LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 45

Search options

  1. Article ; Online: ASO Author Reflections: Identifying Racial Disparities for Minimally Invasive Approaches to the Surgical Treatment of Colorectal Cancer.

    Riner, Andrea N / Sharp, Stephen P

    Annals of surgical oncology

    2023  Volume 30, Issue 11, Page(s) 6760

    MeSH term(s) Humans ; Minimally Invasive Surgical Procedures ; Colorectal Neoplasms/surgery
    Language English
    Publishing date 2023-07-15
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-023-13742-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article ; Online: Surgical Outcomes Should Know No Identity-The Case for Equity Between Patients and Surgeons.

    Riner, Andrea N / Cochran, Amalia

    JAMA surgery

    2021  Volume 157, Issue 2, Page(s) 156–157

    MeSH term(s) Humans ; Sexism ; Surgeons ; Treatment Outcome
    Language English
    Publishing date 2021-12-08
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2021.6367
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: Infiltration of CD3+ and CD8+ lymphocytes in association with inflammation and survival in pancreatic cancer.

    Tushoski-Alemán, Gerik W / Herremans, Kelly M / Underwood, Patrick W / Akki, Ashwin / Riner, Andrea N / Trevino, Jose G / Han, Song / Hughes, Steven J

    PloS one

    2024  Volume 19, Issue 2, Page(s) e0297325

    Abstract: Background: Pancreatic ductal adenocarcinomas (PDAC) have heterogeneous tumor microenvironments relatively devoid of infiltrating immune cells. We aimed to quantitatively assess infiltrating CD3+ and CD8+ lymphocytes in a treatment-naïve patient cohort ... ...

    Abstract Background: Pancreatic ductal adenocarcinomas (PDAC) have heterogeneous tumor microenvironments relatively devoid of infiltrating immune cells. We aimed to quantitatively assess infiltrating CD3+ and CD8+ lymphocytes in a treatment-naïve patient cohort and assess associations with overall survival and microenvironment inflammatory proteins.
    Methods: Tissue microarrays were immunohistochemically stained for CD3+ and CD8+ lymphocytes and quantitatively assessed using QuPath. Levels of inflammation-associated proteins were quantified by multiplexed, enzyme-linked immunosorbent assay panels on matching tumor and tissue samples.
    Results: Our findings revealed a significant increase in both CD3+ and CD8+ lymphocytes populations in PDAC compared with non-PDAC tissue, except when comparing CD8+ percentages in PDAC versus intraductal papillary mucinous neoplasms (IPMN) (p = 0.5012). Patients with quantitatively assessed CD3+ low tumors (lower 50%) had shorter survival (median 273 days) compared to CD3+ high tumors (upper 50%) with a median overall survival of 642.5 days (p = 0.2184). Patients with quantitatively assessed CD8+ low tumors had significantly shorter survival (median 240 days) compared to CD8+ high tumors with a median overall survival of 1059 days (p = 0.0003). Of 41 proteins assessed in the inflammation assay, higher levels of IL-1B and IL-2 were significantly associated with decreased CD3+ infiltration (r = -0.3704, p = 0.0187, and r = -0.4275, p = 0.0074, respectively). Higher levels of IL-1B were also significantly associated with decreased CD8+ infiltration (r = -0.4299, p = 0.0045), but not IL-2 (r = -0.0078, p = 0.9616). Principal component analysis of the inflammatory analytes showed diverse inflammatory responses in PDAC.
    Conclusion: In this work, we found a marked heterogeneity in infiltrating CD3+ and CD8+ lymphocytes and individual inflammatory responses in PDAC. Future mechanistic studies should explore personalized therapeutic strategies to target the immune and inflammatory components of the tumor microenvironment.
    MeSH term(s) Humans ; Lymphocytes, Tumor-Infiltrating ; Pancreatic Neoplasms/pathology ; Carcinoma, Pancreatic Ductal/pathology ; CD8-Positive T-Lymphocytes ; Inflammation/pathology ; Prognosis ; Tumor Microenvironment
    Language English
    Publishing date 2024-02-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0297325
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article ; Online: Sponsorship to improve diversity and inclusion in surgical leadership.

    Riner, Andrea N / Upchurch, Gilbert R / Trevino, Jose G

    American journal of surgery

    2021  Volume 223, Issue 4, Page(s) 817–818

    MeSH term(s) Career Mobility ; Cultural Diversity ; Humans ; Leadership ; Physicians, Women
    Language English
    Publishing date 2021-09-24
    Publishing country United States
    Document type Editorial
    ZDB-ID 2953-1
    ISSN 1879-1883 ; 0002-9610
    ISSN (online) 1879-1883
    ISSN 0002-9610
    DOI 10.1016/j.amjsurg.2021.09.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: A Gravid Situation: General Surgery Faculty Support for Pregnant Surgical Residents.

