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Illert AL, Stenzinger A, Bitzer M, Horak P, Gaidzik VI, Möller Y, Beha J, Öner Ö, Schmitt F, Laßmann S, Ossowski S, Schaaf CP, Hallek M, Brümmendorf TH, Albers P, Fehm T, Brossart P, Glimm H, Schadendorf D, Bleckmann A, Brandts CH, Esposito I, Mack E, Peters C, Bokemeyer C, Fröhling S, Kindler T, Algül H, Heinemann V, Döhner H, Bargou R, Ellenrieder V, Hillemanns P, Lordick F, Hochhaus A, Beckmann MW, Pukrop T, Trepel M, Sundmacher L, Wesselmann S, Nettekoven G, Kohlhuber F, Heinze O, Budczies J, Werner M, Nikolaou K, Beer AJ, Tabatabai G, Weichert W, Keilholz U, Boerries M, Kohlbacher O, Duyster J, Thimme R, Seufferlein T, Schirmacher P, Malek NP. The German Network for Personalized Medicine to enhance patient care and translational research. Nat Med 2023:10.1038/s41591-023-02354-z. [PMID: 37280276 DOI: 10.1038/s41591-023-02354-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- A L Illert
- Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
- Department of Medicine III, Faculty of Medicine, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany
- Center for Personalized Medicine (ZPM), Freiburg, Germany
- Center for Personalized Medicine (ZPM), Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
- Bavarian Cancer Research Center (BZKF), Partner Site TU Munich, Munich, Germany
| | - A Stenzinger
- Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany
- Center for Personalized Medicine (ZPM), Heidelberg, Germany
- German Cancer Consortium (DKTK), Heidelberg, Germany
| | - M Bitzer
- Department of Internal Medicine I, University Hospital Tübingen, Tübingen, Germany
- Center for Personalized Medicine (ZPM), Tübingen, Germany
| | - P Horak
- Center for Personalized Medicine (ZPM), Heidelberg, Germany
- German Cancer Consortium (DKTK), Heidelberg, Germany
- Division of Translational Medical Oncology, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT), Heidelberg, Germany
| | - V I Gaidzik
- Department of Internal Medicine III, University Hospital of Ulm, Ulm, Germany
- Center for Personalized Medicine (ZPM), Ulm, Germany
| | - Y Möller
- Center for Personalized Medicine (ZPM), Tübingen, Germany
- M3 Research Institute University Hospital Tübingen, Tübingen, Germany
| | - J Beha
- Center for Personalized Medicine (ZPM), Tübingen, Germany
| | - Ö Öner
- Center for Personalized Medicine (ZPM), Tübingen, Germany
| | - F Schmitt
- Center for Personalized Medicine (ZPM), Tübingen, Germany
| | - S Laßmann
- Center for Personalized Medicine (ZPM), Freiburg, Germany
- Institute for Surgical Pathology, Medical Center, University of Freiburg, Freiburg, Germany
| | - S Ossowski
- Center for Personalized Medicine (ZPM), Tübingen, Germany
- Institute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany
- Institute for Bioinformatics and Medical Informatics (IBMI), University of Tübingen, Tübingen, Germany
| | - C P Schaaf
- Center for Personalized Medicine (ZPM), Heidelberg, Germany
- Institute of Human Genetics, Heidelberg University, Heidelberg, Germany
| | - M Hallek
- Department I of Internal Medicine, Medical Faculty and University Hospital Cologne, University of Cologne, Cologne, Germany
- Center for integrated Oncology (CIO-ABCD), Aachen-Bonn-Cologne-Düsseldorf, Germany
| | - T H Brümmendorf
- Department of Hematology, Oncology, Hemostaseology, and Stem Cell Transplantation, Faculty of Medicine, RWTH Aachen University, Aachen, Germany
- Center for integrated Oncology (CIO-ABCD), Aachen-Bonn-Cologne-Düsseldorf, Germany
| | - P Albers
- Department of Urology, Heinrich-Heine University, Medical Faculty, Düsseldorf, Germany
- Center for integrated Oncology (CIO-ABCD), Aachen-Bonn-Cologne-Düsseldorf, Germany
| | - T Fehm
- Department of Gynecology, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
- Center for integrated Oncology (CIO-ABCD), Aachen-Bonn-Cologne-Düsseldorf, Germany
| | - P Brossart
- Department of Oncology, Hematology, Stem Cell Transplantation, Cell- and Immunotherapies, Clinical Immunology and Rheumatology, University Hospital Bonn, Bonn, Germany
- Center for integrated Oncology (CIO-ABCD), Aachen-Bonn-Cologne-Düsseldorf, Germany
| | - H Glimm
- Department of Translational Medical Oncology, National Center for Tumor Diseases (NCT), Dresden, Germany
- German Cancer Research Center (DKFZ), Heidelberg, Germany
- Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
- Helmholtz-Zentrum Dresden - Rossendorf (HZDR), Dresden, Germany
- German Cancer Consortium (DKTK), Dresden, Germany
| | - D Schadendorf
- Department of Dermatology, University Duisburg-Essen, University Hospital Essen, Essen, Germany
- German Cancer Consortium (DKTK) Partner Site, Essen, Germany
- National Center for Tumor Diseases (NCT), NCT-West, Campus Essen, Essen, Germany
- Westdeutsches Tumorzentrum (WTZ), Essen, Germany
- Research Alliance Ruhr - Research Center One Health, University Duisburg-Essen, Essen, Germany
| | - A Bleckmann
- Department of Medicine A: Hematology, Oncology, and Pneumology, University Hospital Münster (UKM), Münster, Germany
- West German Cancer Center, University Hospital Münster, Münster, Germany
