472 results match your criteria: "Groupe hospitalier Diaconesses Croix-Saint-Simon[Affiliation]"

Article Synopsis
  • The study aims to evaluate how native joint septic arthritis (NJSA) is managed and the outcomes for patients in various rheumatology departments across France, covering cases from 2016 to 2017.
  • A total of 362 NJSA patients were analyzed, revealing that knee involvement is common and that Staphylococcus aureus is the leading pathogen; treatment varied and included prolonged antibiotic use, surgeries, and challenges related to complications and mortality.
  • The findings underscore a grim prognosis for NJSA, with significant morbidity and mortality rates, emphasizing the necessity for standardized management practices as outlined in new French guidelines released post-study.
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Aim: Operation time (OT) is a key operational factor influencing surgical outcomes. The present study aimed to analyse whether OT impacts on short-term outcomes of minimally-invasive right colectomies by assessing the role of surgical approach (robotic [RRC] or laparoscopic right colectomy [LRC]), and type of ileocolic anastomosis (i.e.

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Importance: Older patients are underrepresented in studies of rituximab for the treatment of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis. Little is known about outcomes and adverse events associated with the use of rituximab therapy among patients 75 years and older with ANCA-associated vasculitis.

Objective: To examine outcomes and adverse events associated with the use of rituximab therapy in patients 75 years and older with ANCA-associated vasculitis, specifically granulomatosis with polyangiitis (GPA) or microscopic polyangiitis (MPA).

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Impact of mismatch repair deficiency on tumour regression grade after neoadjuvant chemotherapy in localized gastroesophageal adenocarcinoma.

Dig Liver Dis

February 2023

Department of Medical Oncology, Saint-Antoine Hospital, AP-HP; SIRIC CURAMUS, INSERM, Unité Mixte de Recherche Scientifique 938, Centre de Recherche Saint-Antoine, Equipe Instabilité des Microsatellites et Cancer, Equipe Labellisée par la Ligue Nationale Contre le Cancer, Sorbonne University, Paris, France.

Background: The use of neoadjuvant chemotherapy (NAC) in patients with mismatch repair (MMR) deficient (dMMR) localized gastric and oeso-gastric junction (OGJ) adenocarcinoma is subject of debate. Histological response assessment might help to better evaluate the impact of dMMR on response to NAC.

Methods: Patients with localized gastric/OGJ adenocarcinoma resected after NAC were retrospectively identified.

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Article Synopsis
  • - The study investigates the diagnosis and treatment outcomes of multidrug-resistant osteoarticular tuberculosis (MDR-OATB) in France, based on a review of 23 cases from 2007 to 2018.
  • - Most affected patients were young males, with the spine being the most common site of infection; a significant portion had prior tuberculosis treatments.
  • - Despite a high treatment success rate (91%) achieved with a mean regimen of four drugs over approximately 20 months, the ideal treatment protocol for MDR-OATB, including drug combinations and surgical options, is still not established.
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Background: Staphylococci and streptococci are the most frequent pathogens isolated from prosthetic joint infections (PJIs). The aim of this study was to analyze the outcome of streptococcal and methicillin-susceptible Staphylococcus aureus (MSSA) PJIs.

Methods: All monomicrobial streptococcal and MSSA PJIs managed in a French Referral Center (2010-2017) were sampled from the prospective PJIs cohort study.

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Article Synopsis
  • This study compares the safety and outcomes of two surgical methods for staging locally advanced cervical cancer: retroperitoneal and transperitoneal para-aortic lymphadenectomy (PAAL).
  • Data from 448 patients treated between 1999 and 2018 showed no significant differences in complication rates or mortality between the two methods, although the retroperitoneal approach resulted in shorter hospital stays.
  • The findings suggest that retroperitoneal PAAL is a safe and effective option for nodal staging in this patient population, providing comparable outcomes to transperitoneal PAAL.
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Efficacy of niraparib by time of surgery and postoperative residual disease status: A post hoc analysis of patients in the PRIMA/ENGOT-OV26/GOG-3012 study.

Gynecol Oncol

July 2022

Grupo Español de Investigación en Cáncer de Ovario (GEICO), the Medical Oncology Department, Clínica Universidad de Navarra, and Program in Solid Tumors, Center for Applied Medical Research (CIMA), Madrid, Spain.

Objective: To evaluate the association between surgical timing and postoperative residual disease status on the efficacy of niraparib first-line maintenance therapy in patients with newly diagnosed advanced ovarian cancer at high risk of recurrence.