    Freudenberger, Devon C / Riner, Andrea N / Herremans, Kelly M / Vudatha, Vignesh / McGuire, Kandace P / Anand, Rahul J / Trevino, Jose G

    The Journal of surgical research

    2024  Volume 299, Page(s) 9–16

    Abstract: Introduction: The perceptions of teaching faculty toward pregnant general surgery residents have been overlooked despite the daily interactions amongst these groups.: Methods: A 32-question survey designed to measure general surgery teaching faculty ... ...

    Abstract Introduction: The perceptions of teaching faculty toward pregnant general surgery residents have been overlooked despite the daily interactions amongst these groups.
    Methods: A 32-question survey designed to measure general surgery teaching faculty perceptions toward pregnant residents was distributed electronically from March 2022 to April 2022 to general surgery teaching faculty in the United States. Descriptive statistics were used to characterize responses and differences in perceptions, and qualitative analysis identified recurring themes from free-text responses.
    Results: Among 163 respondents included in the final analysis, 58.5% were male and 41.5% were female. Despite 99.4% of surgeons feeling comfortable if a resident told them they were pregnant, 22.4% of surgeons disagreed that their institutions have supportive cultures toward pregnancy. Almost half (45.4%) have witnessed negative comments about pregnant residents and half (50.3%) believe that pregnant surgical residents are discriminated against by their coresidents. Nearly two-thirds of surgeons (64.8%) believe that someone should have a child whenever they wish during training. Given recent reports, 80.2% of surgeons recognized that female surgeons have increased risks of infertility and pregnancy complications. Recurring themes of normalizing pregnancy, improving policies, and creating a culture change were expressed.
    Conclusions: In this national survey, although there appears to be positive perceptions of pregnancy in surgical training amongst those surveyed, there is acknowledged necessity of further normalizing pregnancy and improving policies to better support pregnant residents. These data provide further evidence that though perceptions may be improving, changes are still needed to better support pregnancy during training.
    Language English
    Publishing date 2024-04-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2024.03.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: Diversity and Inclusion in Pancreatic Cancer Clinical Trials.

    Herremans, Kelly M / Riner, Andrea N / Winn, Robert A / Trevino, Jose G

    Gastroenterology

    2021  Volume 161, Issue 6, Page(s) 1741–1746.e3

    MeSH term(s) Clinical Trials as Topic ; Ethnic and Racial Minorities ; Female ; Health Status Disparities ; Healthcare Disparities/ethnology ; Humans ; Incidence ; Male ; Minority Groups ; Minority Health/ethnology ; Pancreatic Neoplasms/diagnosis ; Pancreatic Neoplasms/ethnology ; Pancreatic Neoplasms/therapy ; Patient Selection ; Race Factors ; Research Subjects ; Sex Factors
    Language English
    Publishing date 2021-08-17
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 80112-4
    ISSN 1528-0012 ; 0016-5085
    ISSN (online) 1528-0012
    ISSN 0016-5085
    DOI 10.1053/j.gastro.2021.06.079
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article ; Online: Time out! We must address fertility preservation for surgical trainees.

    Möller, Mecker G / Elseth, Anna / Sumra, Hibba / Riner, Andrea N

    American journal of surgery

    2021  Volume 223, Issue 3, Page(s) 594–595

    MeSH term(s) Attitude of Health Personnel ; Fertility Preservation ; Humans ; Neoplasms
    Language English
    Publishing date 2021-09-06
    Publishing country United States
    Document type Editorial
    ZDB-ID 2953-1
    ISSN 1879-1883 ; 0002-9610
    ISSN (online) 1879-1883
    ISSN 0002-9610
    DOI 10.1016/j.amjsurg.2021.08.034
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article ; Online: The Gender Gap in Surgeon Salaries - Striving to achieve pay equity.

    Slama, Eliza M / Arjani, Simran / Sulciner, Megan L / Riner, Andrea N / Yu, Yangyang R / Maxwell, Jessica

    American journal of surgery

    2022  Volume 225, Issue 2, Page(s) 436–438

    MeSH term(s) Humans ; Sex Factors ; Salaries and Fringe Benefits ; Socioeconomic Factors ; Surgeons
    Language English
    Publishing date 2022-09-23
    Publishing country United States
    Document type Editorial
    ZDB-ID 2953-1
    ISSN 1879-1883 ; 0002-9610
    ISSN (online) 1879-1883
    ISSN 0002-9610
    DOI 10.1016/j.amjsurg.2022.09.037
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article ; Online: Ethical Considerations of Biopsies in Early-Stage Pancreatic Cancer.

