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Mattart L, Magotteaux P, Blétard N, Brescia L, Debergh N, De Meester C, Demolin G, Dister F, Focan C, Francart D, Godin S, Houbiers G, Jehaes C, Jehaes F, Namur G, Monami B, Verdin V, Weerts J, Witvrouw N, Markiewicz S. Patient management after primary rectal cancer diagnosis. Special focus on surgical treatment for non-metastatic disease. Acta Chir Belg 2023:1-9. [PMID: 37964580 DOI: 10.1080/00015458.2023.2278238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 10/27/2023] [Indexed: 11/16/2023]
Abstract
Background: Rectal cancer is a public health priority. Primary objectives of this study were to evaluate the quality of care for non-metastatic rectal cancer using process and outcome indicators. Delay of management, length of stay and readmission rate, sphincter preservation, morbidity, number of examined lymph nodes, mortality, overall and disease-free survivals were evaluated. Secondary objectives were to estimate the relationship between possible predictive parameters for (1) anastomotic leakage (logistic regression), (2) overall or disease-free survivals (cox regression).Methods: We performed a retrospective study on 312 consecutive patients diagnosed with primary rectal cancer between 2016 and 2019. We focused on the 163 patients treated by surgery for non-metastatic cancer.Results: The treatment began within 33 days (range 0-264) after incidence, resection rate was 67%. Digestive continuity rate in lower, middle and upper rectum was 30%, 87% and 96%. Median of 14 lymph nodes (range 1-46) was analyzed. Length of stay and readmission rate were 11 days (range 3-56) and 4%, respectively. Within 90 postoperative days, clinical anastomotic leakage occurred in 9.2% of cases, major morbidity rate was 17%, mortality 1.2%. Multivariate analysis revealed that stoma decreased the risk of anastomotic leakage [hazard ratio: 0.16; 95% confidence intervals: 0.04-0.63; p = 0.008]. The 5-year overall survival after surgery was 85 ± 4%, disease-free survival 83 ± 4%. Patients with major complications, male gender and R1/R2 resection margin had a poorer prognosis.Conclusion: This work showed encouraging results in rectal cancer treatment in our institution, our results were in line with recommendations at the time.
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Affiliation(s)
- L Mattart
- Medical and business information, CHC Groupe Santé, Liège, Belgium
| | - P Magotteaux
- Department of abdominal surgery, CHC Groupe Santé, Liège, Belgium
| | - N Blétard
- Department of pathology, CHC Groupe Santé, Liège, Belgium
| | - L Brescia
- Department of abdominal surgery, CHC Groupe Santé, Liège, Belgium
| | - N Debergh
- Department of abdominal surgery, CHC Groupe Santé, Liège, Belgium
| | - C De Meester
- Department of abdominal surgery, CHC Groupe Santé, Liège, Belgium
| | - G Demolin
- Department of oncoloy, CHC Groupe Santé, Liège, Belgium
- Department of gastroenterology, CHC Groupe Santé, Liège, Belgium
| | - F Dister
- Department of imagery, CHC Groupe Santé, Liège, Belgium
| | - C Focan
- Department of oncoloy, CHC Groupe Santé, Liège, Belgium
| | - D Francart
- Department of abdominal surgery, CHC Groupe Santé, Liège, Belgium
| | - S Godin
- Department of radiotherapy, CHU Liege, Liège, Belgium
| | - G Houbiers
- Department of oncoloy, CHC Groupe Santé, Liège, Belgium
- Department of gastroenterology, CHC Groupe Santé, Liège, Belgium
| | - C Jehaes
- Department of abdominal surgery, CHC Groupe Santé, Liège, Belgium
| | - F Jehaes
- Department of abdominal surgery, CHC Groupe Santé, Liège, Belgium
| | - G Namur
- Department of nuclear medicine, CHC Groupe Santé, Liège, Belgium
| | - B Monami
- Department of abdominal surgery, CHC Groupe Santé, Liège, Belgium
| | - V Verdin
- Department of abdominal surgery, CHC Groupe Santé, Liège, Belgium
| | - J Weerts
- Department of abdominal surgery, CHC Groupe Santé, Liège, Belgium
| | - N Witvrouw
- Department of nuclear medicine, CHC Groupe Santé, Liège, Belgium
| | - S Markiewicz
- Department of abdominal surgery, CHC Groupe Santé, Liège, Belgium
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Godin S, Durham AD, Schiappacasse L, Ozsahin EM, Vilotte F. Vertebral compression fracture during stereotactic body radiotherapy for spinal metastasis: A rare case of tracking failure. Cancer Radiother 2020; 24:866-869. [PMID: 33129716 DOI: 10.1016/j.canrad.2020.03.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 03/07/2020] [Accepted: 03/27/2020] [Indexed: 10/23/2022]
Abstract
Spinal metastasis are a daily challenge in clinical practice. Stereotactic body radiotherapy (SBRT) allows delivery of definitive treatment with excellent long-term control rates. Its implementation needs dedicated devices and day-to-day image-guided radiotherapy (IGRT). The XSight™ spine tracking system, integrates with the CyberKnife® (Accuray™), provides a fiducial-free tracking system for spinal SBRT. We report a rare case of tracking failure during treatment due to the occurrence of a vertebral compression fracture (VCF).
