Search results for "OUTCOME"

showing 10 items of 5148 documents

Efficacy and safety of rituximab treatment in early primary Sjögren's syndrome: a prospective, multi-center, follow-up study.

2013

Introduction Primary Sjögren’s syndrome (pSS) is an autoimmune disorder affecting exocrine glands; however, a subgroup of pSS patients experience systemic extra-glandular involvement leading to a worsening of disease prognosis. Current therapeutic options are mainly empiric and often translated by other autoimmune diseases. In the last few years growing evidence suggests that B-cell depletion by rituximab (RTX) is effective also in pSS. Patients with early active disease appear to be those who could benefit the most from RTX. The aim of this study was to investigate the efficacy and safety of RTX in comparison to disease modifying anti-rheumatic drugs (DMARDs) in early active pSS patients. …

AdultMaleReceptors CXCR5musculoskeletal diseasesReceptors CXCR4Salivamedicine.medical_specialtySjogren's syndrome RituximabTime FactorsBiopsyImmunologyGene ExpressionDiseaseSalivary GlandsAntibodies Monoclonal Murine-Derivedstomatognathic systemRheumatologyInternal medicineBiopsyHumansImmunology and AllergyMedicineProspective StudiesProspective cohort studyAdverse effectFatiguePain Measurementmedicine.diagnostic_testSalivary glandReverse Transcriptase Polymerase Chain Reactionbusiness.industryMiddle AgedChemokine CXCL13Chemokine CXCL12Rheumatologystomatognathic diseasesTreatment Outcomemedicine.anatomical_structureSjogren's syndromeAntirheumatic AgentsImmunologyFemaleRituximabSelf ReportRituximabbusinessFollow-Up StudiesResearch Articlemedicine.drug
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Retrospective Analysis in Lower Limb Reconstruction: Propeller Perforator Flaps versus Free Flaps.

2017

Background Technical advancements and increasing experience in the management of soft tissue defects in lower extremities have led to the evolution of decisional reconstructive algorithms. Both propeller perforator flaps (PPFs) and free flaps (FFs) proved to be useful methods of reconstruction for lower extremities defects, offering alternative reconstructive tools. We present a case series of PPFs and FFs for reconstruction of lower limbs defects, analyzing and comparing treatment and outcomes. Methods Through a retrospective analysis, we report our experience in performing PPFs or FFs for reconstruction of soft tissue defects of the lower extremities, in patients admitted between 2010 an…

AdultMaleReconstructive surgerymedicine.medical_specialtySoft Tissue InjuriesSettore MED/19 - Chirurgia PlasticaFree flap030230 surgeryFree Tissue FlapsLower limblower limb reconstruction03 medical and health sciences0302 clinical medicinemedicineRetrospective analysisHumansIn patientPrimary healingfree flapAgedRetrospective StudiesAged 80 and overbusiness.industrySoft tissueMiddle AgedPlastic Surgery ProceduresSurgerypropeller perforator flapTreatment Outcome030220 oncology & carcinogenesisSurgerybusinessPerforator FlapPerforator flapsLeg InjuriesJournal of reconstructive microsurgery
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Iris Claw Phakic Intraocular Lens for High Myopia

1997

ABSTRACT BACKGROUND: The implantation of a WorstFechner iris claw intraocular lens (IOL) is one of the surgical procedures used for the correction of high myopia. This technique reduces myopia with stähle refractive results; however, its potential long-term risks have not been evaluated. We report results in 94 eyes with a minimum follow -up of 3 years. METHODS: We studied 94 eyes of 62 patients with myopia 5= -7.00 diopters (D) who underwent Worst-Fechner IOL implantation. Lens decentration, permeability of the blood-aqueous barrier by iris angiography, and changes in corneal endothelial density were analyzed. RESULTS: Mean follow-up time was 48.9 months (range 36 to 72 mo). Three years af…

AdultMaleRefractive errormedicine.medical_specialtyTime FactorsVisual acuitygenetic structuresEye diseasemedicine.medical_treatmentVisual AcuityIrisEmmetropiaIntraocular lensRefraction OcularPhakic intraocular lensVision disorderPostoperative ComplicationsOphthalmologyMyopiamedicineHumansDioptreAgedRetrospective StudiesLenses Intraocularbusiness.industryEndothelium CornealMiddle Agedmedicine.diseaseeye diseasesOphthalmologyTreatment OutcomeFemaleSurgerysense organsmedicine.symptombusinessFollow-Up StudiesJournal of Refractive Surgery
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Phantom Limb Pain in Daily Practice—Still a Lot of Work to Do!

