69 results match your criteria: "Kagoshima Kouseiren Hospital.[Affiliation]"

The association between serum uric acid (UA) levels and left ventricular hypertrophy (LVH) remains unclear. We aimed to investigate this association using electrocardiographic findings. Health examination data from Kagoshima Kouseiren Hospital included 79,200 participants without cardiovascular diseases.

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Introduction: Fluorouracil, leucovorin, irinotecan, and oxaliplatin (FOLFIRINOX) improve overall survival (OS) and progression-free survival (PFS) in patients with pancreatic cancer, compared with gemcitabine (GEM). However, whether PFS is a surrogate marker of OS in pancreatic cancer chemotherapy focusing on FOLFIRINOX or GEM plus nab-paclitaxel remains unknown. We aimed to verify whether PFS can be a surrogate marker of OS in prognosis prediction.

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  • The study explores the prevalence of steatotic liver disease (SLD) using the new multisociety consensus nomenclature, identifying its different subtypes such as MASLD and MetALD among 6,530 health check-up participants in Japan.
  • Results indicate a 39.5% overall prevalence of SLD, with most cases classified as MASLD, and a small portion showing significant fibrosis as determined by liver stiffness measurement.
  • Although the FIB-4 index is convenient for assessing liver fibrosis, its diagnostic performance as a primary screening tool is limited, particularly in the general population, suggesting the need for more effective screening methods.
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  • EUS-guided biliary drainage (EUS-BD) has shown good results in high-volume centers, but this study investigates its safety and effectiveness in newer centers that recently adopted the procedure.
  • The research involved 22 centers from 2017 to 2022, assessing 255 patients and looking at the success and complications of EUS-BD performed by 84 endoscopists.
  • The study found a high technical success rate of 91.4% but identified specific risks for failure and complications, including smaller puncture target diameters and moderate ascites, highlighting that the experience level of endoscopists did not significantly affect outcomes.
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  • - This study compared the effectiveness of second-line treatments for patients with unresectable pancreatic cancer who previously received gemcitabine plus nab-paclitaxel (GnP), analyzing 318 patients treated with nanoliposomal irinotecan plus 5-fluorouracil/folinic acid (NFF), S-1, or FOLFIRINOX.
  • - Results showed that the median overall survival (OS) for the NFF group was significantly better at 9.08 months compared to 4.90 months for S-1, while FOLFIRINOX had an OS of 4.77 months with no significant difference from NFF.
  • - Factors like serum levels and duration
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Nanoliposomal irinotecan with fluorouracil and folinic acid (NFF) is a standard regimen after gemcitabine-based therapy for patients with unresectable or recurrent pancreatic cancer. However, there are limited clinical data on its efficacy and safety in the real-world. We therefore initiated a retrospective and prospective observational study (NAPOLEON-2).

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Introduction: The most effective method of assessing sarcopenia has yet to be determined, whether by single muscle or by whole muscle segmentation. The purpose of this study was to compare the prognostic value of these two methods using computed tomography (CT) images in patients with oral squamous cell carcinoma (OSCC).

Materials And Methods: Sex- and age-adjusted Cox proportional hazards models were employed for each parameter of sarcopenia related to overall survival, disease-free survival, and disease-specific survival.

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  • - Atrial fibrillation (AF) can lead to serious health issues, so researchers aimed to create a risk prediction score to identify healthy individuals likely to develop AF in the future, based on factors like ECG readings, age, and sex.
  • - The study analyzed data from 88,907 Japanese participants aged 30-69, splitting them into two groups to develop and validate the risk score using logistic regression analysis, which assigned points based on various risk factors.
  • - The resulting risk score, which ranged from 0 to 17, was effective in predicting new-onset AF, showing an incidence of over 2% when the score reached 10 points, demonstrating that ECG findings combined with easy-to-collect data can help in
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: We aimed to determine the trends over time and current status of early -uninfected gastric cancer (HpUIGC) treatment in a region with an aging population. : This retrospective, multi-center observational study was conducted at seven major general hospitals in Kagoshima Prefecture. From January 2009 to July 2022, 2091 patients who received endoscopic resection (ER) for early gastric cancer (EGC) were retrospectively enrolled, of which 35 were identified as early HpUIGC cases.

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Although quitting smoking lowers the risk of developing chronic conditions, it usually leads to weight gain. Literature on the association between weight gain after quitting smoking and the future development of hypertension is scarce. Among 234 596 individuals who visited our health center, 856 who had quit smoking for whom data were available at least 6 years after smoking cessation were included.

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  • The study examines how uric acid (UA) levels and hyperuricemia relate to developing hypertension over five years, focusing on both men and women without existing cardiometabolic diseases.
  • Data was collected from over 21,000 participants, with results showing higher hypertension incidence among men compared to women, especially related to higher UA quartiles and hyperuricemia.
  • Findings indicate that the impact of UA on hypertension development varies by sex and also depends on the specific blood pressure measurement standards used.
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Hypertension and insulin resistance are established risk factors for chronic kidney disease. However, the association between chronic kidney disease and insulin resistance in detailed hypertension pattern groups such as isolated diastolic hypertension remains unclear. Triglyceride-glucose index has been noted as an indicator of insulin resistance.

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Association between anthropometric indices and 5-year hypertension incidence in the general Japanese population.

Hypertens Res

April 2024

Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.

