1,371 results match your criteria: "Albert-Schweitzer-Hospital[Affiliation]"

Evaluation of the recently established Dutch nationwide Archipelago of Ovarian Cancer Research biobank.

Ann Diagn Pathol

February 2025

Department of Pathology, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands. Electronic address:

Fundamental and translational research in ovarian cancer aims to enhance understanding of disease mechanisms and improve treatment and survival outcomes. To support this, we established the Dutch multicenter, interdisciplinary Archipelago of Ovarian Cancer Research (AOCR) infrastructure, which includes a nationwide biobank. In this study, we share our experiences in establishing the infrastructure, offer guidance for similar initiatives, and evaluate the AOCR patient cohort.

View Article and Find Full Text PDF
Article Synopsis
  • The IMWG frailty index shows that frailty levels in patients undergoing anti-myeloma treatment can change frequently over time.
  • Assessing frailty dynamically during treatment provides better predictions for survival and early mortality than just looking at initial frailty levels.
  • The study references two clinical trials, HOVON 143 (NTR6297) and HOVON 123 (NTR4244), related to this research.
View Article and Find Full Text PDF

Causes of death among patients diagnosed with chronic lymphocytic leukemia: A population-based study in the Netherlands, 1996-2020.

Hemasphere

November 2024

Department of Research and Development Netherlands Comprehensive Cancer Organisation (IKNL) Utrecht The Netherlands.

Chronic lymphocytic leukemia (CLL) manifests heterogeneously with varying outcomes. This population-based study examined causes of death (CODs), as registered by the physician who established the death, among 20,588 CLL patients diagnosed in the Netherlands between 1996 and 2020. Utilizing cause-specific flexible parametric survival models, we estimated cause-specific hazard ratios (HRs) and cumulative incidences of death due to CLL, solid malignancies, other hematological malignancies, infections, and other causes.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the impact of non-culprit (NC) lesions in patients with NSTEMI compared to those with STEMI, focusing on high-risk plaque features and their influence on clinical outcomes.
  • Among 438 patients, both NSTEMI and STEMI groups showed similar prevalence of high-risk plaques, but NSTEMI patients had a higher rate of major adverse cardiovascular events (MACE) after two years.
  • The findings suggest that the presence of high-risk plaques in NC lesions is critical for dictating future cardiovascular events, indicating the need for further research on effective revascularization strategies in NSTEMI patients.
View Article and Find Full Text PDF
Article Synopsis
  • - This study aimed to explore how depression and anxiety impact the ability of rheumatoid arthritis (RA) and psoriatic arthritis (PsA) patients to achieve disease remission, as well as how these mental health symptoms interact with various aspects of disease activity.
  • - Researchers assessed 400 RA patients and 367 PsA patients over two years, finding that high levels of anxiety and depression were linked to a lower chance of remission, especially depression when controlled for anxiety symptoms.
  • - The results indicated that patients showing signs of depression or anxiety had worse overall health and more pain, pointing to the need for healthcare professionals to pay close attention to mental health in patients with RA and PsA.
View Article and Find Full Text PDF

Cost-Effectiveness of Three Different New-Generation Drug-Eluting Stents in the Randomised BIO-RESORT Trial at 3 Years.

Pharmacoecon Open

January 2025

Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Koningsplein 1, 7512 KZ, Enschede, The Netherlands.

Background And Objective: Evidence on health economic outcomes for percutaneous coronary intervention (PCI) comparing different contemporary drug-eluting stents (DES) with each other is scarce, as most previous randomised DES trials did not assess such aspects. This prespecified health economic evaluation of the Comparison of Biodegradable Polymer and Durable Polymer Drug-Eluting Stents in an All Comers Population (BIO-RESORT) trial aimed to compare at 3-year follow-up both health effects and costs of PCI with one of three new-generation drug-eluting stents (DES) in patients with obstructive coronary artery disease.

Methods: The randomised BIO-RESORT trial assessed in 3514 patients the ultrathin-strut biodegradable polymer Orsiro sirolimus-eluting stent (SES) and very-thin-strut Synergy everolimus-eluting (EES) stent versus the thin-strut durable polymer Resolute Integrity zotarolimus-eluting stent (ZES).

View Article and Find Full Text PDF

Objectives: The widespread adoption of wearables, for example, smartphones and smartwatches in the daily lives of the general population, allows passive monitoring of physiological and behavioural data in the real world. This qualitative study explores the perspective of psoriatic arthritis (PsA) patients towards these so-called digital biomarkers (dBMs).

