676 results match your criteria: "Kangnam St. Mary's Hospital & Cancer Center[Affiliation]"

This study assessed the therapeutic effectiveness of a single-pill combination (SPC) of olmesartan/amlodipine plus rosuvastatin for blood pressure (BP) and low-density lipoprotein cholesterol (LDL-C) in patients with hypertension and dyslipidemia. Adult patients with hypertension and dyslipidemia who were decided to be treated with the study drug were eligible. The primary endpoint was the proportion of patients who achieved BP, LDL-C and both BP and LDL-C treatment goals at weeks 24-48.

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Background: Patients with end-stage kidney disease (ESKD) frequently visit the emergency department (ED) due to complications from comorbidities and dialysis. This study aimed to investigate the clinical outcomes and patterns of ED visits, hospitalizations, and in-hospital mortality among ED visits by ESKD patients in South Korea.

Methods: This study utilized data from the National Emergency Department Information System from 2019 to 2021.

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Objective: To compare the safety profiles of biportal endoscopic spinal surgery (BESS) and microscopic spinal surgery (MSS) for lumbar disc herniation and spinal stenosis by analyzing the associated adverse events.

Methods: We pooled data from 2 prospective randomized controlled trials involving 220 patients (110 in each group) who underwent single-level lumbar surgery. Participants aged 20-80 years with radiating pain due to lumbar disc herniation or spinal stenosis were included in this study.

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Clinical significance of various pathogens identified in patients with acute exacerbations of COPD: a multi-center study in South Korea.

Tuberc Respir Dis (Seoul)

December 2024

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

Background: Respiratory infection is a major cause of acute exacerbation of chronic obstructive pulmonary disease (AECOPD). We investigated the presence of bacterial and viral pathogens and clinical features in patients with AECOPD.

Methods: This retrospective study included 1,186 patients diagnosed with AECOPD from 28 hospitals in South Korea between 2015-2018.

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Prognostic Impact of Multiple Synchronous T1 Breast Cancer.

Cancers (Basel)

November 2024

Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07441, Republic of Korea.

: The reported incidence of multiple breast cancers varies widely, ranging from 6 to 60%, depending on the definitions used and methods of detection. With advancements in preoperative imaging techniques, such as magnetic resonance imaging, the detection of multiple breast cancers has improved. However, the clinical significance of multiple breast cancers remains controversial, with conflicting results regarding their impact on prognosis.

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Optimal Long-term Antiplatelet Regimen for Patients with High Ischaemic and Bleeding Risks After Percutaneous Coronary Intervention.

Thromb Haemost

December 2024

Internal Medicine, Cardiovascular Centre, Department of Internal Medicine, Gyeongsang National University School of Medicine, Gyeongsang National University Changwon Hospital, Changwon-si, Korea (the Republic of).

Aim To assess an optimal long-term antiplatelet strategy in patients at both high ischaemic and bleeding risks after percutaneous coronary intervention (PCI). Methods and results Patients both at high ischaemic and bleeding risks were eligible for inclusion. We excluded patients with any ischaemic and major bleeding complications during the mandatory period of dual antiplatelet therapy (DAPT).

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The risk of pregnancy-related adverse outcomes after COVID-19 vaccination: Propensity score-matched analysis with influenza vaccination.

Vaccine

January 2025

Division of Infectious Diseases, Department of Internal Medicine, Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea. Electronic address:

Introduction: Coronavirus 2019 (COVID-19) vaccination rates in pregnant women remain low owing to safety concerns. When evaluating vaccine safety, comparisons with unvaccinated individuals may lead to healthy vaccinee bias. This study aimed to investigate the association between mRNA-based COVID-19 vaccination and pregnancy-related adverse outcomes compared with influenza vaccination.

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Lecanemab (product name Leqembi®) is an anti-amyloid monoclonal antibody treatment approved for use in Korea for patients with mild cognitive impairment (MCI) or mild dementia due to Alzheimer's disease. The Korean Dementia Association has created recommendations for the appropriate use of lecanemab to assist clinicians. These recommendations include selecting patients for administration, necessary pre-administration tests and preparations, administration methods, monitoring for amyloid related imaging abnormalities (ARIA), and communication with patients and caregivers.

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Background: Acute bronchiolitis is a common cause of hospitalization during infancy that carries significant morbidity and mortality rates.

