-globin gene mutations determines the severity of the clinical phenotype at presentation and subsequent transfusion requirements. However, data on associated long-term outcomes remain limited. We analysed data from 2109 β-thalassaemia patients with available genotypes in a global database. Genotype severity was grouped as β0 /β0 , β0 /β+ , β+ /β+ , β0 /β++ , β+ /β++ , and β++ /β++ . Patients were followed from birth until death or loss to follow-up. The median follow-up time was 34·1 years. Mortality and multiple morbidity outcomes were analyzed through five different stratification models of genotype severity groups. Interestingly, β0 and β+ mu…

AdultMalemedicine.medical_specialtyphenotypegenotypemorbidityKaplan-Meier Estimatebeta-GlobinsGene mutationβ thalassaemiaGlobal HealthGastroenterologySeverity of Illness IndexsurvivalCohort StudiesYoung AdultInternal medicineGenotypemedicineLong term outcomesOdds RatioHumansAllelesgenotype; morbidity; mortality; phenotype; survivalProportional Hazards Modelsbusiness.industrybeta-ThalassemiaDisease ManagementHematologyPrognosisPhenotypemortalityConfidence intervalPopulation SurveillanceCohortMutationFemaleRisk of deathbusinessFollow-Up Studies
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Second-line Eribulin in Triple Negative Metastatic Breast Cancer patients. Multicentre Retrospective Study: The TETRIS Trial

2021

Introduction: Large and consistent evidence supports the use of eribulin mesylate in clinical practice in third or later line treatment of metastatic triple negative breast cancer (mTNBC). Conversely, there is paucity of data on eribulin efficacy in second line treatment. Methods: We investigated outcomes of 44 mTNBC patients treated from 2013 through 2019 with second line eribulin mesylate in a multicentre retrospective study involving 14 Italian oncologic centres. Results: Median age was 51 years, with 11.4% of these patients being metastatic at diagnosis. Median overall survival (OS) and progression free survival (PFS) from eribulin starting were 11.9 (95%CI: 8.4-15.5) and 3.5 months (95…

AdultOncologyEribulin Mesylatemedicine.medical_specialtyeribulin mesylatemedicine.medical_treatmentTriple Negative Breast Neoplasmschemotherapytriple negative metastatic breast cancer03 medical and health scienceschemistry.chemical_compound0302 clinical medicineadjuvantInternal medicineAntineoplastic Combined Chemotherapy Protocols80 and overmedicineHumansChemotherapy; Efficacy outcomes; Eribulin mesylate; Toxicity outcomes; Triple negative metastatic breast cancerProgression-free survivalFuransAdverse effectTriple-negative breast cancerAgedNeoplasm StagingRetrospective StudiesAged 80 and overChemotherapybusiness.industryRetrospective cohort studyGeneral MedicineKetonesMiddle Agedmedicine.diseaseMetastatic breast cancerNeoadjuvant TherapyProgression-Free SurvivalchemistryChemotherapy AdjuvantFemale030211 gastroenterology & hepatologytoxicity outcomesefficacy outcomeschemotherapy; efficacy outcomes; eribulin mesylate; toxicity outcomes; triple negative metastatic breast cancer; adult; aged; aged; 80 and over; antineoplastic combined chemotherapy protocols; chemotherapy; adjuvant; female; furans; humans; ketones; middle aged; neoadjuvant therapy; neoplasm staging; progression-free survival; retrospective studies; triple negative breast neoplasmsbusinessResearch PaperEribulinInternational Journal of Medical Sciences
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High progesterone levels in women with high ovarian response do not affect clinical outcomes: a retrospective cohort study

2014

Background The potentially detrimental role of progesterone during the follicular phase has been a matter of controversy for several years; however, few studies have analyzed the effects of combined raised estradiol and progesterone levels on pregnancy outcomes. The aim of the present study was to determine the influence of high progesterone levels on clinical outcomes in the context of high ovarian response. Methods We performed a retrospective cohort study that included 2850 women classified as high responders. The women were subdivided into six groups depending on their progesterone concentration on the day of human chorionic gonadotropin (hCG) administration: 1.81 ng/ml (>p90). Ovarian …

