1
40
5
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/" target="_blank" rel="noreferrer noopener">http://doi.org/</a>
Pages
15-20
Issue
3
Volume
31
ISSN
1557-2501
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Update Year & Number
June2020SubmittedList
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Outcomes among patients with heart failure with reduced ejection fraction undergoing transcatheter aortic valve replacement: Minimally invasive strategy versus conventional strategy.
Publisher
An entity responsible for making the resource available
The Journal of invasive cardiology
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-03
Subject
The topic of the resource
Female; Humans; Male; Aged; Retrospective Studies; Treatment Outcome; Prognosis; Cohort Studies; Severity of Illness Index; Aged 80 and over; Logistic Models; Survival Rate; Length of Stay; Multivariate Analysis; Risk Assessment; Reference Values; Hospital Mortality; aortic stenosis; transcatheter aortic valve replacement; heart failure; Transcatheter Aortic Valve Replacement/methods/mortality; anesthesia; conscious sedation; Aortic Valve Stenosis/diagnostic imaging/epidemiology/therapy; Cardiac Catheterization/methods; Cardiac Output Low/diagnostic imaging; Conscious Sedation/methods; Echocardiography Transesophageal/methods; Heart Failure/diagnosis/epidemiology/therapy; Minimally Invasive Surgical Procedures/methods; Surgery Computer-Assisted/methods
Creator
An entity primarily responsible for making the resource
Panhwar MS; Li J; Zidar DA; Clevenger J; Lipinski J; Patel TR; Karim A; Saric P; Patel SM; Kalra A; Attizzani GF
Description
An account of the resource
OBJECTIVES: To investigate the effect of TAVR technique on in-hospital and 30-day outcomes in patients with aortic stenosis (AS) and reduced ejection fraction (EF). BACKGROUND: Patients with AS and concomitant low EF may be at risk for adverse hemodynamic effects from general anesthesia utilized in transcatheter aortic valve replacement (TAVR) via the conventional strategy (CS). These patients may be better suited for the minimally invasive strategy (MIS), which employs conscious sedation. However, data are lacking that compare MIS to CS in patients with AS and concomitant low EF. METHODS: In this retrospective study, we identified all patients with low EF (<50%) undergoing transfemoral MIS-TAVR vs CS-TAVR between March 2011 and May 2018. Our primary endpoint was defined as the composite of in-hospital mortality and major periprocedural bleeding or vascular complications. RESULTS: Two hundred and seventy patients had EF <50%, while 154 patients had EF ≤35%. Overall, a total of 236 patients were in the MIS group and 34 were in the CS group. Baseline characteristics between the two groups were similar except for Society of Thoracic Surgeons (STS) score (MIS 8.4 ± 5.1 vs CS 11.7 ± 6.8; P<.01). There were no differences between the two groups in incidence of the primary endpoint (MIS 5.5% vs CS 8.8%; odds ratio for MIS, 0.60; 95% confidence interval, 0.16-2.23; P=.45). CONCLUSIONS: In patients with severe AS and reduced EF, MIS was not associated with adverse in-hospital or 30-day clinical outcomes compared with CS. In these patients, MIS may be a suitable alternative to CS without compromising clinical outcomes.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/" target="_blank" rel="noreferrer noopener"></a>
PMID: 30555054
Rights
Information about rights held in and over the resource
Copyright © 2019 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2019
Aged
Aged 80 and over
Anesthesia
aortic stenosis
Aortic Valve Stenosis/diagnostic imaging/epidemiology/therapy
Attizzani GF
Cardiac Catheterization/methods
Cardiac Output Low/diagnostic imaging
Cleveland Clinic Akron General Hospital
Clevenger J
Cohort Studies
Conscious Sedation
Conscious Sedation/methods
Department of Internal Medicine
Echocardiography Transesophageal/methods
Female
Heart failure
Heart Failure/diagnosis/epidemiology/therapy
Hospital Mortality
Humans
journalArticle
June2020SubmittedList
Kalra A
Karim A
Length of Stay
Li J
Lipinski J
Logistic Models
Male
Minimally Invasive Surgical Procedures/methods
Multivariate Analysis
NEOMED College of Medicine
Panhwar MS
Patel SM
Patel TR
Prognosis
Reference Values
Retrospective Studies
Risk Assessment
Saric P
Severity of Illness Index
Surgery Computer-Assisted/methods
Survival Rate
The Journal of invasive cardiology
transcatheter aortic valve replacement
Transcatheter Aortic Valve Replacement/methods/mortality
Treatment Outcome
Zidar DA
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
611–614
Issue
7
Volume
67
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Trauma attending in the resuscitation room: does it affect outcome?
