Publications by authors named "Edwin Jansen"

Article Synopsis
  • The study examines how sex affects outcomes in patients with resectable gastric cancer, focusing on histological subtype differences.
  • It analyzes data from the CRITICS-trial, comparing survival rates, toxicity, and compliance between male and female patients.
  • Results show that females have higher rates of positive tumor margins in diffuse gastric cancer and experience more treatment-related toxicity, but this does not significantly impact their treatment effectiveness.
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Purpose: Comparing the midterm clinical outcome of surgical treatment versus ultrasound guided needle aspiration of the calcific deposits (NACD) treatment for conservative therapy resistant calcifying tendinitis (CT) of the shoulder. The hypothesis is that both surgical treatment and NACD treatment led to a comparable good clinical outcome.

Methods: A comparative cohort study was performed (n = 76).

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Article Synopsis
  • A study aimed to evaluate and compare the short-term clinical outcomes of three different surgical treatments for calcifying tendinitis of the shoulder, focusing on pain relief and shoulder function improvement.
  • A total of 69 patients were divided into three groups: subacromial decompression (Group SAD), debridement of calcifications (Group D), and debridement with SAD (Group D + SAD).
  • Results showed all groups experienced significant pain relief and improved shoulder function after 6 months, but Group SAD had lower initial pain relief and required more additional treatments than the other groups.
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Background: Anterior cruciate ligament (ACL) reconstruction is recommended in patients who intend to return to high-level sports. However, there is only a 55-80% return to pre-injury level of sports after ACL reconstruction, with a re-injury rate up to 20%. The aim of this study was to determine the percentage of patients passing the Back in Action (BIA) test 9 months after primary bone-patellar-tendon-bone (BPTB) ACL reconstruction, and evaluate the association between passing the BIA test and patient reported outcome measurements (PROMs).

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Article Synopsis
  • Perioperative chemotherapy is the standard treatment for resectable gastric cancer, with oxaliplatin gaining preference over cisplatin, though evidence for its superiority is lacking.
  • The CRITICS trial compared outcomes between patients using cisplatin (632) and oxaliplatin (149) and examined their effects on patient health and tumor response.
  • While both drugs led to severe toxicity rates (67% for cisplatin vs. 60% for oxaliplatin), the overall survival and tumor response outcomes showed no significant differences, indicating both are viable treatment options.
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Background: Quadriceps strength and mass deficits are common after anterior cruciate ligament (ACL) reconstruction. Postoperatively, heavy load resistance training can have detrimental effects on knee joint pain and ACL graft laxity. Therefore, low-load blood flow restriction (LL-BFR) training has been suggested as an alternative to traditional strength rehabilitation.

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Background: The evaluation of health-related quality of life (HRQoL) in clinical trials has become increasingly important because it addresses the impact of treatment from the patient's perspective. The primary aim of this study was to investigate the effect of postoperative chemotherapy and chemoradiotherapy (CRT) after neoadjuvant chemotherapy and surgery with extended (D2) lymphadenectomy on HRQoL in the CRITICS trial. Second, we investigated the potential prognostic value of pretreatment HRQoL on event-free survival (EFS) and overall survival (OS).

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Background: Predictors of patient satisfaction (PS) after anterior cruciate ligament (ACL) reconstruction are not well known. This study investigated predictors of PS and whether PS was associated with pre-injury level of sport participation, patient reported knee function and quality of life after ACL reconstruction.

Methods: Patients who underwent primary hamstring ACL reconstruction between January 2015 and December 2017 were retrospectively evaluated.

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Background: Current treatment strategies have been designed to improve survival in locally advanced gastric cancer patients. Besides its impact on survival, treatment also affects health-related quality of life (HRQOL), but an overview of reported studies is currently lacking. The aim of this systematic review was therefore to determine the short- and long-term impact of chemotherapy, surgery, and (chemo)radiotherapy on HRQOL in locally advanced, non-metastatic gastric cancer patients.

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Aim: To evaluate the prognostic value of tumor markers in a European cohort of patients with resectable gastric cancer.

Methods: We performed a post hoc analysis of the CRITICS trial, in which 788 patients received perioperative therapy. Association between survival and pretreatment CEA, CA 19-9, alkaline phosphatase, neutrophils, hemoglobin and lactate dehydrogenase were explored in uni- and multivariable Cox regression analyses.

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Gastric cancer (GC) patients at high risk of developing peritoneal metastasis (PM) as a single site of metastasis after curative treatment may be candidates for adjuvant prophylactic strategies. Here we investigated risk factors for metachronous isolated PM in patients who were treated in the CRITICS trial (NCT00407186). Univariable and multivariable analyses on both metachronous isolated PM and 'other events', i.

