127 results match your criteria: "Centre of Research in Epidemiology and StatisticS CRESS[Affiliation]"

Personalization of renal replacement therapy initiation: a secondary analysis of the AKIKI and IDEAL-ICU trials.

Crit Care

March 2022

Service de Réanimation Médico-Chirurgicale, Hôpital Avicenne, APHP, UFR SMBH, Université Sorbonne Paris Nord, Bobigny, French National Institute of Health and Medical Research (INSERM), Common and Rare kidney Diseases (CORAKID), Hôpital Tenon, Paris, France.

Background: Trials comparing early and delayed strategies of renal replacement therapy in patients with severe acute kidney injury may have missed differences in survival as a result of mixing together patients at heterogeneous levels of risks. Our aim was to evaluate the heterogeneity of treatment effect on 60-day mortality from an early vs a delayed strategy across levels of risk for renal replacement therapy initiation under a delayed strategy.

Methods: We used data from the AKIKI, and IDEAL-ICU randomized controlled trials to develop a multivariable logistic regression model for renal replacement therapy initiation within 48 h after allocation to a delayed strategy.

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Low Maternal DLK1 Levels at 26 Weeks Is Associated With Small for Gestational Age at Birth.

Front Endocrinol (Lausanne)

April 2022

Sorbonne Université, INSERM, Centre de Recherche Saint Antoine, APHP, Hôpital Armand Trousseau, Explorations Fonctionnelles Endocriniennes, Endocrinologie Moléculaire et Pathologies d'Empreinte, Paris, France.

Detecting SGA (small for gestational age) during pregnancy improves the fetal and neonatal prognosis. To date, there is no valid antenatal biomarker of SGA used in clinical practice. Maternal circulating DLK1 (delta-like non-canonical notch ligand 1) levels have been shown to be significantly lower in pregnant women at 36 weeks of gestation (WG) who delivered a SGA newborn than in controls.

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Background: Colorectal cancer (CRC) is currently one of the most frequently diagnosed cancers. Our aim was to evaluate transparency and selective reporting in interventional trials studying CRC.

Methods: First, we assessed indicators of transparency with completeness of reporting, according to the CONSORT statement, and data sharing.

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Recent historic increase of infant mortality in France: A time-series analysis, 2001 to 2019.

Lancet Reg Health Eur

May 2022

Centre of Research in Epidemiology and Statistics (CRESS), Obstetrical, Perinatal and Pediatric Epidemiology Research Team, INSERM, Université de Paris, Maternité Port-Royal, 53 Avenue de l'Observatoire, 75014, Paris F-75004, France.

Article Synopsis
  • - The study analyzed infant mortality rates (IMR) in France from 2001 to 2019 using data on births and deaths in the first year of life, finding an average IMR of 3.63/1000, with higher rates for males compared to females.
  • - Key findings included a sharp decrease in IMR until 2005, a slower decrease until 2012, and a notable increase thereafter, particularly among early neonatal deaths.
  • - The authors emphasize the need for urgent investigation into the recent uptick in IMR since 2012 to identify causes and implement corrective measures.
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B-Cell NHL Subtype Risk Associated with Autoimmune Conditions and PRS.

Cancer Epidemiol Biomarkers Prev

May 2022

Division of Clinical Epidemiology, Department of Medicine Solna, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.

Background: A previous International Lymphoma Epidemiology (InterLymph) Consortium evaluation of joint associations between five immune gene variants and autoimmune conditions reported interactions between B-cell response-mediated autoimmune conditions and the rs1800629 genotype on risk of B-cell non-Hodgkin lymphoma (NHL) subtypes. Here, we extend that evaluation using NHL subtype-specific polygenic risk scores (PRS) constructed from loci identified in genome-wide association studies of three common B-cell NHL subtypes.

Methods: In a pooled analysis of NHL cases and controls of Caucasian descent from 14 participating InterLymph studies, we evaluated joint associations between B-cell-mediated autoimmune conditions and tertile (T) of PRS for risk of diffuse large B-cell lymphoma (DLBCL; n = 1,914), follicular lymphoma (n = 1,733), and marginal zone lymphoma (MZL; n = 407), using unconditional logistic regression.

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Maturation of Arousals during Day and Night in Preterm Infants.

Children (Basel)

February 2022

Unité de Sommeil, Service D'épilepsie, Sommeil et Explorations Fonctionnelles Neurologiques Pédiatriques-INSERM U1028-Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Université Claude Bernard Lyon 1, 59 bd Pinel Bron, 69500 Lyon, France.

The objective of this study was to compare the maturation of spontaneous arousals during day and night sleep in preterm and term infants. From the Autonomic Baby Evaluation study, the sleep and arousal characteristics of 12 preterm (35.1 ± 2.

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Cerebral aspergillosis in the era of new antifungals: The CEREALS national cohort study Nationwide CEREbral Aspergillosis Lesional study (CEREALS).