| | - C H Brandts
- University Cancer Center (UCT) Frankfurt-Marburg, University Hospital Frankfurt, Goethe University, Frankfurt, Germany
- German Cancer Consortium (DKTK) Partner Site, Frankfurt, Germany
| | - I Esposito
- Institute of Pathology, Heinrich-Heine University and University Hospital, Düsseldorf, Germany
- Center for Personalized Medicine (ZPM), Düsseldorf, Germany
| | - E Mack
- Department of Hematology, Oncology and Immunology, University Hospital Marburg and Philipps-University, Marburg, Germany
| | - C Peters
- Institute of Molecular Medicine and Cell Research, University of Freiburg, Freiburg, Germany
- German Cancer Consortium (DKTK) Partner Site Freiburg and German Cancer Research Center (DKFZ), Heidelberg, Freiburg, Germany
- Comprehensive Cancer Center Freiburg (CCCF), Freiburg, Germany
| | - C Bokemeyer
- Department of Oncology, Hematology and BMT with section of Pneumology, University of Hamburg, Hamburg, Germany
| | - S Fröhling
- Center for Personalized Medicine (ZPM), Heidelberg, Germany
- German Cancer Consortium (DKTK), Heidelberg, Germany
- Division of Translational Medical Oncology, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT), Heidelberg, Germany
| | - T Kindler
- University Cancer Center, University Medical Center Mainz, Johannes Gutenberg-University, Mainz, Germany
- German Cancer Consortium (DKTK) Partner Site Mainz, Mainz, Germany
| | - H Algül
- Institute for Tumor Metabolism, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany
- Comprehensive Cancer Center Munich TUM, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany
| | - V Heinemann
- Comprehensive Cancer Center Munich, Klinikum Großhadern, Ludwig Maximilian University of Munich, Munich, Germany
- Department of Medicine III, Klinikum Großhadern, Ludwig Maximilian University of Munich, Munich, Germany
| | - H Döhner
- Department of Internal Medicine III, Ulm University Hospital, Ulm, Germany
| | - R Bargou
- Comprehensive Cancer Center Mainfranken, Uniklinikum Würzburg, Würzburg, Germany
- Bavarian Cancer Research Center (BZKF), Partner Site Würzburg, Würzburg, Germany
| | - V Ellenrieder
- Department of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany
| | - P Hillemanns
- Department of Gynecology and Obstetrics, Hannover Medical School, Hannover, Germany
| | - F Lordick
- Comprehensive Cancer Center Central Germany and University Cancer Center Leipzig,, University Medicine Leipzig, Leipzig, Germany
| | - A Hochhaus
- Comprehensive Cancer Center Central Germany and Department of Hematology and Internal Oncology, Universitätsklinikum Jena, Jena, Germany
| | - M W Beckmann
- University Hospital Erlangen, Department of Obstetrics and Gynecology, Friedrich-Alexander-Universität Erlangen, Erlangen, Germany
- Comprehensive Cancer Center Erlangen-Europäische Metropolregion Nuremberg, Erlangen, Germany
- Bavarian Cancer Research Center (BZKF), Partner Site Erlangen, Erlangen, Germany
| | - T Pukrop
- Department of Internal Medicine III, Hematology and Oncology, University Hospital Regensburg, Regensburg, Germany
- Comprehensive Cancer Center Ostbayern, Regensburg, Germany
- Bavarian Cancer Research Center (BZKF), Partner Site Regensburg, Regensburg, Germany
| | - M Trepel
- Department of Hematology and Medical Oncology, Augsburg University Hospital, Augsburg, Germany
- Comprehensive Cancer Center Augsburg, CCC Alliance WERA, Augsburg, Germany
- Bavarian Cancer Research Center (BZKF), Partner Site Augsburg, Augsburg, Germany
| | - L Sundmacher
- Department of Health Services Management, Ludwig-Maximilians-Universität, Munich, Germany
| | - S Wesselmann
- Deutsche Krebsgesellschaft (DKG), Berlin, Germany
| | | | | | - O Heinze
- Department Medical Information Systems, University Hospital Heidelberg, Heidelberg, Germany
| | - J Budczies
- Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany
- Center for Personalized Medicine (ZPM), Heidelberg, Germany
- German Cancer Consortium (DKTK), Heidelberg, Germany
| | - M Werner
- Center for Personalized Medicine (ZPM), Freiburg, Germany
- Institute for Surgical Pathology, Medical Center, University of Freiburg, Freiburg, Germany
- German Cancer Consortium (DKTK) Partner Site Freiburg and German Cancer Research Center (DKFZ), Heidelberg, Freiburg, Germany
- Comprehensive Cancer Center Freiburg (CCCF), Freiburg, Germany
| | - K Nikolaou
- Department of Diagnostic and Interventional Radiology, Eberhard Karls University Tübingen, Tübingen, Germany
| | - A J Beer
- Department of Nuclear Medicine, Ulm University Hospital, Ulm, Germany
| | - G Tabatabai
- Department of Neurology and Interdisciplinary Neuro-Oncology, Center for Neuro-Oncology, University Hospital Tübingen, Tübingen, Germany
- Comprehensive Cancer Center Tübingen-Stuttgart, Stuttgart, Germany
| | - W Weichert
- Center for Personalized Medicine (ZPM), Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
- Institute of Pathology, Technische Universität München, Munich, Germany
- German Cancer Consortium (DKTK) Partner Site Munich, and German Cancer Research Center (DKFZ), Heidelberg, Munich, Germany
