Assessment of Suicidal Risk Factors in Cancer Patients Attending an Oncology Unit at Suez Canal University Hospital = تقييم عوامل الخطورة الانتحارية عند مرضى السرطان المترددين على وحدة الأورام بمستشفى جامعة قناة السويس

2016 ◽  
Vol 27 (1) ◽  
pp. 41-52
Author(s):  
Aya Elhoseiny ◽  
Wafaa Elleithy ◽  
Ashraf Tantawy ◽  
Khaled Abd Elmoez Mohamed
Keyword(s):  
Risk Factors ◽  
Cancer Patients ◽  
Suez Canal ◽  
University Hospital ◽  
Suicidal Risk ◽  
Oncology Unit

scholarly journals Prospective surveillance of hospital associated infections epidemiology in a haematology-oncology department

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Nabiha Bouafia ◽  
Asma Ammar ◽  
Olfa Ezzi ◽  
Asma Ben Chiekh ◽  
Mohamed Mahjoub ◽  
...  
Keyword(s):  
Risk Factors ◽  
Multivariate Analyses ◽  
University Hospital ◽  
Prospective Surveillance ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital ◽  
Oncology Unit ◽  
A Prospective Study ◽  
Healthcare Associated ◽  
Hospital Associated Infections

In haematology-oncology, intensified procedures have been associated with higher risk of healthcare associated infections (HAIs).This study aimed to estimate the incidence and to identify risk factors of HAIs in a haematology-oncology unit in a Tunisian university hospital. We conducted a prospective study, during 06 months from Mars through September 2016 in the department of hematology- oncology in a tertiary teaching hospital in Tunisia. Patients, admitted for ≥48 h, were followed until hospital discharge. The (CDC) criteria for site-specific infections were used to define HAIs. Bivariate and multivariate analyses were performed to identify risk factors of HAIs. P

scholarly journals Impact of antibiotic resistance on outcomes of neutropenic cancer patients withPseudomonas aeruginosabacteraemia (IRONIC study): study protocol of a retrospective multicentre international study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e025744 ◽  
Author(s):  
Adaia Albasanz-Puig ◽  
Carlota Gudiol ◽  
Rocío Parody ◽  
Cristian Tebe ◽  
Murat Akova ◽  
...  
Keyword(s):  
Risk Factors ◽  
Antibiotic Resistance ◽  
Cancer Patients ◽  
Case Fatality ◽  
International Study ◽  
Multidrug Resistant ◽  
University Hospital ◽  
Personal Privacy ◽  
Haematological Patients ◽  
The Impact

IntroductionPseudomonas aeruginosa(PA) has historically been one of the major causes of severe sepsis and death among neutropenic cancer patients. There has been a recent increase of multidrug-resistant PA (MDRPA) isolates that may determine a worse prognosis, particularly in immunosuppressed patients. The aim of this study is to establish the impact of antibiotic resistance on the outcome of neutropenic onco-haematological patients with PA bacteraemia, and to identify the risk factors for MDRPA bacteraemia and mortality.Methods and analysisThis is a retrospective, observational, multicentre, international study. All episodes of PA bacteraemia occurring in neutropenic onco-haematological patients followed up at the participating centres from 1 January 2006 to 31 May 2018 will be retrospectively reviewed. The primary end point will be overall case-fatality rate within 30 days of onset of PA bacteraemia. The secondary end points will be to describe the following: the incidence and risk factors for multidrug-resistant and extremely drug-resistant PA bacteraemia (by comparing the episodes due to susceptible PA with those produced by MDRPA), the efficacy of ceftolozane/tazobactam, the rates of persistent bacteraemia and bacteraemia relapse and the risk factors for very early (48 hours), early (7 days) and overall (30 days) case-fatality rates.Ethics and disseminationThe Clinical Research Ethics Committee of Bellvitge University Hospital approved the protocol of the study at the primary site. To protect personal privacy, identifying information of each patient in the electronic database will be encrypted. The processing of the patients’ personal data collected in the study will comply with the Spanish Data Protection Act of 1998 and with the European Directive on the privacy of data. All data collected, stored and processed will be anonymised. Results will be reported at conferences and in peer-reviewed publications.

scholarly journals Risk factors for lower limb lymphedema in gynecologic cancer patients after initial treatment