Publisher
An entity responsible for making the resource available
The American surgeon
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
2001-07
Subject
The topic of the resource
Adult; Humans; Time Factors; Retrospective Studies; Workforce; Survival Rate; Quality of Health Care; *Outcome and Process Assessment (Health Care); *Resuscitation; *Trauma Centers; Personnel Staffing and Scheduling; Wounds and Injuries/mortality/therapy; Emergency Service; Hospital; Hospital/*statistics & numerical data; Medical Staff
Creator
An entity primarily responsible for making the resource
Porter J M; Ursic C
Description
An account of the resource
Although there are no Class I data supporting the regionalization of trauma care the consensus is that trauma centers decrease morbidity and mortality. However, the controversy continues over whether trauma surgeons should be in-house or take call from home. The current literature does not answer the question because in all of the recent studies the attendings who took call from home were in the resuscitation room guiding the care. We believe the correct question is: Does the presence of the trauma attending in the resuscitation room make a difference? At a university-affiliated Level II trauma center data from the trauma registry, resuscitation room flowsheet, and dictated admission notes were reviewed on all patients over a 6-month period. Data points were: attending present in the resuscitation room, standard demographics, resuscitation room time, time to operating room (OR), time to CT scan, length of stay, complications, and mortality. A total of 943 patients were studied with 216 (23%) having the attending present in the resuscitation room and 727 (77%) without the attending present. The groups were similar in terms of age, sex, Injury Severity Score, percentage Injury Severity Score greater than 15 (16-17.1%), and mechanism of injury (24-29% penetrating). Of all the data points studied only time to the OR had a statistically significance difference (P \textless 0.05) with it taking 43.8 minutes (+/-20.1) when the attending was present and 109.4 minutes (+/-107) when the attending was absent. There were also no missed injuries, delays to the OR, or inappropriate workups when the attendings were present. Only the time to the OR reached statistical significance. The time to the OR is indicative of the decision-making process in the resuscitation room, and it is in this area that the attendings' presence is the most useful. Also, we believe that it is important that there were no missed injuries, delays to the OR, or inappropriate workups when the attendings were present in the resuscitation room. This again speaks to the decision-making process. We believe that these data support the need for the attending to be present in the resuscitation room to facilitate accurate and timely decisions regardless of whether they take the call from home or in-house.
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Outcome and Process Assessment (Health Care)
*Resuscitation
*Trauma Centers
2001
Adult
Emergency Service
Hospital
Hospital/*statistics & numerical data
Humans
Medical Staff
Personnel Staffing and Scheduling
Porter J M
Quality of Health Care
Retrospective Studies
Survival Rate
The American surgeon
Time Factors
Ursic C
Workforce
Wounds and Injuries/mortality/therapy
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1136/bcr.07.2008.0377" target="_blank" rel="noreferrer noopener">http://doi.org/10.1136/bcr.07.2008.0377</a>
Pages
267–269
Issue
4
Volume
41
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Dermatofibrosarcoma protuberans of the vulva. A case report.
Publisher
An entity responsible for making the resource available
The Journal of reproductive medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1996
1996-04
Subject
The topic of the resource
Adult; Dermatofibrosarcoma/*diagnosis/mortality/pathology/surgery; Female; Humans; Prognosis; Skin Neoplasms/*diagnosis/mortality/pathology/surgery; Survival Rate; Vulvar Neoplasms/*diagnosis/mortality/pathology/surgery
Creator
An entity primarily responsible for making the resource
Karlen J R; Johnson K; Kashkari S
Description
An account of the resource
BACKGROUND: Dermatofibrosarcoma protuberans (DFSP) is a cutaneous malignancy that is uncommon anywhere on the body but is especially uncommon on the vulva. This cancer rarely metastasizes but has a high incidence of local recurrence because of its tendency to grow in fingerlike projections away from the primary tumor. CASE: A 36-year-old, black woman was the 10th and youngest patient with DFSP of the vulva to be reported. Treatment of the 5-cm, mobile, well-circumscribed lesion consisted of local excision. Several adjacent microscopic lesions showing DFSP were found in the pathologic specimen, however, so an even wider excision was performed. Twenty-seven months following removal, there was no evidence of recurrence. CONCLUSION: Survival rates for DFSP of the skin range from 91% to 100% in reported series, but local recurrence rates of 20-49% have also been noted. The reported deaths from the disease have resulted from extensive local spread due to inadequate excision and, only rarely, metastases. Because DFSP tends to spread to microscopic projections away from the visible lesions, very wide local excision is required for tumor control.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1136/bcr.07.2008.0377" target="_blank" rel="noreferrer noopener">10.1136/bcr.07.2008.0377</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
1996
Adult
Department of Family & Community Medicine
Dermatofibrosarcoma/*diagnosis/mortality/pathology/surgery
Female
Humans
Johnson K
Karlen J R
Kashkari S
NEOMED College of Medicine
Prognosis
Skin Neoplasms/*diagnosis/mortality/pathology/surgery
Survival Rate
The Journal of reproductive medicine
Vulvar Neoplasms/*diagnosis/mortality/pathology/surgery
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/COC.0000000000000250" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/COC.0000000000000250</a>
Pages
90–91
Issue
1
Volume
39
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Regional Nodal Irradiation: Examining the Clinical Implications of Randomized Trials.