- Bavarian Cancer Research Center (BZKF), Partner Site TU Munich, Munich, Germany
| | - U Keilholz
- Charité Comprehensive Cancer Center, Charité, Berlin, Germany
| | - M Boerries
- Center for Personalized Medicine (ZPM), Freiburg, Germany
- German Cancer Consortium (DKTK) Partner Site Freiburg and German Cancer Research Center (DKFZ), Heidelberg, Freiburg, Germany
- Institute of Medical Bioinformatics and Systems Medicine (IBSM), Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
- Comprehensive Cancer Center Freiburg (CCCF), Freiburg, Germany
| | - O Kohlbacher
- Center for Personalized Medicine (ZPM), Tübingen, Germany
- Institute for Bioinformatics and Medical Informatics (IBMI), University of Tübingen, Tübingen, Germany
- Institute for Translational Bioinformatics, University Medical Center, Tübingen, Germany
- Department of Computer Science, Applied Bioinformatics, University of Tübingen, Tübingen, Germany
| | - J Duyster
- Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
- Center for Personalized Medicine (ZPM), Freiburg, Germany
- German Cancer Consortium (DKTK) Partner Site Freiburg and German Cancer Research Center (DKFZ), Heidelberg, Freiburg, Germany
- Comprehensive Cancer Center Freiburg (CCCF), Freiburg, Germany
| | - R Thimme
- Center for Personalized Medicine (ZPM), Freiburg, Germany
- Comprehensive Cancer Center Freiburg (CCCF), Freiburg, Germany
- Department of Medicine II, Freiburg, University Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - T Seufferlein
- Center for Personalized Medicine (ZPM), Ulm, Germany
- Department of Internal Medicine I, University Hospital, University of Ulm, Ulm, Germany
| | - P Schirmacher
- Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany
- Center for Personalized Medicine (ZPM), Heidelberg, Germany
- German Cancer Consortium (DKTK), Heidelberg, Germany
| | - N P Malek
- Department of Internal Medicine I, University Hospital Tübingen, Tübingen, Germany.
- Center for Personalized Medicine (ZPM), Tübingen, Germany.
- M3 Research Institute University Hospital Tübingen, Tübingen, Germany.
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Lecuru F, Sehouli J, Vergote I, Reuss A, Classe JM, Hillemanns P, Greggi S, Mirza M, Brachet P, Follana P, Raban N, Hasenburg A, Zang R, Lindemann K, Kim JW, Poveda A, Raspagliesi F, Haslund C, du Bois A, Harter P. 573P Role of CA125 in patients included in the DESKTOP III/ENGOT-ov20 trial. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.701] [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: 11/01/2022] Open
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Kampers J, Gerhardt E, Sibbertsen P, Flock T, Klapdor R, Hertel H, Jentschke M, Hillemanns P. Protective operative techniques in radical hysterectomy in early cervical carcinoma and their influence on disease-free and overall survival: a systematic review and meta-analysis of risk groups. Arch Gynecol Obstet 2021; 304:577-587. [PMID: 34021804 PMCID: PMC8325671 DOI: 10.1007/s00404-021-06082-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 04/27/2021] [Indexed: 12/12/2022]
Abstract
Purpose Radical hysterectomy with pelvic lymphadenectomy presents the standard treatment for early cervical cancer. Recently, studies have shown a superior oncological outcome for open versus minimal invasive surgery, however, the reasons remain to be speculated. This meta-analysis evaluates the outcomes of robotic and laparoscopic hysterectomy compared to open hysterectomy. Risk groups including the use of uterine manipulators or colpotomy were created. Methods Ovid-Medline and Embase databases were systematically searched in June 2020. No limitation in date of publication or country was made. Subgroup analyses were performed regarding the surgical approach and the endpoints OS and DFS. Results 30 studies fulfilled the inclusion criteria. Five prospective, randomized-control trials were included. Patients were analyzed concerning the surgical approach [open surgery (AH), laparoscopic surgery (LH), robotic surgery (RH)]. Additionally, three subgroups were created from the LH group: the LH high-risk group (manipulator), intermediate-risk group (no manipulator, intracorporal colpotomy) and LH low-risk group (no manipulator, vaginal colpotomy). Regarding OS, the meta-analysis showed inferiority of LH in total over AH (0.97 [0.96; 0.98]). The OS was significantly higher in LH low risk (0.96 [0.94; 0.98) compared to LH intermediate risk (0.93 [0.91; 0.94]). OS rates were comparable in AH and LH Low-risk group. DFS was higher in the AH group compared to the LH group in general (0.92 [95%-CI 0.88; 0.95] vs. 0.87 [0.82; 0.91]), whereas the application of protective measures (no uterine manipulator in combination with vaginal colpotomy) was associated with increased DFS in laparoscopy (0.91 [0.91; 0.95]). Conclusion DFS and OS in laparoscopy appear to be depending on surgical technique. Protective operating techniques in laparoscopy result in improved minimal invasive survival. Supplementary Information The online version contains supplementary material available at 10.1007/s00404-021-06082-y.