2020 ◽  
Vol 25 (5) ◽  
pp. 963-971 ◽  
Author(s):  
Teruyo Kunitake ◽  
Tatsuyuki Kakuma ◽  
Kimio Ushijima
Keyword(s):  
Risk Factors ◽  
Cancer Patients ◽  
Lower Limb ◽  
Initial Treatment ◽  
Gynecologic Cancer ◽  
Significant Risk ◽  
Structural Models ◽  
University Hospital ◽  
Time Model ◽  
Gynecology And Obstetrics

Abstract Background Most studies on lower limb lymphedema have been conducted in gynecologic cancer patients who underwent surgery for gynecologic malignancy. This study aimed to evaluate the risk factors for lower limb lymphedema development in gynecologic cancer patients who underwent initial treatment. Methods A retrospective cohort design was used to follow 903 gynecologic cancer patients who underwent treatment at Kurume University Hospital between January 1, 2013 and December 31, 2015. Data analyses were performed in 356 patients, and the patients were followed up until December 31, 2017. The model comprised two components to facilitate statistical model construction. Specifically, a discrete survival time model was constructed, and a complementary log–log link model was fitted to estimate the hazard ratio. Associations between risk factors were estimated using generalized structural models. Results The median follow-up period was 1083 (range 3–1819) days, and 54 patients (15.2%) developed lower limb lymphedema, with a median onset period of 240 (range 3–1415) days. Furthermore, 38.9% of these 54 patients developed lower limb lymphedema within 6 months and 85.2% within 2 years. International Federation of Gynecology and Obstetrics stage, radiotherapy, and number of lymph node dissections (≥ 28) were significant risk factors. Conclusion Simultaneous examination of the relationship between lower limb lymphedema and risk factors, and analysis among the risk factors using generalized structural models, enabled us to construct a clinical model of lower limb lymphedema for use in clinical settings to alleviate this condition and improve quality of life.

scholarly journals The Prevalence of HIV in Cancer Patients at the Surgical Oncology Unit of Donka University Hospital of Conakry (Guinea)

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Bangaly Traore ◽  
Thierno Souleymane Bah ◽  
Fode Amara Traore ◽  
Mamadou Saliou Sow ◽  
Solomana Diane ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Cancer Patients ◽  
Antiretroviral Treatment ◽  
Surgical Oncology ◽  
Cd4 Count ◽  
Cancer Prognosis ◽  
University Hospital ◽  
Social Characteristics ◽  
Non Hodgkin Lymphoma ◽  
Oncology Unit

Aim. To determine the prevalence of HIV infection among patients seen at the surgical oncology unit of Donka (Conakry, Guinea).Method. We conducted a retrospective and descriptive study of HIV infection in cancer patients from May 2007 to December 2012. Social characteristics (age, gender, marital status, and education) and immune status (HIV type, CD4 count) were reviewed.Results. Out of 2598 cancer patients, 54 (2.1%) tested positive for HIV. There were 11 (20.4%) defining AIDS and 43 (79.6%) nondefining AIDS cancers. The most frequent cancers were breast (14) (26.0%), non-Hodgkin lymphoma (6) (11.1%), liver (6) (11.1%), eye and annexes (6) (11.1%), and cervical cancer (5) (9.3%). These patients were female in 34 (63.0%) and had a median age of 39 years and body mass index was 20,3 Kg/m2. They were unschooled in 40 (74.1%) and married in 35 (64.8%). CD4 count showed a median of 317 cells/mL. Antiretroviral treatment was performed in 40 (74.1%).Conclusion. HIV prevalence is higher in patients in our unit of surgical oncology. Breast cancer was the most common in this association. A national survey of a large sample is needed to determine the true prevalence and impact of HIV on cancer prognosis.

scholarly journals Ocular oncology service during the COVID-19 outbreak in Florence (Italy): Practical considerations for the management of patients

2020 ◽  
pp. 112067212097603
Author(s):  
Cinzia Mazzini ◽  
Giulia Pieretti ◽  
Giulio Vicini ◽  
Cristina Nicolosi ◽  
Dario Giattini ◽  
...  
Keyword(s):  
Cancer Patients ◽  
University Hospital ◽  
Negative Outcomes ◽  
Oncology Service ◽  
Oncology Unit

The Coronavirus disease 2019 (COVID-19) outbreak has imposed the adoption of strategies to limit the risk of contagion for cancer patients without compromising their healthcare. As well as cancers of other sites, the treatment of certain ocular and periocular malignancies is considered non-deferrable and should proceed despite the pandemic. Delays in treatment of these patients may result in negative outcomes. Herein, we provide some practical considerations deriving from our experience at the Ocular Oncology Unit of Careggi University Hospital (Florence, Italy).

