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Mirza M, Chase D, Slomovitz B, Christensen R, Novák Z, Black D, Gilbert L, Sharma S, Valabrega G, Landrum L, Hanker L, Stuckey A, Boere I, Gold M, Gill S, Monk B, He Z, Stevens S, Coleman R, Powell M. VP2-2023: Dostarlimab+chemotherapy for the treatment of primary advanced or recurrent (A/R) endometrial cancer (EC): A placebo (PBO)-controlled randomised phase III trial (ENGOT-EN6-NSGO/GOG-3031/RUBY). Ann Oncol 2023. [DOI: 10.1016/j.annonc.2023.02.008] [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: 03/29/2023] Open
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Philips R, Chase D, Thompson D, Hardcastle M, Kiupel M. An extradural cyst in a French Bulldog. N Z Vet J 2023; 71:145-151. [PMID: 36735932 DOI: 10.1080/00480169.2023.2176937] [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] [Indexed: 02/05/2023]
Abstract
CASE HISTORY A 7-year-old, male neutered French Bulldog was referred to a specialist veterinary hospital for evaluation of progressive paraparesis of 6-months' duration. The owners reported both faecal and urinary incontinence at home. CLINICAL FINDINGS The dog presented with ambulatory paraparesis and pelvic limb ataxia that was more pronounced in the right pelvic limb. The pelvic limb withdrawal response and sciatic myotatic response were reduced bilaterally. Postural reaction responses were delayed in both pelvic limbs, and this was more obvious in the right pelvic limb. The anal tone and perineal sensation were normal at the time of examination.An L4-S3 myelopathy was suspected. CT of the spine revealed a compressive, bilobed, extramedullary, cyst-like structure within the vertebral canal, between L7 and S3. Surgical removal of the cyst via a L7-S1 dorsal laminectomy was performed. Histopathological examination and additional immunohistochemistry of the excised structure indicated a probable ependymal cyst with a ciliated lining. The dog recovered well post-operatively, and at follow-up 3 weeks later had some improvement of his neurological signs. The paraparesis and pelvic limb ataxia had improved; however, the remaining neurological examination was similar to the pre-surgical examination. DIAGNOSIS Extradural cyst. CLINICAL RELEVANCE Spinal cysts can contribute to clinical signs that resemble other common chronic spinal cord diseases, such as intervertebral disc disease. Therefore, this disease should be considered as a differential when dealing with cases of progressive paraparesis and pelvic limb ataxia. This case report may potentially provide opportunities in the future for further understanding of the pathogenesis, behaviour, outcomes and subclassification of spinal cysts in dogs.
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Affiliation(s)
- R Philips
- Veterinary Specialists Aotearoa, Auckland, New Zealand
| | - D Chase
- Veterinary Specialists Aotearoa, Auckland, New Zealand
| | - D Thompson
- Veterinary Specialists Aotearoa, Auckland, New Zealand
| | - M Hardcastle
- Gribbles Veterinary Pathology, Auckland, New Zealand
| | - M Kiupel
- Veterinary Diagnostic Laboratory, College of Veterinary Medicine, Michigan State University, Lansing, MI, USA
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Ball E, Chase D, Coomer A. Treatment of acute traumatic nasopharyngeal stenosis with balloon dilation in two dogs. N Z Vet J 2022; 70:279-286. [PMID: 35506314 DOI: 10.1080/00480169.2022.2073918] [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] [Indexed: 10/18/2022]
Abstract
CASE HISTORY Two dogs were referred to Veterinary Specialists Aotearoa for evaluation and treatment after sustaining significant head trauma. Case 1 was a 7-month-old, female Staffordshire Bull Terrier who was hit by a car at low speed. Case 2 was a 2-year old, male neutered German Shepherd who sustained a gunshot wound to the head whilst on duty for the New Zealand Police Dog Unit. CLINICAL FINDINGS The dog in Case 1 suffered numerous facial fractures which caused collapse of the ventral nasal meatus and dorsal nasopharyngeal wall. The dog in Case 2 had extensive osseous and soft tissue damage to the nose, nasopharynx and cervical region with severe narrowing of the ventral meatuses, nasopharyngeal meatus and rostral nasopharynx due to multiple fracture fragments and shrapnel pieces. A diagnosis of traumatic nasopharyngeal stenosis was made in each case by computed tomography. Mechanical balloon dilation was used to treat the stenosis in both dogs. The balloon dilations were performed using a 12-mm balloon dilation catheter inserted in an antegrade fashion. In the first dog, the procedure was performed blind and was repeated three times with 5 and 9-day intervals between dilations. In the second dog, the procedure was performed under endoscopic guidance and again, was repeated three times with a 7-day interval between dilations. Clinical success was reported in both patients following treatment and the second dog also underwent a follow-up computed tomography scan which confirmed resolution of the stenosis. DIAGNOSIS Traumatic nasopharyngeal stenosis that was successfully treated with balloon dilation. CLINICAL RELEVANCE Findings suggest that balloon dilation may be an effective technique for the treatment of traumatic nasopharyngeal stenosis in dogs. Multiple dilation procedures are likely required, but the procedure can ultimately result in long term clinical resolution.