Publisher
An entity responsible for making the resource available
American journal of clinical oncology
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-02
Subject
The topic of the resource
*Randomized Controlled Trials as Topic; Adjuvant/adverse effects/methods; Axilla; Breast Neoplasms/pathology/*radiotherapy; Disease-Free Survival; Female; Humans; Lymph Nodes/*pathology; Lymphatic Irradiation/adverse effects/*methods; Lymphedema/etiology; Mastectomy; Radiation Pneumonitis/etiology; Radiotherapy; Survival Rate
Creator
An entity primarily responsible for making the resource
Shah Chirag; Khan Atif; Arthur Douglas; Wazer David; Mantz Constantine; Verma Vivek; Vicini Frank
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/COC.0000000000000250" target="_blank" rel="noreferrer noopener">10.1097/COC.0000000000000250</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Randomized Controlled Trials as Topic
2016
Adjuvant/adverse effects/methods
American journal of clinical oncology
Arthur Douglas
Axilla
Breast Neoplasms/pathology/*radiotherapy
Disease-Free Survival
Female
Humans
Khan Atif
Lymph Nodes/*pathology
Lymphatic Irradiation/adverse effects/*methods
Lymphedema/etiology
Mantz Constantine
Mastectomy
Radiation Pneumonitis/etiology
Radiotherapy
Shah Chirag
Survival Rate
Verma Vivek
Vicini Frank
Wazer David
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.radonc.2015.10.018" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.radonc.2015.10.018</a>
Pages
547–551
Issue
3
Volume
118
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Predictive model for survival in patients having repeat radiation treatment for painful bone metastases.
Publisher
An entity responsible for making the resource available
Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-03
Subject
The topic of the resource
*Models; Aged; Bone metastases; Bone Neoplasms/*mortality/*radiotherapy/secondary; Dose Fractionation; Female; Humans; Male; Middle Aged; Predictive model; Predictive Value of Tests; Proportional Hazards Models; Radiation; Randomized Controlled Trials as Topic/methods; Re-irradiation; Statistical; Survival; Survival Analysis; Survival Rate
Creator
An entity primarily responsible for making the resource
Chow Edward; Ding Keyue; Parulekar Wendy R; Wong Rebecca K S; van der Linden Yvette M; Roos Daniel; Hartsell William F; Hoskin Peter; Wu Jackson S Y; Nabid Abdenour; Leer Jan Willem; Vonk Ernest; Babington Scott; Demas William F; Wilson Carolyn F; Brundage Michael; Zhu Liting; Meyer Ralph M
Description
An account of the resource
PURPOSE: To establish a survival prediction model in the setting of a randomized trial of re-irradiation for painful bone metastases. METHODS: Data were randomly divided into training and testing sets with an approximately 3:2 ratio. Baseline factors of gender, primary cancer site, KPS, worst-pain score and age were included with backward variable selection to derive a model using the training set. A partial score was assigned by dividing the value of each statistically significant regression coefficient by the smallest statistically significant regression coefficient. The survival prediction score (SPS) was obtained by adding together partial scores for the variables that were statistically significant. Three risk groups were modelled. RESULTS: The training set included 460 patients and the testing set 351 patients. Only KPS and primary cancer site reached the 5%-significance level. Summing up the partial scores assigned to KPS (90-100, 0; 70-80, 1; 50-60, 2) and primary cancer site (breast, 0; prostate, 1.3; other, 2.6; lung, 3) totalled the SPS. The 1/3 and 2/3 percentiles of the SPS were 2 and 3.6. For the testing set, the median survival of the 3 groups was not reached, 11.3 (95% C.I. 8.5 - not reached) and 5.2 months (95% C.I. 3.7-6.5). The 3, 6 and 12 month survival rates for the worst group were 64.4% (95% C.I. 55.3-72.1%), 43.0% (95% C.I. 34.0-51.8%) and 19.7% (95% C.I. 12.4-28.1%) respectively, similar to that in the training set. CONCLUSION: This survival prediction model will assist in choosing dose fractionation. We recommend a single 8 Gy in the worst group identified.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.radonc.2015.10.018" target="_blank" rel="noreferrer noopener">10.1016/j.radonc.2015.10.018</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Models
2016
Aged
Babington Scott
Bone metastases
Bone Neoplasms/*mortality/*radiotherapy/secondary
Brundage Michael
Chow Edward
Demas William F
Ding Keyue
Dose Fractionation
Female
Hartsell William F
Hoskin Peter
Humans
Leer Jan Willem
Male
Meyer Ralph M
Middle Aged
Nabid Abdenour
Parulekar Wendy R
Predictive model
Predictive Value of Tests
Proportional Hazards Models
Radiation
Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
Randomized Controlled Trials as Topic/methods
Re-irradiation
Roos Daniel
Statistical
Survival
Survival Analysis
Survival Rate
van der Linden Yvette M
Vonk Ernest
Wilson Carolyn F
Wong Rebecca K S
Wu Jackson S Y
Zhu Liting