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Perron L, Daigle JM, Vandal N, Guertin MH, Brisson J. Characteristics affecting survival after locally advanced colorectal cancer in Quebec. ACTA ACUST UNITED AC 2015; 22:e485-92. [PMID: 26715887 DOI: 10.3747/co.22.2692] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
BACKGROUND We estimated the relations of sociodemographic, organizational, disease, and treatment variables with the risk of death from colorectal cancer (crc) in a Quebec population-based sample of patients with locally advanced crc (lacrc) who underwent tumour resection with curative intent. METHODS Information from medical records and administrative databases was obtained for a random sample of 633 patients surgically treated for stages ii-iii rectal and stage iii colon cancer and declared to the Quebec cancer registry in 1998 and 2003. We measured personal, disease, and clinical management characteristics, relative survival, and through multivariate modelling, relative excess rate (rer) of death. RESULTS The relative 5- and 10-year survivals in this cohort were 67.7% [95% confidence interval (ci): 65.8% to 69.6%] and 61.2% (95% ci: 58.3% to 64.0%) respectively. Stage T4, stage N2, and emergency rather than elective surgery affected 18%, 24% and 10% of patients respectively. Those disease progression characteristics each independently increased the rer of death by factors of 2 to almost 5. Grade, vascular invasion, and tumour location were also significantly associated with the rer for death. Receiving guideline-adherent treatment was associated with a 60% reduction in the rer for death (0.41; 95% ci: 0.28 to 0.61), an effect that was consistent across age groups. Clear margins (proximal-distal, radial) and clinical trial enrolment were each associated with a nonsignificant 50% reduction in the rer. Of patients less than 70 years of age and 70 years of age and older, 81.3% and 42.0% respectively received guideline-adherent treatment. CONCLUSIONS This study is the first Quebec population-based examination of patients with lacrc and their management, outcomes, and outcome determinants. The results can help in planning crc control strategies at a population level.
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Affiliation(s)
- L Perron
- Institut national de santé publique du Québec, Quebec City, QC; ; Département de santé publique et médecine préventive, chu de Québec-Université Laval, Quebec City, QC; ; Département de médecine sociale et préventive, Faculté de médecine, Université Laval, Quebec City, QC
| | - J M Daigle
- Institut national de santé publique du Québec, Quebec City, QC
| | - N Vandal
- Institut national de santé publique du Québec, Quebec City, QC
| | - M H Guertin
- Institut national de santé publique du Québec, Quebec City, QC
| | - J Brisson
- Institut national de santé publique du Québec, Quebec City, QC; ; Département de médecine sociale et préventive, Faculté de médecine, Université Laval, Quebec City, QC; ; Centre de recherche du chu de Québec-Université Laval, Centre hospitalier universitaire de Québec, Quebec City, QC
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Lemieux J, Provencher L, Perron L, Brisson J, Amireault C, Blanchette C, Maunsell E. No effect of scalp cooling on survival among women with breast cancer. Breast Cancer Res Treat 2014; 149:263-8. [PMID: 25511368 DOI: 10.1007/s10549-014-3231-0] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Accepted: 12/02/2014] [Indexed: 11/27/2022]
Abstract
Scalp cooling can prevent chemotherapy-induced alopecia in some cancer patients. It is not used in all countries. No data are available regarding its impact, if any, on survival. The aim of this study was to compare overall survival according to whether or not scalp cooling was used during neoadjuvant or adjuvant chemotherapy for non-metastatic breast cancer. We conducted a retrospective cohort study of 1,370 women with non-metastatic invasive breast carcinoma who received chemotherapy in the neoadjuvant or adjuvant setting. A total of 553 women who used scalp cooling came from a tertiary breast cancer clinic in Quebec City (diagnosed between 1998 and 2002) and 817 were treated in other hospitals in the province of Quebec (between 1998 and 2003) where scalp cooling was not routinely available. Overall survival of women who used scalp cooling and those who did not was compared using Cox proportional hazards models. Median follow-up for the scalp-cooled and the non-scalp-cooled groups was 6.3 years and 8.0 years, respectively. Overall mortality was no different (adjusted hazard ratio 0.89, 95 % confidence interval: 0.68-1.17, p = 0.40) among scalp-cooled women, compared to those not getting scalp cooling. Among women getting neoadjuvant or adjuvant chemotherapy for non-metastatic breast cancer, scalp cooling used to prevent chemotherapy-induced alopecia had no negative effect on survival. To our knowledge, this is the first study to compare survival of women who used scalp cooling to that of women who did not.