An evaluation of lifestyle changes in Turkish cancer patients after diagnosis.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e20503-e20503
Author(s):  
Perran Fulden Yumuk ◽  
Benan Kahraman ◽  
Merve Yilmaz ◽  
Melike Koyyeri ◽  
Merve Binici ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Healthy Lifestyle ◽  
Multiple Choice ◽  
Lifestyle Changes ◽  
University Hospital ◽  
Face To Face ◽  
Coping With Cancer ◽  
Ethical Committee Approval ◽  
Diagnosis Of Cancer ◽  
Oncology Unit

e20503 Background: To determine lifestyle changes in cancer patients after the diagnosis of malignancy. Methods: Between March 16th and September 30th, 2011, a questionnaire consisting of 20 questions was administered via a face-to-face interview to 150 patients at the Marmara University Hospital Oncology Unit. Each patient was queried during the administration of their chemotherapy. Six of the questions were independent choices, and 14 were dependent (multiple choice). A local ethical committee approval is obtained. Results: Of the 150 patients, 70 (46%) were male and 80 were female, and their median age was 55 (range 22-82) years old. An unusually large percentage (28%) of the patients reported that they did not know their diagnosis, and in another question 25% reported that they did not want to talk about their illness. Following their diagnosis, 71% of males and 50% of females reported that they were complying with guidelines for a healthy lifestyle, and 19% of the patients said that they were eating healthier food. At the time they filled out the questionnaire, 61% said that they were hopeful; however, close to 10% said that they felt hopeless. Approximately 53% of the participants said that following their diagnosis, they had a more sympathetic view of the underserved and underprivileged. Conclusions: It was surprising that an unexpectedly high percentage of the respondents reported that they did not make any changes in their lifestyles after their diagnosis of cancer, including eating healthier food. It appears Turkish cancer patients are coping with cancer in different means and ways than we expected of them.

scholarly journals Factors affecting temporary stoma outcomes at a major Saudi University Hospital

2020 ◽  
Vol 7 (11) ◽  
pp. 3604
Author(s):  
Mohammed O. Nassif ◽  
Nora H. Trabulsi ◽  
Ali H. Farsi ◽  
Sonds S. Al-shammakh ◽  
Ibtihal O. Alghamdi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cancer Patients ◽  
Multivariate Regression Analysis ◽  
University Hospital ◽  
Stoma Closure ◽  
Factors Affecting ◽  
Stoma Reversal ◽  
Temporary Stoma ◽  
Prolonged Time ◽  
Stoma Formation

Background: Temporary stoma formation for fecal diversion is commonly performed in surgery. The rate of stoma-related complications is high, and the risk increases in patients with prolonged time to closure. Thus, identifying factors that influence the time to stoma closure and the rate of its complications would aid in implementing preventive measures. We aimed to determine predictors affecting the time to stoma closure and to identify risk factors for developing complications following stoma reversal.Methods: A retrospective review including all adult patients who underwent stoma closure from 2012-2018 at our institution was conducted. Multivariate regression analysis was used to determine risk factors affecting time to stoma closure and developing complications after reversal surgery.Results: A total of 63 patients were included. Of those, 50.8% were diagnosed with malignancy. The median time to stoma closure was 222.5 days (interquartile range i.e. IQR 12-2228).Having an American society of anesthesiologists (ASA) class IV was the only significant predictor of prolonged time to closure. For cancer patients, developing complications following stoma formation surgery, and receiving adjuvant therapy significantly increased the time to stoma reversal. In contrast, cancer patients who underwent multi-organ resection had shorter time to closure. The rate of complications following stoma reversal was 30.2%. Having a colostomy and requiring readmission after stoma formation surgery increased the risk of developing complications related to stoma reversal.Conclusions: Multiple factors can impact the time to stoma closure and increase the risk of developing complication related to stoma closure. Awareness about these factors and development of preventive strategies is recommended.

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