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  1. Artikel: Management of Patients with Pancreatic Ductal Adenocarcinoma in the Real-Life Setting: Lessons from the French National Hospital Database.

    de la Fouchardière, Christelle / Adham, Mustapha / Marion-Audibert, Anne-Marie / Duclos, Antoine / Darcha, Claude / Berthelet, Olivier / Hervieu, Valérie / Artru, Pascal / Labrosse, Hélène / Fayet, Yohan / Ferroud-Plattet, Bruno / Aublet-Cuvellier, Bruno / Chambon, Georges / Baconnier, Mathieu / Rebischung, Christine / Farsi, Fadila / Ray-Coquard, Isabelle / Mastier, Charles / Ternamian, Pierre-Jean /
    Williet, Nicolas / Buc, Emmanuel / Walter, Thomas / Herr, Andrée-Laure

    Cancers

    2021  Band 13, Heft 14

    Abstract: Pancreatic ductal adenocarcinoma (PDAC) remains a major public health challenge, and faces disparities and delays in the diagnosis and access to care. Our purposes were to describe the medical path of PDAC patients in the real-life setting and evaluate ... ...

    Abstract Pancreatic ductal adenocarcinoma (PDAC) remains a major public health challenge, and faces disparities and delays in the diagnosis and access to care. Our purposes were to describe the medical path of PDAC patients in the real-life setting and evaluate the overall survival at 1 year. We used the national hospital discharge summaries database system to analyze the management of patients with newly diagnosed PDAC over the year 2016 in Auvergne-Rhône-Alpes region (AuRA) (France). A total of 1872 patients met inclusion criteria corresponding to an incidence of 22.6 per 100,000 person-year. Within the follow-up period, 353 (18.9%) were operated with a curative intent, 743 (39.7%) underwent chemo- and/or radiotherapy, and 776 (41.4%) did not receive any of these treatments. Less than half of patients were operated in a high-volume center, defined by more than 20 PDAC resections performed annually, mainly university hospitals. The 1-year survival rate was 47% in the overall population. This study highlights that a significant number of patients with PDAC are still operated in low-volume centers or do not receive any specific oncological treatment. A detailed analysis of the medical pathways is necessary in order to identify the medical and territorial determinants and their impact on the patient's outcome.
    Sprache Englisch
    Erscheinungsdatum 2021-07-14
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers13143515
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Hypnosis for management of fibromyalgia.

    Picard, Pascale / Jusseaume, Catherine / Boutet, Maryse / Dualé, Christian / Mulliez, Aurélin / Aublet-Cuvellier, Bruno

    The International journal of clinical and experimental hypnosis

    2013  Band 61, Heft 1, Seite(n) 111–123

    Abstract: This randomized, controlled trial contrasted the effects of 5 not-standardized sessions of hypnosis over 2 months in 59 women with fibromyalgia who were randomly assigned to treatment (n = 30) or a wait-list control group (n = 29). Patients in the ... ...

    Abstract This randomized, controlled trial contrasted the effects of 5 not-standardized sessions of hypnosis over 2 months in 59 women with fibromyalgia who were randomly assigned to treatment (n = 30) or a wait-list control group (n = 29). Patients in the treated group were encouraged to practice self-hypnosis. Fibromyalgia Impact Questionnaire (FIQ), MOS-Sleep Scale, Multidimensional Fatigue Inventory (MFI), Cognitive Strategy Questionnaire (CSQ), and Patient Global Impression of Change (PGIC) were administered at baseline, 3 months (M3), and 6 months (M6) after inclusion. Compared to the control, the hypnosis group reported better improvement on PGIC (p = .001 at M3, p = .01 at M6) and a significant improvement in sleep and CSQ dramatization subscale (both at M6).
    Mesh-Begriff(e) Female ; Fibromyalgia/psychology ; Fibromyalgia/therapy ; Humans ; Hypnosis/methods ; Middle Aged ; Psychological Tests ; Severity of Illness Index ; Surveys and Questionnaires ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2013
    Erscheinungsland England
    Dokumenttyp Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 218267-1
    ISSN 1744-5183 ; 0020-7144
    ISSN (online) 1744-5183
    ISSN 0020-7144
    DOI 10.1080/00207144.2013.729441
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 137: Hefte anzeigen Standort:
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  3. Artikel: Modelling a regional reorganization of cardiovascular surgery provision.

    Quesnel-Barbet, Anne / Nuttens, Marie Christine / Aublet-Cuvellier, Bruno / Warembourg, Henri / Prat, Alain / Thumerelle, Pierre Jean / Beuscart, Régis

    Health & place

    2005  Band 11, Heft 3, Seite(n) 283–292

    Abstract: The Nord-Pas-de-Calais region of France is under-served in terms of access to cardiovascular surgery services, as illustrated by relatively high levels of waiting list mortality. This prompted the decision to create a new surgical unit in the region's ... ...

    Abstract The Nord-Pas-de-Calais region of France is under-served in terms of access to cardiovascular surgery services, as illustrated by relatively high levels of waiting list mortality. This prompted the decision to create a new surgical unit in the region's densely populated, former industrial heartland called the "Mining Basin". Geographical and epidemiological modelling was used prospectively to estimate the likely future level of activity of the existing public sector cardiovascular surgery units. Information on the regional population distribution and the likely pattern of service use enabled us to estimate the new unit's potential activity. Our simulations produced nine scenarios which describe variations in the existing public units' activity ranging from -54% to +95%. This type of approach should enable policy makers to improve the organization of healthcare provision.
    Mesh-Begriff(e) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/surgery ; Child ; Child, Preschool ; Epidemiologic Studies ; Female ; France/epidemiology ; Health Services Accessibility ; Humans ; Infant ; Infant, Newborn ; Male ; Medically Underserved Area ; Middle Aged ; Regional Health Planning
    Sprache Englisch
    Erscheinungsdatum 2005-09
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 1262540-1
    ISSN 1873-2054 ; 1353-8292
    ISSN (online) 1873-2054
    ISSN 1353-8292
    DOI 10.1016/j.healthplace.2004.06.007
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Zs.A 4333: Hefte anzeigen Standort:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
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