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Affiliation(s)
- Johanna Kampers
- Department of Gynecology and Obstetrics, Hannover Medical School, Karl-Neuberg-Str. 1, 30625, Hannover, Germany.
| | - E Gerhardt
- Department of Gynecology and Obstetrics, Hannover Medical School, Karl-Neuberg-Str. 1, 30625, Hannover, Germany
| | - P Sibbertsen
- Faculty of Economics and Management, Leibniz University Hannover, Hannover, Germany
| | - T Flock
- Faculty of Economics and Management, Leibniz University Hannover, Hannover, Germany
| | - R Klapdor
- Department of Gynecology and Obstetrics, Hannover Medical School, Karl-Neuberg-Str. 1, 30625, Hannover, Germany
| | - H Hertel
- Department of Gynecology and Obstetrics, Hannover Medical School, Karl-Neuberg-Str. 1, 30625, Hannover, Germany
| | - M Jentschke
- Department of Gynecology and Obstetrics, Hannover Medical School, Karl-Neuberg-Str. 1, 30625, Hannover, Germany
| | - P Hillemanns
- Department of Gynecology and Obstetrics, Hannover Medical School, Karl-Neuberg-Str. 1, 30625, Hannover, Germany
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Röttger M, Hermann H, Hillemanns P, Kaukemüller L, Klapdor R. Sentinellymphonodektomie beim Vulvakarzinom – Eine Umfrage zu Wissensstand, Stellenwert und Beratung im ambulanten Bereich. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718177] [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)
- M Röttger
- Medizinische Hochschule Hannover, Frauenklinik
| | - H Hermann
- Medizinische Hochschule Hannover, Frauenklinik
| | | | | | - R Klapdor
- Medizinische Hochschule Hannover, Frauenklinik
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Kohls F, Hillemanns P, von Kaisenberg C, Brodowski L. Ökonomische Bewertung der Adipositas in der Geburtshilfe am Beispiel der primären Sectio caesarea. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717905] [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 Kohls
- Medizinische Hochschule Hannover
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Kampers J, Börmer G, Ertik F, Hillemanns P, Jentschke M. CoCoss-trial: Concurrent comparison of self-sampling devices for HPV-detection. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718149] [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
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Woelber L, Bommert M, Harter P, Prieske K, zu Eulenburg C, Jueckstock J, Hilpert F, de Gregorio N, Iborra S, Sehouli J, Ignatov A, Hillemanns P, Fuerst S, Strauss HG, Baumann K, Thiel F, Mustea A, Meier W, Wimberger P, Hanker L, Schmalfeldt B, Canzler U, Fehm T, Luyten A, Hellriegel M, Kosse J, Heiss C, Hantschmann P, Mallmann P, Tanner B, Pfisterer J, Mahner S, Jaeger A. Role of pelvic lymph node resection in vulvar cancer – a subset analysis of the AGO-CaRE-1 study. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717203] [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)
- L Woelber
- Department of Gynecology and Gynecologic Oncology, University Medical Center Hamburg-Eppendorf
| | | | | | - K Prieske
- Department of Gynecology and Gynecologic Oncology, University Medical Center Hamburg-Eppendorf
| | - C zu Eulenburg
- Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf
| | - J Jueckstock
- Department of Gynecology and Obstetrics, University of Munich
| | - F Hilpert
- Oncologic Medical Center at the Jerusalem Hospital Hamburg
| | - N de Gregorio
- Department of Obstetrics and Gynecology, University of Ulm Medical Center
| | - S Iborra
- Gynecology and Gynecologic Oncology, University Hospital Freiburg
| | - J Sehouli
- Department of Gynecology, Charité University Medicine Berlin, Campus Virchow
| | - A Ignatov
- Department of Obstetrics and Gynecology, University Hospital Magdeburg
| | - P Hillemanns
- Department of Obstetrics and Gynecology, Hannover Medical School
| | - S Fuerst
- Department of Gynecology and Obstetrics, University of Munich
| | - HG Strauss
- Department of Gynecology, University Hospital Halle
| | - K Baumann
- Department of Gynecology, Medical Center Ludwigshafen
| | - F Thiel
- Department of Gynecology, Medical Center am Eichert, Alb Fils Clinic, Klinik am Eichert
| | - A Mustea
- Department of Gynecology and Gynecologic Oncology, University Medical Center Bonn
| | - W Meier
- Department of Obstetrics and Gynecology, Evangelical Hospital Duesseldorf
| | - P Wimberger
- Department of Gynecology and Gynecologic Oncology, Technical University Medical Center Dresden
| | - L Hanker
- Department of Gynecology and Gynecologic Oncology, University Medical Center Luebeck
| | - B Schmalfeldt
- Department of Gynecology and Gynecologic Oncology, University Medical Center Hamburg-Eppendorf
| | - U Canzler
- Department of Gynecology and Gynecologic Oncology, Technical University Medical Center Dresden
| | - T Fehm
- Department of Obstetrics and Gynecology, Evangelical Hospital Duesseldorf
| | - A Luyten
- Department of Gynecology and Obstetrics, Medical Center Wolfsburg
| | - M Hellriegel
- Department of Gynecology and Gynecologic Oncology, University Medical Center Goettingen
| | - J Kosse
- Department of Gynecology and Obstetrics, Medical Center Offenbach
| | - C Heiss
- Department of Gynecology, Medical Center am Eichert, Alb Fils Clinic, Klinik am Eichert
| | - P Hantschmann
- Department of Gynecology and Obstetrics, Medical Center Altoetting
| | - P Mallmann
- Department of Gynecology and Gynecologic Oncology, University Medical Center Koeln
| | - B Tanner
- Department of Gynecology and Obstetrics, Medical Center Oranienburg
