Publications by authors named "Alex A Francoeur"

Cervical cancer is preventable with screening and vaccination approaches; however, access to these preventative measures is limited both nationally and globally and thus many women will still develop cervical cancer. Novel treatments and practice-changing research have improved cervical cancer outcomes over the past few decades. In this Review, we discuss clinical trials that have refined or redefined the treatment of cervical cancers across the early stage, locally advanced, persistent, recurrent and/or metastatic disease settings.

View Article and Find Full Text PDF

Objective: To evaluate the correlation in temporal trends in obesity and endometrioid endometrial cancer incidence in the United States using two comprehensive national databases.

Methods: This is a cohort study in which data on endometrioid endometrial cancer were obtained from the U.S.

View Article and Find Full Text PDF
Article Synopsis
  • Palliative care (PC) in cancer treatment helps relieve symptoms, improves care conversations, and decreases aggressive end-of-life procedures; this study explored its impact on hospitalization and readmission costs for ovarian cancer patients.
  • Among nearly 285,500 patients from 2010 to 2020, only about 9% received PC consultations, with usage increasing significantly over the years, mainly in older patients and those with more comorbidities.
  • The study found that patients with PC consultations had lower rates of 30-day readmissions and reduced hospitalization costs, suggesting that early access to PC could improve outcomes and resource use, although disparities still persist.
View Article and Find Full Text PDF

Introduction: Uterine cancer is the most common gynecologic malignancy in women and is projected to surpass ovarian cancer as the deadliest gynecologic malignancy in the United States in 2024. Additionally, rates of advanced and high-risk uterine cancer have been on the rise in the United States, demonstrating a need for innovation in treatment options. There have been multiple recent trials investigating the incorporation of novel agents in the treatment of advanced and recurrent endometrial cancer.

View Article and Find Full Text PDF

Objective: Congenital birth defects affect 3 to 5% of pregnancies. Genetic counseling can help patients navigate the testing process and understand results. The study objective was to identify predictors and utility of genetic counseling at the time of pregnancy termination.

View Article and Find Full Text PDF

Objective: To evaluate single-pass loop electrosurgical excision procedure (LEEP-SP) versus LEEP with top hat (LEEP-TH) in terms of treatment failure defined as high-grade squamous intraepithelial lesion (HSIL) cytology within 2 years' follow-up.

Methods: This single-institution cohort study used a prospectively collected cervical dysplasia database including all patients who underwent LEEP-SP or LEEP-TH for biopsy-proven cervical intraepithelial neoplasia between 2005 and 2019.

Results: Of 340 patients included, 178 underwent LEEP-SP and 162 LEEP-TH.

View Article and Find Full Text PDF

Objective: Cervical cancer (International Federation of Gynecology and Obstetrics (FIGO)) stage IVA-B (distant stage) is a rare diagnosis with an approximate 5 year survival rate of 17% and with limited treatment options. The objective of this study was to determine the trends in distant stage cervical cancer in the USA and identify possible factors related to these trends.

Methods: Data were obtained from the United States Cancer Statistics program from 2001 to 2018.

View Article and Find Full Text PDF
Article Synopsis
  • * A retrospective study analyzed data from 2001 to 2018 to assess the relationship between HPV vaccination, screening, and the occurrence of HPV-related cancers, focusing on various demographics.
  • * Results indicated that out of over 657,000 HPV-associated cancer cases, the majority affected women (59.8%), particularly cervical cancer, while data revealed significant variations in cancer incidence based on race and vaccination status.
View Article and Find Full Text PDF

Background: A favorable Simplified Bishop Score (>5) before the induction of labor is associated with successful vaginal birth. Patients with an unfavorable Simplified Bishop Score (≤5) undergo cervical ripening before the administration of oxytocin. However, data are limited regarding the utility of the Simplified Bishop Score after cervical ripening.

View Article and Find Full Text PDF

Muddy and sandy sediments have different physical properties. Muds are cohesive elastic solids, whereas granular beach sands are non-cohesive porous media. Infaunal organisms such as worms that burrow through sediments therefore face different mechanical challenges that potentially lead to a variety of burrowing strategies and morphologies.

View Article and Find Full Text PDF