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Affiliation(s)
- J Lemieux
- Centre de recherche, Centre hospitalier universitaire (CHU) de Québec, Hôpital du Saint-Sacrement, 1050 chemin Sainte-Foy, Québec, QC, G1S 4L8, Canada,
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Perron L. I291 STRENGTHENING ORGANIZATIONAL CAPACITY OF PROFESSIONAL HEALTH ASSOCIATION - TOOLKIT FOR FIGO MEMBER ASSOCIATIONS. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)60321-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Mogilevkina I, Chaika V, Morozova N, Shipunova A, Khaletskiy Y, Senikas V, Lalonde A, Perron L. P256 Controlled cord traction in active management of the third stage (AMTSL) for the prevention of postpartum hemorrhage: FIGO saving mothers and newborns project activities in Ukraine. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)61746-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Mogilevkina I, Chaika V, Shpatusko N, Boychuk V, Senikas V, Lalonde A, Perron L. O625 Improvement in emergency obstetrical care (EOC) knowledge and skills further to the alarm international program (AIP) training in Ukraine: FIGO saving mothers & newborns project. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)60998-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Deshaies P, Perron L, De Wals P, Poulin M, Arsenault M, Dumesnil J, Gregoire J, D’halewyn M, Turcot A, Tanguay F. A11 - Agrégat singulier d’un syndrome de douleur thoracique de type péricarditique chez les employés d’un hôpital. Rev Epidemiol Sante Publique 2005. [DOI: 10.1016/s0398-7620(05)84689-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Abstract
In 1998, the ob/gyn associations of Uganda and Canada launched, under the umbrella of the FIGO Save the Mothers Initiative, a district-wide intervention which aimed to increase the availability and utilization of emergency obstetric care (EmOC) services in a rural district of Uganda. The article describes the experience of two professional ob/gyn associations in the development, implementation, monitoring and evaluation of the project. Preliminary results after 24 months of intervention indicate important gains in the capacity of health professionals to deliver EmOC, the availability of emergency transportation services and met need for EmOC.
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Affiliation(s)
- A B Lalonde
- Society of Obstetricians and Gynaecologists of Canada, Ontario, Ottawa, Canada
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Perron L. [Coverage rates of the d2T5 vaccine in adolescents up to 15 years of age residing in Montérégie]. Can J Public Health 2001; 92:264-6. [PMID: 11962110 PMCID: PMC6980208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
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Vansteelant JY, Trévisan D, Perron L, Dorioz JM, Roybin D. Conditions d'apparition du ruissellement dans les cultures annuelles de la région lémanique. Relation avec le fonctionnement des exploitations agricoles. ACTA ACUST UNITED AC 1997. [DOI: 10.1051/agro:19970201] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Ringuette L, Trudeau T, Turcotte P, Yeung K, Rémis R, Perron L, Le Corre I. Emergence of Neisseria gonorrhoeae strains with decreased susceptibility to ciprofloxacin--Quebec, 1994-1995. Can Commun Dis Rep 1996; 22:121-125. [PMID: 8791859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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Hanisch DG, Perron L. Complex dysrhythmias in infants and children. AACN Clin Issues Crit Care Nurs 1992; 3:255-69. [PMID: 1554568 DOI: 10.4037/15597768-1992-1031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Dysrhythmias in infants and children are, in many ways, similar to those in adults, yet several important differences exist in their presentation and management. Complex dysrhythmias most frequently encountered in pediatrics include sinus node dysfunction, chaotic atrial rhythm, atrial flutter, supraventricular tachycardia (including Wolff-Parkinson-White syndrome and junctional ectopic tachycardia), complete atrioventricular block (congenital and acquired), and ventricular dysrhythmias (premature ventricular contractions and ventricular tachycardia). Newer approaches to the diagnosis and management of these dysrhythmias are addressed in this paper.