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Affiliation(s)
- E Ball
- Veterinary Specialists Aotearoa, Mount Albert, Auckland, New Zealand
| | - D Chase
- Veterinary Specialists Aotearoa, Mount Albert, Auckland, New Zealand
| | - A Coomer
- Veterinary Specialists Aotearoa, Mount Albert, Auckland, New Zealand
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Tikekar A, De Vicente F, McCormack A, Thomson D, Farrell M, Carmichael S, Chase D. Retrospective comparison of outcomes following tibial plateau leveling osteotomy and lateral fabello-tibial suture stabilisation of cranial cruciate ligament disease in small dogs with high tibial plateau angles. N Z Vet J 2022; 70:218-227. [DOI: 10.1080/00480169.2022.2052992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- A Tikekar
- Veterinary Specialists Auckland, Mount Albert, Auckland, New Zealand
| | - F De Vicente
- Pride Veterinary Specialists, Derby, Derbyshire, UK
| | | | - D Thomson
- Chester Gates Veterinary Referrals, Chester, Cheshire, UK
| | | | - S Carmichael
- School of Veterinary Medicine, University of Surrey, Guildford, Surrey, UK
| | - D Chase
- Veterinary Specialists Auckland, Mount Albert, Auckland, New Zealand
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Manickavasagam A, Patloori S, Perla H, Chase D, Roshan J. Reuse, Reduce, Recycle: the 21st century Mantra. Indian Pacing Electrophysiol J 2022. [DOI: 10.1016/j.ipej.2022.02.003] [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: 11/28/2022] Open
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Manickavasagam A, Patloori S, Perla H, Chase D, Roshan J. Transesophageal Electrophysiological Study in Management of Pediatric tachyarrhythmias. Indian Pacing Electrophysiol J 2022. [DOI: 10.1016/j.ipej.2022.02.015] [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: 10/18/2022] Open
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Chase D, Mahajan A, Scott D, Hawkins N, Woodward T, Kalilani L. 761P Impact of residual disease on outcomes in patients with ovarian cancer: A meta-analysis. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1203] [Citation(s) in RCA: 1] [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: 11/16/2022] Open
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Chase D, Perhanidis J, Gupta D, Kalilani L, Lechpammer S, Woodward T, González-Martín A. 742P Survival in patients (pts) with advanced ovarian cancer (AOC) changes with cumulative number of risk factors (RFs): A US real-world (RW) analysis. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1184] [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] Open
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Perla H, Patloori S, Chase D, Roshan J. Do the predictors of right ventricular pacing-induced cardiomyopathy add up? Indian Pacing Electrophysiol J 2021. [DOI: 10.1016/j.ipej.2020.11.008] [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: 11/30/2022] Open
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Heitz F, Pothuri B, Han S, Chase D, Burger R, Gaba L, Van Le L, Guerra E, Bender D, Korach J, Cloven N, Follana P, Baurain JF, Pisano C, Peen U, Maenpaa J, Bacque E, Li Y, González-Martin A, Monk BJ. Patient-reported outcomes (PRO) in patients receiving niraparib in the PRIMA/ENGOT-OV26/GOG-3012 trial. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- F Heitz
- Kliniken Essen-Mitte, Department for Gynecology and Gynecologic Oncology
| | - B Pothuri
- Gynecologic Oncology Group (GOG) and Perlmutter Cancer Center, NYU Langone Health, Department of Obstetrics/Gynecology
| | - S Han
- University Hospitals Leuven, Department of Obstetrics and Gynecology
| | - D Chase
- Arizona Oncology (US Oncology Network), University of Arizona College of Medicine
| | | | - L Gaba
- Hospital Clinic de Barcelona, Medical Oncology Department
| | - L Van Le
- University of North Carolina at Chapel Hill, Department of Ob/Gyn, Division of Gynecologic Oncology
| | - E Guerra
- Hospital Ramon y Cajal, Medical Oncology Department, Breast and Gynecological Cancer Unit
| | - D Bender
- University of Iowa, Department of Obstetrics and Gynecology
| | - J Korach
- The Chaim Sheba Medical Center, Sackler Medical School Tel Aviv University, Department of Oncology
| | | | - P Follana
- GINECO and Centre Antoine Lacassagne
| | - JF Baurain
- Université Catholique de Louvain and Cliniques Universitaires Saint-Luc
| | - C Pisano
- Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, Department of Urology and Gynecology