AdultPregnancy Ratemedicine.medical_treatmentContext (language use)Fertilization in VitroBiologyChorionic GonadotropinHuman chorionic gonadotropinCohort StudiesAndrologyYoung AdultOogenesisEndocrinologyOvulation InductionPregnancyHigh progesteroneClinical outcomesFollicular phasemedicineHumansChorionic Gonadotropin beta Subunit HumanSperm Injections IntracytoplasmicProgesteroneRetrospective StudiesPregnancyEstradiolResearchOvaryObstetrics and GynecologyRetrospective cohort studyFertility Agents Femalemedicine.diseaseUp-RegulationPregnancy rateFollicular PhaseROC CurveReproductive MedicineSpainHigh respondersFemaleOvulation inductionOvarian responseInfertility FemaleCohort studyDevelopmental BiologyReproductive Biology and Endocrinology
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Burden of disease in patients with Morquio A syndrome: results from an international patient-reported outcomes survey

2013

WOS: 000335253700001

AdultQuality of lifemedicine.medical_specialtyActivities of daily livingInternationalityAdolescentDiseaseShort staturechemistry.chemical_compoundWheelchairQuality of lifeElosulfase alfaMedicineHumansGenetics(clinical)Pharmacology (medical)ChildGenetics (clinical)FatigueMobilityMedicine(all)Pain measurementPatient-reported outcomesbusiness.industryData CollectionResearchMucopolysaccharidosis IVGeneral MedicineGaithumanitiesEQ-5D-5LchemistryWheelchairsJoint painPhysical therapymedicine.symptombusinessMorquio A syndromeOrphanet Journal of Rare Diseases
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Ramadan exposure and birth outcomes: a population-based study from the Netherlands.

2020

AbstractBackground:Ramadan, the Islamic month of daytime fasting, is observed by many pregnant Muslims. Although pregnant women are exempt, many prefer to fast. Previous research has shown long-term adverse effects on various health outcomes among the offspring, but evidence on effects on perinatal outcomes is mixed. This study investigates effects of Ramadan during pregnancy among Muslims in the Netherlands.Methods:Data from the Perinatal Registry of the Netherlands (Perined) on all births between 2000 and 2010 to mothers recorded as Mediterranean (i.e. of Turkish/Moroccan descent, a proxy for Muslim) (n = 139,322) or as ethnically Dutch (n = 1,481,435) were used. Ramadan exposure was defi…

AdultfastingOffspringBirth weightMedicine (miscellaneous)MothersGestational AgeLogistic regressionIslamOddsCohort Studies03 medical and health sciencesYoung Adult0302 clinical medicineSDG 3 - Good Health and Well-beingPregnancy0502 economics and businessMedicineBirth WeightHumans030212 general & internal medicineRegistries050207 economicsPerinatal MortalityNetherlandsRamadanPregnancybusiness.industry05 social sciencesbirth outcomesInfant Newbornbirth weightOdds ratioFastingMaternal Nutritional Physiological Phenomenamedicine.diseaseConfidence intervalApgar Score/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_beingGestationFemalepregnancybusinessDemographyMaternal AgeJournal of developmental origins of health and disease
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Prognostic value of initial chest CT findings for clinical outcomes in patients with COVID-19

2020

Rationale: To identify whether the initial chest computed tomography (CT) findings of patients with coronavirus disease 2019 (COVID-19) are helpful for predicting the clinical outcome. Methods: A total of 224 patients with laboratory-confirmed COVID-19 who underwent chest CT examination within the first day of admission were enrolled. CT findings, including the pattern and distribution of opacities, the number of lung lobes involved and the chest CT scores of lung involvement, were assessed. Independent predictors of adverse clinical outcomes were determined by multivariate regression analysis. Adverse outcome were defined as the need for mechanical ventilation or death. Results: Of 224 pat…

Adultmedicine.medical_specialtyMultivariate analysismedicine.medical_treatment03 medical and health sciences0302 clinical medicineInternal medicinemedicineHumansAgedRetrospective StudiesMechanical ventilationLungbusiness.industrySARS-CoV-2COVID-19Retrospective cohort studyGeneral MedicineOdds ratioMiddle Agedmedicine.diseasePrognosisComorbidityConfidence intervalclinical outcomesmedicine.anatomical_structure030211 gastroenterology & hepatologyRadiography ThoracicbusinessTomography X-Ray ComputedZones of the lungResearch PaperCTInternational Journal of Medical Sciences
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Re: A recent study by economists on the impact of home births on infant outcomes confuses the debate on home birth