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Perron L, Bourdon G. [Subcutaneous analgesic administration]. Can Nurse 1990; 86:38-9. [PMID: 2224813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
In March 1989, Saint Luke's Hospital in Montréal piloted the use of continuous and intermittent subcutaneous injection of analgesics. This practice involved patients whose pain could not be relieved by traditional methods of analgesic administration. The article describes the positive results of the project, and clearly identifies suitable patients. It also outlines the advantages, limiting factors and risks involved with each type of infusion. Procedures for set-up and monitoring are briefly explained. The authors conclude that family members of patients can be easily taught to perform the procedure at home.
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Perron L, Mitchell D, Tremblay A, Despres JP, Nadeau A, Bouchard C. The role of body fat in insulin sensitivity of endurance athletes. Diabete Metab 1986; 12:233-8. [PMID: 3542617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
The purpose of the study was to assess the role of adiposity in the enhanced insulin sensitivity observed in endurance athletes (EA). An oral glucose tolerance test (75 g glucose) was administered to nine EA and to 23 sedentary subjects (SS). Two different strategies were used to investigate the problem. First, body composition indicators and Vo2max were correlated with the delta insulin and delta glucose areas measured for 180 minutes following glucose ingestion. These correlation analyses were performed for the two groups combined (n = 32). No significant correlations were observed between either fat weight or percent body fat versus delta insulin, delta glucose or delta glucose/delta insulin areas. Moreover, no significant correlation was observed between the several subcutaneous fat indicators and delta insulin, delta glucose and delta glucose/delta insulin areas. The second strategy consisted of comparing EA to SS when percent body fat difference was eliminated. This was achieved by two different methods, first by covariance analysis and second by comparing subsamples of trained and non-trained subjects paired with respect to percent body fat. These two comparisons revealed that even when adiposity was equal between the groups, a significantly greater insulin sensitivity was observed in the EA group (p less than 0.01). The present results suggest that adiposity is not the determining factor for the increased insulin sensitivity of trained subjects.
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Tremblay A, Fontaine E, Poehlman ET, Mitchell D, Perron L, Bouchard C. The effect of exercise-training on resting metabolic rate in lean and moderately obese individuals. Int J Obes (Lond) 1986; 10:511-7. [PMID: 3492457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Two experiments have been performed to establish whether exercise-training has an influence on resting metabolic rate (RMR). In a first study, RMR was measured in a cohort of 59 individuals comprising 20 trained and 39 non-trained subjects. The absolute level of RMR in trained subjects exceeded by 11 percent that observed in the non-trained individuals (P less than 0.01). When comparing regression lines of RMR versus FFM between the two groups, the intercept with the Y axis (RMR values) was also significantly higher in trained subjects (P less than 0.01). The second experiment was conducted to find out whether the trend for an elevated RMR noted in athletes could be reproduced in obese persons engaging in an exercise-training program. Eight moderately obese women were submitted to an 11-week training programme, including 5 hours of aerobic exercise per week performed at a mean intensity of about 50 percent VO2 max. The results showed that exercise-training induced a significant rise in RMR which corresponded to 8 percent of pretraining value in kcal/kg FFM/min (P less than 0.01). Thus, data reported here suggest that aerobic exercise-training is associated with an elevated RMR per unit of fat free mass in both lean and moderately obese individuals.
