321 results match your criteria: "Hospital Saint- Antoine[Affiliation]"

Background And Aims: Achieving deep remission, encompassing clinical, endoscopic, and biological remission, is the goal in managing Crohn's disease (CD). The role of histological remission remains unclear. This study aimed to examine the impact of histological inflammation on clinical relapse risk in CD and explore the relationship between histology, endoscopic scores, and biomarkers.

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Background: The optimal hemoglobin threshold to guide red blood cell (RBC) transfusion for patients with acute myocardial infarction (MI) and anemia is uncertain.

Objective: To estimate the efficacy of 4 individual hemoglobin thresholds (<10 g/dL [<100 g/L], <9 g/dL [<90 g/L], <8 g/dL [<80 g/L], and <7 g/dL [<70 g/L]) to guide transfusion in patients with acute MI and anemia.

Design: Prespecified secondary analysis of the MINT (Myocardial Ischemia and Transfusion) trial using target trial emulation methods.

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Florid cemento-osseous dysplasia (FCOD) can rarely be associated with bone lesions, including simple bone cysts (SBCs). Only a few cases showing the co-occurrence of these two distinct entities have been reported in the literature. This article reports two new cases of SBCs within FCOD.

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Given the selection of elderly patients with AML in first complete remission (CR1) the advantage of consolidation with allogeneic hematopoietic cell transplantation (HCT) over chemotherapy is still unclear. Newly diagnosed AML patients in CR1 aged 60-75 years were registered and a donor search initiated. After one consolidation cycle, patients with a matched donor were randomized to HCT with fludarabine/low-dose total body irradiation and cyclosporine/mycophenolate mofetil immunosuppression or conventional non-HCT.

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[Not Available].

Adv Lab Med

June 2024

Consultor especialista en química clínica y medicina de laboratorio, La Haya, Países Bajos.

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Objectives: The objective of this study is to develop classification criteria for overall hand osteoarthritis (OA), interphalangeal OA and thumb base OA based on self-reported data and radiographic features.

Methods: The classification criteria sets were developed in three phases. In phase 1, we identified criteria that discriminated hand OA from controls.

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Background: Despite contributions provided by the recent clinical trials, several issues and challenges still remain unsolved in adjuvant colon cancer (CC). Hence, further studies should be planned to better refine risk assessment as well as to establish the optimal treatment strategy in the adjuvant setting. However, it is necessary to request adequate, contemporary and relevant variables and report them homogeneously in order to bring maximal information when analyzing their prognostic value.

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Background: Increased rates of sexually transmitted infections (STIs) are reported among men who have sex with men (MSM) and new interventions are needed. We aimed to assess whether post-exposure prophylaxis (PEP) with doxycycline could reduce the incidence of chlamydia or syphilis (or both) and whether the meningococcal group B vaccine (4CMenB) could reduce the incidence of gonorrhoea in this population.

Methods: ANRS 174 DOXYVAC is a multicentre, open-label, randomised trial with a 2 × 2 factorial design conducted at ten hospital sites in Paris, France.

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Article Synopsis
  • * Genetic testing revealed an incompatibility in the HPA-4 system between the mother, father, and newborn, with confirmation of anti-HPA-4b antibodies indicating FNAIT.
  • * This case highlights the importance of genetic testing for HPA alleles in diverse populations and suggests a need for matching maternal serum with paternal platelets in suspected cases to improve
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There is a paucity of information on how to select the most appropriate unrelated donor (UD) in hematopoietic stem cell transplantation (HSCT) using posttransplant cyclophosphamide (PTCy). We retrospectively analyzed the characteristics of 10/10 matched UDs (MUDs) and 9/10 mismatched UDs (MMUDs) that may affect transplant outcomes in patients with acute myeloid leukemia (AML) in first or second complete remission (CR1 or CR2). The primary end point was leukemia-free survival (LFS).

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Article Synopsis
  • Allogeneic hematopoietic cell transplantation (allo-HCT) is recommended for patients with core-binding factor mutated (CBF) acute myeloid leukemia (AML) who have achieved second complete remission (CR2), though 20% may relapse after the procedure.
  • A study analyzed outcomes from 865 CBF AML patients undergoing allo-HCT with different donor types (haploidentical, matched siblings, and matched unrelated donors) across 227 centers, revealing that haploidentical transplants were linked to a lower relapse incidence compared to the other donor types.
  • CBF-AML patients with the inv(16) mutation had better outcomes regarding relapse, overall survival, and graft-versus-host disease-free survival
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Issues for standardization of neonatal bilirubinemia: a case of delayed phototherapy initiation.