| | - U Peen
- Herlev University Hospital
| | | | | | | | - A González-Martin
- Grupo Español de Investigación en Cáncer de Ovario (GEICO) and Clínica Universidad de Navarra, Medical Oncology Department
| | - BJ Monk
- Arizona Oncology (US Oncology Network), University of Arizona College of Medicine
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Pothuri B, Han S, Chase D, Heitz F, Burger R, Gaba L, Van Le L, Guerra E, Bender D, Korach J, Cloven N, Follana P, Baurain JF, Pisano C, Peen U, Maenpaa J, Bacqué E, Li Y, Martín AG, Monk B. 810MO Patient-reported outcomes (PROs) in patients (pts) receiving niraparib in the PRIMA/ENGOT-OV26/GOG-3012 trial. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.949] [Citation(s) in RCA: 5] [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: 11/27/2022] Open
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Neighbors J, Chase D, Harrow B, Perhanidis J, Monk B. Gastrointestinal Symptoms and Diagnosis Preceding Ovarian Cancer Diagnosis: Delays in Diagnosis and Resulting Effects on Treatment Allocation. Gynecol Oncol 2020. [DOI: 10.1016/j.ygyno.2019.11.084] [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: 10/24/2022]
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Eakin C, Ewongwo A, Chase D, Monk B. A Qualitative Evaluation of Clinical Burden of Poly (ADP-ribose) Polymerase Inhibitor Usage in a Community Oncology Practice. Gynecol Oncol 2020. [DOI: 10.1016/j.ygyno.2019.11.079] [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: 11/28/2022]
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Barnes D, Rivera R, Gibson S, Craig C, Cragun J, Monk B, Chase D. The utility of patient reported data in a gynecologic oncology clinic. Gynecol Oncol Res Pract 2018; 5:4. [PMID: 30009038 PMCID: PMC6044081 DOI: 10.1186/s40661-018-0062-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Accepted: 06/27/2018] [Indexed: 12/04/2022]
Abstract
BACKGROUND Measuring QoL is essential to the field of gynecologic oncology but there seems to be limited standardized data regarding collecting QoL assessments throughout a patient's cancer treatment especially in non-clinical trial patients. The aim of this study is to explore patient characteristics that may be associated with poor quality of life (QoL) in women with gynecologic cancers at two University of Arizona Cancer Center (UACC) sites. METHODS A cross-sectional survey was conducted among English speaking women with gynecologic malignancies at the University of Arizona Cancer Centers in Phoenix and Tucson from April 2012 to July 2015. The survey was a paper packet of questions that was distributed to cancer patients at the time of their clinic visit. The packet contained questions on demographic information, treatment, lifestyle characteristics, pelvic pain and Health-related quality of life (HRQoL). Measures included the generic and cancer-specific scores on the Functional Assessment of Cancer Therapy-General (FACT-G) and the Female Genitourinary Pain Index (GUPI). The total scores and subdomains were compared with descriptive variables (age, body mass index (BMI), diet, exercise, disease status, treatment and support group attendance) using Cronbach alpha (α), Spearman rank correlations (ρ), and Holm's Bonferroni method. RESULTS One-hundred and forty-nine women completed the survey; 55% (N = 81) were older than 60 years, 38% (N = 45) were obese (BMI > 30), 46% (N = 66) exercised daily, and 84% (N = 111) ate one or more daily serving of fruit and vegetables. Women in remission, those who exercised daily and ate fruits/vegetables were less likely to have their symptoms impact their QoL. Younger women were more likely to report genitourinary issues (p = - 0.22) and overall problems with QoL (p = - 0.29) than older women. Among FACT-G support group responses, we found those that did not attend support groups had a significantly higher emotional wellbeing (p = 0.05). CONCLUSIONS This study identified potential areas of clinical focus, which aid in understanding our approach to caring for gynecologic cancer patients and improvement of their HRQoL. We identified that age, pelvic pain, and lifestyle characteristics have indicators to poor QoL in women with gynecologic cancers. In this population, younger women and those with pelvic pain complaints, poor diet and exercise habits should be targeted early for supportive care interventions to improve QoL throughout both treatment and survivorship.
