Publications by authors named "Vincent Francois"

Article Synopsis
  • The study aimed to compare the quality of life (QoL) between prostate cancer patients who recover testosterone levels after androgen deprivation therapy (ADT) and those who do not.
  • The analysis involved 494 patients from a Phase III trial, looking at QoL measurements over time, with findings showing that patients with testosterone recovery reported a significantly better QoL compared to those without recovery.
  • Results indicated that testosterone recovery occurred faster in patients who underwent a shorter 18-month ADT regimen, and this recovery was linked to improvements in various QoL measures.
View Article and Find Full Text PDF
Article Synopsis
  • Hymenoptera venom allergy significantly affects quality of life, and while allergen immunotherapy (AIT) is effective, predicting its success remains challenging due to a lack of biomarkers.
  • This study analyzed patient data from 1985 to 2022 at the University Hospital of Limoges to assess the role of IgE blocking activity as a potential predictor of AIT efficacy against Hymenoptera venom.
  • Results indicated that IgE blocking activity did not predict relapse after stopping AIT, but a correlation was found between this activity and IgG antibody levels, suggesting that further research is needed to explore the role of these antibodies in monitoring treatment outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • This study looked at whether radiotherapy could help reduce pain from liver cancer in patients who weren't getting better with regular treatments.
  • It included 66 patients who were given either radiotherapy and extra care or just extra care alone.
  • The researchers wanted to see if the patients felt less pain after a month and found out if the treatment was safe for them.
View Article and Find Full Text PDF

Objective: CCR5, a G protein-coupled receptor (GPCR), is used by most HIV strains as a coreceptor. In this study, we looked for other GPCR able to modify HIV-1 infection.

Design: We analyzed the effects of one GPCR coexpressed with CCR5, EBI2, on HIV-1 replicative cycle.

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to evaluate how testosterone (T) levels recover in prostate cancer patients treated with varying durations of androgen deprivation therapy (ADT) after radiotherapy.
  • - Results showed that testosterone recovery rates decreased significantly with longer ADT durations, with only 43.2% recovering normal T after 36 months compared to 87.4% after no ADT.
  • - Factors influencing T recovery included baseline testosterone levels, age, and duration of ADT, with longer treatment being the most critical factor for recovery outcomes.
View Article and Find Full Text PDF

There is an increasing demand for real-world data pertaining to the usage of cancer treatments, especially in settings where no standard treatment is specifically recommended. This study presents the first real-world analysis of third-line treatment patterns in HER2-positive metastatic breast cancer (mBC) patients in Canada. The purpose was to assess evolution of clinical practice and identify unmet needs in post-second-line therapy.

View Article and Find Full Text PDF

Background: Acute kidney injury (AKI) requiring renal replacement therapy (RRT) is a serious complication in the ICU that results in increased mortality and risk of chronic kidney disease (CKD). Some studies suggest RRT modality may have an impact on long-term renal recovery after AKI. However, other predictive factors of severe long-term CKD in ICU patients with AKI requiring RRT are unknown.

View Article and Find Full Text PDF

Purpose: This study aimed at evaluating the performance of Doppler-based resistive index (RI) and semi-quantitative evaluation of renal perfusion using color-Doppler (SQP) to predict de novo AKI in the subgroup of critically ill patients without AKI at admission.

Methods: This study is an ancillary analysis of a prospective multicenter cohort study. Consecutive ICU patients requiring mechanical ventilation were included.

View Article and Find Full Text PDF
Article Synopsis
  • Adapted physical activity (APA) is beneficial for breast cancer patients, requiring tailored heart rate targets for exercise intensity.
  • A study involving 138 patients showed that those who participated in APA had a stronger correlation between walking test heart rates and ventilatory threshold heart rates compared to those who received standard therapy.
  • The findings suggest that heart rates from the 6-Minute Walk Test can effectively guide exercise intensity both before and after treatment for breast cancer patients engaging in APA.
View Article and Find Full Text PDF

Background: Whether Intensive Care Unit (ICU) clinicians display unconscious bias towards cancer patients is unknown. The aim of this study was to compare the outcomes of critically ill patients with and without perceptions of excessive care (PECs) by ICU clinicians in patients with and without cancer.

Methods: This study is a sub-analysis of the large multicentre DISPROPRICUS study.

View Article and Find Full Text PDF
Article Synopsis
  • This study aimed to determine which patients with intermediate-risk prostate cancer could safely reduce their treatment intensity, specifically regarding androgen deprivation therapy and radiation dose.
  • The original trial included 600 patients and compared different treatment regimens while analyzing outcomes based on intermediate risk factors like Gleason score and prostate-specific antigen levels.
  • Results indicated that patients with favorable intermediate risk had similar outcomes across treatment arms, while those with unfavorable intermediate risk faced worse survival rates and responded better to treatments involving androgen deprivation therapy.
View Article and Find Full Text PDF

Purpose: Hyperbilirubinemia is frequent in patients with hematological malignancies admitted to the intensive care unit (ICU). Literature about hepatic dysfunction (HD) in this context is scarce.