| | - J Pfisterer
- Department of Gynecology and Gynecologic Oncology, University Medical Center Kiel
| | - S Mahner
- Department of Gynecology and Obstetrics, University of Munich
| | - A Jaeger
- Department of Gynecology and Gynecologic Oncology, University Medical Center Hamburg-Eppendorf
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Prieske K, Woelber L, Muallem M, Eulenburg C, Jückstock J, Hilpert F, de Gregorio N, Iborra S, Ignatov A, Hillemanns P, Fuerst S, Strauss H, Baumann K, Thiel F, Mustea A, Meier W, Harter P, Wimberger P, Hanker L, Schmalfeldt B, Canzler U, Fehm T, Luyten A, Hellriegel M, Kosse J, Heiss C, Hantschmann P, Mallmann P, Tanner B, Pfisterer J, Sehouli J, Mahner S. The influence of age on treatment and prognosis of patients with squamous cell vulvar cancer (VSCC)- a subset analysis of the AGO-CaRE-1 study. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718171] [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)
- K Prieske
- Universitätklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Gynäkologie
| | - L Woelber
- Universitätklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Gynäkologie
| | - M.Z Muallem
- Charité, Campus Virchow Klinikum, Frauenklinik
| | - C Eulenburg
- Universitätklinikum Hamburg-Eppendorf, Institut für medizinische Biometrie und Epidemiologie
| | - J Jückstock
- Klinikum der Ludwig-Maximilians-Universität München, Campus Großhadern& Campus Innenstadt, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe
| | - F Hilpert
- Onkologisches Therapiezentrum am Jerusalem Krankenhaus
| | | | - S Iborra
- Uniklinik RWTH Aachen, Klinik für Gynäkologie und Geburtsmedizin
- Universitätsklinikum Freiburg, Universitäts- Frauenklinik
| | - A Ignatov
- Universitätsklinikum Magdeburg, Frauenklinik
| | | | - S.T Fuerst
- Klinikum der Ludwig-Maximilians-Universität München, Campus Großhadern& Campus Innenstadt, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe
| | - H.G Strauss
- Universitätsklinikum Martin-Luther-Universität Halle-Wittenberg
| | | | - F Thiel
- Alb Fils Kliniken, Klinik am Eichert, Frauenklinik
| | - A Mustea
- Universitätsklinikum Bonn, Klinik für Gynäkologie und Gynäkologische Onkologie
| | - W Meier
- Evangelisches Krankenhaus, Frauenklinik
| | - P Harter
- Kliniken Essen-Mitte (KEM) Evang. Huyssens-Stiftung/Knappschaft GmbH, Klinik für Gynäkologie und gynäkologische Onkologie
| | - P Wimberger
- Technische Universität Dresden, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe
| | - L Hanker
- Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Klinik für Frauenheilkunde und Geburtshilfe
| | - B Schmalfeldt
- Universitätklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Gynäkologie
| | - U Canzler
- Technische Universität Dresden, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe
| | - T Fehm
- Universitätsklinikum Düsseldorf, Universitätsfrauenklinik
| | - A Luyten
- Klinikum Wolfsburg, Frauenklinik
- Dysplasie-Einheit an der Park-Klinik Kiel
| | - M Hellriegel
- Georg-August-Universitätsklinikum Göttingen, Universitäts-Frauenklinik
| | - J Kosse
- Sana Klinikum Offenbach, Frauenklinik
| | - C Heiss
- Alb Fils Kliniken, Klinik am Eichert, Frauenklinik
| | | | - P Mallmann
- Klinikum der Universität zu Köln, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe
| | - B Tanner
- Oberhavel Kliniken, Klinik Oranienburg, Frauenklinik
| | | | - J Sehouli
- Charité, Campus Virchow Klinikum, Frauenklinik
| | - S Mahner
- Klinikum der Ludwig-Maximilians-Universität München, Campus Großhadern& Campus Innenstadt, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe
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9
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Klapdor R, Röttger M, Hillemanns P, Jentschke M, Hertel H. Laparoskopische radikale Hysterektomie beim Zervixkarzinom: Ist die peritoneale Tumorzellverschleppung ein unterschätztes Ereignis? Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718150] [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)
- R Klapdor
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe
| | - M Röttger
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe
| | - M Jentschke
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe
| | - H Hertel
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe
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10
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Klapdor R, Kruppa M, Kleine M, Imkamp F, Schmidt J, Hertel H, Hillemanns P. Das SOCIUS-Mentoring Programm – Next-Level Förderung des gynäkologisch-onkologischen Nachwuchses. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717168] [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)
- R Klapdor
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe
| | - M Kruppa
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe
| | - M Kleine
- Medizinische Hochschule Hannover, Klinik für Allgemein-, Viszeral- und Transplantationschirurgie
| | - F Imkamp
- Medizinische Hochschule Hannover, Klinik für Urologie und Urologische Onkologie
| | - J Schmidt
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe
| | - H Hertel
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe
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11