J Infect

February 2022

Centre for Infectious Diseases and Tropical Medicine, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique - Hôpitaux de Paris, Université de Paris, Paris, France; Molecular Mycology Unit, National Reference Centre for Invasive Mycoses and Antifungals, UMR 2000, Institut Pasteur, CNRS, Université de Paris, Paris, France. Electronic address:

Background: Cerebral aspergillosis (CA) is a life-threatening disease for which diagnosis and management remain challenging. Detailed analyses from large cohorts are lacking.

Methods: We included 119 cases of proven (n = 54) or probable (n = 65) CA diagnosed between 2006 and 2018 at 20 French hospitals.

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Severe COVID-19 is associated with hyperactivation of the alternative complement pathway.

J Allergy Clin Immunol

February 2022

Department of Internal Medicine, National Reference Center for Rare Systemic Autoimmune Diseases, AP-HP Hôpital Cochin, Paris, France; Université de Paris, Paris Cardiovascular Center (PARCC), Inserm, Paris, France. Electronic address:

Article Synopsis
  • Severe COVID-19 is marked by impaired type I interferon activity and inflammation, with the complement system playing a crucial role in the inflammatory response.
  • The study examined RNA levels of 28 complement genes in COVID-19 patients compared to healthy controls, revealing different expression patterns linked to disease severity.
  • Findings suggest that the alternative complement pathway is significantly activated in severe cases, with implications for potential treatment strategies targeting this pathway.
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Background: Rhabdomyosarcoma (RMS) is the most common paediatric soft-tissue sarcoma and can emerge throughout the whole body. For patients with newly diagnosed RMS, prognosis for survival depends on multiple factors such as histology, tumour site, and extent of the disease. Patients with metastatic disease at diagnosis have impaired prognosis compared to those with localised disease.

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Effects of the COVID-19 pandemic on medication adherence: In the case of antiseizure medications, A scoping review.

Seizure

December 2021

Department of Neurology, West of China Hospital, Sichuan University, Chengdu, China; NIHR University College London Hospitals Biomedical Research Centre, UCL Queen Square Institute of Neurology, London WC1N 3BG; Chalfont Centre for Epilepsy, Chalfont St Peter, Buckinghamshire, UK; Stichting Epilepsie Instellingen Nederland (SEIN), Heemstede, Netherlands.

Unlabelled: Since early 2020, an unprecedented public global health emergency caused by coronavirus (COVID-19) resulted in national governments' imposing confinement measures. Lockdowns and isolation during pandemics complicate disease management and medication adherence. Chronic conditions, such as epilepsy, require linear adherence patterns to prevent breakthrough seizures and to reduce the risk of sudden unexpected death.

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Morocco as a possible source for acquisition of Rhinocladiella mackenziei.

PLoS Negl Trop Dis

August 2021

Université de Paris, Necker-Pasteur Center for Infectious Diseases and Tropical Medicine, Necker-Enfants Malades Hospital, APHP, Imagine Institute, Paris, France.

Rhinocladiella mackenziei cerebral phaeohyphomycosis is a rare severe disease that has been typically described in the Middle East. Here, we report 2 cases of R. mackenziei cerebral phaeohyphomycosis in patients from Morocco, diagnosed and treated in France, and raise a concern about the ever-going extension of the area at risk for this devastating invasive fungal infection.

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Evaluating tests for diagnosing COVID-19 in the absence of a reliable reference standard: pitfalls and potential solutions.

J Clin Epidemiol

October 2021

Department of General Pediatrics and Pediatric Infectious Diseases, Necker-Enfants malades University Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Université de Paris, Paris, France; Centre of Research in Epidemiology and Statistics (CRESS), INSERM, EPOPé team, Université de Paris, Paris, France. Electronic address:

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Objective: To determine the rate and profile of repeated maternal ICU admissions during or after pregnancy and to compare the characteristics of these women's first and second ICU admissions.

Methods: A descriptive analysis from the French national hospital discharge database that included all women admitted to an ICU during pregnancy or within 42 days after delivery, between 2010 and 2014.

Results: During the 5-year study period, there were 371 women with more than one maternal ICU admission, representing 2.

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Diagnostic accuracy of rapid nucleic acid tests for group A streptococcal pharyngitis: systematic review and meta-analysis.

Clin Microbiol Infect

December 2021

Université de Paris, Centre of Research in Epidemiology and Statistics (CRESS), INSERM, Paris, France; Necker-Enfants malades Hospital, APHP, Université de Paris, Department of General Paediatrics and Paediatric Infectious Diseases, Paris, France. Electronic address:

Background: Acute pharyngitis is one of the most common conditions in outpatient settings and an important source of inappropriate antibiotic prescribing. Rapid antigen detection tests (RADTs) offer diagnosis of group A streptococcus at the point of care but have limited sensitivity. Rapid nucleic acid tests (RNATs) are now available; a systematic review of their accuracy is lacking.