Purpose: This study compared the efficacy of different treatment modalities for infants with bronchiolitis in terms of hospital stay and clinical severity scores.

Methods: The PubMed database was searched for relevant studies.

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Objective: To evaluate the association between neonatal bronchopulmonary dysplasia and the subsequent development of mental health conditions in children and adolescents.

Study Design: This was a retrospective cohort study, utilizing data from individuals born in South Korea between 2002 and 2005 and followed up until 2021, using the National Health Insurance Database. The cohort included 1 893 314 participants born during that period, with 927 diagnosed with bronchopulmonary dysplasia during the neonatal period (the exposed cohort).

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Korean Guidelines for the Management and Antibiotic Therapy in Adult Patients with Hospital-Acquired Pneumonia.

Tuberc Respir Dis (Seoul)

January 2025

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Article Synopsis
  • Hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP) lead to significant health issues and high mortality rates, yet Korea lacks specific guidelines for their treatment.
  • A committee of nine experts utilized local epidemiological data to address 11 critical questions related to diagnosing and treating HAP/VAP, employing the CORE process for developing recommendations.
  • The resulting guidelines provide tailored suggestions for adult patients in Korea, focusing on diagnosis, biomarkers, antibiotics, and treatment strategies.
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Article Synopsis
  • Tolvaptan, a medication approved in Korea for treating autosomal dominant polycystic kidney disease (ADPKD), was evaluated in a phase 4 clinical trial involving 117 patients with chronic kidney disease stages 1 to 3 over 24 months.* -
  • The study recorded a high rate of treatment-emergent adverse events (TEAEs), with 90.6% of patients experiencing them, including 14.5% reporting hepatic adverse events, which improved after stopping the medication.* -
  • Despite a higher incidence of liver-related issues compared to previous studies, the results suggest that tolvaptan can be used safely and effectively with careful dosage adjustments and regular monitoring.*
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Prenatal Diagnosis and Clinical Outcomes of Isolated Mega Cisterna Magna.

J Child Neurol

November 2024

Department of Obstetrics and Gynecology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Article Synopsis
  • The study looked at fetuses with a condition called isolated mega cisterna magna, which is a part of the brain that is larger than normal but doesn’t have other issues.
  • It involved 71 cases from 18 hospitals and found that about 68% of these cases improved on their own before birth.
  • Most babies did well after birth, but some had other brain problems, especially boys who had bigger brain sizes compared to girls.
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Similarity analyses of causative viruses for chronic obstructive pulmonary disease and asthma exacerbations : Author.

BMC Pulm Med

September 2024

Division of Pulmonary and Critical Care Medicine, Department of Internal medicine, Seoul St. Mary`s Hospital, College of Medicine, The Catholic University of Korea, Seochogu, Seoul, Republic of Korea.

Article Synopsis
  • This study compared data from a multicenter cohort study and nationwide respiratory virus data to assess whether they represent similarities in causative factors for COPD and asthma exacerbations.
  • The results showed strong correlations between respiratory viruses (like RSV and influenza) in both data sources, with some showing high synchronicity while others indicated low synchronicity.
  • It also found distinct seasonal patterns for these viruses, confirming that this was the first study to analyze and report the relationship between cohort study data and nationwide surveillance on respiratory viruses.
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Implications of Global Lung Function Initiative Spirometry Reference Equations in Northeast Asian Patients With COPD.

Chest

September 2024

Respiratory Research@Alfred, School of Translational Medicine, Monash University, Melbourne, VIC, Australia; Department of Respiratory and Sleep Medicine, Austin Health, Heidelberg, VIC, Australia; Institute for Breathing and Sleep, Heidelberg, VIC, Australia; Faculty of Medicine, University of Melbourne, Melbourne, VIC, Australia.

Background: Accurate spirometry interpretation is critical in the diagnosis and management of COPD. With increasing efforts for a unified approach by the Global Lung Function Initiative (GLI), this study evaluated the application of race-specific 2012 GLI and race-neutral 2022 GLI reference equations compared with Choi's reference equations, which are derived and widely used in South Korea, for spirometry interpretation in Northeast Asian patients with COPD.

Research Question: What are the effects of applying race-specific 2012 GLI, race-neutral 2022 GLI, and Choi's reference equations on the diagnosis, severity grade, and clinical outcome associations of COPD?