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Legault S, Poisson R, Franchebois P, Nassif E, Guevin R, Perron L, Thuot C, Enel P, Fisher B. [The NSABP. National Surgical Adjuvant Project for Breast and Bowel Cancers. (Definition, role, methodology, therapeutic trials, results, philosophy)]. Union Med Can 1985; 114:468-73, 500. [PMID: 3895703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Turgeon PL, Laverdiére M, Perron L. Successful treatment of Pseudomonas meningitis and septicemia in a leukemic neutropenic adult. Am J Clin Pathol 1975; 63:135-41. [PMID: 803343 DOI: 10.1093/ajcp/63.3.135] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Pseudomonas aeruginosa is thought to be one of the main species of bacteria producing infection in leukemic patients, especially in those with neutropenia. Although bacteremia is frequent, hematogenous spread causing secondary meningitis is rarely seen. The mortality rate is extremely high. This is believed to be the first report of a successfully treated secondary meningitis caused by Pseudomonas aeruginosa in an adult leukemic patient with a decreased neutrophil count. The patient was treated with intravenous Carbenicillin and gentamicin, and intrathecal gentamicin. The good clinical response was supported by a prompt return of the CSF to normal and by appropriate CSF antimicrobial concentration and bacteriostatic activity.
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Thuot C, Perron L. [Chronic fibrinolysis in alcoholic cirrhosis]. Union Med Can 1974; 103:1400-4. [PMID: 4848276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Thuot C, Gariépy G, Monté M, Perron L. [Unusual symptomatology of Hodgkin's disease: massive invasion of the blood by abnormal cells]. Union Med Can 1973; 103:1675-8. [PMID: 4134827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Thuot C, Perron L. [Measurement of fibrinogen degradation products: its usefulness in consumption coagulopathies]. Union Med Can 1973; 102:66-9. [PMID: 4706340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Thuot C, Poisson R, Perron L. [Bleomycin: a new anti-tumor agent]. Union Med Can 1972; 101:879-83. [PMID: 4125919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Gerbal A, Homberg JC, Rochant H, Perron L, Salmon C. [The auto-antibodies of acquired hemolytic anemias. II. Nature, specificity, clinical interest and mechanism of formation]. Nouv Rev Fr Hematol 1968; 8:351-68. [PMID: 4176032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
MESH Headings
- Anemia, Hemolytic, Autoimmune/classification
- Anemia, Hemolytic, Autoimmune/complications
- Anemia, Hemolytic, Autoimmune/etiology
- Anemia, Hemolytic, Autoimmune/immunology
- Animals
- Antibodies
- Antibody Formation
- Antigens/analysis
- Autoantibodies/analysis
- Binding Sites
- Bone Marrow Diseases/immunology
- Complement Fixation Tests
- Coombs Test
- Erythrocytes/immunology
- Genetics
- Hemolysis
- Humans
- Leukemia, Lymphoid/immunology
- Liver Cirrhosis/immunology
- Lupus Erythematosus, Systemic/immunology
- Lymphoma, Large B-Cell, Diffuse/immunology
- Lymphoma, Non-Hodgkin/immunology
- Mice
- Models, Biological
- Virus Diseases/complications
- gamma-Globulins/analysis
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Gerbal A, Homberg JC, Rochant H, Perron L, Salmon C. [Autoantibodies in acquired hemolytic anemia. I. Analysis of 234 cases]. Nouv Rev Fr Hematol 1968; 8:155-7. [PMID: 4173451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Verdy M, Tetreault L, Murphy W, Perron L. Effect of methandrostenolone on blood lipids and liver function tests. Can Med Assoc J 1968; 98:397-401. [PMID: 4866087 PMCID: PMC1923870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Perron L, Gosselin G. [Mastocytosis]. Union Med Can 1965; 94:691-6. [PMID: 4158159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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