Clin Chem Lab Med

September 2024

Service of Fetal and Perinatal Hemobiology - National Reference Center in Perinatal Hemobiology (CNRHP), Hospital Saint-Antoine, AP-HP - Sorbonne University, Paris, France.

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Atezolizumab plus modified docetaxel, cisplatin, and fluorouracil as first-line treatment for advanced anal cancer (SCARCE C17-02 PRODIGE 60): a randomised, non-comparative, phase 2 study.

Lancet Oncol

April 2024

Clinical Investigation Centre 1431, University Hospital of Besançon, Besançon, France; Department of Oncology, University Hospital of Besançon, Besançon, France; National Institute of Health and Medical Research (INSERM), Unit 1098, University of Bourgogne Franche-Comté, Besançon, France; Oncology Multidisciplinary Group (GERCOR), Paris, France; Fédération Francophone de Cancérologie Digestive, Paris, France.

Article Synopsis
  • The study investigates the combination of the modified docetaxel, cisplatin, and fluorouracil (mDCF) regimen with atezolizumab as a first-line treatment for advanced squamous cell carcinoma of the anus, building on mDCF’s established efficacy.
  • Conducted across 21 centers in France, the phase 2 study randomly assigned participants to receive either the combination therapy or mDCF alone, focusing on 12-month progression-free survival as the primary endpoint.
  • With 97 participants enrolled, the study found a median follow-up of 26.5 months, providing valuable insights into the potential benefits of combining immunotherapy with standard chemotherapy.
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Article Synopsis
  • * Involving 2200 patients, the findings revealed that factors such as older donor age, use of female donors for male recipients, and the choice of peripheral blood donation were linked to poorer survival outcomes and increased risks of complications.
  • * The research suggests that prioritizing younger donors and male donors for male recipients can enhance transplant success, and utilizing bone marrow instead of peripheral blood may help reduce incidences of GVHD.
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Article Synopsis
  • - A randomized study (MC-FludT.14/L Trial II) found that fludarabine plus treosulfan (30 g/m²) is an effective and well-tolerated conditioning treatment for older patients (ages 50-70) undergoing allogeneic hematopoietic cell transplantation (allo-HCT) for acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS).
  • - Compared to other conditioning regimens (FluMel and BuCy), the study showed no difference in relapse rates after 2 years, but FluTreo resulted in significantly lower non-relapse mortality (NRM), indicating better tolerance.
  • - Overall survival (OS) rates were higher for
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Inflammatory low back pain with radiculopathy is suggestive of cancer, infection or inflammatory diseases. We report a unique case of a 42-year-old patient with an acute inflammatory low back pain with bilateral radiculopathy associated with weight loss and abdominal pain, revealing the disintegration of a lead bullet along the epidural space and the S1 nerve root complicated by lead poisoning. Because of the high blood lead level of intoxication (>10 times over the usual lead levels) and the failure of repeated lead chelator cycles, a surgical treatment to remove bullet fragments was performed.

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Allogeneic haematopoietic cell transplantation (alloHCT) has curative potential counterbalanced by its toxicity. Prognostic scores fail to include current era patients and alternative donors. We examined adult patients from the EBMT registry who underwent alloHCT between 2010 and 2019 for oncohaematological disease.

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Article Synopsis
  • Researchers evaluated the transplant conditioning intensity (TCI) score on a group of 4060 patients with acute myeloid leukemia who underwent allogeneic hematopoietic cell transplantation between 2018 and 2021.
  • Patients were categorized into three TCI categories (low, intermediate, high) based on their scores, allowing assessment of the TCI's ability to predict outcomes like non-relapse mortality and relapse risk.
  • Results showed that the TCI score effectively stratified patients by risk, demonstrating its relevance in predicting complications associated with transplant conditioning regimens.
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We used a modified Delphi approach to establish areas of consensus and nonconsensus regarding the utility of determining measurable residual disease (MRD) to assess multiple myeloma (MM) treatment response, which may inform disease management and design of future clinical trials. This modified Delphi study incorporated 2 iterative rounds of surveys to evaluate the opinions of an expert panel of 61 practicing hematological oncologists from across 14 countries in Europe concerning the use of MRD testing in MM management. Survey 1 assessed experts' opinions on MRD testing in different clinical situations and associated challenges.

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Objectives: To efficiently assess the disease-modifying potential of new osteoarthritis treatments, clinical trials need progression-enriched patient populations. To assess whether the application of machine learning results in patient selection enrichment, we developed a machine learning recruitment strategy targeting progressive patients and validated it in the IMI-APPROACH knee osteoarthritis prospective study.

Design: We designed a two-stage recruitment process supported by machine learning models trained to rank candidates by the likelihood of progression.

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