Accuracy of scoring systems for suspected choledocholithiasis: A 5-variable score system versus ASGE clinical guidelines

Introduction.The systemic inflammatory response (SIR) plays a key role in determining nutritional status and survival of patients with cancer. A number of objective scoring systems have been shown to have prognostic value; however, their application in routine clinical practice is not clear. The aim of the present survey was to examine the range of opinions internationally on the routine use of these scoring systems.Methods.An online survey was distributed to a target group consisting of individuals worldwide who have reported an interest in systemic inflammation in patients with cancer.Results.Of those invited by the survey (n=238), 65% routinely measured the SIR, mainly for research and prognostication purposes and clinically for allocation of adjuvant therapy or palliative chemotherapy. 40% reported that they currently used the Glasgow Prognostic Score/modified Glasgow Prognostic Score (GPS/mGPS) and 81% reported that a measure of systemic inflammation should be incorporated into clinical guidelines, such as the definition of cachexia.Conclusions.The majority of respondents routinely measured the SIR in patients with cancer, mainly using the GPS/mGPS for research and prognostication purposes. The majority reported that a measure of the SIR should be adopted into clinical guidelines.

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Adrenal cancer: relevance of different grading systems and subtypes

Clinical & Translational Oncology ◽

10.1007/s12094-020-02524-2 ◽

2021 ◽

Author(s):

S. Minner ◽

J. Schreiner ◽

W. Saeger

Keyword(s):

Scoring Systems ◽

Soft Tissue Tumors ◽

Ki 67 ◽

Score System ◽

Routine Work ◽

Grading Systems ◽

Special Cases ◽

Ordinary Type ◽

Criteria For Diagnosis

Abstract Purpose The subclassification of adrenal cancers according to the WHO classification in ordinary, myxoid, oncocytic, and sarcomatoid as well as pediatric types is well established, but the criteria for each subtype are not sufficiently determined and the relative frequency of the different types of adrenal cancers has not been studied in large cohorts. Therefore, our large collection of surgically removed adrenal cancers should be reviewed o establish the criteria for the subtypes and to find out the frequency of the various types. Methods In our series of 521 adrenal cancers the scoring systems of Weiss et al., Hough et al., van Slooten et al. and the new Helsinki score system were used for the ordinary type of cancer (97% of our series) and the myxoid type (0.8%). For oncocytic carcinomas (2%), the scoring system of Bisceglia et al. was applied. Results Discrepancies between benign and malignant diagnoses from the first thee classical scoring systems are not rare (22% in our series) and could be resolved by the Helsinki score especially by Ki-67 index (more than 8% unequivocally malignant). Since all our cancer cases are positive in the Helsinki score, this system can replace the three elder systems. For identification of sarcomatoid cancer as rarest type in our series (0.2%), the scoring systems are not practical but additional immunostainings used for soft tissue tumors and in special cases molecular pathology are necessary to differentiate these cancers from adrenal sarcomas. According to the relative frequencies of the different subtypes of adrenal cancers the main type is the far most frequent (97%) followed by the oncocytic type (2%), the myxoid type (0.8%) and the very rare sarcomatoid type (0.2%). Conclusions The Helsinki score is the best for differentiating adrenal carcinomas of the main, the oncocytic, and the myxoid type in routine work. Additional scoring systems for these carcinomas are generally not any longer necessary. Signs of proliferation (mitoses and Ki-67 index) and necroses are the most important criteria for diagnosis of malignancy.

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390: The Use of Validated Scoring Systems to Improve Objective Assessment of Comorbid Risk in Men with Localised Prostate Cancer

The Journal of Urology ◽

10.1016/s0022-5347(18)37652-3 ◽

2004 ◽

Vol 171 (4S) ◽

pp. 102-103

Author(s):

Rajinder Singh ◽

Declan Cahill ◽

Rick Popert ◽

Ronald Beaney ◽

Anthony Wierzbicki ◽

...

