132 results match your criteria: "Matsusaka Municipal Hospital.[Affiliation]"

An update on endobronchial valve therapy for severe emphysema: real world data and special indications.

Expert Rev Respir Med

November 2024

Department of Pulmonary Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Article Synopsis
  • - Bronchoscopic lung volume reduction (BLVR) using one-way endobronchial valves (EBV) is an effective treatment for severe emphysema, as shown by various randomized clinical trials (RCTs), but real-world efficacy and safety need further investigation.
  • - Recent studies have evaluated BLVR with EBVs in real-world settings and specialized patient groups that weren't well-represented in RCTs, showing that the treatment's benefits and safety are consistent.
  • - Establishing nationwide registries and encouraging multidisciplinary discussions are recommended to monitor outcomes and ensure the continued success of BLVR with EBVs in clinical practice.
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Bleomycin-Induced Pulmonary Fibrosis in Transgenic Mice Carrying the Human rs35705950 Variant.

Cells

September 2024

Department of Immunology, Faculty and Graduate School of Medicine, Mie University, Edobashi 2-174, Tsu 514-8507, Mie, Japan.

Idiopathic pulmonary fibrosis (IPF) is a progressive, often fatal lung disease characterized by tissue scarring and declining lung function. The promoter polymorphism rs35705950, a significant genetic predisposition for IPF, paradoxically associates with better survival and slower disease progression than other IPF genotypes. This study investigates the potential paradoxical protective effects of this variant in lung fibrosis.

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Objectives: This study aimed to assess the intrinsic impacts of the expression of PD-L1 on postoperative recurrence and the prognosis in patients with ()-mutated lung adenocarcinomas.

Patients And Methods: Data from 221 surgically resected pathological stage IA-IIIA lung adenocarcinomas, collected between 2017 and 2019, were analyzed. This included measurements of mutations and the PD-L1 expression.

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Background: Presbyphagia, an age-related decline in swallowing function, is considered a precursor stage of dysphagia and a risk state that can lead to aspiration pneumonia and malnutrition. We examined factors associated with presbyphagia in patients with community-acquired pneumonia (CAP).

Methods: A cross-sectional study was conducted with 80 patients with CAP aged ≥65 years admitted to an acute care hospital between June 2021 and April 2024.

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Article Synopsis
  • The study examined the risk of recurrent venous thromboembolism (VTE) in patients with isolated distal deep vein thrombosis (DVT) who might experience thrombosis extension under different treatment regimens.
  • Conducted in Japan from April 2019 to April 2022, the trial involved 87 patients who received either rivaroxaban with physical therapy or physical therapy alone for 90 days, monitoring for VTE recurrence and major bleeding.
  • Results showed that the rivaroxaban group had no cases of VTE recurrence, while the physical therapy group had a 4.4% recurrence rate; however, rivaroxaban was associated with a higher incidence of major bleeding events (9.5%).
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Some multi-gene panel tests have been implemented in clinical settings to guide targeted therapy in non-small-cell lung cancer (NSCLC) in Japan. The current performance of multi-gene panel tests under the condition that the Oncomine Dx Target Test (ODxTT) and Amoy Dx Pan Lung Cancer PCR panel (AmoyDx-multi) are available remains relatively unknown. We retrospectively reviewed consecutive patients with NSCLC, whose FFPE samples were considered for genetic testing.

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Background: There are no reports of exercise-induced hypoxemia in patients with coronavirus disease 2019 (COVID-19). Additionally, the predictive factors and prevalence of exercise-induced hypoxemia are unknown. This study investigated the incidence and predictive factors of exercise-induced hypoxemia before and after discharge in patients with COVID-19.

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Background: Immune checkpoint inhibitors have recently become the standard of care in the first-line treatment of extensive-stage small cell lung cancer. Although immune-related adverse events have been reported to influence prognosis in non-small cell lung cancer patients, few studies have investigated the prognostic value of immune-related adverse events in small cell lung cancer patients. In this study, we evaluated the prognosis of patients who developed immune-related adverse events after first-line treatment with immune checkpoint inhibitor-based chemotherapy for extensive-stage small cell lung cancer.

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Article Synopsis
  • - The study examined the safety of re-administering EGFR-tyrosine kinase inhibitors (TKIs) in patients who had experienced pneumonitis from osimertinib, particularly focusing on the risk of recurrent pneumonitis.
  • - Out of 124 patients treated, 54.8% underwent EGFR-TKI rechallenge, with a 27% recurrence rate of pneumonitis within 12 months, showing that patients on osimertinib had a significantly higher risk of recurrence compared to those on older EGFR-TKIs.
  • - Findings indicate that osimertinib leads to higher rates of recurrent pneumonitis upon rechallenge compared to traditional EGFR-TKIs, suggesting more caution is
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Purpose: To determine the characteristics of an eye that developed acute hydrops while being treated for infectious keratitis.

Observation: A 35-year-old man presented with pain and blurred vision in his left eye. He had undergone cataract surgery seven years earlier and was being treated for poorly controlled atopic dermatitis.

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Importance: The Eastern Cooperative Oncology Group Performance Status (ECOG PS) is extensively used to guide treatment decisions in patients with advanced lung cancer. However, its assessment is subjective, potentially leading to discordance among observers.

Objective: To investigate the association between measured physical activity and ECOG PS, as well as the potential prognostic value of physical activity measurements in patients with advanced lung cancer.

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Background: A previous longitudinal study of chronic obstructive pulmonary disease (COPD) Assessment Test (CAT) score changes suggested patients fall into 3 patterns: stable, improving, and worsening. This study assessed the evolution of CAT scores over time and its relationship to exacerbations.