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Affiliation(s)
- S Godin
- Department of radiation oncology, centre hospitalier universitaire Vaudois, Bugnon 46, CH-1011 Lausanne, Switzerland
| | - A-D Durham
- Department of radiation oncology, centre hospitalier universitaire Vaudois, Bugnon 46, CH-1011 Lausanne, Switzerland
| | - L Schiappacasse
- Department of radiation oncology, centre hospitalier universitaire Vaudois, Bugnon 46, CH-1011 Lausanne, Switzerland
| | - E-M Ozsahin
- Department of radiation oncology, centre hospitalier universitaire Vaudois, Bugnon 46, CH-1011 Lausanne, Switzerland.
| | - F Vilotte
- Department of radiation oncology, centre hospitalier universitaire Vaudois, Bugnon 46, CH-1011 Lausanne, Switzerland
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De Bari B, Breuneval T, Zeverino M, Godin S, Deantonio L, Prior J, Bourhis J, Moeckli R, Ozsahin M. PO-0683: Impact of the radiation dose on hepatic perfusion evaluated using mebrofenin liver scintigraphy. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31120-9] [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: 11/29/2022]
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Godin S, Ozsahin M, Zeverino M, Breuneval T, Prior J, Bourhis J, Moeckli R, De Bari B. Impact de la dose de radiothérapie sur la perfusion pulmonaire évaluée à l’aide de la scintigraphie pulmonaire. Cancer Radiother 2016. [DOI: 10.1016/j.canrad.2016.08.035] [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: 11/25/2022]
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Breuneval T, Ozsahin M, Zeverino M, Godin S, Prior J, Bourhis J, Moeckli R, De Bari B. Impact de la dose de radiothérapie sur la perfusion hépatique évalué à l’aide de la scintigraphie hépatique à la mébrofénine. Cancer Radiother 2016. [DOI: 10.1016/j.canrad.2016.08.048] [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: 11/15/2022]
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Belaiche S, Yafour N, Balcaen S, Beguin Y, Borel C, Bruno B, Godin S, Labussiere-Wallet H, Sanhamut N, Charbonnier A, de Berranger E, Konopacki-Potet J, Turlure P, Yakoub-Agha I. Immunosuppresseurs dans la prévention de la réaction du greffon contre l’hôte : rapport de la SFGM-TC. ACTA ACUST UNITED AC 2014; 62:197-203. [DOI: 10.1016/j.patbio.2014.05.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2014] [Accepted: 05/14/2014] [Indexed: 01/08/2023]
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Wallart A, Parguey V, de Bentzmann N, Bompoint C, Fournier I, Godin S, Lebars L, Maurer N, Porcheron S, Premel C, Renaud B, Boulanger F, Fort M, Marry É, Yakoub-Agha I. Interactions entre coordination nationale de greffe et coordinateurs locaux. ACTA ACUST UNITED AC 2013; 61:144-6. [DOI: 10.1016/j.patbio.2013.07.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2013] [Accepted: 07/18/2013] [Indexed: 10/26/2022]
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Fontagné-Dicharry S, Godin S, Liu H, Prabhu Antony Jesu P, Bouyssiere B, Bueno M, Tacon P, Médale F, Kaushik S. Influence of the forms and levels of dietary selenium on oxidative stress in rainbow trout fry. Commun Agric Appl Biol Sci 2013; 78:125-128. [PMID: 25141645] [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: 06/03/2023]
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Peters L, Godin S. Using Secondary Data and Geo-Spatial Mapping to Identify Unmet Needs within HIV Case Management Services in Rural Pennsylvania. Am J Epidemiol 2006. [DOI: 10.1093/aje/163.suppl_11.s135-c] [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: 11/14/2022] Open
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Steinbrecht W, Claude H, Schönenborn F, McDermid IS, Leblanc T, Godin S, Song T, Swart DPJ, Meijer YJ, Bodeker GE, Connor BJ, Kämpfer N, Hocke K, Calisesi Y, Schneider N, de la Noë J, Parrish AD, Boyd IS, Brühl C, Steil B, Giorgetta MA, Manzini E, Thomason LW, Zawodny JM, McCormick MP, Russell JM, Bhartia PK, Stolarski RS, Hollandsworth-Frith SM. Long-term evolution of upper stratospheric ozone at selected stations of the Network for the Detection of Stratospheric Change (NDSC). ACTA ACUST UNITED AC 2006. [DOI: 10.1029/2005jd006454] [Citation(s) in RCA: 76] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
| | - H. Claude
- German Weather Service; Hohenpeissenberg Germany