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Harter P, Sehouli J, Meier W, Reuss A, Hillemanns P, Hasenburg A, Hilpert F, Denschlag D, Burges A, Hanker L, Lampe B, Canzler U, Gropp-Meier M, du Bois A. Randomized phase III study to evaluate the impact of secondary cytoreductive surgery in recurrent ovarian cancer – final analysis of AGO DESKTOP III/ENGOT- ov20. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717176] [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)
| | | | | | | | | | | | | | | | | | | | - B Lampe
- Florence-Nightingale Krankenhaus
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12
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Jentschke M, Kampers J, Becker J, Sibbertsen P, Hillemanns P. Prophylactic HPV vaccination after conization: A systematic review and meta-analysis. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717205] [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
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13
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Brodowski L, Hillemanns P, Hertel H, Kohls F. Ökonomische Bewertung der operativen Therapie des Zervixkarzinoms. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718154] [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)
| | | | - H Hertel
- Medizinische Hochschule Hannover
| | - F Kohls
- Medizinische Hochschule Hannover
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14
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Philippeit A, Schmidt JC, von Kaisenberg C, Hillemanns P, Lewinski H, Haunschild T, Klapdor R. MEWU – Ein internationales Hebammenaustauschprogramm zwischen Deutschland und Uganda zur Optimierung der geburtshilflichen Versorgung. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717959] [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)
- A Philippeit
- Medizinische Hochschule Hannover, Gynäkologie und Geburtshilfe
| | - J.-C Schmidt
- Medizinische Hochschule Hannover, Gynäkologie und Geburtshilfe
| | | | - P Hillemanns
- Medizinische Hochschule Hannover, Gynäkologie und Geburtshilfe
| | - H Lewinski
- Medizinische Hochschule Hannover, Gynäkologie und Geburtshilfe
| | - T Haunschild
- Medizinische Hochschule Hannover, Gynäkologie und Geburtshilfe
| | - R Klapdor
- Medizinische Hochschule Hannover, Gynäkologie und Geburtshilfe
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15
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Kaukemüller L, Klapdor R, Röttger M, Jentschke M, Hillemanns P, Hertel H. Etablierung des DaVinci Operations-Robotersystems in der operativen Gynäkologie. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718028] [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)
- L Kaukemüller
- Medizinische Hochschule Hannover, Klinik für Gynäkologie und Geburtshilfe
| | - R Klapdor
- Medizinische Hochschule Hannover, Klinik für Gynäkologie und Geburtshilfe
| | - M Röttger
- Medizinische Hochschule Hannover, Klinik für Gynäkologie und Geburtshilfe
| | - M Jentschke
- Medizinische Hochschule Hannover, Klinik für Gynäkologie und Geburtshilfe
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Gynäkologie und Geburtshilfe
| | - H Hertel
- Medizinische Hochschule Hannover, Klinik für Gynäkologie und Geburtshilfe
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16
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Vu TH, Kaukemüller L, Klapdor R, Hillemanns P, Hertel H. Robotisches lateral repair/Kolposuspension: Eine Alternative zu netzgestützter Descensus- und Inkontinenzchirurgie – Verfahren & Ergebnisse. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717202] [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)
- TH Vu
- Medizinische Hochschule Hannover
| | | | | | | | - H Hertel
- Medizinische Hochschule Hannover
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17
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Schnelzer A, Harter P, Sehouli J, Canzler U, Marmé F, De Gregorio N, Buderath P, Lück HJ, Gropp-Meier M, Runnebaum I, Belau A, Renner S, Schmalfeldt B, El-Balat A, Burges A, Hillemanns P, Denschlag D, Bauerschlag D, Hanker L, Ray-Coquard I. Phase III PAOLA-1/ENGOT-ov25 trial: Olaparib plus bevacizumab (bev) as maintenance therapy in patients (pts) with newly diagnosed, advanced ovarian cancer (OC) treated with platinum-based chemotherapy (PCh) plus bev. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717197] [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)
- A Schnelzer
- Universitätsfrauenklinik TU München Klinikum rechts der Isar
- RoMed Klinikum Rosenheim, Gynäkologie und Geburtshilfe
| | | | | | - U Canzler
- Universitätsfrauenklinik, Technische Universität Dresden
| | - F Marmé
- Universitätsfrauenklinik Heidelberg
- Universitätsfrauenklinik Mannheim
| | | | | | | | | | | | - A Belau
- Universitätsfrauenklinik Greifswald
- Gynäkologische Praxis
| | - S Renner
- Universitätsfrauenklinik Erlangen
| | | | | | - A Burges
- Universitätsfrauenklinik München Großhadern
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18
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Kaukemüller L, Klapdor R, Vu T, Jentschke M, Hillemanns P, Hertel H. Robotische Chirurgie in der Urogynäkologie: Indikationen und Spektren. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718027] [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)
- L Kaukemüller
- Medizinische Hochschule Hannover, Klinik für Gynäkologie und Geburtshilfe
| | - R Klapdor
- Medizinische Hochschule Hannover, Klinik für Gynäkologie und Geburtshilfe
| | - T.H Vu
- Medizinische Hochschule Hannover, Klinik für Gynäkologie und Geburtshilfe
| | - M Jentschke
- Medizinische Hochschule Hannover, Klinik für Gynäkologie und Geburtshilfe