Study Design And Methods: Serial spirometry data from the Korea COPD Subgroup Study (KOCOSS) consisting of 3,477 patients were used for reanalysis using 2012 GLI, 2022 GLI, and Choi's reference equations.

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Article Synopsis
  • Incomplete resection rates vary among endoscopists, making it important to evaluate different removal techniques for small colorectal polyps.
  • This study compared the effectiveness and safety of cold snare endoscopic mucosal resection (CS-EMR) and hot snare endoscopic mucosal resection (HS-EMR) on polyps sized 6-9 mm.
  • Results showed that CS-EMR had a 0% rate of residual adenomas and similar efficacy in resection compared to HS-EMR, suggesting CS-EMR can be a standard method for removing small colorectal polyps.
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Objective: The purpose of the study was to identify the best sequence of therapy beginning with a tyrosine kinase inhibitor (TKI) as the first-line therapy for patients with metastatic renal cell carcinoma (mRCC) in terms of overall survival (OS), progression-free survival (PFS), and rates of discontinuation and adverse effects during the treatment period.

Methods: This is a retrospective, nationwide multicenter study of patients with mRCC after diagnosis at 10 different tertiary medical centers in Korea from January 1992 to December 2017. We focused on patients at either "favorable" or "intermediate" risk according to the International mRCC Database Consortium criteria, and they were followed up (median 335 days).

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Background: This study aims to investigate the trend of doctor shopping among patients with rotator cuff tear (RCT) before undergoing surgery and to examine the relevance of these findings to the public.

Methods: A survey was conducted of 326 patients from 10 hospitals (male, 176; female, 150) who underwent arthroscopic rotator cuff repair (ARCR) for symptomatic RCT between September 2019 and February 2020. A questionnaire was used to obtain data regarding the type of medical care service, medical institutions visited before surgery, number of treatments received, and cost of treatment.

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Background: Patients with end-stage kidney disease (ESKD) are more susceptible to viral epidemics and are known to have higher incidence and death rates of coronavirus disease 2019 (COVID-19) compared to the general population. We determined COVID-19 incidence and mortality among chronic hemodialysis (HD), peritoneal dialysis (PD), and kidney transplantation (KT) patients in Korea.

Methods: We conducted a retrospective cohort study and data regarding Korean ESKD adults (aged ≥18 years) were obtained from the National Health Insurance Service of Korea from October 2020 to December 2021.

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Background: Patients undergoing hemodialysis (HD) have a high risk of novel coronavirus disease 2019 (COVID-19) and poor clinical outcomes. This study aimed to investigate severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine effectiveness against infection and deaths in the South Korean population undergoing HD.

Methods: We conducted a retrospective cohort study to compare the incidence of COVID-19 and post-diagnosis mortality between patients who were either never vaccinated or fully or partially vaccinated.

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Article Synopsis
  • * Conducted as a double-blind, phase III trial, it involved 185 adults with specific HbA1c and LDL-C levels, and after 16 weeks of treatment, the combination group showed significant improvements in both HbA1c and LDL-C compared to those only on either drug.
  • * The results indicated that using metformin with atorvastatin led to better management of blood sugar and cholesterol levels, suggesting this combination could be beneficial for patients struggling to control their conditions with lifestyle changes alone. *
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This study evaluated the association of atherogenic index of plasma (AIP) with platelet reactivity and clinical outcomes according to acute myocardial infarction (AMI). The composite of 3-year adverse outcomes of all-cause death, myocardial infarction, and cerebrovascular accident was evaluated in 10,735 patients after successful percutaneous coronary intervention with drug-eluting stents. AIP was defined as the base 10 logarithm of the ratio of triglyceride to high-density lipoprotein cholesterol concentration.

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Practice guidelines for managing extrahepatic biliary tract cancers.

Ann Hepatobiliary Pancreat Surg

May 2024

Department of Surgery, Pancreatobiliary Clinic, Yonsei University College of Medicine, Seoul, Korea.

Article Synopsis
  • * Clinical guidelines for managing this cancer type were developed by the Korean Society of Hepato-Biliary-Pancreatic Surgery in collaboration with several other medical societies.
  • * A finalized draft of the guidelines was completed in November 2021 and is expected to improve patient treatment outcomes.
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