314 results match your criteria: "Centre Hospitalier Annecy-Genevois[Affiliation]"

Background: CASSIOPEIA part 1 demonstrated superior depth of response and prolonged progression-free survival with daratumumab in combination with bortezomib, thalidomide, and dexamethasone (D-VTd) versus bortezomib, thalidomide, and dexamethasone (VTd) alone as an induction and consolidation regimen in transplant-eligible patients newly diagnosed with myeloma. In CASSIOPEIA part 2, daratumumab maintenance significantly improved progression-free survival and increased minimal residual disease (MRD)-negativity rates versus observation. Here, we report long-term study outcomes of CASSIOPEIA.

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Background: This study examined 1071 adult primary kidney transplants from the French-controlled donation after the circulatory determination of death (cDCD) program, which uses normothermic regional perfusion (NRP), and involves short cold ischemia times (CIT) and constrained asystole times differing by donor age.

Methods: Logistic regression identified risk factors for primary nonfunction (PNF), delayed graft function (DGF), and graft failure.

Results: Risk factors for PNF included donor hypertension, admission for ischemic vascular stroke, and HLA DR mismatches.

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Hydroxychloroquine levels in pregnancy and materno-fetal outcomes in Systemic Lupus Erythematosus patients.

Rheumatology (Oxford)

June 2024

Service de Médecine Interne, Centre de référence des maladies auto-immunes et auto-inflammatoires systémiques rares d'Ile-de-France, de l'Est et de l'Ouest, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP), Université Paris Cité, Paris, France.

Objectives: Data about hydroxychloroquine (HCQ) levels during pregnancy are sparse. We assessed HCQ whole blood levels at first trimester of pregnancy as a potential predictor of maternal and obstetric/fetal outcomes in patients with systemic lupus erythematosus (SLE).

Methods: We included pregnant SLE patients enrolled in the prospective GR2 study receiving HCQ, with at least one available first-trimester whole-blood HCQ assay.

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Phenotypic clustering of patients hospitalized in intensive cardiac care units: Insights from the ADDICT-ICCU study.

Arch Cardiovasc Dis

June 2024

Inserm MASCOT - UMRS 942, Department of Cardiology, University Hospital of Lariboisière, Université Paris-Cité, Assistance publique-Hôpitaux de Paris (AP-HP), 75010 Paris, France; Department of Data Science, Machine Learning and Artificial Intelligence in Health, DATA-TEMPLE Laboratory, University Hospital of Lariboisière (AP-HP), 75010 Paris, France. Electronic address:

Background: Intensive cardiac care units (ICCUs) were created to manage ventricular arrhythmias after acute coronary syndromes, but have diversified to include a more heterogeneous population, the characteristics of which are not well depicted by conventional methods.

Aims: To identify ICCU patient subgroups by phenotypic unsupervised clustering integrating clinical, biological, and echocardiographic data to reveal pathophysiological differences.

Methods: During 7-22 April 2021, we recruited all consecutive patients admitted to ICCUs in 39 centers.

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Article Synopsis
  • The study aimed to evaluate how well cefazolin compares to cloxacillin for treating infective endocarditis caused by methicillin-sensitive Staphylococci (MSS).
  • Data were collected from patients treated in six French hospitals between 2014 and 2020, measuring treatment failure based on a variety of outcomes like death and relapse within 90 days.
  • Results showed no significant differences in treatment effectiveness or safety between the two antibiotics, indicating that cefazolin is similarly effective as cloxacillin for MSS endocarditis.
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Article Synopsis
  • Follicular helper T-cell lymphomas (TFHL) often have gene alterations affecting DNA methylation, and preliminary studies indicate that 5-azacitidine may be effective for patients with relapsed TFHL.
  • This study compared the oral azacitidine treatment to typical therapies (like gemcitabine and bendamustine) in patients over 18 with relapsed or refractory TFHL across five European countries and Japan.
  • The trial enrolled 86 patients, showing that those treated with azacitidine had a median progression-free survival of 5.6 months, significantly longer compared to 2.8 months for those receiving standard therapy.
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Survival outcomes following urgent lung transplantation in France and the USA.

Thorax

July 2024

Department of Vascular and Thoracic Surgery and Lung Transplantation, Hôpital Bichat Claude-Bernard, Paris, France.

