Publications by authors named "D P Lebrun"

Article Synopsis
  • The study followed patients with early-stage follicular lymphoma (ESFL) who were treated with involved field radiotherapy (IFRT) alone or combined with chemotherapy (cyclophosphamide/vincristine/prednisolone) and later added rituximab to the treatment, analyzing its effects over an 11.3-year period.* -
  • Results showed that those receiving IFRT plus rituximab (IFRT + R-CVP) had significantly better progression-free survival rates (62% vs. 43%) compared to IFRT alone, even though overall survival rates didn’t differ significantly.* -
  • Additionally, higher expression of the CD8A gene in biopsy samples was associated with improved outcomes, suggesting that immune
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  • A recent study examined how preoperative factors impact recovery outcomes after cervical spine surgery, focusing specifically on patient-reported outcome measures (PROMs) to predict postoperative success in pain relief and functionality.
  • The research analyzed data from 139 patients who underwent surgery, using measures like the Neck Disability Index (NDI) and PROMIS assessments before and after the procedure.
  • Findings indicated that for overall patients, a 1-point increase in preoperative disability scores decreased the odds of achieving a satisfactory symptom state post-surgery, especially among those with radiculopathy, while showing different results for myelopathy patients.
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Follicular lymphoma (FL) exhibits considerable variability in biological features and clinical trajectories across patients. To dissect the diversity of FL, we utilized a Bernoulli mixture model to identify genetic subtypes in 713 pre-treatment tumor tissue samples. Our analysis revealed the existence of five subtypes with unique genetic profiles that correlated with clinicopathological characteristics.

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Radiotherapy is routinely used for management of limited-stage follicular lymphoma (FL), yet half of patients ultimately relapse. We hypothesized that the presence of specific gene mutations may predict outcomes. We performed targeted sequencing of a 69-gene panel in 117 limited-stage FL patients treated with radiotherapy and identified recurrently mutated genes.

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  • The study examined complications following outpatient total hip arthroplasty (THA) by analyzing data from the National Surgical Quality Improvement Program database between 2012 and 2019, focusing on the timing of such complications.
  • It found that for various complications, the median days of diagnosis post-surgery varied, with some issues like stroke and myocardial infarction occurring earlier compared to infections and readmissions.
  • While outpatients showed a lower risk for certain complications like readmission and surgical site infections, both outpatient and inpatient procedures had similar timing for complications, suggesting a need for earlier diagnostic testing in outpatient cases during identified risk periods.
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