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Affiliation(s)
- D. Barnes
- Department of Gynecologic Oncology, Creighton University School of Medicine at St. Joseph’s Hospital and Medical Center, Phoenix, AZ USA
| | - R. Rivera
- Department of Gynecologic Oncology, Creighton University School of Medicine at St. Joseph’s Hospital and Medical Center, Phoenix, AZ USA
| | - S. Gibson
- University of Arizona Cancer Center, Tucson, AZ USA
| | - C. Craig
- Department of Gynecologic Oncology, Creighton University School of Medicine at St. Joseph’s Hospital and Medical Center, Phoenix, AZ USA
| | - J. Cragun
- University of Arizona Cancer Center, Tucson, AZ USA
| | - B. Monk
- Department of Gynecologic Oncology, Creighton University School of Medicine at St. Joseph’s Hospital and Medical Center, Phoenix, AZ USA
| | - D. Chase
- Department of Gynecologic Oncology, Creighton University School of Medicine at St. Joseph’s Hospital and Medical Center, Phoenix, AZ USA
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Gibson S, Center K, Gunn J, Craig C, Cragun J, Chase D, Barnes D. Using Quality of Life Data to Redesign Interventions and Allocate Resources toward Treatment and Survivorship in a Gynecologic Oncology Program. Gynecol Oncol 2016. [DOI: 10.1016/j.ygyno.2016.08.253] [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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Minion L, Chase D, Farley J, Willmott L, Monk B. Safety and efficacy of salvage nano-particle albumin bound paclitaxel in recurrent cervical cancer: A feasibility study. Gynecol Oncol 2015. [DOI: 10.1016/j.ygyno.2015.07.051] [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]
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Shields K, Willmott L, Farley J, Monk B, Chase D. Factors associated with low educational background in uterine cancer patients. Gynecol Oncol 2015. [DOI: 10.1016/j.ygyno.2015.01.306] [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: 10/23/2022]
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Jordan S, Kalantari M, Bernard H, Calleja-Macias I, Kim S, Chase D, Tewari K. Binary methylation of human papillomavirus (HPV) L1 and death-associated protein kinase (DAPK) as biomarkers of progression in cervical carcinogenesis. Gynecol Oncol 2014. [DOI: 10.1016/j.ygyno.2014.03.298] [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: 11/30/2022]
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Craig C, Lin C, Fedewa S, Virgo K, Farley J, Monk B, Chase D. Therapeutic choices and outcomes in vulvar cancer cases reported by the National Cancer Database Registry. Gynecol Oncol 2013. [DOI: 10.1016/j.ygyno.2013.04.455] [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: 10/26/2022]
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Jordan S, Osann K, Wenzel L, Arroyo A, Tewari K, Chase D. Can patient-reported symptom assessment be useful in a gynecologic oncology office practice? A prospective study using the Edmonton Symptom Assessment Scale (ESAS) in a diverse population. Gynecol Oncol 2012. [DOI: 10.1016/j.ygyno.2012.07.066] [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: 10/28/2022]
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Chase D, McLauchlan G, Eckersall PD, Parkin T, Pratschke K, Pratschke J. Acute phase protein levels in dogs with mast cell tumours and sarcomas. Vet Rec 2012; 170:648. [DOI: 10.1136/vr.100401] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Affiliation(s)
- D. Chase
- Pride Veterinary Centre; Riverside Road Derby Derbyshire DE24 8HX UK
| | - G. McLauchlan
- School of Veterinary Medicine; Garscube Estate, 464 Bearsden Road Glasgow G61 1QH UK
| | - P. D. Eckersall
- School of Veterinary Medicine; Garscube Estate, 464 Bearsden Road Glasgow G61 1QH UK
| | - T. Parkin
- School of Veterinary Medicine; Garscube Estate, 464 Bearsden Road Glasgow G61 1QH UK
| | - K. Pratschke
- School of Veterinary Medicine; Garscube Estate, 464 Bearsden Road Glasgow G61 1QH UK
| | - J. Pratschke
- Department of Economics and Statistics; University of Salerno; Via ponte don Melillo Fisciano 84084 SA Italy
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Chase D, Carter J, Huang H, Cella D, Walker J, Wenzel L. Patient-reported sexual functioning in early stage endometrial cancer patients: An exploratory analysis of the Gynecologic Oncology Group (GOG) protocol LAP-2. Gynecol Oncol 2012. [DOI: 10.1016/j.ygyno.2011.12.293] [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: 10/28/2022]
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Willoughby S, Scultz C, Kumar S, Priya S, Nair S, Srivastava A, Joseph G, George O, Pati P, Chase D, Chandy S, John B, Sanders P. Rheumatic Mitral Stenosis is Associated with Elevated Endothelin-1 Levels. Heart Lung Circ 2012. [DOI: 10.1016/j.hlc.2012.05.062] [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: 10/28/2022]