2012

Objectives. Effective treatment of phantom limb pain (PLP, pain felt in the part of the body of an amputated limb) is still difficult to achieve, and improved treatment is needed. It is therefore of paramount interest to understand the current practice of PLP therapy outside pain centers. Design. As a part of a nationwide survey, 537 amputees were asked 11 questions related to their treatment experiences and the pain relief. Furthermore, the patients' opinion about the quality of medical care was also asked. Results. Five hundred thirty-seven out of 1088 amputees returned the questionnaire (49.4%). Four hundred (74.5%) suffered from PLP. The patients rated their caregivers' knowledge about …

AdultMaleReoperationHealth Knowledge Attitudes Practicemedicine.medical_specialtymedicine.medical_treatmentPhantom limbchemical and pharmacologic phenomenaRelaxation TherapyPhantom limb painAmputeesimmune system diseasesGermanySurveys and QuestionnairesDaily practicemedicineHumansPain ManagementEffective treatmentQuality of Health Carebusiness.industryAmputation StumpsGeneral MedicineMiddle Agedmedicine.diseaseNeuromanervous system diseasesAnalgesics OpioidTreatment OutcomeAnesthesiology and Pain MedicinePain ClinicsPhantom LimbAmputationOpioidPatient SatisfactionTranscutaneous Electric Nerve StimulationPhysical therapyAnticonvulsantsFemalelipids (amino acids peptides and proteins)Clinical CompetenceNeurology (clinical)businessmedicine.drugPain Medicine
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Long-term Results After Transconjunctival Resuturing of the Scleral Flap in Hypotony Following Trabeculectomy

2013

Purpose To present the 4-year follow-up results in the surgical treatment of hypotony following trabeculectomy with mitomycin C in glaucoma patients with additional flap sutures. Design Retrospective interventional case series. Methods Since 2006, 53 patients with hypotony maculopathy attributable to overfiltration following glaucoma surgery (trabeculectomy with mitomycin C) were included in this institutional study. We were able to follow up intraocular pressure (IOP) and distance-corrected visual acuity in 33 (62%) over 4 years, whereas all were followed over 2 years. To elevate IOP, we placed tangential transconjunctival sutures through the scleral flap and connected them to the adjacent…

AdultMaleReoperationIntraocular pressuremedicine.medical_specialtyTime FactorsVisual acuitygenetic structuresmedicine.medical_treatmentGlaucomaOcular HypotensionTrabeculectomySurgical FlapsTonometry OcularOphthalmologyGlaucoma surgeryHumansMedicineTrabeculectomyIntraocular PressureAgedRetrospective StudiesScleral flapAged 80 and overbusiness.industrySuture TechniquesMitomycin CGlaucomaMiddle Agedmedicine.diseaseeye diseasesScleraSurgeryOphthalmologyTreatment Outcomemedicine.anatomical_structureFemalesense organsmedicine.symptombusinessConjunctivaScleraFollow-Up StudiesAmerican Journal of Ophthalmology
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Clinical analysis following lumbar interspinous devices implant: where we are and where we go

2014

Objectives:We present our experience with patients treated with interspinous devices who are affected by neurogenic intermittent claudication (NIC) or lumbar disc herniation (LDH) where the interspinous system has been inserted following microdiscectomy.Study design:Retrospective study.Methods:This study included patients (n=100) with NIC secondary to lumbar spinal stenosis (group 1), and patients (n=100) with LDH (group 2) in whom the interspinous device has been implanted following radicular decompression in a period spanning 6 years. The latter have been compared with a homogenous group of patients (n=100) where no interspinous system has been implanted following microdiscectomy (group 3…

AdultMaleReoperationMicrosurgerymedicine.medical_specialtyTime FactorsVisual analogue scaleDecompressionlumbar interspinous devicesAdult Prostheses and Implants Aged Decompression Surgical Disability Evaluation Female Follow-Up Studies Intermittent Claudication Intervertebral Disc Displacement Humans Lumbar Vertebrae Microsurgery Minimally Invasive Surgical Procedures Middle Aged Male Retrospective Studies Pain Measurement Patient Satisfaction Surveys and Questionnaires Reoperation Recurrence Treatment Outcome Spinal StenosisDisability EvaluationSpinal StenosisLumbarRecurrenceSurveys and QuestionnairesmedicineHumansMinimally Invasive Surgical ProceduresAgedPain MeasurementRetrospective StudiesLumbar VertebraeSettore MED/27 - Neurochirurgiabusiness.industryLumbar spinal stenosisProstheses and ImplantsGeneral MedicineIntermittent ClaudicationMiddle AgedDecompression Surgicalmedicine.diseaseIntermittent claudicationOswestry Disability IndexSurgeryTreatment OutcomeNeurologyPatient SatisfactionFemaleNeurology (clinical)Implantmedicine.symptombusinessClaudicationIntervertebral Disc DisplacementFollow-Up StudiesSpinal Cord
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Bilobectomy for massive hemoptysis after bilateral lung transplantation