Methods: Post hoc analysis of the phase 3 PRIMA/ENGOT-OV26/GOG-3012 (NCT02655016) study of niraparib in patients with newly diagnosed primary advanced ovarian, primary peritoneal, or fallopian tube cancer with a complete/partial response to first-line platinum-based chemotherapy. Progression-free survival (PFS) was assessed by surgical status (primary debulking surgery [PDS] vs neoadjuvant chemotherapy/interval debulking surgery [NACT/IDS]) and postoperative residual disease status (no visible residual disease [NVRD] vs visible residual disease [VRD]) in the intent-to-treat population.

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Objective: There is little known about SARS-CoV-2 infection in patients with systemic autoinflammatory disease (SAID). This study aimed to describe epidemiological features associated with severe disease form and death. Mortality between patients with and without SAID hospitalised for SARS-CoV-2 infection was compared.

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: Arthroplasty after septic arthritis (SA) treatment raises diagnostic and therapeutic questions. The main objective was to evaluate infection-free survival of patients undergoing total knee arthroplasty (TKA) or total hip arthroplasty (THA) post-SA. Other objectives were to describe the population's characteristics, surgical strategies, results of preoperative examinations and cultures of intraoperative samples taken at implantation, and postoperative antibiotic therapy.

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Introduction: Approval of sunitinib and everolimus for the treatment of progressive, unresectable or metastatic well-differentiated pancreatic neuroendocrine tumors (pNETs) was obtained in France in 2011 and 2012, respectively. OPALINE was set up as an observational study to evaluate the efficacy of sunitinib and everolimus compared to usual pNET treatments of chemotherapies and somatostatin analogues that had been previously recommended by the health authorities.

Methods: The OPALINE study assessed the efficacy of everolimus and sunitinib in terms of survival, disease progression and tolerance.

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Microbiological diagnosis of osteoarticular infections (OAIs) is based on culture on several media. Experts recommend the use of liquid media, such as Schaedler broth, but many laboratories use blood culture media with automated detection instead for convenience. We aimed to evaluate the performance of culturing in BacT/Alert (bioMérieux) bottles for the microbiological diagnosis of OAI culturing in Schaedler broth.

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Medial open-wedge high tibial osteotomy is a surgical treatment for patients with a varus deformity and early-stage medial knee osteoarthritis. Observations suggest that this surgery can negatively affect the patellofemoral joint and change the patellofemoral kinematics. However, what causes these effects and how the correction angle can change the surgery's impact on the patellofemoral joint has not been investigated before.

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Article Synopsis
  • The study analyzed long-term disease-free survival (LDF) rates in ovarian cancer patients after first-line treatment, revealing that only 4% achieved LDF for over 5 years.
  • Researchers investigated data from multiple trial datasets and the Netherlands Cancer Registry to understand how factors like tumor response to chemotherapy (KELIM), disease stage, and surgical outcomes affected LDF.
  • Results indicated that disease stage and KELIM were significant independent predictors of LDF, highlighting lower than expected survival rates, which could inform future research on new treatments like PARP inhibitors.
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Tocilizumab plus dexamethasone versus dexamethasone in patients with moderate-to-severe COVID-19 pneumonia: A randomised clinical trial from the CORIMUNO-19 study group.

EClinicalMedicine

April 2022

Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS-UMR1153), Inserm / Université Paris, Centre d'épidémiologie clinique, Hôpital Hôtel-Dieu, France.

Article Synopsis
  • A clinical trial was conducted to assess the effectiveness and safety of dexamethasone (DEX) alone versus combined with tocilizumab (TCZ) in patients with moderate-to-severe COVID-19 pneumonia requiring oxygen support.
  • At day 14, the rates of mechanical ventilation or death were similar between the DEX group (14%) and the TCZ+DEX group (12%), indicating no significant improvement from the combination treatment.
  • Despite no clear benefits in reducing mechanical ventilation or mortality with the TCZ+DEX treatment, both treatments had similar safety profiles; however, definitive conclusions are limited due to the broad confidence intervals in the results.
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Article Synopsis
  • The study looked at a special type of scan called 68Ga-DOTATOC PET/CT to find insulinomas, which are tumors that can cause problems with insulin in the body.
  • It included data from 71 adult patients and found that the scan was very effective for detecting metastatic insulinomas, but less so for benign ones.
  • The researchers concluded that while this scan is helpful, it should be used along with another type of scan in certain cases, especially when the first scan gives unclear results.
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Study Question: Does the endometrial preparation protocol (artificial cycle (AC) vs natural cycle (NC) vs stimulated cycle (SC)) impact the risk of early pregnancy loss and live birth rate after frozen/thawed embryo transfer (FET)?

Summary Answer: In FET, ACs were significantly associated with a higher pregnancy loss rate and a lower live birth rate compared with SC or NC.

What Is Known Already: To date, there is no consensus on the optimal endometrial preparation in terms of outcomes. Although some studies have reported a higher pregnancy loss rate using AC compared with NC or SC, no significant difference was found concerning the pregnancy rate or live birth rate.