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Fedewa S, Lerro C, Chase D, Ward E. Insurance status and racial differences in uterine cancer survival: A study of patients in the National Cancer Database. Gynecol Oncol 2011; 122:63-8. [DOI: 10.1016/j.ygyno.2011.03.010] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2010] [Revised: 03/10/2011] [Accepted: 03/11/2011] [Indexed: 11/15/2022]
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Chase D, Sill M, Chambers M, Darcy K, Han E, Fruehauf J, Monk B, Buening B, Sorosky J, Burger R. Changes in tumor blood flow as estimated by dynamic-contrast MRI may predict activity of single-agent bevacizumab in recurrent epithelial ovarian cancer and primary peritoneal cancer: An exploratory analysis of a Gynecologic Oncology Group phase II trial. Gynecol Oncol 2011. [DOI: 10.1016/j.ygyno.2010.12.157] [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: 10/18/2022]
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Hoyle D, Juhasz G, Aso E, Chase D, del Rio J, Fabre V, Hamon M, Lanfumey L, Lesch KP, Maldonado R, Serra MA, Sharp T, Tordera R, Toro C, Deakin JFW. Shared changes in gene expression in frontal cortex of four genetically modified mouse models of depression. Eur Neuropsychopharmacol 2011; 21:3-10. [PMID: 21030216 DOI: 10.1016/j.euroneuro.2010.09.011] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2010] [Revised: 09/21/2010] [Accepted: 09/24/2010] [Indexed: 12/01/2022]
Abstract
This study aimed to identify whether genetic manipulation of four systems implicated in the pathogenesis of depression converge on shared molecular processes underpinning depression-like behaviour in mice. Altered 5HT function was modelled using the 5-HT transporter knock out mouse, impaired glucocorticoid receptor (GR) function using an antisense-induced knock down mouse, disrupted glutamate function using a heterozygous KO of the vesicular glutamate transporter 1 gene, and impaired cannabinoid signalling using the cannabinoid 1 receptor KO mouse. All 4 four genetically modified mice were previously shown to show exaggerated helpless behaviour compared to wild-type controls and variable degrees of anxiety and anhedonic behaviour. mRNA was extracted from frontal cortex and hybridised to Illumina microarrays. Combined contrast analysis was used to identify genes showing different patterns of up- and down-regulation across the 4 models. 1823 genes were differentially regulated. They were over-represented in gene ontology categories of metabolism, protein handling and synapse. In each model compared to wild-type mice of the same genetic background, a number of genes showed increased expression changes of >10%, other genes showed decreases in each model. Most of the genes showed mixed effects. Several previous array findings were replicated. The results point to cellular stress and changes in post-synaptic remodelling as final common mechanisms of depression and resilience.
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Affiliation(s)
- D Hoyle
- Faculty of Life Sciences, University of Manchester, Manchester, UK
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Abstract
Although nitrate therapy, used in the treatment of cardiovascular disorders, is frequently associated with side-effects, mainly headaches, the summaries of product characteristics of nitrate-containing medicines do not report detailed description of headaches and even do not highlight the possibility of nitrate-induced migraine. Two different types of nitrate-induced headaches have been described: (i) immediate headaches that develop within the first hour of the application, are mild or medium severity without characteristic symptoms for migraine, and ease spontaneously; and (ii) delayed, moderate or severe migraine-type headaches (occurring mainly in subjects with personal or family history of migraine), that develop 3-6 h after the intake of nitrates, with debilitating, long-lasting symptoms including nausea, vomiting, photo- and/or phono-phobia. These two types of headaches are remarkably different, not only in their timing and symptoms, but also in the persons who are at risk. Recent studies provide evidence that the two headache types are caused by different mechanisms: immediate headaches are connected to vasodilation caused by nitric oxide (NO) release, while migraines are triggered by other actions such as the release of calcitonin gene-related peptide or glutamate, or changes in ion channel function mediated by cyclic guanosine monophosphate or S-nitrosylation. Migraines usually need anti-attack medication, such as triptans, but these drugs are contraindicated in most medical conditions that are treated using nitrates. In conclusion, these data recommend the correction of summaries of nitrate product characteristics, and also suggest a need to develop new types of anti-migraine drugs, effective in migraine attacks, that could be used in patients with risk for angina pectoris.
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Affiliation(s)
- G Bagdy
- Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary.