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Gynäkologie und Geburtshilfe
| | - H Hertel
- Medizinische Hochschule Hannover, Klinik für Gynäkologie und Geburtshilfe
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19
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Jentschke M, Kampers J, Becker J, Sibbertsen P, Hillemanns P. Prophylactic HPV vaccination after conization: A systematic review and meta-analysis. Vaccine 2020; 38:6402-6409. [PMID: 32762871 DOI: 10.1016/j.vaccine.2020.07.055] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 07/24/2020] [Accepted: 07/25/2020] [Indexed: 02/08/2023]
Abstract
INTRODUCTION Human papillomavirus (HPV) vaccination is essential for cervical cancer prevention. However, the value of HPV vaccination in the context excisional treatment of high-grade cervical intraepithelial neoplasia (CIN 3) remains unclear. METHODS In this meta-analysis, three retrospective and three prospective studies, three post-hoc analyses of RCTs and one cancer registry study analysing the effect of pre- or post-conization vaccination (bi- or quadrivalent vaccine) against HPV were included after a systematic review of literature. Random-effect models were prepared to evaluate the influence of vaccination on recurrent CIN 2+. RESULTS Primary end point was CIN2+ in every study. The overall study population included 21,059 patients (3,939 vaccinations vs. 17,150 controls). The results showed a significant risk reduction for the development of new high-grade intraepithelial lesions after HPV vaccination (relative risk (RR) 0.41; 95% CI [0.27; 0.64]), independent from HPV type. Due to the heterogeneous study population multiple sub analyses regarding HPV type, age of patients, time of vaccination and follow-up were performed. Age-dependent analysis showed no differences between women under 25 years (RR 0.47 (95%-CI [0.28; 0.80]) and women of higher age (RR 0.52 (95%-CI [0.41; 0.65]). Results for HPV 16/18 positive CIN2+ showed a RR of 0.37 (95% CI [0.17; 0.80]). Overall, the number of women that would have to be vaccinated before or after conization to prevent one case of recurrent CIN 2+ (NNV) is 45.5. CONCLUSION Meta-analysis showed a significant risk reduction of developing recurrent cervical intraepithelial neoplasia after surgical excision and HPV vaccination compared to surgical excision only.
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Affiliation(s)
- M Jentschke
- Department of Gynecology and Obstetrics, Hannover Medical School, Hannover, Germany.
| | - J Kampers
- Department of Gynecology and Obstetrics, Hannover Medical School, Hannover, Germany
| | - J Becker
- Institute of Statistics, Faculty of Economics and Management, Leibniz University Hannover, Hannover, Germany
| | - P Sibbertsen
- Institute of Statistics, Faculty of Economics and Management, Leibniz University Hannover, Hannover, Germany
| | - P Hillemanns
- Department of Gynecology and Obstetrics, Hannover Medical School, Hannover, Germany
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20
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Jueckstock J, Fuerst S, Bommert M, Harter P, Prieske K, Eulenburg C, Hilpert F, deGregorio N, Iborra S, Sehouli J, Ignatov A, Hillemanns P, Jaeger A, Strauss HG, Baumann K, Thiel F, Mustea A, Meier W, Wimberger P, Hanker L, Schmalfeldt B, Canzler U, Fehm T, Luyten A, Hellriegel M, Kosse J, Heiss C, Hantschmann P, Mallmann P, Tanner B, Pfisterer J, Woelber L, Mahner S. Bedeutung der pelvinen Lymphonodektomie beim Plattenepithelkarzinom der Vulva (VSCC) – Subgruppenanalyse der AGO-CaRE-1 Studie. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1713981] [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)
- J Jueckstock
- Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Klinikum der Universität München, LMU München
| | - S Fuerst
- Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Klinikum der Universität München, LMU München
| | - M Bommert
- Klinik für Gynäkologie & Gynäkologische Onkologie, Evang. Kliniken Essen-Mitte, Essen
| | - P Harter
- Klinik für Gynäkologie & Gynäkologische Onkologie, Evang. Kliniken Essen-Mitte, Essen
| | - K Prieske
- Klinik und Poliklinik für Gynäkologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg
| | - C Eulenburg
- Institut für Medizinische Biometrie und Epidemiologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg
| | - F Hilpert
- Onkologisches Kompetenzzentrum, Krankenhaus Jerusalem, Hamburg
| | - N deGregorio
- Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Ulm
| | - S Iborra
- Klinik für Gynäkologie und Geburtsmedizin, Uniklinik RWTH Aachen
| | - J Sehouli
- Klinik für Gynäkologie, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Berlin
| | - A Ignatov
- Universitätsklinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Magdeburg
| | - P Hillemanns
- Klinik für Frauenheilkunde und Geburtshilfe, Medizinische Hochschule Hannover
| | - A Jaeger
- Klinik und Poliklinik für Gynäkologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg
| | - H-G Strauss
- Universitätsklinik und Poliklinik für Gynäkologie, Halle
| | - K Baumann
- Frauenklinik am Klinikum Ludwigshafen
| | - F Thiel
- Frauenklinik mit Gynäkologie und Geburtshilfe, Alb Fils Kliniken, Klinik am Eichert, Göppingen
| | - A Mustea
- Zentrum für Geburtshilfe und Frauenheilkunde, Universitätsklinikum Bonn
| | - W Meier
- Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Düsseldorf
| | - P Wimberger
- Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum, Technische Universität Dresden
