Publications by authors named "Jean-Philippe Wagner"

Introduction: Homeopathy is one of most widely used non-conventional supportive care methods used by women with breast cancer. This article aims to describe the routines and practices related to homeopathy as supportive care used by women with non-metastatic breast cancer in France.

Methods: This qualitative study used Grounded Theory.

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Background: Neurokinin (NK) 1 receptor antagonists (RAs), administered in combination with a 5-hydroxytryptamine-3 (5-HT ) RA and dexamethasone (DEX), have demonstrated clear improvements in chemotherapy-induced nausea and vomiting (CINV) prevention over a 5-HT RA plus DEX. However, studies comparing the NK RAs in the class are lacking. A fixed combination of a highly selective NK RA, netupitant, and the 5-HT RA, palonosetron (NEPA), simultaneously targets two critical antiemetic pathways, thereby offering a simple convenient antiemetic with long-lasting protection from CINV.

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Background: Cetuximab plus platinum-based therapy (PBT) followed by cetuximab maintenance until progression (EXTREME) is a guideline-recommended first-line treatment option in recurrent/metastatic squamous cell carcinoma of the head and neck (R/M SCCHN). DIRECT (Dose Intensity RElative to CeTuximab) was the first phase 4 observational study evaluating EXTREME administration in the real-world setting.

Aims: The primary aim of this study was to assess the relative dose intensity of cetuximab in patients with R/M SCCHN treated with first-line cetuximab according to the EXTREME regimen.

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Article Synopsis
  • - The study aimed to analyze the long-term outcomes of two radiation therapy approaches for prostate cancer patients, focusing on event-free survival (EFS) and overall survival (OS), while also considering the impact of hormonal therapy and pelvic node irradiation.
  • - Conducted between 1998 and 2004, the study involved 446 prostate cancer patients, comparing outcomes from pelvic nodes plus prostate radiation versus prostate-only radiation, with an emphasis on determining risks through patient stratification.
  • - Results showed no significant differences in OS or EFS overall, but a post hoc analysis revealed potential benefits of pelvic irradiation in low-risk patients not receiving hormonal therapy, especially when lymph node involvement risk was low.
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Background: How best to treat rising prostate-specific antigen (PSA) concentration after radical prostatectomy is an urgent clinical question. Salvage radiotherapy delays the need for more aggressive treatment such as long-term androgen suppression, but fewer than half of patients benefit from it. We aimed to establish the effect of adding short-term androgen suppression at the time of salvage radiotherapy on biochemical outcome and overall survival in men with rising PSA following radical prostatectomy.

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  • The study aimed to evaluate the benefits, toxicity, and quality-of-life outcomes of irradiating pelvic nodes in patients with nonmetastatic prostate cancer.
  • A total of 444 patients were randomly assigned to receive either pelvic and prostate radiotherapy or just prostate radiotherapy, with various dosages and hormonal treatments allowed based on risk levels.
  • After more than three years of follow-up, results showed no significant improvement in progression-free survival or quality of life with pelvic irradiation, although it was generally well tolerated.
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Purpose: To assess prognostic factors for adults with medulloblastoma in a multicenter, retrospective study.

Methods And Materials: Data were collected by file review or mail inquiry for 253 adults treated between 1975 to 2004. Radiologists or surgeons assessed disease characteristics, such as volume and extension.

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The concept of continuous and global care is acknowledged today by all as inherent to modern medicine. A working group gathered to propose models for the coordination of supportive care for all severe illnesses in the various private and public health care centres. The supportive care are defined as: "all care and supports necessary for ill people, at the same time as specific treatments, along all severe illnesses".

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Context: The "Standards, Options and Recommendations" (SOR) project, started in 1993, is a collaboration between the federation of French Cancer Centers (FNCLCC), the 20 French cancer centers, and specialists from French public universities, general hospitals and private clinics. The main objective is the development of clinical practice guidelines to improve the quality of health care and the outcome of cancer patients. The methodology is based on a literature review and critical appraisal by a multidisciplinary group of experts, with feedback from specialists in cancer care delivery.

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Background/aims: Chemotherapy provides dismal results in advanced pancreatic cancer patients, even when new compounds, such as gemcitabine, are used. Phase I studies of single-drug therapy with docetaxel or irinotecan suggested a response rate of about 15% in these patients. We report here a phase II study of docetaxel-irinotecan combination in advanced pancreatic cancer patients.

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