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. Accurate tumor localization for image-guided liver stereotactic body radiation therapy (SBRT) is challenging due to respiratory motion and poor tumor visibility on conventional x-ray based images. Novel integrated MRI and radiotherapy systems enable direct in-room tumor visualization, potentially increasing treatment accuracy.

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Objective: The purpose of this study was to investigate the preferences of surgeons on technique for femoral tunnel placement, graft selection and criteria for return to sport in the Netherlands.

Methods: A web-based survey among the Dutch Association of Arthroscopy was conducted.

Results: A total of 125 members (24.

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Purpose: Although various studies have reported that stereotactic body radiation therapy (SBRT) for liver metastases has high local control rates and relatively low toxicity, most series included a small number of patients. We aimed to validate these outcomes in a large multi-institution patient cohort treated in accordance with a common protocol.

Methods And Materials: A shared web-based registry of patients with liver metastases treated with SBRT was developed by 13 centers (12 in the Netherlands and 1 in Belgium).

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Gastric cancer is the fifth most common cancer worldwide and has a high mortality rate. In the last decades, treatment strategy has shifted from an exclusive surgical approach to a multidisciplinary strategy. Treatment options for patients with resectable gastric cancer as recommended by different worldwide guidelines, include perioperative chemotherapy, pre- or postoperative chemoradiotherapy and postoperative chemotherapy.

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Purpose: A histological study of a structure between the posterior horn of the lateral meniscus and the anterior cruciate ligament.

Methods: Bilateral fresh-frozen cadaveric knees of two male donors (age 71 and 76 years) with no history of prior knee injury were examined. All dissections were performed by one experienced orthopaedic surgeon.

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Background: The occurrence of a venous thromboembolism (VTE) is common in patients with cancer. Gastric cancer has been associated with one of the highest risks for VTE. Chemotherapy, especially cisplatin has been associated with a high VTE risk.

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Purpose: Patient-specific instrumentation (PSI) in total knee arthroplasty (TKA) uses individually designed disposable guides to determine intraoperative bone cuts. The manufacturer provides the surgeon with proposed planning which can be modified and should be approved by the surgeon before the guides are produced. This study aims to assess the intra- and inter-observer reliability among preoperative planning by orthopaedic surgeons using PSI.

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Aim: To evaluate treatment-related toxicity, treatment compliance, surgical complications and event-free survival (EFS) in older (≥70 years) versus younger (<70 years) adults who underwent perioperative treatment for gastric cancer.

Methods: In the CRITICS trial, 788 patients with resectable gastric cancer were randomised before start of any treatment and received preoperative chemotherapy (3 cycles of epirubicin, cisplatin or oxaliplatin and capecitabine), followed by surgery, followed by either postoperative chemotherapy or chemoradiotherapy (45Gy + cisplatin + capecitabine).

Results: 172 (22%) patients were older adults.

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Article Synopsis
  • Liquid biopsies, which detect residual disease in cfDNA post-surgery, face challenges identifying alterations due to clonal hematopoiesis.
  • Using ultrasensitive targeted sequencing of matched cfDNA and white blood cells, we can accurately identify ctDNA alterations in gastric cancer patients from the CRITICS trial.
  • Findings indicate that detecting ctDNA shortly after treatment and surgery can predict cancer recurrence, demonstrating ctDNA's potential as a key biomarker for patient outcomes in gastric cancer therapy.
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Introduction: Stereotactic Body Radiation Therapy (SBRT) is a treatment option for patients with liver metastases. This study evaluated the impact of high versus low dose image-guided SBRT of hepatic metastases.

Methods And Materials: This is a single-center retrospective study of patients with liver metastases treated with SBRT.

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Background: The self-assessment section of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASESq) is one of the most used patient-reported outcome measures for general shoulder problems. This study was performed to establish a valid Dutch version of the ASESq (ASESq-NL).

Materials And Methods: A clinical prospective, nonrandomized study was performed.

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Purpose: Current delineation of the gross tumor volume (GTV) in esophageal cancer relies on computed tomography (CT) and combination with F-fluorodeoxyglucose (FDG) positron emission tomography (PET). There is increasing interest in integrating magnetic resonance imaging (MRI) in radiation treatment, which can potentially obviate CT- or FDG-PET/CT-based delineation. The aim of this study is to evaluate the feasibility of target delineation on T2-weighted (T2W) MRI and T2W including diffusion-weighted MRI (T2W + DW-MRI) compared with current-practice FDG-PET/CT.

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Purpose: The superior soft-tissue contrast offered by the integrated magnetic resonance imaging (MRI) of the Unity MR-linac compared to the x-ray-based image guidance on conventional linacs potentially allows for liver stereotactic body radiation therapy (SBRT) without the need for implanted markers or other surrogates. On conventional linacs, liver SBRT patients are typically positioned with their arms above their heads (arms-up) to minimize exposure to healthy tissue. However, the spatial confinement of the MRI-bore and increased treatment delivery times can make the arms-up position straining.

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