Article Synopsis
  • The study analyzes the effects of lung transplant allocation policies in the USA and France, focusing on urgent lung transplants and their impact on patient outcomes.
  • Using data from 2007 to 2017, the research found that urgent lung transplants had a higher risk of death, with survival rates significantly better in the US compared to France.
  • The conclusion suggests that while urgent lung transplants are risky in both countries, the US score-based allocation system leads to better post-transplant survival rates, indicating a complex interplay of factors influencing outcomes.
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The role of systemic corticosteroids when treating infections in adult primary care.

Infect Dis Now

June 2024

Service des Maladies Infectieuses et Médecine Interne, Centre Hospitalier Annecy Genevois, 1 Avenue de l'Hopital - Epagny Metz Tessy BP90074, 74374 Pringy Cedex, France. Electronic address:

Inflammatory response to aggressive infection is responsible not only for symptoms, especially pain, but also for severity, when the inflammatory cascade is violent, and provokes a deleterious cytokine storm. Due to their anti-inflammatory properties, corticosteroids are widely used in ambulatory medical practice. While their beneficial effects on some symptoms, particularly pain, are undeniable, so are the risks associated with their other properties (immunosuppression, neurostimulation, hypermetabolism), even during short-term administration at low doses.

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Article Synopsis
  • Extended aortic repair is essential for maintaining long-term surgical success in young patients with DeBakey type 1 aortic dissection, as they face higher risks of aortic degeneration due to their longer life expectancy.
  • A study analyzed 1,199 patients under 60 who had aortic repair surgeries across Europe from 2005 to 2021, comparing outcomes between ascending aortic repair and total aortic arch repair techniques.
  • Results showed no significant difference in the need for additional surgeries after 5 years between the two techniques, but total aortic arch repair had higher rates of postoperative complications like stroke and dialysis, while overall mortality rates were similar.
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Article Synopsis
  • The study examines how computerised decision-support systems (CDSS) impact antibiotic prescribing practices among primary care physicians in France, focusing on their appropriate usage.
  • Data was collected from over 60,000 registered physicians on a CDSS, revealing that the median appropriateness of antibiotic prescriptions was 77.8%, with 10% of doctors scoring below 50%.
  • Key factors influencing appropriate prescribing included prior use of the CDSS, being a general practitioner, working in primary care, mentoring students, and age, suggesting that CDSS may enhance antibiotic prescribing practices.
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Article Synopsis
  • The study investigates the effects of different arterial cannulation methods (femoral, supra-aortic, and direct aortic) on outcomes for patients undergoing surgery for acute Stanford type A aortic dissection (TAAD).
  • Results show that in-hospital mortality rates for patients using femoral or supra-aortic cannulation are similar, while direct aortic cannulation yields lower mortality rates compared to femoral cannulation.
  • Additionally, switching cannulation sites during surgery increases the risk of in-hospital mortality, while long-term outcomes (10-year mortality) remain consistent across the groups.
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Background: The systematic use of susceptibility testing and tailored first-line treatment for Helicobacter pylori eradication has yet to be established.

Aim: To compare 14-day tailored PCR-guided triple therapy to 14-day non-Bismuth concomitant quadruple therapy for first-line Helicobacter pylori eradication.

Patients And Methods: We performed a multicenter, parallel-group, randomized noninferiority controlled trial.

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Fluropyrimidine monotherapy is an option for some patients with inoperable metastatic colorectal cancer. Unlike bevacizumab, the addition of aflibercept, an antibody acting as an anti-angiogenic agent, has never been evaluated in this context. The aim of the study was to determine whether aflibercept could increase the efficacy of fluoropyrimidine monotherapy without increasing toxicity.

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Blast phase (BP) of chronic myeloid leukemia (CML) still represents an unmet clinical need with a dismal prognosis. Due to the rarity of the condition and the heterogeneity of the biology and clinical presentation, prospective trials and concise treatment recommendations are lacking. Here we present the analysis of the European LeukemiaNet Blast Phase Registry, an international collection of the clinical presentation, treatment and outcome of blast phases which had been diagnosed in CML patients after 2015.