2016

Adultmedicine.medical_specialtyPediatricsMidwiferyInfant outcomes03 medical and health sciencesPatient safety0302 clinical medicinePregnancyRisk FactorsInfant Mortality0502 economics and businessmedicineHumansHome Childbirth/economics050207 economicsHome ChildbirthPregnancy030219 obstetrics & reproductive medicinebusiness.industry05 social sciencesInfant NewbornPregnancy OutcomeInfantObstetrics and Gynecologymedicine.diseaseInfant newbornUnited KingdomInfant mortalityObservational Studies as TopicFamily medicineObservational Studies as TopicFemalePatient SafetybusinessHome birthBJOG: An International Journal of Obstetrics & Gynaecology
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Effect of an exercise-based intervention on physical function of frail elderly patients with acute coronary syndrome

2021

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): This work was supported by grants from CIBER CV, Madrid, Spain [grant number 16/11/00420] and Instituto de Salud Carlos III-FEDER, Madrid, Spain Background Frail elderly patients with cardiovascular diseases are vulnerable and more likely to experience physical function decline. Of the interventions that have shown some efficacy in the management of frailty, exercise is the only treatment found to consistently improve physical function. Since the number of older persons with cardiac diseases is gradually increasing, understanding how therapeutic exercise might be succes…

Advanced and Specialized NursingAcute coronary syndromemedicine.medical_specialtybusiness.industryShort Physical Performance BatteryPhysical functionmedicine.diseaseHealth outcomesPreferred walking speedMedical–Surgical NursingIntervention (counseling)medicinePhysical therapyAerobic exerciseFrail elderlyCardiology and Cardiovascular MedicinebusinessEuropean Journal of Cardiovascular Nursing
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Physical function and frailty in elderly patients with acute coronary syndrome

2021

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): This work was supported by grants from CIBER CV, Madrid, Spain [grant number 16/11/00420] and Instituto de Salud Carlos III-FEDER, Madrid, Spain. Background Frailty is described a complex clinical syndrome of increased vulnerability to stressors that places the individual at increased risk of adverse health outcomes. It results from multiple impairments (among others, in physical functioning) and its severity ranges from mild to severe. In older cardiac patients, frailty is reported to be a significant and an independent predictor of functional decline. Purpose To analy…

Advanced and Specialized Nursingmedicine.medical_specialtyAcute coronary syndromeEmotional vulnerabilitybusiness.industryStressorShort Physical Performance BatteryPhysical functionHealth outcomesmedicine.diseaseMedical–Surgical NursingPhysical therapyMedicineFrail elderlyCardiology and Cardiovascular MedicinebusinessEuropean Journal of Cardiovascular Nursing
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Update on the ESCEO recommendation for the conduct of clinical trials for drugs aiming at the treatment of sarcopenia in older adults

2020

Abstract Background In 2016, an expert working group was convened under the auspices of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) and formulated consensus recommendations for the conduct of clinical trials for drugs to prevent or treat sarcopenia. Aims The objective of the current paper is to provide a 2020 update of the previous recommendations in accordance with the evidence that has become available since our original recommendations. Methods This paper is based on literature reviews performed by members of the ESCEO working group and followed up with face to face meetings organized for the whole group to make amendments and discuss…

AgingSarcopeniaGeriatrics & GerontologyStandardizationDiseaseReviewRecommendationsFace-to-face0302 clinical medicineQUALITY-OF-LIFEGAIT SPEEDClinical trial; Drug registration; Guidelines; Recommendations; Sarcopenia; Treatment; Aged; Humans; Muscle Strength; Osteoarthritis; Osteoporosis; Pharmaceutical Preparations; Sarcopenia030212 general & internal medicineMUSCLE MASSDIETARY-PROTEINClinical trialPhysical limitationsPharmaceutical Preparations/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_beingPatient-reported outcomeGRIP STRENGTHLife Sciences & Biomedicinemedicine.medical_specialtyNUTRITIONAL-STATUSBODY-COMPOSITION030209 endocrinology & metabolismGuidelines03 medical and health sciencesClinical trial · Sarcopenia · Guidelines · Recommendations · Drug registration · TreatmentSDG 3 - Good Health and Well-beingOsteoarthritismedicineHumansMuscle StrengthDrug registrationAgedScience & Technologybusiness.industryWORKING GROUPmedicine.diseaseComorbidityClinical trialTreatmentSarcopeniaPATIENT-REPORTED OUTCOMESPhysical therapyOsteoporosisGeriatrics and GerontologyPHYSICAL PERFORMANCEbusinessAging Clinical and Experimental Research
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