Keyword(s):

Prostate Cancer ◽

Objective Assessment ◽

Scoring Systems

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Practice materials for learning the scoring systems

Motivation and Personality ◽

10.1017/cbo9780511527937.039 ◽

1992 ◽

pp. 537-630

Author(s):

Carol E. Franz

Keyword(s):

Scoring Systems

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(Impending) Pathological Fracture

Swiss Surgery ◽

10.1024/1023-9332.8.2.81 ◽

2002 ◽

Vol 8 (2) ◽

pp. 81-87 ◽

Cited By ~ 1

Author(s):

Sutter ◽

Regazzoni

Keyword(s):

Pathological Fracture ◽

Chirurgische Behandlung ◽

Pathologische Fraktur ◽

Score System ◽

Postoperative Radiotherapie ◽

Pathologische Frakturen

Pathologische Frakturen werden, bedingt durch die Zunahme der Inzidenz von Karzinomen und die längeren überlebenszeiten, in Zukunft häufiger behandelt werden müssen. Das Skelett ist das dritthäufigste Ziel-Organ von Metastasen. Lungentumor-Metastasen scheinen zuzunehmen, das Mammakarzinom bleibt aber der häufigste Primärtumor. Am häufigsten sind Metastasen im Bereiche der Wirbelsäule lokalisiert, Frakturen treten jedoch meistens am Femur auf. Eine pathologische Fraktur sowie fast immer auch eine "drohende pathologische Fraktur" stellen eine absolute Operationsindikation dar. Eine genaue Definition der "drohenden Fraktur" fehlt zwar, doch ist heute allgemein akzeptiert, dass mindestens 50% der Knochenmasse zerstört sein müssen, damit die Metastase im konventionellen Röntgenbild sichtbar wird und somit von einer drohenden Fraktur gesprochen werden kann. Als Hilfe zur Abschätzung des Frakturrisikos hat sich das Score System nach Mirels bewährt. Anhand von 4 Parametern (Lokalisation, Grösse, Typ, Schmerzen) kann das Frakturrisiko abgeschätzt werden. Ziel der (meist operativen) Behandlung ist die Verbesserung der Lebensqualität über eine effiziente Schmerzlinderung, möglichst durch eine einzige Operation mit kurzer Hospitalisationszeit. Für die chirurgische Behandlung sollten im proximalen Abschnitt des Femurs Prothesen verwendet werden, bei subtrochantären und Schaftfrakturen vornehmlich intramedulläre Kraftträger. Eine postoperative Radiotherapie scheint die lokale Tumorprogression zu verhindern. Bei guter Langzeitprognose sollte der Tumor lokal aggressiv ausgeräumt werden.

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Personal Problem Solving of Partners in Divorce Proceedings

Rorschachiana Journal of the International Society for the Rorschach ◽

10.1027/1192-5604/a000053 ◽

2015 ◽

Vol 36 (1) ◽

pp. 82-103 ◽

Cited By ~ 1

Author(s):

Tereza Soukupova ◽

Petr Goldmann

Keyword(s):

Gender Differences ◽

Problem Solving ◽

Thematic Apperception Test ◽

Scoring Systems ◽

Personal Control ◽

Personality Characteristics ◽

Personal Problem ◽

Thematic Apperception ◽

And Gender ◽

The Given

Abstract. The Thematic Apperception Test is one of the most frequently administered apperceptive techniques. Formal scoring systems are helpful in evaluating story responses. TAT stories, made by 20 males and 20 females in the situation of legal divorce proceedings, were coded for detection and comparison of their personal problem solving ability. The evaluating instrument utilized was the Personal Problem Solving System-Revised (PPSS-R) as developed by G. F. Ronan. The results indicate that in relation to card 1, men more often than women saw the cause of the problem as removable. With card 6GF, women were more motivated to resolve the given problem than were men, women had a higher personal control and their stories contained more optimism compared to men’s stories. In relation to card 6BM women, more often than men, used emotions generated from the problem to orient themselves within the problem. With card 13MF, the men’s level of stress was less compared to that of the women, and men were more able to plan within the context of problem-solving. Significant differences in the examined groups were found in those cards which depicted significant gender and parental potentials. The TAT can be used to help identify personality characteristics and gender differences.

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