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Dellinger T, Chase D, Stablein G, Vu J, Huang Y, Tewari K. Family history of cancer as a predictor for poor survival among young women with endometrial cancer (EC). Gynecol Oncol 2010. [DOI: 10.1016/j.ygyno.2009.10.013] [Citation(s) in RCA: 1] [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: 11/29/2022]
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Melkonyan A, Sheibani L, Chase D, Tewari K. Adenocarcinoma versus adenosquamous carcinoma of the cervix: A comparison of diagnostic, clinical and pathological outcomes. Gynecol Oncol 2010. [DOI: 10.1016/j.ygyno.2009.10.002] [Citation(s) in RCA: 1] [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: 11/28/2022]
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Chase D, Rosten C, Turner S, Hicks N, Milne R. Development of a toolkit and glossary to aid in the adaptation of health technology assessment (HTA) reports for use in different contexts. Health Technol Assess 2009; 13:1-142, iii. [PMID: 19958718 DOI: 10.3310/hta13590] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- D Chase
- NIHR Evaluation, Trials and Studies Coordinating Centre, Health Technology Assessment, Southampton, UK
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Chase D, Bray J, Ide A, Polton G. Outcome following removal of canine spindle cell tumours in first opinion practice: 104 cases. J Small Anim Pract 2009; 50:568-74. [DOI: 10.1111/j.1748-5827.2009.00809.x] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Wenzel L, Chase D, Hawk J, Osann K, Tewari K. Predictors of compliance in colposcopy clinic follow-up among the uninsured. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.e20511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e20511 Background: Despite successful screening programs for cervical cancer, ethnic disparities persist. The no-show rate for follow-up appointments after HPV-related abnormal pap smears approximates 50% in high risk populations. We sought to identify factors that may influence follow-up compliance in a multi-ethnic, low income population at risk for cervical cancer. Methods: A longitudinal cohort study was conducted by chart review for all patients identified as having had a colposcopy exam for HPV-associated cervical dysplasia at a southern California inner city clinic from 2006 to 2007. Compliance was defined as obtaining a pap smear within 3 to 14 months from the initial colposcopy. The following variables were evaluated in a multivariate logistic regression model to identify factors which predicted follow-up compliance: race, age, preferred language, insurance, income, marital status, cytology, histology, history of a LLETZ, and pregnancy status. Results: During the study period, 438 patients attended the colposcopy clinic. This approximates 52% of the 912 scheduled clinic appointments during 2006. Patients’ median age was 28 years, 41% were Spanish speaking, with an estimated median income of less than $20,000 for half of the sample. Approximately 71% of patients had temporary publically-funded insurance. Only 55% (239/438) returned for recommended follow-up pap smear. In univariate and multivariate analysis, neither language, Spanish surname, median income, age, histology, nor insurance status predicted adequate follow-up (p=ns). A history of having undergone a large loop excision of the transformation zone (LLETZ) was the only factor which significantly predicted compliance with recommended follow-up pap smear (OR=1.76; 95% CI 1.08–2.895). Conclusions: Follow-up compliance for this high-risk, low income population is very poor. Identifying factors which predict noncompliance could inform strategies to improve care. In this analysis a history of LLETZ was the only variable which predicted whether follow-up care occurred as recommended. Results suggest that intensive, culturally-sensitive colposcopy clinic-based educational interventions should be developed and evaluated. No significant financial relationships to disclose.
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Affiliation(s)
- L. Wenzel
- University of California, Irvine, Irvine, CA
| | - D. Chase
- University of California, Irvine, Irvine, CA
| | - J. Hawk
- University of California, Irvine, Irvine, CA
| | - K. Osann
- University of California, Irvine, Irvine, CA
| | - K. Tewari
- University of California, Irvine, Irvine, CA
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Ramsey C, Usynin A, Chase D. TU-EE-A1-03: Multileaf Collimator Performance and Quality Assurance For Volume Modulated Arc Therapy. Med Phys 2008. [DOI: 10.1118/1.2962607] [Citation(s) in RCA: 2] [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: 11/07/2022] Open
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Ramsey C, Charara Y, Chase D. TH-D-AUD B-02: A Technique For Creating VMAT Plans Using Direct Machine Parameter Optimization. Med Phys 2008. [DOI: 10.1118/1.2962904] [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: 11/07/2022] Open
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Harris C, Ramsey C, Seibert R, Robison B, Chase D, Whitaker M. SU-FF-T-125: Comparison of Radiographic Film, Radiochromic Film, and CR Plates for Intensity Modulated Radiation Therapy Quality Assurance. Med Phys 2007. [DOI: 10.1118/1.2760783] [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: 11/07/2022] Open
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Harris C, Ramsey C, Seibert R, Robison B, Chase D, Whitaker M. SU-DD-A2-02: Analysis of Film Registration Techniques in Intensity Modulated Radiation Therapy Quality Assurance. Med Phys 2007. [DOI: 10.1118/1.2760346] [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: 11/07/2022] Open
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Chase D, Ramsey C, Seibert R, Robison B. TU-C-AUD-10: Evaluation of a Model Based Segmentation Algorithm for Automatic Contouring. Med Phys 2007. [DOI: 10.1118/1.2761359] [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: 11/07/2022] Open
