3,522 results match your criteria: "University Hospital Hamburg-Eppendorf[Affiliation]"

Portuguese version of the Literacy Independent Cognitive Assessment (LICA) instrument in the evaluation of individuals aged 50 years or older with Itabaianinha syndrome.

Arch Endocrinol Metab

October 2024

Divisão de Endocrinologia Programa de Pós-graduação em Ciências da Saúde Universidade Federal de Sergipe AracajuSE Brasil Divisão de Endocrinologia, Programa de Pós-graduação em Ciências da Saúde, Universidade Federal de Sergipe, Aracaju, SE, Brasil.

Objectives: Individuals with congenital isolated growth hormone deficiency (IGHD) in Northeastern Brazil have a normal lifespan with a prolonged healthspan. We hypothesize that their increased healthspan is accompanied by a reduced cognitive decline during aging. We have recently shown that these individuals have a similar total cognitive function and better attention and executive function than controls.

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  • * Methods: Researchers analyzed 495 ASL perfusion imaging datasets, segmenting tumors and applying machine learning techniques to extract features and classify tumors based on grade, diagnosis, and IDH status.
  • * Results: The classification accuracy was 55.76% for tumor grade, 62.53% for mutation status, and 80.97% for pathological diagnosis, suggesting radiomics could effectively aid in glioma diagnosis, especially between glioblastoma and astrocytoma, while showing limitations in grading and mutation detection.
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TNBC-DX genomic test in early-stage triple-negative breast cancer treated with neoadjuvant taxane-based therapy.

Ann Oncol

October 2024

West German Study Group, Monchengladbach, Germany; Breast Center, Department of Obstetrics and Gynecology and CCC Munich, LMU University Hospital, Munich, Germany.

Background: Identification of biomarkers to optimize treatment strategies for early-stage triple-negative breast cancer (TNBC) is crucial. This study presents the development and validation of TNBC-DX, a novel test aimed at predicting both short- and long-term outcomes in early-stage TNBC. The objective of this study was to evaluate the association between TNBC-DX and efficacy outcomes [pathologic complete response (pCR), distant disease-free survival (DDFS) or event-free survival (EFS), and overall survival (OS)] in the validation cohorts.

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Molecular Correlates of Prostate Cancer Visibility on Multiparametric Magnetic Resonance Imaging: A Systematic Review.

Eur Urol Oncol

October 2024

Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria; Department of Urology, Semmelweis University, Budapest, Hungary; Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia; Department of Urology, University of Texas Southwestern, Dallas, TX, USA; Department of Urology, Second Faculty of Medicine, Charles University, Prague, Czech Republic; Hourani Center for Applied Scientific Research, Al-Ahliyya Amman University, Amman, Jordan; Karl Landsteiner Institute of Urology and Andrology, Vienna, Austria; Research Center for Evidence Medicine, Urology Department, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address:

Background And Objective: Although prostate magnetic resonance imaging (MRI) is increasingly used to diagnose and stage prostate cancer (PCa), the biologic and clinical significance of MRI visibility of the disease is unclear. Our aim was to examine the existing knowledge regarding the molecular correlates of MRI visibility of PCa.

Methods: The PubMed, Scopus, and Web of Science databases were queried through November 2023.

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Background/objectives: Solitary fibrous tumors (SFTs) represent a rare mesenchymal malignancy that can occur anywhere in the body. Due to the low prevalence of the disease, there is a lack of contemporary data regarding patient demographics and cancer-control outcomes.

Methods: Within the SEER database (2000-2019), we identified 1134 patients diagnosed with malignant SFTs.