| | | | - I. S. McDermid
- Table Mountain Facility; NASA-JPL; Wrightwood California USA
| | - T. Leblanc
- Table Mountain Facility; NASA-JPL; Wrightwood California USA
| | - S. Godin
- CNRS Service d'Aeronomie; Paris France
| | - T. Song
- CNRS Service d'Aeronomie; Paris France
| | | | | | | | | | - N. Kämpfer
- Institute of Applied Physics; University of Bern; Bern Switzerland
| | - K. Hocke
- Institute of Applied Physics; University of Bern; Bern Switzerland
| | - Y. Calisesi
- Institute of Applied Physics; University of Bern; Bern Switzerland
| | - N. Schneider
- OASU/L3AB; Université Bordeaux 1, CNRS-INSU; Floirac France
| | - J. de la Noë
- OASU/L3AB; Université Bordeaux 1, CNRS-INSU; Floirac France
| | - A. D. Parrish
- Astronomy Department; University of Massachusetts; Amherst Massachusetts USA
| | | | - C. Brühl
- Max-Planck-Institute for Chemistry; Mainz Germany
| | - B. Steil
- Max-Planck-Institute for Chemistry; Mainz Germany
| | | | - E. Manzini
- Istituto Nazionale di Geofisica e Vulcanologia; Bologna Italy
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Godin S. [Ocular redness in general medicine]. Rev Med Brux 2003; 24:A324-9. [PMID: 14606297] [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: 04/27/2023]
Abstract
Ocular redness is analysed within the framework of the practice in general medicine. The stress of this work is laid on the development of clinical and anamnestic criteria (pain and diminution of visual acuity) which allow to suspect a serious pathology of the eye. The systematic examination of each entity is described under field conditions, using a simple light and fluorescein. The attitude of the general practitioner is detailed according to the degree of severity of the affection, while insisting on the clinical situations to refer to a specialist.
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Godin S. Influence of Arctic polar ozone depletion on lower stratospheric ozone amounts at Haute-Provence Observatory (43.92°N, 5.71°E). ACTA ACUST UNITED AC 2002. [DOI: 10.1029/2001jd000516] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Schulz A, Rex M, Harris NRP, Braathen GO, Reimer E, Alfier R, Kilbane-Dawe I, Eckermann S, Allaart M, Alpers M, Bojkov B, Cisneros J, Claude H, Cuevas E, Davies J, De Backer H, Dier H, Dorokhov V, Fast H, Godin S, Johnson B, Kois B, Kondo Y, Kosmidis E, Kyrö E, Litynska Z, Mikkelsen IS, Molyneux MJ, Murphy G, Nagai T, Nakane H, O'Connor F, Parrondo C, Schmidlin FJ, Skrivankova P, Varotsos C, Vialle C, Viatte P, Yushkov V, Zerefos C, von der Gathen P. Arctic ozone loss in threshold conditions: Match observations in 1997/1998 and 1998/1999. ACTA ACUST UNITED AC 2001. [DOI: 10.1029/2000jd900653] [Citation(s) in RCA: 56] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Schulz A, Rex M, Steger J, Harris NRP, Braathen GO, Reimer E, Alfier R, Beck A, Alpers M, Cisneros J, Claude H, De Backer H, Dier H, Dorokhov V, Fast H, Godin S, Hansen G, Kanzawa H, Kois B, Kondo Y, Kosmidis E, Kyrö E, Litynska Z, Molyneux MJ, Murphy G, Nakane H, Parrondo C, Ravegnani F, Varotsos C, Vialle C, Viatte P, Yushkov V, Zerefos C, von der Gathen P. Match observations in the Arctic winter 1996/97: High stratospheric ozone loss rates correlate with low temperatures deep inside the polar vortex. Geophys Res Lett 2000; 27:205-208. [DOI: 10.1029/1999gl010811] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
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Godin S, Carswell AI, Donovan DP, Claude H, Steinbrecht W, McDermid IS, McGee TJ, Gross MR, Nakane H, Swart DP, Bergwerff HB, Uchino O, von der Gathen P, Neuber R. Ozone differential absorption lidar algorithm intercomparison. Appl Opt 1999; 38:6225-36. [PMID: 18324146 DOI: 10.1364/ao.38.006225] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