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Chase D, Ramsey C, Seibert R, Robison B, Harris C. SU-FF-P-04: Evaluation of Treatment Planning Time Savings Using Direct Machine Parameter Optimization. Med Phys 2007. [DOI: 10.1118/1.2760641] [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: 11/07/2022] Open
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Buxton M, Caine N, Chase D, Connelly D, Grace A, Jackson C, Parkes J, Sharples L. A review of the evidence on the effects and costs of implantable cardioverter defibrillator therapy in different patient groups, and the modelling of cost-effectivenessan cost-utility for these groups in a UK context. Health Technol Assess 2006; 10:iii-iv, ix-xi, 1-164. [PMID: 16904046 DOI: 10.3310/hta10270] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES To update the systematic review evidence on the effectiveness, health-related quality of life (HRQoL) and cost-effectiveness of implantable cardioverter defibrillators (ICDs); compilation of new data on the service provision in the UK; and on the clinical characteristics, survival, quality of life and costs of ICD patients in the UK, and a new cost-effectiveness model using both international RCT and UK-specific data. DATA SOURCES Electronic databases searched from November 1999 to March 2003, this was supplemented by a systematic review of research published during 2003-5. Survey data. REVIEW METHODS Studies were selected and assessed. A survey of ICD centres was carried out. Basic data were obtained from two major implanting centres including 535 patients (approximately 10% of overall UK activity) implanted between 1991 and 2002, and retrieval of fuller data, on patient characteristics, management and resource use, from patient notes for a sample of 426 patients was attempted. A cross-sectional survey collected HRQoL data (using the Nottingham Health Profile, Short Form 36, Hospital Anxiety and Depression questionnaire, EuroQoL 5 Dimensions and disease-specific questions) on a sample of 229 patients. A Markov model combined UK patient data with data from published randomised controlled trials (RCTs) to estimate incremental costs per life-year or quality-adjusted life-year (QALY) gained. RESULTS None of the economic analyses in the studies found could be directly applied to the UK. The multiple sources of routine data available (including the national ICD database) provide an imperfect picture of the need for and use of ICDs. Implantation rates have been rising to a rate of around 20 per million population. Mean age is increasing and most ICDs are implanted into men aged 45-74 years. There is significant geographical variation. A survey of 41 UK centres provided additional evidence, particularly of variation in level of activity and resourcing. Most detailed data were obtained for 380 patients (89%). The postal survey produced a 73% response rate. Demographic characteristics of these patients were similar to ICD recipients in the UK as a whole and patients included in secondary prevention RCTs. Mean actuarial survival at 1, 3 and 5 years was 92%, 86% and 71%, respectively. Patient age at implantation and functional status significantly affected survival. Levels of most of the HRQoL measures were lower than for a UK general population. There was no evidence of a change with time from implantation. Patients who had suffered ICD shocks had significantly poorer HRQoL. Most patients nevertheless expressed a high level of satisfaction with ICD therapy. Mean initial costs of implantation showed little variation between centres (23,300 pounds versus 22,100 pounds) or between earlier and more recent implants. There appeared to be greater variation between patients presenting along different pathways. Postdischarge costs (tests, medications and follow-up consultations) and costs of additional hospitalisations were also calculated. Using the Markov model it was found that over a 20-year horizon, mean discounted incremental costs were 70,900 pounds (35,000-142,400 pounds). Mean discounted gain was 1.24 years (0.29-2.32) or 0.93 QALYs. Cost-effectiveness was most favourable for men aged over 70 years with a left ventricular ejection fraction (LVEF) below 35%. If the treatment effect were to continue, then the cost per life-year over a lifetime might fall to around 32,000 pounds. Five RCTs of ICDs, a meta-analysis and, a cost-effectiveness analysis of ICDs used in primary prevention, and a meta-analysis of ICDs in patients with non-ischaemic cardiomyopathy have been published recently. These trials provide confirmation of survival benefit of ICDs used in primary prevention in both ischaemic and non-ischaemic cardiomyopathy patients. Costs per QALY ranged from US$34,000 in older trials to controls being both less expensive and more effective (CABG Patch, DINAMIT). More recent trials estimated cost per QALY between $50,300 and $70,200. The inconsistency in evidence for a HRQoL benefit has not been resolved and further work on risk stratification is necessary. CONCLUSIONS The evidence of short- to medium-term patient benefit from ICDs is strong but cost-effectiveness modelling indicates that the extent of that benefit is probably not sufficient to make the technology cost-effective as used currently in the UK. One reason is the high rates of postimplantation hospitalisation. Better patient targeting and efforts to reduce the need for such hospitalisation may improve cost-effectiveness. Further cost-effectiveness modelling, underpinned by an improved ICD database with reliable long-term follow-up, is required. The absence of a robust measure of the incidence of sudden cardiac death is noted and this may be an area where further organisational changes with improved data collection would help.