Article Synopsis
  • No existing reports link anthropometric indices (like BMI and waist circumference) with hypertension by sex and age in the Japanese population.
  • A study analyzed data from 41,902 individuals aged 30-69 who underwent medical checkups between 2005-2019, with findings showing significant links between several body measurements and hypertension development after five years.
  • Results indicated that BMI, waist circumference, and body roundness index were strong predictors of hypertension in both men and women, while the body shape index was less reliable across all age groups, especially for women.
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  • The study explored the relationship between serum uric acid (SUA) levels and reduced kidney function, particularly focusing on hypouricemia (low SUA levels) and how it correlates with kidney health.
  • A large dataset from Japanese health examinations involving 227,672 patients was analyzed using logistic regression while considering factors like age, body mass index, and various health conditions.
  • It found that both hypouricemia and high SUA were associated with a higher prevalence of reduced kidney function, indicating a J-shaped relationship where extreme SUA levels (both low and high) increased kidney function risk.
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Aim: Laparoscopic liver resection (LLR) for hepatocellular carcinoma (HCC) located in the posterosuperior segments (PS) have generally been considered more difficult than those for HCC in anterolateral segments (AL), but may be safe and feasible for selected patients with accumulated experience. In the present study, we investigated the effectiveness of LLR for single nodular HCCs ≤3 cm located in PS.

Methods: In total, 473 patients who underwent partial liver resection for single nodular HCCs ≤3 cm at the 18 institutions belonging to the Kyusyu Study Group of Liver Surgery from January 2010 to December 2018 were enrolled.

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Development of predictive equation and score for 5-year metabolic syndrome incidence in Japanese adults.

PLoS One

April 2023

Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.

Background: Predicting metabolic syndrome (MetS) is important for identifying high-risk cardiovascular disease individuals and providing preventive interventions. We aimed to develop and validate an equation and a simple MetS score according to the Japanese MetS criteria.

Methods: In total, 54,198 participants (age, 54.

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Development of a risk prediction score and equation for chronic kidney disease: a retrospective cohort study.

Sci Rep

March 2023

Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-0075, Japan.

Chronic kidney disease (CKD) is a risk factor for end-stage renal disease and contributes to increased risk of cardiovascular disease morbidity and mortality. We aimed to develop a risk prediction score and equation for future CKD using health checkup data. This study included 58,423 Japanese participants aged 30-69 years, who were randomly assigned to derivation and validation cohorts at a ratio of 2:1.

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Clinical significance of atherosclerotic risk factors differs in early and advanced stages of plaque formation: A longitudinal study in the general population.

Int J Cardiol

May 2023

Department of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima City 890-8544, Japan.

Background: Carotid plaque is a well-known prognostic factor for cardiovascular diseases. It is unclear which risk factors are associated with the transformation of carotid plaque over time. In this longitudinal study, we examined the risk factors related to carotid plaque progression.

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The present study clarified the prognosis of intermediate-stage hepatocellular carcinoma (HCC) patients who received lenvatinib (LEN) followed by transcatheter arterial chemoembolization (TACE) on demand. We retrospectively evaluated 88 intermediate-stage HCC patients who received LEN. The median age was 74 (range: 47-92) years old, 67 patients were male, and 82 were classified as Child-Pugh A.

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Better prognostic biomarkers for oral squamous cell carcinoma (OSCC) must be developed, particularly within the realm of clinically and frequently administered tests, to advise appropriate clinical therapy and follow-up. In this study, we retrospectively investigated which of the several inflammation-nutrition indicators might predict the prognosis of patients with OSCC.   The preoperative neutrophil-lymphocyte ratio (NLR), lymphocyte-monocyte ratio (LMR), platelet-lymphocyte ratio (PLR), CRP-albumin ratio (CAR), Glasgow prognostic score (GPS), modified GPS (mGPS), prognostic nutritional index (PNI), controlling nutrition status (CONUT), and modified CONUT (mCONUT) were retrospectively evaluated using blood samples collected 1-5 days before surgery.

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Article Synopsis
  • The study compares the efficacy and toxicity of the original FOLFIRINOX (oFFX) and a modified version (mFFX) for treating metastatic pancreatic cancer (mPC) in a Japanese patient population.
  • A multicenter analysis of 318 patients revealed no significant difference in overall survival and progression-free survival between oFFX and mFFX, although oFFX had higher rates of thromobocytopenia and liver dysfunction.
  • The findings suggest that mFFX is as effective as oFFX while causing fewer side effects, making it a safer option in clinical practice.
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Background/purpose: The benefits of anti-reflux metal stents, used for treating biliary obstruction in patients receiving neoadjuvant chemotherapy (NAC) for pancreatic cancer, are yet unknown. Herein, the safety and efficacy of the novel duckbill-type anti-reflux metal stent (D-ARMS) were prospectively evaluated for biliary drainage. Additionally, the incidence of recurrent biliary obstruction (RBO) after placement of D-ARMS vs conventional covered self-expandable metal stents (CCSEMSs) was retrospectively compared.

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  • - The study investigates the relationship between brachial-ankle pulse wave velocity (baPWV) and cardiovascular risk scores (Suita and Framingham) using data from over 25,000 health checkups in Japan.
  • - Results indicated that the Suita score has a stronger correlation with baPWV compared to the Framingham risk score, particularly evident across both genders.
  • - Cutoff values were established for baPWV to identify moderate- and high-risk cardiovascular groups, varying by age and sex, with specific thresholds identified for men and women in different age brackets.
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A 55-year-old man presented with vomiting and upper abdominal pain. Two months later, computed tomography revealed jejunal wall thickening and contrast enhancement. Double-balloon endoscopy revealed severe jejunal stenosis and mucosal prolapse.

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