Methods: As part of a Design Thinking approach, six focus groups were conducted involving 27 PsA patients.

View Article and Find Full Text PDF
Article Synopsis
  • A significant portion of patients (1 in 10) experience epilepsy after having cerebral venous thrombosis (CVT), but it's challenging to predict who will be affected.* -
  • Researchers created the DIAS3 prognostic score using clinical data from over 1,100 patients to assess the likelihood of developing post-CVT epilepsy based on six clinical variables.* -
  • The study found a range of predicted risks for post-CVT epilepsy within one and three years, with successful validation of the score confirming its effectiveness in estimating individual risk.*
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate if a combination of patient-reported outcomes related to health, disability, pain, quality of life, and fatigue could help detect active disease in rheumatoid arthritis (RA) and psoriatic arthritis (PsA) patients.
  • Researchers analyzed data from 683 RA patients and 525 PsA patients, measuring the correlation between changes in these outcomes and clinically defined active disease.
  • Results showed that declines in general health, disability, quality of life, and pain were significantly linked to active disease, indicating that this combination of measures could effectively serve as a screening tool for monitoring these conditions remotely.
View Article and Find Full Text PDF
Article Synopsis
  • * This review analyzes factors influencing the choice between active (Osia System) and passive (Baha Connect System) bone-conduction devices based on expert feedback from surveys and discussions.
  • * Key decision-making factors include surgical requirements, bone thickness, MRI compatibility, patient preferences, and risks like skin infections, emphasizing the need for personalized consultations in multidisciplinary settings.
View Article and Find Full Text PDF

Risk factors and outcomes of conversions in robotic and laparoscopic liver resections: A nationwide analysis.

Surgery

February 2025

Department of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands; Cancer Center Amsterdam, Amsterdam, the Netherlands. Electronic address:

Article Synopsis
  • * Out of 3,530 patients, 11.6% required conversion, with robotic procedures having a lower conversion rate compared to laparoscopic ones, and conversion associated with various complications, like increased blood loss and longer hospital stays.
  • * Emergency conversions showed even more severe outcomes, such as significantly higher blood loss and increased rates of intensive care admissions compared to non-emergency cases.
View Article and Find Full Text PDF

The treatment of older patients with acute myeloid leukemia (AML) considered unfit for receiving intensive chemotherapy is challenging. Based on the hypothesis that addition of the broad tyrosine kinase inhibitor (TKI) midostaurin could improve the response to hypomethylating agents, irrespective of FLT3 gene mutational status, we conducted a randomized phase II multicenter study to assess the tolerability and efficacy of the addition of midostaurin to a 10-day schedule of decitabine in unfit (i.e.

View Article and Find Full Text PDF
Article Synopsis
  • This study assessed how well Large Language Models (LLMs) like ChatGPT and Gemini answered melanoma-related patient questions compared to established Dutch patient information resources (PIRs).
  • ChatGPT-3.5 had the highest accuracy, while Gemini excelled in completeness, personalization, and readability; however, the best LLMs still lagged behind PIRs in accuracy overall.
  • Despite LLMs showing promise for personalized responses, the study highlights the need for improvement in their accuracy and reproducibility before they can fully replace traditional PIRs.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to compare the safety and effectiveness of two types of stents in patients at high bleeding risk who were undergoing abbreviated dual antiplatelet therapy after coronary stenting: the ultrathin-strut Supraflex Cruz stent and the thin-strut Ultimaster Tansei stent.
  • A total of 741 patients were enrolled in a randomized trial where they received one of the two stents, and the primary outcome measured was a combination of serious adverse events over one year.
  • Results showed that 15.4% of patients with the Supraflex Cruz stent experienced adverse outcomes compared to 17.1% with the Ultimaster Tansei stent, indicating a potential slight difference
View Article and Find Full Text PDF
Article Synopsis
  • The study focuses on stage I and II melanoma survivors to understand their experiences and survivorship care needs after treatment, highlighting the lack of research in this area despite the rising incidence of localized melanoma.
  • The qualitative research involved 18 survivors divided into focus groups, revealing that they experienced significant emotional and physical challenges after treatment, alongside a mix of relief and fear as they navigated life post-diagnosis.
  • Survivors emphasized the need for tailored information, accessible resources, and ongoing, patient-centered support to help them adjust and improve their quality of life after melanoma treatment.
View Article and Find Full Text PDF

Objective: The novel concept of Family-Integrated Care (FICare) requires nurses to be parents' partners in neonatal care. We combined analyses of real-life parent-nurse conversations and interviews to elucidate nurses' role in providing psychosocial support to parents. Findings inform the development of communication training on topicalizing parents' feelings.