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Affiliation(s)
- M Buxton
- Health Economics Research Group, Brunel University, Uxbridge, UK
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Affiliation(s)
- F H Taylor
- The Thorndike Memorial Laboratory, Second and Fourth Medical Services (Harvard), Boston City Hospital, and the Department of Medicine, Harvard Medical School, Boston
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Chase D, Ramsey C, Robison B, Seibert R, Harris C. WE-D-224A-01: Inter- and Intra-User Variations in Film Based IMRT QA. Med Phys 2006. [DOI: 10.1118/1.2241771] [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: 11/07/2022] Open
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Chase D, Ramsey C, Seibert R. WE-E-224C-01: Dose Reconstruction Quality Assurance for Helical Tomotherapy. Med Phys 2006. [DOI: 10.1118/1.2241809] [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: 11/07/2022] Open
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Ramsey C, Scaperoth D, Seibert R, Chase D, Harris C. WE-E-224C-07: Image-Guided Helical Tomotherapy for Localized Prostate Cancer: Technique and Initial Clinical Observations. Med Phys 2006. [DOI: 10.1118/1.2241816] [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: 11/07/2022] Open
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Chase D, Roderick P, Cooper K, Davies R, Quinn T, Raftery J. Using simulation to estimate the cost effectiveness of improving ambulance and thrombolysis response times after myocardial infarction. Emerg Med J 2006; 23:67-72. [PMID: 16381082 PMCID: PMC2564138 DOI: 10.1136/emj.2004.023036] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/10/2005] [Indexed: 11/04/2022]
Abstract
OBJECTIVES To quantify the health gains and costs associated with improving ambulance and thrombolysis response times for acute myocardial infarction. DESIGN A computer simulation model. PATIENTS/SETTINGS: Patients experiencing acute myocardial infarction in England. INTERVENTIONS Improving the ambulance response time to 75% of calls reached within 8 minutes and the hospital arrival to thrombolysis time interval (door-to-needle time) to 75% receiving it within 30 minutes and 20 minutes, compared to best estimates of response times in the mid-1990s. MAIN OUTCOME MEASURES Deaths prevented, life years saved, and discounted cost per life year saved. RESULTS Improving the ambulance response to 75% of calls within 8 minutes resulted in an estimate of 5 deaths prevented or 57 life years saved per million population per year, with a discounted incremental cost per life year saved of 8540 pounds sterling over 20 years. The corresponding benefit of improving the door-to-needle time to 75% of myocardial infarction patients within 30 minutes was an estimated 2 deaths prevented and 15 life years saved per million population per year, with a discounted incremental cost per life year saved of between 10,150 pounds sterling to 54,230 pounds sterling over 20 years. Little further gain was associated with reaching the 20 minute target. Combining ambulance and thrombolysis targets resulted in 70 life years saved per million population per year. CONCLUSIONS Improving ambulance response times appears to be cost effective. Reducing door-to-needle time will have a smaller effect at an uncertain cost. Further benefits may be gained from reducing the time from onset of symptoms to starting thrombolysis.
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Affiliation(s)
- D Chase
- Health Care Research Unit, University of Southampton, Southampton General Hospital, Southampton, UK.
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Byrne T, Ramsey C, Mahan S, Chase D. The Dosimetric Impact of Respiration Motion on 3D, IMRT, and Tomotherapy Treatment Delivery. Int J Radiat Oncol Biol Phys 2005. [DOI: 10.1016/j.ijrobp.2005.07.845] [Citation(s) in RCA: 2] [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: 11/30/2022]
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Chase D, Ramsey C, Scaperoth D, Mahan S, Seibert R. Dose Reconstruction for Image-Guided Head and Neck Cancers. Int J Radiat Oncol Biol Phys 2005. [DOI: 10.1016/j.ijrobp.2005.07.939] [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: 10/25/2022]
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Chase D, Ramsey C, Mahan S, Seibert R. SU-FF-J-116: Image-Guided Adaptive Radiation Therapy for Improving Level I Lymph Node Coverage for Head and Neck Cases. Med Phys 2005. [DOI: 10.1118/1.1997662] [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: 11/07/2022] Open
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Chase D, Mahan S, Ramsey C. SU-FF-T-406: Measured Dose Gradients for Extracranial Stereotactic Radiosurgery. Med Phys 2005. [DOI: 10.1118/1.1998205] [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: 11/07/2022] Open
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Desai D, Chase D, Mahan S, Ramsey C. MO-D-T-617-05: Fetal Doses Measurements for Helical Tomotherapy. Med Phys 2005. [DOI: 10.1118/1.1998267] [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: 11/07/2022] Open
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