An intercomparison of ozone differential absorption lidar algorithms was performed in 1996 within the framework of the Network for the Detection of Stratospheric Changes (NDSC) lidar working group. The objective of this research was mainly to test the differentiating techniques used by the various lidar teams involved in the NDSC for the calculation of the ozone number density from the lidar signals. The exercise consisted of processing synthetic lidar signals computed from simple Rayleigh scattering and three initial ozone profiles. Two of these profiles contained perturbations in the low and the high stratosphere to test the vertical resolution of the various algorithms. For the unperturbed profiles the results of the simulations show the correct behavior of the lidar processing methods in the low and the middle stratosphere with biases of less than 1% with respect to the initial profile to as high as 30 km in most cases. In the upper stratosphere, significant biases reaching 10% at 45 km for most of the algorithms are obtained. This bias is due to the decrease in the signal-to-noise ratio with altitude, which makes it necessary to increase the number of points of the derivative low-pass filter used for data processing. As a consequence the response of the various retrieval algorithms to perturbations in the ozone profile is much better in the lower stratosphere than in the higher range. These results show the necessity of limiting the vertical smoothing in the ozone lidar retrieval algorithm and questions the ability of current lidar systems to detect long-term ozone trends above 40 km. Otherwise the simulations show in general a correct estimation of the ozone profile random error and, as shown by the tests involving the perturbed ozone profiles, some inconsistency in the estimation of the vertical resolution among the lidar teams involved in this experiment.
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Affiliation(s)
- S Godin
- Service d'Aéronomie, Centre National de la Recherche Scientifique, Université Pierre et Marie Curie, 75252 Paris Cedex 05, France.
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Bruckner M, Mangan M, Godin S, Pogach L. Project LEAP of New Jersey: lower extremity amputation prevention in persons with type 2 diabetes. Am J Manag Care 1999; 5:609-16. [PMID: 10537867] [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: 02/14/2023]
Abstract
OBJECTIVE To reduce type 2 diabetes-related lower extremity amputations (LEAs) in New Jersey through a statewide training program for primary care providers at healthcare agencies in high-risk areas. STUDY DESIGN Project LEAP provided 27 1-day training workshops to 560 healthcare professionals representing 85 organizations. The effect of training was evaluated based on a multiple-choice knowledge test, self-reported practice behaviors, and a medical records audit of practice behaviors, and pre- and postprogram LEA rates. PATIENTS AND METHODS We evaluated statistically significant differences in pre- and postprogram knowledge scores using Student's t-tests. We also evaluated providers' intentions to change clinical foot-care practices and compared them with actual practices documented in medical records. We used analysis of variance to determine any statistically significant differences in pre- and postprogram LEA rates at various types of institutions. In addition, we assisted facilities in the development of self-education programs containing specific foot-care modules. RESULTS Participating providers were: 70.6% nurses, 7.8% physicians, 4.5% podiatrists, 4.2% dietitians, and 12.9% all others. Pre- and postprogram knowledge scores increased by 12% (T = 13.29; P < 0.0001) and were maintained for 9 months (T = 7.58; P < 0.05). Provider intentions to change clinical practice behaviors correlated with self-reported practice changes 9 months postprogram (r = .51; P < 0.001). Medical record audits 1 year before and 9 months after training demonstrated marked improvement in foot-care practices in the following areas: (1) foot-care education given to patients by primary care providers; 2) documentation of peripheral vascular disease; 3) documentation of patient preventive care practices; and 4) referrals to diabetes educators, orthopedists, podiatrists, and diabetologists. Education programs with specific foot-care components increased 10%. The overall incidence of pre- and posttraining LEAs did not change significantly but differed depending on institution type. Hospitals and community healthcare centers were more likely to show postprogram reductions in LEAs than nursing homes and rehabilitation centers. CONCLUSION Institutionalization of a LEAP program resulted in improved provider knowledge and certain clinical practice behaviors. There was a trend toward an overall reduction in the number of LEAs at participating institutions.