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Article Synopsis
  • - The study investigates the relationship between surgical resection and cancer-specific mortality (CSM) in patients with soft tissue pelvic sarcomas, focusing on different histologic subtypes such as liposarcoma, leiomyosarcoma, and sarcoma NOS, using data from the SEER database.
  • - Analysis of 2,491 patients reveals that liposarcoma is the most prevalent subtype, with high surgical resection rates in non-metastatic cases (92% for liposarcoma), and those who had surgery showed lower CSM rates compared to those who did not.
  • - The findings indicate that surgical resection generally offers a protective benefit against CSM in non-metastatic patients across histologic sub
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  • Researchers developed machine learning (ML) models to improve the prediction of pathologic stages in prostate cancer patients, aiming to surpass traditional nomograms that utilize available clinical data.
  • They trained seven ML models using patient data from the National Cancer Database and found that the extreme gradient boosted trees model provided the best predictions, outperforming existing nomograms in terms of area under the curve (AUC).
  • The enhanced accuracy of these ML models can assist oncologists in determining the most suitable treatment options for patients, emphasizing their clinical utility and reliability.
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  • * The meeting involves discussion of pre-selected topics by working groups, which are informed by systematic reviews and surveys reflecting current clinical practices.
  • * The Assisi Working Group specifically examines lobular carcinoma, offering recommendations for locoregional therapy, especially radiation therapy for non-metastatic cases.
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  • Innovations in advanced prostate cancer have improved outcomes, but there's still a lack of high-level evidence in clinical management, prompting the 2024 Advanced Prostate Cancer Consensus Conference to survey experts for insights.
  • A panel of 120 international experts developed and voted on 183 consensus questions through a web-based survey prior to the conference, defining consensus as ≥75% agreement.
  • The voting results highlight areas of agreement and disagreement that can guide clinical decisions and future research, with a focus on individualizing treatment based on patient characteristics and encouraging participation in clinical trials.
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Are buccal mucosal grafts useful for continent catheterizable channel stenosis? A French' reconstructive urology centers experience.

Fr J Urol

October 2024

Service d'urologie, CHU de Grenoble, 38700 La Tronche, France; Service d'urologie, hôpital Foch, 92150 Suresnes, France.

Introduction: Cutaneous stoma stenosis represents a frequent complication associated with continent catheterizable channel, often necessitating recurrent patients' consultation, hospital admission, and repetitive surgical interventions. Management strategies encompass dilatation, incision, and, in case of refractory stenosis, invasive surgical revision.

Objectives: In this study, we aimed to assess the efficacy of buccal mucosa graft as an alternative therapeutic approach for managing cutaneous catheterizable channel stenosis.

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. Pediatric diarrhea remains a public health concern. This study explored caretaker's knowledge, attitudes, and practices regarding the causes, treatments, and risks of diarrhea among under-fives in Korogwe and Handeni districts, north-eastern Tanzania.

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Ménière's Disease (MD) is a disease that may be difficult to diagnose and manage. Our UK survey showed variability in the practice of UK Otolaryngology consultants. We hence surveyed Otolaryngology consultants internationally, to assess their confidence levels in diagnosing MD, their use of the AAO-HNS guidelines and current diagnostic and treatment modalities.

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Article Synopsis
  • Interferon-alpha is crucial for treating cutaneous T-cell lymphomas (CTCL), but the approved version (IFN-α2a) has been unavailable since January 2020, prompting the use of pegylated interferon-α2a (pegIFN-α2a), which is not officially approved for this condition.
  • A study involving 70 CTCL patients from twelve German skin centers found a 55.2% overall response rate to pegIFN-α2a, with common adverse effects leading to a 50% discontinuation rate within about 63 weeks.
  • The findings suggest that pegIFN-α2a therapy may have similar efficacy and side effects as the discontinued IF
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Purpose: Even today, it remains a challenge for healthcare professionals to decide whether a clinically stable patient who is recovering from uncomplicated medium or major surgery would benefit from a postoperative intensive care unit (ICU) admission, or whether they would be at least as adequately cared for by a few hours of monitoring in the post-operative care unit (PACU).

Methods: In this monocentric retrospective observational study, all adult patients who (Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI) in Anästh Intensivmed (50):S486-S489, 2009) underwent medium or major surgery between 1 January 1 2014 and 31 December 2018 at the Heidelberg University Surgical Center, and (Vimlati et al. in Eur J Anaesthesiol September 26(9):715-721, 2009) were monitored for 1-12 h in the PACU, and then (De Pietri et al.

