130 research outputs found
7th Edition of TNM classification: Stages of displacement at 60% carcinomas of the stomach changed the Prognosis
No full textUnusual manifestation of Muir-Torre syndrome: Case report of a patient with multiple visceral and cutaneous tumors
No full textMobile and digital documentation of inpatient treatments. Use of personal digital assistants in addition with the ClinicCoach (c) software
No full textBackground. Documentation of the individual treatment course is essential from medical as well as economic and forensic aspects. With increasing hospital computerization the conventional hardcopy form of record keeping is seen to be associated with high outlays and restrictiveness. Methods. Clinicians engaged consistently in the development of a personal digital assistant (PDA)-based electronic record system (Clinic Coach (c)), which maps the entire course of inpatient treatments. The system's effectiveness was reviewed by means of a standardized questionnaire and analysis of 8,595 data sets relating to PPR and wound findings. Results. In patients undergoing surgery wound findings and PPR were documented in 83.6% and in 94.3% respectively. The ClinicCoach (c) System was rated more effective than paper-based documentation by 78.4% of the testing healthcare workers. Conclusion. The combination of PDAs and ClinicCoach (c) is a reliable and to clinical routine well adapted system that allows digital documentation at the bedside
Kolorektale Lebermetastasen: hat der Zeitpunkt des Auftretens eine Bedeutung für das onkologische Konzept und die Prognose?
No full text
Unusual manifestation of Muir-Torre syndrome: Case report of a patient with multiple visceral and cutaneous tumors
No full textDigital Affinity in Medical Students Influences Learning Outcome: A Cluster Analytical Design Comparing Vodcast With Traditional Lecture
No full text
How reliable is secondary risk stratification with stimulated thyroglobulin in patients with differentiated thyroid carcinoma? Results from a retrospective study
No full textObjective: Primary risk factors in patients with differentiated thyroid carcinoma (DTC) are well established. In our institution, secondary risk stratification has been performed with stimulated Thyroglobulin (sTg; TSH > 30 mIU/l) within six months after primary therapy since 2001. In this study, we evaluated the predictive value of sTg for long-term disease-free survival (DFS). Patients, methods: Data of 202 consecutive patients with DTC were analyzed retrospectively. Median follow-up time was 6.4 years (12 months to 16.2 years). Patients were staged according to Union International Contre le Cancer (UICC) criteria. Primary risk stratification was carried out according to European Thyroid Association criteria. Initially, 134 patients (66%) were classified as low-risk and 68 patients (34%) as high-risk. The influence of established risk factors and sTg on DFS was analyzed at three different time points, up to 36 months after initial therapy. Results: In total, 169 (84%) of all patients remained in complete remission after surgery followed by radioiodine-therapy. Six patients (3%) developed tumour recurrence after initial complete remission. Primary risk factors for persistent disease were male sex, follicular or oncocytic tumour, primary tumour >4 cm in diameter, initial lymph node involvement, initial metastatic disease and microscopic or macroscopic residual tumor. sTg <= 0.3 ng/ml measured within six months after initial therapy was a highly significant predictor (p <= 0.001) for lasting DFS, 99% of patients with sTg <= 0.3 ng/ml were in complete remission 36 months after initial therapy. Conclusions: A stimulated Tg <= 0.3 ng/ml within six months after initial therapy is a reliable predictor for long-term disease-free survival independent of primary risk stratification
LONG TERM SURVIVAL, AFTER LIVER TRANSPLANTATION IN PATIENTS WITH NEUROENDOCRINE LIVER METASTASES: GERMAN SINGLE CENTER EXPERIENCE
No full text- …