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David C, Bekki S, Godin S, Mégie G, Chipperfield MP. Polar stratospheric clouds climatology over Dumont d'Urville between 1989 and 1993 and the influence of volcanic aerosols on their formation. ACTA ACUST UNITED AC 1998. [DOI: 10.1029/98jd01692] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Ricaud P, Monnier E, Goutail F, Pommereau JP, David C, Godin S, Froidevaux L, Waters JW, Mergenthaler J, Roche AE, Pumphrey H, Chipperfield MP. Stratosphere over Dumont d'Urville, Antarctica, in winter 1992. ACTA ACUST UNITED AC 1998. [DOI: 10.1029/98jd00689] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Brice P, Godin S, Libert O, Marolleau JP, Makki J, Extra JM, Faure P, Gisselbrecht C. Effect of lenograstim on the cost of autologous bone marrow transplantation. A preliminary communication. Pharmacoeconomics 1995; 7:238-241. [PMID: 10155313 DOI: 10.2165/00019053-199507030-00007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
High dose chemotherapy and autologous bone marrow transplantation (BMT) can produce prolonged remission in patients with malignant lymphoma or solid tumours. However, neutropenia is a serious complication of treatment in patients with these diseases. In this study, we investigated the costs and effects of using lenograstim, a recombinant human granulocyte colony-stimulating factor, to treat neutropenia in 16 patients with lymphoma or solid tumours. The cost of lenograstim was not included in the calculations. The duration of neutropenia and hospitalisation were both lower in patients who received lenograstim compared with no treatment. The mean cost of autologous BMT was FF142,000 in patients who received lenograstim, compared with FF166,000 in patients who did not. Savings were largely attributable to decreased expenditure on hospitalisation in the lenograstim-treated group. The cost of 14 days' treatment with lenograstim was estimated at FF10,500, based on a daily dosage of 150 micrograms/m2/day.
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Affiliation(s)
- P Brice
- Institut d'Hématologie, Hôpital Saint-Louis, Paris, France
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Chazette P, David C, Lefrère J, Godin S, Pelon J, Mégie G. Comparative lidar study of the optical, geometrical, and dynamical properties of stratospheric post-volcanic aerosols, following the eruptions of El Chichon and Mount Pinatubo. ACTA ACUST UNITED AC 1995. [DOI: 10.1029/95jd02268] [Citation(s) in RCA: 80] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Brice P, Godin S, Libert O, Marolleau JP, Makki J, Extra JM, Faure P, Gisselbrecht C. [Influence of the granulocyte growth factor on the cost of bone marrow autografts in oncologic hematology]. Presse Med 1994; 23:1512-5. [PMID: 7529921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
OBJECTIVE It is now possible to achieve prolonged remission of malignant lymphoma and certain cancers with high-dose chemotherapy followed by autograft with haematopoietic stem cells. We tested such a protocol, evaluating haematologic recovery, in order to determine the total cost of hospitalization. METHODS Sixteen patients were included in the study, 7 had severe or relapsing lymphoma, 7 had breast cancer or cancer of the ovary and 2 had cancer of the testicule. Mean age was 34 years, 14 patients reached complete remission and relapse occurred in 2. Ten patients were given granulocyte growth factor and 6 were given a placebo. RESULTS The duration of aplasia (number of days with a white cell count below 1 x 10(9)1) ranged from 10 to 32 days. In patients treated with granulocyte growth factor, it was shorter (16 vs 22 days) as was hospitalization time (27 vs 33 days). The cost of the autograft ranged from 100,000 FF to 250,000 FF and the average cost for the 16 patients was 149,500 FF including: 83,600 FF (56.4%) for hospitalization itself, 33,200 FF (22%) for drugs, mostly antibiotics, and 19,000 FF (13%) for laboratory examinations and 14,000 FF (9%) for blood transfusions. Total cost was lower in patients given granulocyte growth factor, 142,000 FF vs 166,000 FF for those given placebo. CONCLUSION In order to shorten the duration of the aplasia period, haematopoietic growth factors are widely used in autograft protocols. Our findings give an evaluation of the cost in 16 patients and show that cost decreases in patients given granulocyte growth factor. This reduction is cost is related to a lower hospitalization cost and not a reduction in the number of drugs and transfusions required.
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Affiliation(s)
- P Brice
- Institut d'Hématologie, Hôpital Saint-Louis, Paris
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Lacoste A, Godin S, Mégie G. Lidar measurements and Umkehr observations of the ozone vertical distribution at the Observatoire de Haute-Provence. ACTA ACUST UNITED AC 1992. [DOI: 10.1016/0021-9169(92)90097-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [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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Stefanutti L, Morandi M, Guasta MD, Godin S, Megie G, Brechet J, Piquard J. Polar stratospheric cloud observations over the Antarctic continent at Dumont d'Urville. ACTA ACUST UNITED AC 1991. [DOI: 10.1029/91jd00776] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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