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Article Synopsis
  • Surgery for type A aortic dissection (TAAD) often leads to neurological complications, which were analyzed in a study of 3,902 patients from the European Registry of Type A Aortic Dissection.
  • Out of these patients, 18.5% experienced strokes or global brain ischemia during hospitalization, with significant increases in in-hospital mortality linked to these complications: 25.6% for ischemic stroke, 48.7% for hemorrhagic stroke, and 74.0% for global brain ischemia.
  • Although neurologic complications sharply increased early and midterm mortality, this negative impact on survival tended to diminish about one year post-surgery.
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Background: Surgery for Stanford type A aortic dissection (TAAD) is associated with an increased risk of late aortic reoperations due to degeneration of the dissected aorta.

Methods: The subjects of this analysis were 990 TAAD patients who survived surgery for acute TAAD and had complete data on the diameter and dissection status of all aortic segments.

Results: After a mean follow-up of 4.

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Resected -mutated non-small-cell lung cancers: incidence and outcomes in a European population (GFPC Exerpos Study).

Ther Adv Med Oncol

March 2024

Multidisciplinary Oncology and Therapeutic Innovations, Hopital St. Marguerite Assistance Publique Hopitaux de Marseille, Marseille, France.

Background: Few epidemiological data are available on surgically treated Caucasian patients with non-small-cell lung cancers (NSCLCs) harboring epidermal growth factor receptor () mutations. The main objective of this study was to describe, in the real-world setting, these patients' incidence, clinical, and tumoral characteristics.

Methods: The participating centers included all consecutive localized non-squamous NSCLC patients undergoing surgery between January 2018 and December 2019 in France.

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In-hospital prognostic value of TAPSE/sPAP in patients hospitalized for acute heart failure.

Eur Heart J Cardiovasc Imaging

July 2024

Inserm U-942, Assistance Publique-Hôpitaux de Paris, Hôpital Lariboisière, Department of Cardiology, Université de Paris Cité, 2 rue Ambroise Paré, 75010 Paris, France.

Article Synopsis
  • - The study investigated the use of the TAPSE/sPAP ratio, measured by echocardiography, to predict in-hospital major adverse cardiovascular events (MACEs) in patients hospitalized for acute heart failure (AHF) across multiple French hospitals.
  • - A total of 333 patients were included, revealing that a TAPSE/sPAP ratio of less than 0.40 mm/mmHg was independently linked to a higher risk of in-hospital MACEs, which occurred in 15% of patients studied.
  • - The findings suggest that early assessment of TAPSE/sPAP can improve risk stratification in AHF patients and may prompt closer monitoring and intervention strategies.
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Profile of patients hospitalized in intensive cardiac care units in France: ADDICT-ICCU registry.

Arch Cardiovasc Dis

March 2024

Department of Cardiology, hôpital Lariboisière, Assistance publique-Hôpitaux de Paris, University of Paris, Inserm U-942, 10, rue Ambroise-Paré, 75010 Paris, France. Electronic address:

Article Synopsis
  • Intensive cardiac care units (ICCU) in France have diversified from monitoring arrhythmias post-heart attack to treating various cardiac conditions, with acute coronary syndromes (ACS) being the most common cause for admission.
  • A study of 1499 patients revealed that many have additional health concerns, with a significant portion requiring advanced therapies but a majority not needing invasive procedures.
  • Overall, patients tend to have brief hospital stays with a low rate of major adverse events, although acute heart failure (AHF) patients face higher risks and resource use.
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Classification of the Urgency of the Procedure and Outcome of Acute Type A Aortic Dissection.

Am J Cardiol

April 2024

Heart and Lung Center, Helsinki University Hospital, University of Helsinki, Helsinki, Finland; Research Unit of Surgery, Anesthesia and Critical Care, University of Oulu, Oulu, Finland.

Article Synopsis
  • Surgery for type A aortic dissection (TAAD) has a high early mortality risk, with in-hospital mortality rates increasing based on the urgency of the procedure, ranging from 10% for urgent surgeries to over 57% for the most critical salvage procedures.
  • A multicenter study using data from the European Registry of TAAD (ERTAAD) found that preoperative arterial lactate levels correlate with procedure urgency, indicating that more critical cases are associated with poorer outcomes.
  • The urgency classification enhances the ability to predict patient risk, suggesting that despite high mortality in severe cases, salvage surgeries are often justified as many patients can still survive to discharge.
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We investigated the mortality patterns of chronic obstructive pulmonary disease (COPD) patients in France relative to a control population, comparing year 2020 to pre-pandemic years 2017-2019. COPD patient and sex, age and residence matched control cohorts were created from the French National Health Data System. Survival was analyzed using Cox regressions and standardized rates.

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