Methods: In total, 84 participants used a telemedicine platform to complete CAT weekly for 52 weeks.

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A fatal acute exacerbation (AE) occasionally develops during chemotherapy for small cell lung cancer (SCLC) with comorbid idiopathic pulmonary fibrosis (IPF). This study aimed to assess the safety and efficacy of carboplatin, etoposide, and nintedanib combination therapy for unresectable SCLC with comorbid IPF. The NEXT-SHIP study is a multicenter, single-arm, phase 2 trial for unresectable SCLC with IPF (Japan Registry of Clinical Trials registry number jRCTs031190119).

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Article Synopsis
  • Ramucirumab plus docetaxel (RD) treatment can lead to febrile neutropenia (FN), often requiring pegfilgrastim to prevent complications, but its full impact on advanced non-small-cell lung cancer (NSCLC) patients hasn't been completely studied.
  • A study involving 288 advanced NSCLC patients showed that those receiving prophylactic pegfilgrastim had significantly lower rates of severe neutropenia and FN compared to those who did not receive it.
  • Patients who received pegfilgrastim also experienced improved therapeutic efficacy, with higher objective response rates, better disease control rates, and longer progression-free and overall survival than those without the prophylactic treatment.
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Article Synopsis
  • The study assesses combination immunotherapy with nivolumab and ipilimumab for stage IV or recurrent non-small cell lung cancer in Japanese patients, revealing potential survival benefits compared to chemotherapy.
  • In an analysis of 353 patients over an average follow-up of 7.1 months, safety was monitored with 32.1% of those treated experiencing serious adverse events, mainly in the first month.
  • The results indicate a median progression-free survival of approximately 6.0 months for patients receiving immunotherapy with chemotherapy and 5.8 months without, providing important clinical insights for similar patient populations.
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Introduction: Pulmonary sarcomatoid carcinoma (PSC) is a rare subtype of lung cancer associated with poor prognosis and resistance to conventional chemotherapy. Immune checkpoint inhibitors (ICIs), alone or in combination with chemotherapy, were found to have clinical benefits in PSC in recent studies. Nevertheless, because these studies included a small number of patients owing to disease rarity, larger studies are needed to evaluate the effectiveness and safety of ICI-based therapy for PSC.

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Tracheal AERO stent collapse is a rare complication compared to bronchial AERO stent collapse due to differences in the nitinol framework thickness. A 58-year-old man with a bulky anaplastic thyroid carcinoma was referred to our hospital due to exacerbation of tracheal stenosis despite the administration of lenvatinib. His tracheal stenosis exhibited a severe extrinsic compression pattern with a length of 8 cm.

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Article Synopsis
  • - The study investigates the effectiveness and safety of combining bevacizumab with chemotherapy and atezolizumab in advanced non-small cell lung cancer (NSCLC) patients, building on the existing standard treatment protocols.
  • - Conducted as a phase 3 randomized clinical trial at 37 hospitals in Japan, it enrolled patients with advanced nonsquamous NSCLC between January 2019 and August 2020, focusing on those without genetic driver alterations or who had prior treatment with tyrosine kinase inhibitors.
  • - The primary outcome measured was progression-free survival (PFS), assessed by independent reviewers, with a total of 412 patients enrolled in two treatment groups: one receiving the standard regimen and the other receiving the combination with bev
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  • - The OCEAN study evaluated the effectiveness of osimertinib in treating radiation therapy-naive CNS metastasis in patients with mutation-positive non-small cell lung cancer (NSCLC), focusing on a cohort of previously untreated individuals.
  • - Results showed a brain metastasis response rate of approximately 76.9% and a median progression-free survival (PFS) of 22 months for CNS metastasis, indicating significant effectiveness of osimertinib in this patient group.
  • - The study reported manageable side effects, with less than 10% experiencing severe adverse events, suggesting osimertinib is a promising first-line treatment option for these patients.
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  • Acute cholangitis is a severe infection of the biliary system requiring quick diagnosis and treatment; however, identifying severe cases remains challenging despite existing guidelines.* -
  • This study evaluated the potential of corisin, a microbiome-derived peptide, as a biomarker for acute cholangitis using plasma and bile samples from patients with varying severity of the disease.* -
  • Findings indicated that levels of corisin in both plasma and bile were significantly higher in patients with acute cholangitis compared to controls, especially in those with severe cases, with bile corisin correlating with various inflammatory markers.*
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Background: Immune checkpoint inhibitors (ICI) plus platinum-based chemotherapy has been recognized as a standard first-line therapy in non-small cell lung cancer (NSCLC); however, no prospective clinical trials of docetaxel (DTX) plus ramucirumab (RAM) following first-line ICI plus platinum-based chemotherapy has been reported.

Methods: In this multicentre, open-label, single-arm, phase 2 trial, we enrolled patients with NSCLC from eight centres in Japan. Patients with metastatic NSCLC with disease progression after platinum-based chemotherapy plus ICI were eligible for the study.

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Background/aim: Lung adenocarcinoma and lung squamous cell carcinoma represent the most prevalent subtypes of non-small cell lung cancer eligible for surgery in the early stages. The emergence of immune checkpoint inhibitors as adjuvant therapy has shown promising potential in improving the postoperative prognosis of patients with lung cancer. Hence, a comprehensive understanding of the clinicopathological and molecular features of programmed cell death ligand-1 (PD-L1) expression in lung adenocarcinoma and squamous cell carcinoma is crucial.

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