2001

AbstractJ Thorac Cardiovasc Surg 2001;121:1194-5

AdultMaleReoperationPulmonary and Respiratory Medicinemedicine.medical_specialtyHemoptysisCystic Fibrosismedicine.medical_treatmentRisk AssessmentSeverity of Illness IndexBilobectomyPneumonectomymedicineLung transplantationHumansPneumonectomyVascular FistulaLungbusiness.industryRespiratory diseaserespiratory systemmedicine.diseaseBronchial FistulaSurgeryTransplantationmedicine.anatomical_structureTreatment OutcomeSurgeryBronchial FistulaComplicationbusinessCardiology and Cardiovascular MedicineFollow-Up StudiesLung TransplantationThe Journal of Thoracic and Cardiovascular Surgery
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The influence of histopathologic criteria on the long-term prognosis of locally excised pT1 rectal carcinomas: results of local excision (transanal e…

2006

Local excision of early rectal cancer is a controversial issue, which is in part because of differences in the evaluation of histopathologic criteria. This prospective study was designed to determine prognostic factors for recurrences and the need for reoperation.In 105 of 118 patients with pT1 carcinomas and local excision, results of recurrence rates and ten-year cancer-free survival were studied separately according to different histologic criteria (R0, R1, Rx, Ror = 1 mm, high-/low-risk situation), tumor localization (anterior, posterior, lateral wall and third of rectum), size, and degree of resection (full-thickness/partial wall). Patients were grouped into local excision (n = 89) and…

AdultMaleReoperationRiskmedicine.medical_specialtyMicrosurgerymedicine.medical_treatmentRectumKaplan-Meier EstimatemedicineCarcinomaHumansProspective StudiesRadical surgeryProspective cohort studySurvival rateAgedNeoplasm StagingAged 80 and overmedicine.diagnostic_testbusiness.industryRectal NeoplasmsCarcinomaGastroenterologyGeneral MedicineMicrosurgeryMiddle Agedmedicine.diseasePrognosisColorectal surgerySurgeryEndoscopymedicine.anatomical_structureTreatment OutcomeFemaleNeoplasm Recurrence LocalbusinessDiseases of the colon and rectum
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Haematopoietic stem cell transplantation for vasculitis including Behçet's disease and polychondritis: a retrospective analysis of patients recorded …

2006

Objective: To evaluate the feasibility of haematopoietic stem cell transplantation (HSCT) in vasculitis. Methods: This is a retrospective analysis of patients who had received HSCT for vasculitic diseases and have been reported to the European League Against Rheumatism autoimmune disease or European Bone Marrow Transplantation ProMISe databases. Information about the disease and outcome was obtained by a questionnaire sent to the referring centres. Response of the disease to HSCT was defined as partial or complete responses according to the ability to reduce immunosuppression after HSCT. In addition, the Medline database was searched for reports on HSCT in patients with vasculitis. Results:…

AdultMaleReoperationVasculitisDatabases Factualmedicine.medical_treatmentMEDLINEImmunologyBehcet's diseasecomputer.software_genreTransplantation AutologousGeneral Biochemistry Genetics and Molecular BiologyRheumatologyimmune system diseasesRecurrencehemic and lymphatic diseasesmedicineImmunology and AllergyHumansTransplantation HomologousRetrospective StudiesImmunosuppression TherapyDatabasePolyarteritis nodosabusiness.industryBehcet SyndromeHematopoietic Stem Cell TransplantationRetrospective cohort studyImmunosuppressionmedicine.diseaseConnective tissue diseaseTransplantationExtended ReportEuropesurgical procedures operativeTreatment OutcomeFemalebusinessVasculitiscomputerCartilage DiseasesRheumatism
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Low rectal cancer: abdominoperineal resection or low Hartmann resection? A postoperative outcome analysis.

2011

BACKGROUND In distal rectum cancers, when the sphincters are not affected and it is not possible to perform a coloanal anastomosis because of the presence of comorbidities or the advanced age of the patient, a low Hartmann resection with total mesorectal excision can be performed. Low Hartmann resection is usually considered to be a shorter procedure and to have an inferior morbidity compared with abdominoperineal resection of the rectum. OBJECTIVE This study aimed to compare the postoperative outcome of a series of patients with low rectal cancer who have undergone either low Hartmann resection or abdominoperineal resection. DESIGN This study is a retrospective analysis of data collected i…

AdultMaleReoperationmedicine.medical_specialtyAbdominal AbscessColorectal cancerRectumPatient ReadmissionResectionYoung AdultPostoperative ComplicationsmedicinePostoperative outcomeHumansColoanal anastomosisDigestive System Surgical ProceduresAgedRetrospective StudiesAged 80 and overbusiness.industryAbdominoperineal resectionRectal NeoplasmsGastroenterologyGeneral MedicineMiddle Agedmedicine.diseaseTotal mesorectal excisionSurgerySurvival Ratemedicine.anatomical_structureTreatment OutcomeSphincterFemalebusinessDiseases of the colon and rectum
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