    Bohan, Riley P / Riner, Andrea N / Herremans, Kelly M / George, Thomas J / Hughes, Steven J / Solberg, Lauren B

    JCO oncology practice

    2023  Volume 19, Issue 10, Page(s) 882–887

    Abstract: Purpose: The standard of care in resectable and borderline resectable pancreatic ductal adenocarcinoma (PDAC) has evolved to include neoadjuvant treatment before surgical resection. Current guidelines call for obtaining histologic tissue diagnosis via ... ...

    Abstract Purpose: The standard of care in resectable and borderline resectable pancreatic ductal adenocarcinoma (PDAC) has evolved to include neoadjuvant treatment before surgical resection. Current guidelines call for obtaining histologic tissue diagnosis via endoscopic ultrasound fine-needle aspiration before administration of neoadjuvant therapy, which differ from guidelines discouraging delay in surgical resection for a biopsy.
    Materials and methods: Whether to proceed with treatment before a biopsy confirms that malignancy is a nuanced decision and includes considerations of physical and psychological risks entailed in both pursuing and forgoing a biopsy.
    Results: Accuracy of imaging and biopsy results, the presence of contributing clinical signs/symptoms, and the existing precedents of considering biopsies as waivable such as in scenarios with high clinical suspicion and primary surgical resection.
    Conclusion: When considering the aspects of ethical medical practice including beneficence (doing good), nonmaleficence (avoiding harm), autonomy (allowing patients to make decisions about their care), and utilitarianism (doing the most good for the most people), analysis of whether guidelines guiding biopsies should continue to differ between resection and neoadjuvant treatments in PDAC is prudent.
    MeSH term(s) Humans ; Pancreatic Neoplasms/drug therapy ; Carcinoma, Pancreatic Ductal/drug therapy ; Carcinoma, Pancreatic Ductal/pathology ; Neoadjuvant Therapy ; Biopsy
    Language English
    Publishing date 2023-08-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3028198-2
    ISSN 2688-1535 ; 2688-1527
    ISSN (online) 2688-1535
    ISSN 2688-1527
    DOI 10.1200/OP.23.00044
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  10. Article ; Online: Call to action: overcoming enrollment disparities in cancer clinical trials with modernized eligibility criteria.

    Riner, Andrea N / Freudenberger, Devon C / Herremans, Kelly M / Vudatha, Vignesh / Neal, Daniel W / George, Thomas J / Trevino, Jose G

    JNCI cancer spectrum

    2023  Volume 7, Issue 2

    Abstract: Traditional clinical trial eligibility criteria restrict study populations, perpetuating enrollment disparities. We aimed to assess implementation of modernized eligibility criteria guidelines among pancreatic cancer (PC) clinical trials. Interventional ... ...

    Abstract Traditional clinical trial eligibility criteria restrict study populations, perpetuating enrollment disparities. We aimed to assess implementation of modernized eligibility criteria guidelines among pancreatic cancer (PC) clinical trials. Interventional PC trials in the United States since January 1, 2014, were identified via clinicaltrials.gov with December 31, 2017, as the transition for pre- and postguidance eras. Trials were assessed for guideline compliance and compared using Fisher exact test. In total, 198 trials were identified: 86 (43.4%) were pre- and 112 (56.6%) postguidance era. Improvements were seen in allowing patients with history of HIV (8.6% vs 43.8%; P < .0001), prior cancer (57.0% vs 72.3%; P = .034), or concurrent and/or stable cancer (2.1% vs 31.1%; P < .0001) to participate. Most (>95%) trials were compliant with laboratory reference ranges, QT interval corrected for heart rate (QTc) cutoffs, and rationalizing excluding prior therapies both pre- and postguidance eras. However, overall compliance with modernized criteria remains poor. We advocate for stakeholders to update protocols and scrutinize traditionally restrictive eligibility criteria.
    MeSH term(s) Humans ; United States ; Patient Selection ; Research Design ; Pancreatic Neoplasms ; Eligibility Determination/methods ; Pancreatic Neoplasms
    Language English
    Publishing date 2023-02-15
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ISSN 2515-5091
    ISSN (online) 2515-5091
    DOI 10.1093/jncics/pkad009
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top