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Article Synopsis
  • This study aimed to evaluate the use of extracorporeal membrane oxygenation (ECMO) in critically ill neonates and children across a pediatric critical care network in West France, focusing on decision-making for patients initially admitted to non-ECMO facilities.
  • Over a four-year period, 8,189 children and 3,947 newborns were treated, with 8.1% of children and 9.4% of newborns requiring ECMO; most patients needing ECMO were admitted first to non-ECMO centers, and various critical conditions were noted.
  • The survival rates after 28 days post-ICU were similar for patients from non-ECMO centers compared to those from ECMO centers,
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Preprints promote the open and fast communication of non-peer reviewed work. Once a preprint is published in a peer-reviewed venue, the preprint server updates its web page: a prominent hyperlink leading to the newly published work is added. Linking preprints to publications is of utmost importance as it provides readers with the latest version of a now certified work.

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Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev

April 2021

Department of Dermatology, Hôpital Henri Mondor, Créteil, France.

Article Synopsis
  • Psoriasis is a chronic immune-mediated disease that affects the skin and joints, significantly impacting quality of life, and while no cure exists, various treatments can manage the symptoms.
  • This study aimed to conduct a network meta-analysis comparing the efficacy and safety of different treatment options (non-biological systemic agents, small molecules, and biologics) for moderate-to-severe psoriasis.
  • The researchers reviewed numerous randomized controlled trials (RCTs) and focused on outcomes such as achieving clear skin, using established criteria like the Psoriasis Area and Severity Index (PASI).
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Tocilizumab in Treatment for Patients With COVID-19-Reply.

JAMA Intern Med

July 2021

Centre of Research in Epidemiology and Statistics (CRESS), Université de Paris, INSERM, INRAE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Hôtel-Dieu, Paris, France.

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Cancer Patients' Prehospital Emergency Care: Post Hoc Analysis from the French Prospective Multicenter Study EPICANCER.

J Clin Med

March 2021

Centre of Research in Epidemiology and StatisticS (CRESS), INSERM, UMR 1153, Epidemiology and Clinical Statistics for Tumor, Respiratory, and Resuscitation Assessments (ECSTRRA) Team, University of Paris, 75006 Paris, France.

Background: Very little data are available concerning the prehospital emergency care of cancer patients. The objective of this study is to report the trajectories and outcomes of cancer patients attended by prehospital emergency services.

Methods: This was an ancillary study from a three-day cross-sectional prospective multicenter study in France.

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Background: Interleukin 6 (IL-6) blocking agents have been used for treating severe coronavirus disease 2019 (COVID-19). Their immunosuppressive effect might be valuable in patients with COVID-19 characterised by substantial immune system dysfunction by controlling inflammation and promoting disease tolerance.

Objectives: To assess the effect of IL-6 blocking agents compared to standard care alone or with placebo on efficacy and safety outcomes in COVID-19.

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Background: The respiratory illness caused by SARS-CoV-2 infection continues to present diagnostic challenges. Our 2020 edition of this review showed thoracic (chest) imaging to be sensitive and moderately specific in the diagnosis of coronavirus disease 2019 (COVID-19). In this update, we include new relevant studies, and have removed studies with case-control designs, and those not intended to be diagnostic test accuracy studies.

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COVID-19-Related Fatalities and Intensive-Care-Unit Admissions by Age Groups in Europe: A Meta-Analysis.

Front Med (Lausanne)

January 2021

Department of General Pediatrics and Pediatric Infectious Diseases, AP-HP, Necker Hospital for Sick Children, Université de Paris, Paris, France.

Precise international estimates of the age breakdown of COVID-19-related deaths and intensive-care-unit (ICU) admissions are lacking. We evaluated the distribution of COVID-19-related fatalities and ICU admissions by age groups in Europe. On April 6, 2020, we systematically reviewed official COVID-19-related data from 32 European countries.

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Exposure to persistent organic pollutants and the risk of type 2 diabetes: a case-cohort study.

Diabetes Metab

September 2021

EPI-PHARE Scientific Interest Group in Epidemiology of Health Products, French National Agency for the Safety of Medicines and Health Products and the French National Health Insurance, Saint-Denis, Ile-de-France, France; IRSA, La Riche, France.

Aims: To explore exposure to 22 persistent organic pollutants (POPs) and incident type 2 diabetes in a population-based, prospective cohort.

Methods: This case-cohort study on 753 participants without type 2 diabetes at baseline, was followed-up over nine years, as part of the French D.E.

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Introduction: Chronic kidney disease is a serious and a frequent disease associated with a high risk of morbi-mortality. Although several risk factors have already been well addressed, mostly diabetes and hypertension, many remain underappreciated, such as chronic exposure to air pollution.

Methods And Analysis: We will search EMBASE, PubMed, Web of Science, Cochrane Library and CINAHL database, from inception to 31 March 2020, for relevant records using a combination of keywords related to the type of exposure (ozone, carbon monoxide, nitrogen oxides and dioxide, sulfur dioxide, PM, PM and PM) and to the type of outcome (chronic kidney disease, end-stage renal/kidney disease, kidney failure, proteinuria/albuminuria, renal function, renal transplant, kidney graft, kidney transplant failure, nephrotic syndrome and kidney cancer).

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