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Stonikacidin A (), the first representative of a new class of 4-bromopyrrole alkaloids containing an aldonic acid core, was isolated from the marine sponge . The compound is named in honor of Prof. Valentin A.

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Prostate-specific membrane antigen (PSMA)-targeted radioguided surgery (RGS) is evolving as a new treatment modality for patients with early biochemical recurrence of prostate cancer and disease limited to locoregional lymph nodes on PSMA-ligand PET/CT. Nevertheless, the pattern of failure (locoregional vs. systemic) after PSMA RGS remains unknown.

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Reverse total shoulder arthroplasty policy in Germany - an analysis of the health care reality from 2010 to 2022.

J Shoulder Elbow Surg

January 2025

Department of Shoulder and Elbow Surgery, ATOS Klinik Fleetinsel Hamburg, Hamburg, Germany; Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.

Background: The last few years have been characterized by increasing numbers of reverse shoulder arthroplasties. In addition to the classic indication of cuff tear arthropathy, the use for complex proximal humeral fractures (PHFs) and rotator cuff tear (RCT) in very old patients have been established. The objective of this study is to clarify and substantiate the above statements specifically for Germany (based on official data from 2010 to 2022).

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Risk of Biochemical Recurrence and Metastasis in Prostate Cancer Patients Treated with Radical Prostatectomy After a 10-year Disease-free Interval.

Eur Urol Oncol

September 2024

Martini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany; Department of Urology, University Hospital Hamburg-Eppendorf, Hamburg, Germany; Department of Urology, Koc University Hospital, Istanbul, Turkey. Electronic address:

Article Synopsis
  • Prostate-specific antigen (PSA) testing is critical for monitoring prostate cancer patients after treatment, but there's uncertainty about PSA thresholds for identifying those at higher risk of biochemical recurrence (BCR).
  • This study analyzed 4,639 prostate cancer patients who had undetectable PSA levels for at least 10 years post-surgery, finding that 5.2% later developed BCR, with some progressing to metastatic cancer.
  • Key factors predicting late BCR included advanced tumor stage, Gleason score, and surgical margins, while age and initial PSA levels did not significantly predict outcomes.
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We report about a 33-year-old man who was referred for assessment of a progressively enlarging mass of the palmar hand muscles, serving as the initial indication of extensive multisystemic sarcoidosis with musculoskeletal involvement. The case underscores the diagnostic challenges associated with the indolent course of sarcoidosis, highlighting the need for recognizing seemingly benign symptoms for early detection. Musculoskeletal imaging findings presented in the case stress the importance of considering sarcoidosis in the differential diagnosis of orthopedic cases.

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  • The study investigates sex differences in podocyte cells, which are key for kidney function, particularly how these differences manifest under normal and stressed conditions caused by mTOR inhibition.
  • Using a specialized mouse model, researchers isolated podocytes and performed RNA sequencing, proteomics, and metabolomics to uncover distinct molecular signatures tied to biological sex.
  • Results showed significant sex-specific variations in gene expression and protein levels, with mTOR inhibition affecting male podocyte responses more prominently, highlighting potential transcription factors that govern these differences.
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Purpose: Recent advancements in the management of biochemical recurrence (BCR) following local treatment for prostate cancer (PCa), including the use of androgen receptor signaling inhibitors (ARSIs), have broadened the spectrum of therapeutic options. We aimed to compare salvage therapies in patients with BCR after definitive local treatment for clinically non-metastatic PCa with curative intent.

Methods: In October 2023, we queried PubMed, Scopus, and Web of Science databases to identify randomized controlled trials (RCTs) and prospective studies reporting data on the efficacy of salvage therapies in PCa patients with BCR after radical prostatectomy (RP) or radiation therapy (RT).

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Introduction/background: The natural history of prostate imaging reporting and data system (PIRADS) score 2 lesions on serial mpMRIs is largely unknown. Herein, we aimed to evaluate the patients with PIRADS-2 index lesions by using serial mpMRI scans to reveal the rates of mpMRI upgrade in PIRADS score and prostate cancer (PCa) detection.

Methods/materials: All mpMRI scans with a PIRADS-2 index lesion from our mpMRI database were evaluated retrospectively.

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