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Sphingosine-1-Phosphate Levels Are Higher in Male Patients with Non-Classic Fabry Disease.

J Clin Med

February 2022

Center of Research in Myology, UMRS 974, Association Institut de Myologie, INSERM, Sorbonne Université, 75013 Paris, France.

Fabry disease is an X-linked lysosomal disease in which defects in the alpha-galactosidase A enzyme activity lead to the ubiquitous accumulation of glycosphingolipids. Whereas the classic disease is characterized by neuropathic pain, progressive renal failure, white matter lesions, cerebral stroke, and hypertrophic cardiomyopathy (HCM), the non-classic phenotype, also known as cardiac variant, is almost exclusively characterized by HCM. Circulating sphingosine-1-phosphate (S1P) has controversially been associated with the Fabry cardiomyopathy.

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Acid sphingomyelinase deficiency (ASMD) is a rare inherited lipid storage disorder caused by a deficiency in lysosomal enzyme acid sphingomyelinase which results in the accumulation of sphingomyelin, predominantly within cells of the reticuloendothelial system located in numerous organs, such as the liver, spleen, lungs, and central nervous system. Although all patients with ASMD share the same basic metabolic defect, a wide spectrum of clinical presentations and outcomes are observed, contributing to treatment challenges. While infantile neurovisceral ASMD (also known as Niemann-Pick disease type A) is rapidly progressive and fatal in early childhood, and the more slowly progressive chronic neurovisceral (type A/B) and chronic visceral (type B) forms have varying clinical phenotypes and life expectancy.

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(1) Background: the prevalence of postnatal depression (PND) reaches up to 20%. PND could be based on the interaction between a psychological vulnerability and chronic stress that pregnancy would activate. Vulnerability factors reflect a psychological profile mirroring mindfulness-trait (MT).

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Psychological risk factors for the occurrence of frozen shoulder after rotator cuff repair.

Orthop Traumatol Surg Res

April 2022

Service de chirurgie orthopédique, AP-HP, hôpital Ambroise-Paré, Boulogne-Billancourt, France.

Introduction: Frozen shoulder is a dreaded complication after rotator cuff repair.

Hypothesis: There are psychological determinants for this complication.

Materials And Methods: We prospectively included 77 consecutive patients who underwent arthroscopic rotator cuff repair between May 2018 and April 2019.

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Article Synopsis
  • A study was conducted to compare the diagnostic effectiveness of Fluorodesoxyglucose Positron Emission Tomography (PET/CT) with Chest-Abdomen-Pelvis CT (CAPCT) in patients suffering from fever of unknown origin (FUO), inflammation of unknown origin (IUO), and episodic fever of unknown origin (EFUO).
  • The trial included 103 patients from 7 French University Hospital centers between 2008 and 2013, assessing diagnostic orientation (DO), diagnostic contribution (DC), and time for diagnosis.
  • Results indicated that PET/CT significantly outperformed CAPCT in DO (28.2% vs. 7.8%), DC (19.4% vs.
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Posterior Cerebral Calcifications in Celiac Disease: Improvement With Gluten-Free Diet.

Neurol Clin Pract

December 2021

Department of Neurology (AR, RD), Department of Radiology (AL), and Department of Ophthalmology (CV), Fondation Ophtalmologique Adolphe de Rothschild; Department of Gastroenterology (JFS), Groupe Hospitalier Diaconesses Croix Saint Simon; and Neuropsychology, Neurovision and Cognition Unity (NDD), Fondation Ophtalmologique Adolphe de Rothschild, Paris, France.

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Traitement médical de première ligne du cancer épithélial de l'ovaire de haut grade: First-line medical treatment of high-grade epithelial ovarian cancer.

Bull Cancer

December 2021

Groupe d'investigateurs nationaux pour les études des cancers de l'ovaire, 8 rue Lamenais, 75008 Paris, France; Service d'oncologie médicale, institut Gustave-Roussy, Villejuif, France.

In early stages, standard treatment is adjuvant chemotherapy, consisting of platinum-based combination for 6 cycles, especially in serous and endometrioid high grade carcinomas. In advanced stages, indication of neoadjuvant chemotherapy must be discussed on a case-by-case basis in multidisciplinary meetings (MDM). Bevacizumab can also be considered in the neoadjuvant setting in some circumstances, always after discussion in MDM.

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Based on recently published data, these recommendations present some evolutions in the surgical management of high grade epithelial ovarian cancers. In apparently early stages (FIGO I and II), surgical staging must be undertaken to confirm the absence of both peritoneal lesions and lymph node involvement (that might change stage and management). Neoadjuvant chemotherapy is not indicated, surgical exploration should be performed upfront, by laparotomy, to reduce the risk of rupture of the primary tumor.

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