Real‐life experience with oral oxybutynin long‐term continuous therapy in severe hyperhidrosis and systematic review of the literature

2021 ◽  
Vol 34 (2) ◽  
Author(s):  
Giulia Briatico ◽  
Riccardo Pampena ◽  
Elisabetta Fulgione ◽  
Graziella Babino ◽  
Caterina Mariarosaria Giorgio ◽  
...  

2021 ◽  
Vol 10 (5) ◽  
pp. 1141
Author(s):  
Gianpaolo Marte ◽  
Andrea Tufo ◽  
Francesca Steccanella ◽  
Ester Marra ◽  
Piera Federico ◽  
...  

Background: In the last 10 years, the management of patients with gastric cancer liver metastases (GCLM) has changed from chemotherapy alone, towards a multidisciplinary treatment with liver surgery playing a leading role. The aim of this systematic review and meta-analysis is to assess the efficacy of hepatectomy for GCLM and to analyze the impact of related prognostic factors on long-term outcomes. Methods: The databases PubMed (Medline), EMBASE, and Google Scholar were searched for relevant articles from January 2010 to September 2020. We included prospective and retrospective studies that reported the outcomes after hepatectomy for GCLM. A systematic review of the literature and meta-analysis of prognostic factors was performed. Results: We included 40 studies, including 1573 participants who underwent hepatic resection for GCLM. Post-operative morbidity and 30-day mortality rates were 24.7% and 1.6%, respectively. One-year, 3-years, and 5-years overall survival (OS) were 72%, 37%, and 26%, respectively. The 1-year, 3-years, and 5-years disease-free survival (DFS) were 44%, 24%, and 22%, respectively. Well-moderately differentiated tumors, pT1–2 and pN0–1 adenocarcinoma, R0 resection, the presence of solitary metastasis, unilobar metastases, metachronous metastasis, and chemotherapy were all strongly positively associated to better OS and DFS. Conclusion: In the present study, we demonstrated that hepatectomy for GCLM is feasible and provides benefits in terms of long-term survival. Identification of patient subgroups that could benefit from surgical treatment is mandatory in a multidisciplinary setting.



2017 ◽  
Vol 37 (1) ◽  
pp. 23-33 ◽  
Author(s):  
Susan Nunan ◽  
Christine Brown Wilson ◽  
Timothy Henwood ◽  
Deborah Parker


2020 ◽  
Vol 8 (9S) ◽  
pp. 116-117
Author(s):  
Bianief Tchiloemba ◽  
Martin Kauke ◽  
Valentin Haug ◽  
Obada Abdulrazzak ◽  
Ali-Farid Safi ◽  
...  


2007 ◽  
Vol 67 (5) ◽  
pp. 717-719 ◽  
Author(s):  
L C Coates ◽  
L S Cawkwell ◽  
N W F Ng ◽  
A N Bennett ◽  
D J Bryer ◽  
...  


Author(s):  
David Isenberg ◽  
Angela Zink

Double-blind controlled trials undertaken over the past two decades have established the short-term effectiveness and side-effect profile of biologic drugs for patients with rheumatoid arthritis and related diseases. However, the development of biologics registers to capture ’real-life experience’ and explore long-term effectiveness and complications is equally important. In this chapter, we demonstrate how these registers have identified long-term joint benefits, a reduction in cardiovascular mortality, reassurance concerning fears about cancer development, and a balanced view of the risk of infection.



2020 ◽  
Vol 55 (6) ◽  
pp. 718-724
Author(s):  
Fredrik Åberg ◽  
John Berntsson ◽  
Gustaf Herlenius ◽  
Maria Castedal ◽  
William Bennet


2019 ◽  
Vol 13 (Supplement_1) ◽  
pp. S393-S394
Author(s):  
M Iborra ◽  
N García-Morales ◽  
S Rubio ◽  
O Nantes Castillejo ◽  
F Bertoletti ◽  
...  




2017 ◽  
Vol 4 (4) ◽  
pp. 255-262
Author(s):  
Ryan Rhome ◽  
Isabelle M Germano ◽  
Ren-Dih Sheu ◽  
Sheryl Green

Abstract Background Growth hormone (GH)-secreting pituitary adenomas represent an uncommon subset of pituitary neoplasms. Stereotactic radiosurgery (SRS) and fractionated stereotactic radiotherapy (FSRT) have been used as primary or adjuvant treatment. The purpose of this study is to report the long-term tumor control and toxicity from our institution and to perform a systematic literature review of acromegaly patients treated with FSRT. Methods We retrospectively reviewed all patients treated with FSRT (median dose 50.4 Gray [Gy], range 50.4–54 Gy) between 2005 and 2012 who had: 1) GH-secreting adenoma with persistently elevated insulin growth factor-1 (IGF-1) despite medical therapy and 2) clinical follow up >3 years after FSRT. Patients were treated with modern FSRT planning techniques. Biochemical control was defined as IGF-1 normalization. Systematic review of the literature was performed for FSRT in acromegaly. Results With a median follow-up of 80 months, radiographic control was achieved in all 11 patients and overall survival was 100%. Long-term biochemical control was achieved in 10 patients (90.9%) with either FSRT alone (36.4%) or FSRT with continued medical management (45.5%). No patient experienced new hypopituitarism, cranial nerve dysfunctions, or visual deficits. Our systematic review found published rates of biochemical control and hypopituitarism vary, with uniformly good radiographic control and low incidence of visual changes. Conclusions Adjuvant FSRT offered effective long-term biochemical control and radiographic control, and there was a lower rate of complications in this current series. Review of the literature shows variations in published rates of biochemical control after FSRT for acromegaly, but low incidence of serious toxicities.



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