View Article and Find Full Text PDF
Article Synopsis
  • Recurrent events after myocardial infarction (MI) often arise from non-flow limiting lesions, which may differ between sexes, prompting this study to investigate these potential differences among MI patients.
  • The study examined 420 patients, finding that female patients had longer NC lesions and smaller lumen areas and diameters, as well as thinner fibrous caps compared to male patients.
  • Despite females exhibiting more high-risk plaque characteristics, both genders experienced similar rates of major cardiovascular events at two years, suggesting the need for further research on long-term outcomes related to these differences.
View Article and Find Full Text PDF

Residual breast tissue after mastectomy and reconstruction: A substudy of the Spatial location of breast cancer local rECurRence aftEr masTectomy (SECRET) project.

Eur J Surg Oncol

November 2024

GROW- Research Institute for Oncology and Developmental Biology, Maastricht University, Maastricht, the Netherlands; Department of Radiation Oncology (Maastro), Maastricht, the Netherlands.

Unlabelled: The current project is part of the Spatial location of breast cancer local rECurRence aftEr masTectomy (SECRET) study (NCT06130111). Herein we compared the chest wall thickness after non-skin sparing mastectomy (non-SSM) with the chest wall thickness after SSM, as a surrogate for residual breast tissue after mastectomy.

Methods: The study was approved by the ethics committee of relevant institutions.

View Article and Find Full Text PDF

Background And Aims: Systematic reviews and medical guidelines are widely used in clinical practice. However, these are often not up-to-date and focussed on the average patient. We therefore aimed to evaluate a guideline add-on, TherapySelector (TS), which is based on monthly updated data of all available high-quality studies, classified in specific patient profiles.

View Article and Find Full Text PDF

Background: Fractional flow reserve (FFR) is an established method to guide decisions on revascularization; however, in patients with diabetes mellitus (DM), FFR-negative lesions carrying an optical coherence tomography-detected thin-cap fibroatheroma (TCFA) remain at high risk for adverse cardiac events.

Methods: In this prespecified subanalysis of the COMBINE OCT-FFR trial, DM patients with ≥1 FFR-negative, TCFA-positive medically treated target lesions referred to as vulnerable plaque (VP group), were compared to patients with exclusively FFR-positive target lesions who underwent complete revascularization (CR group). The primary endpoint was first and recurrent event analysis for target lesion failure and the secondary endpoint was a composite of cardiac death, target vessel myocardial infarction, target lesion revascularization, or hospitalization due to unstable angina.

View Article and Find Full Text PDF

Bariatric surgery is increasingly performed to treat severe obesity. As a result of anatomical and physiological changes in the gastrointestinal tract, the pharmacokinetics (PK) of oral drugs can be altered, affecting their efficacy and safety. This includes the class of tyrosine kinase inhibitors (TKIs) which are used to treat chronic myeloid leukemia (CML).

View Article and Find Full Text PDF

Background: Several prehospital scales have been designed to aid paramedics in identifying stroke patients in the ambulance setting. However, external validation and comparison of these scales are largely lacking.

Aims: To compare all published prehospital stroke detection scales in a large cohort of unselected stroke code patients.

View Article and Find Full Text PDF

Changes in nutritional status and associations with physical and clinical outcomes in acute myeloid leukemia patients during intensive chemotherapy.

Eur J Clin Nutr

December 2024

Department of Research and Development, Netherlands Comprehensive Cancer Organization, Godebaldkwartier 419, 3511 DT, Utrecht, The Netherlands.

Background/objectives: Patients with acute myeloid leukemia (AML) or myelodysplastic syndrome (MDS) often receive medical nutrition therapy (MNT) during intensive remission-induction treatment. Since little is known about changes in nutritional status, specifically body composition, in this patient population, these changes and their associations with physical and clinical outcomes were assessed.

Subjects/methods: In this multicenter prospective observational study, newly diagnosed AML/MDS patients who received intensive remission-induction chemotherapy, routine dietary counseling by a dietician and MNT immediately upon inadequate nutritional intake, were included.

View Article and Find Full Text PDF