Methods: We investigated the prognostic impact of HD analyzing a prospective multicenter cohort of 893 critically ill hematology patients.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigated the effects of androgen deprivation therapy (ADT) combined with either standard or higher doses of radiotherapy (RT) on patients with intermediate-risk prostate cancer (IRPC).
  • Over 600 patients participated in a trial comparing outcomes among three treatment groups: ADT + RT 70 Gy, ADT + dose-escalated RT 76 Gy, and RT 76 Gy alone.
  • Results showed that the highest biochemical failure rates and prostate cancer progression were linked to RT 76 Gy alone, while adding ADT improved outcomes without increasing overall survival, although higher doses of RT led to more gastrointestinal toxicity.
View Article and Find Full Text PDF

Objectives: Physical activity (PA) programs are recommended for breast cancer care. However, their modalities remain to be discussed. This study determined the best time to begin a personalized or adapted program based on cardiopulmonary exercise test function.

View Article and Find Full Text PDF

Global Navigation Satellite Systems (GNSS) are the main source of position, navigation, and timing (PNT) information and will be a key player in the next-generation intelligent transportation systems and safety-critical applications, but several limitations need to be overcome to meet the stringent performance requirements. One of the open issues is how to provide precise PNT solutions in harsh propagation environments. Under nominal conditions, the former is typically achieved by exploiting carrier phase information through precise positioning techniques, but these methods are very sensitive to the quality of phase observables.

View Article and Find Full Text PDF

This contribution analyzes the fundamental performance limits of traditional two-step Global Navigation Satellite System (GNSS) receiver architectures, which are directly linked to the achievable time-delay estimation performance. In turn, this is related to the GNSS baseband signal resolution, i.e.

View Article and Find Full Text PDF

The black caiman is one of the largest neotropical top predators, which means that it could play a structuring role within swamp ecosystems. However, because of the difficulties inherent to studying black caimans, data are sorely lacking on many aspects of their general biology, natural history, and ecology, especially in French Guiana. We conducted a detailed study of the Agami Pond black caiman population using a multidisciplinary approach.

View Article and Find Full Text PDF

Checkpoint protein inhibitor antibodies (CPI), including cytotoxic T-lymphocyte-associated antigen 4 inhibitors (ipilimumab, tremelimumab) and the programmed cell death protein 1 pathway/programmed cell death protein 1 ligand inhibitors (pembrolizumab, nivolumab, durvalumab, atezolizumab), have entered routine practice for the treatment of many cancers. They improve the outcome for many cancers, and more patients will be treated with CPI in the future. Although CPI can lead to adverse events (AE) less frequently than for chemotherapy, their use can require intensive care unit admission in case of severe immune-related adverse events (IrAE).

View Article and Find Full Text PDF

Background: Although outcomes of critically ill patients with haematological malignancies (HMs) have been fully investigated in terms of organ failure and mortality, data are scarce on health-related quality of life (HRQOL) in this population. We aim to assess post-intensive care unit (ICU) burden and HRQOL of critically ill patients with HMs and to identify risk factors for quality-of-life (QOL) impairment.

Results: In total, 1011 patients with HMs who required ICU admission in 17 ICUs in France and Belgium were included in the study; 278 and 117 patients were evaluated for QOL at 3 months and 1 year, respectively, after ICU discharge.

View Article and Find Full Text PDF

Purpose: The Doppler-based resistive index (RI) and semi-quantitative evaluation of renal perfusion using color Doppler (SQP) have shown promising results for predicting persistent acute kidney injury (AKI) in preliminary studies. This study aimed at evaluating the performance of RI and SQP to predict short-term renal prognosis in critically ill patients.

Methods: Prospective multicenter cohort study including unselected critically ill patients.

View Article and Find Full Text PDF

In patients with hematologic malignancies, respiratory status may deteriorate during neutropenia recovery. This multicenter, observational study aims to evaluate granulocyte colony-stimulating factor (G-CSF) impact on respiratory status in critically ill neutropenic patients. Among 1011 critically ill patients with hematologic malignancies, 288 were neutropenic and included in this study.

View Article and Find Full Text PDF

We investigated how the initial ventilation/oxygenation management may influence the need for intubation on the coming day in a cohort of immunocompromised patients with acute hypoxemic respiratory failure (ARF). Data from 847 immunocompromised patients with ARF were used to estimate the probability of intubation at day+1 within the first 3 days of ICU admission, according to oxygenation management. First, noninvasive ventilation (NIV) was compared to oxygen therapy whatever the administration device; then standard oxygen was compared to High Flow Nasal Cannula therapy alone (HFNC), NIV alone or NIV+HFNC.

View Article and Find Full Text PDF

Rationale: Noninvasive diagnostic multiplex molecular tests may enable the early identification and treatment of viral infections in critically ill immunocompromised patients.

Objectives: To assess the association between viral detection in nasopharyngeal swabs and ICU mortality in critically ill hematology patients.

Methods: This was a post hoc analysis of a prospective cohort of critically ill hematology patients admitted to 17 ICUs.

View Article and Find Full Text PDF