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Bailly V, Le Ray I, Bardonnaud N, Pillot P, Martin L, Pastori J, Balssa L, Guichard G, Bittard H, Kleinclauss F. [Meteo-U-rology: climate impact on urological emergencies]. Prog Urol 2014; 24:535-9. [PMID: 24975786 DOI: 10.1016/j.purol.2014.02.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 08/27/2013] [Revised: 02/10/2014] [Accepted: 02/13/2014] [Indexed: 10/25/2022]
Abstract
INTRODUCTION AND OBJECTIVES The aim of this study was to analyze the weather influence on the onset of renal colic (RC), acute urinary retention (AUR) and testicular torsion (TT). MATERIALS AND METHODS We correlated the daily number of RC, AUR and TT cases admitted to our urology department and weather conditions between 2005 and 2009 on day-to-day basis. Eight hundred and seventy-six RC, 453 AUR and 50 TT were analyzed. Information on temperature, atmospheric pressure, relative humidity, vapor pressure, wind force, evapotranspiration and sunshine level were collected from the national meteorological office (Meteo-France) in Besançon, France. We performed a univariate and a multivariate Stepwise method in linear regression using Akaike Information Criterion. RESULTS We reported a statistically significant increased risk of renal colic at higher vapor pressure. Likewise, temperature seemed to be a risk factor for occurrence of renal colics. We determined an increased daily rate when maximal daily temperature rises above 20 Celsius degrees (P = 0.05). Furthermore, we observed a positive link between mean (P = 0.05) and minimal (P = 0.08) daily temperature and urolithiasis. Contrarywise AUR was more frequent when the mean temperature falls below zero Celsius degree. We also demonstrated a non-significant influence of temperature on TT, with 3 fold higher events during cold period. Much more mystic, we noted a higher AUR rate on new moon days, and fewer renal colic on full moon. CONCLUSIONS Further investigations are necessary to understand the mechanisms underlying the relationship between urologic diseases and climate. But our findings could help us justify healthy living messages.
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Affiliation(s)
- V Bailly
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon, France; Université de Franche-Comté, UFR SMP, 25000 Besançon, France
| | - I Le Ray
- Inserm 803, centre d'investigation, clinique plurithématique, CHU de Dijon, 21000 Dijon, France
| | - N Bardonnaud
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon, France; Université de Franche-Comté, UFR SMP, 25000 Besançon, France
| | - P Pillot
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon, France; Université de Franche-Comté, UFR SMP, 25000 Besançon, France
| | - L Martin
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon, France; Université de Franche-Comté, UFR SMP, 25000 Besançon, France
| | - J Pastori
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon, France; Université de Franche-Comté, UFR SMP, 25000 Besançon, France
| | - L Balssa
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon, France; Université de Franche-Comté, UFR SMP, 25000 Besançon, France
| | - G Guichard
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon, France; Université de Franche-Comté, UFR SMP, 25000 Besançon, France
| | - H Bittard
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon, France; Université de Franche-Comté, UFR SMP, 25000 Besançon, France
| | - F Kleinclauss
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon, France; Université de Franche-Comté, UFR SMP, 25000 Besançon, France; Inserm UMR 1098, 25000 Besançon, France.
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Pastori J, Balssa L, Lillaz J, Guichard G, Chabannes E, Bernardini S, Bittard H, Thiery-Vuillemin A, Kleinclauss F. [Existence of pattern 5 on radical prostatectomy: poor prognostic factor associated with a lower biochemical recurrence-free survival]. Prog Urol 2014; 24:433-40. [PMID: 24861683 DOI: 10.1016/j.purol.2014.03.002] [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: 08/25/2013] [Revised: 03/04/2014] [Accepted: 03/06/2014] [Indexed: 11/17/2022]
Abstract
OBJECTIVES To analyze the impact of the existence of Gleason grade 5 on the adverse pathology and biochemical recurrence-free survival of patients. PATIENTS Three hundred and seventy-two prostatectomies were performed between 1999 and 2011 in our institution for localised prostate adenocarcinoma. We examined the existence of grade 5 of the specimen to determine the reliability of prostate biopsies in the diagnosis of grade 5 and the association of grade 5 with other histoprognostic factors. Biochemical recurrence-free survival was analyzed according to the presence of grade 5 in the final specimen. RESULTS In total, all histological data and biochemical recurrence-free survival were available for 321 patients who were included in the study. Sixty-eight had Gleason grade 5 (majority or third minority pattern) on the specimen while 253 had not. Grade 5, rarely diagnosed on biopsy (sensitivity=26.47 %) was correlated independently with the extracapsular extension (OR=2.1; CI 95 [1.1-3.9]), the seminal vesicle invasion (OR=3.8; CI 95 [1.7-8.7]) and positive surgical margins (OR=2.0; CI 95 [1.1-3.6]). Overall survival was similar in both groups but the biochemical recurrence-free survival was statistically lower in the presence of grade 5 (HR=3.7; CI 95 [1.8-7.6]). Biochemical recurrence-free survival was not different than grade 5 is predominant or third minority pattern (HR=1.01; CI 95 [0.3-2.8]). On multivariate analysis, grade 5 was an independent risk factor for biochemical recurrence (P=0.005) as well as seminal vesicle invasion (P=0.047). CONCLUSION The existence of grade 5 in the surgical specimen whatever the percentage was a poor prognostic factor associated with increased tumor aggressiveness and reduced biochemical recurrence-free survival. LEVEL OF EVIDENCE 5.
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Affiliation(s)
- J Pastori
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25003 Besançon, France; Université de Franche-Comté, 25000 Besançon, France
| | - L Balssa
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25003 Besançon, France; Université de Franche-Comté, 25000 Besançon, France
| | - J Lillaz
- Service d'urologie, CHI de Haute-Saône, 25000 Vesoul, France
| | - G Guichard
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25003 Besançon, France
| | - E Chabannes
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25003 Besançon, France
| | - S Bernardini
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25003 Besançon, France
| | - H Bittard
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25003 Besançon, France; Université de Franche-Comté, 25000 Besançon, France
| | - A Thiery-Vuillemin
- Université de Franche-Comté, 25000 Besançon, France; Service d'oncologie médicale, CHRU de Besançon, 25000 Besançon, France; Inserm UMR 1098, 25000 Besançon, France
| | - F Kleinclauss
- Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25003 Besançon, France; Université de Franche-Comté, 25000 Besançon, France; Inserm UMR 1098, 25000 Besançon, France.
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