| | - L Hanker
- Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - B Schmalfeldt
- Klinik und Poliklinik für Gynäkologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg
| | - U Canzler
- Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum, Technische Universität Dresden
| | - T Fehm
- Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Düsseldorf
| | - A Luyten
- Frauenklinik, Klinikum Wolfsburg
| | - M Hellriegel
- Klinik für Gynäkologie und Geburtshilfe, Universitätsmedizin Göttingen
| | - J Kosse
- Klinik für Gynäkologie und Geburtshilfe, Sana Klinikum Offenbach
| | - C Heiss
- Frauenklinik mit Gynäkologie und Geburtshilfe, Alb Fils Kliniken, Klinik am Eichert, Göppingen
| | - P Hantschmann
- Klinik für Gynäkologie und Geburtshilfe, Kreiskliniken Altötting-Burghausen, Altötting
| | - P Mallmann
- Klinik für Frauenheilkunde und Geburtshilfe, Uniklinik Köln
| | - B Tanner
- Klinik für Gynäkologie und Geburtshilfe, Oberhavel Klinik Oranienburg
| | | | - L Woelber
- Klinik und Poliklinik für Gynäkologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg
| | - S Mahner
- Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Klinikum der Universität München, LMU München
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Jentschke M, Lehmann R, Drews N, Hansel A, Schmitz M, Hillemanns P. Psychological distress in cervical cancer screening: results from a German online survey. Arch Gynecol Obstet 2020; 302:699-705. [PMID: 32594298 PMCID: PMC7447652 DOI: 10.1007/s00404-020-05661-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2020] [Accepted: 06/18/2020] [Indexed: 12/24/2022]
Abstract
Purpose The PODCAD study aimed at assessing the degree of psychological stress that women experience due to notification of an abnormal Papanicolaou (Pap) smear finding or a positive human papillomavirus (HPV) test result. Methods We designed a survey to address the question of psychological burden due to abnormal Pap smear results and/or positive HPV tests. In this online campaign approach, we aimed to reach > 2000 women all over Germany irrespective of kind and number of abnormal screening findings. We asked for different kinds of anxiety, distress and uncertainty regarding both, Pap and HPV status. Results A total of 3753 women completed the survey at least partially, and almost 2300 fully completed the survey. Of these, more than 50% were affected already since more than 1 year, and almost half of them had experienced at least three Pap smears in follow-up examinations. Almost 70% of the women were afraid of developing cancer. Intriguingly, almost half of the women with abnormal findings were not aware of their stage of the Pap smear. Furthermore, almost 30% of the women displayed signs of a post-traumatic stress disorder. Conclusion Abnormal results in cervical cancer screening have an impact on patients’ psychology, irrespective of the knowledge and severity of the findings. Better information concerning risks and benefits of cervical cancer screening and about the meaning of the outcome of its procedures are required to decrease this anxiety. Electronic supplementary material The online version of this article (10.1007/s00404-020-05661-9) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- M Jentschke
- Department of Gynaecology and Obstetrics, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
| | - R Lehmann
- DontBePatient Intelligence GmbH, c/o GCI Management, Brienner Str. 7, 80333, Munich, Germany
| | - N Drews
- DontBePatient Intelligence GmbH, c/o GCI Management, Brienner Str. 7, 80333, Munich, Germany
| | - A Hansel
- Oncgnostics GmbH, Winzerlaer Str. 2, 07745, Jena, Germany
| | - M Schmitz
- Oncgnostics GmbH, Winzerlaer Str. 2, 07745, Jena, Germany
| | - P Hillemanns
- Department of Gynaecology and Obstetrics, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany
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Kuehnle E, Kaur P, Siggelkow W, Luebbe K, Schrader I, Uleer C, Noeding S, Noeding KH, Noesselt T, Arfsten M, Busch C, Krentel N, Hillemanns P, Dörk T, Park-Simon TW. Abstract P1-15-10: A prospective multicenter real-world study on neoadjuvant treatment and clinical outcome in TNBC patients. Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-p1-15-10] [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: 11/16/2022]
Abstract
Abstract
Introduction
Controversy exists with regards to the optimal regimen for neoadjuvant chemotherapy (NAC) of TNBC. Platinum-based regimens seem to be more active in TNBC improving pCR rates significantly. But adding platinum to an anthracycline/taxane chemotherapy regime comes at the expense of greater toxicity. Its impact on survival and long-term-outcomes remains undetermined. Practical guidelines vary across leading international professional societies. In this real-world multicenter study neoadjuvant regimens, pCR rates and survival were evaluated.
Material and methods
This study was conducted from 2012-2017 in six certified breast cancer centers in the region of Hanover, Germany, including rural and urban populations by using a personal questionnaire and data from the medical records. All patients with primary TNBC (ER<1%, PR<1%, Her2/neu 0, 1+ or 2+ FISH/CISH negative) and no evidence of distant disease were eligible.
Results
143/217 patients (66%) received NAC and 74/217patients (34%) adjuvant chemotherapy. 63/143 (44%) patients achieved pCR. 23/63 (35%) received platinum-based NAC and 40/63 (65%) received chemotherapy without platinum. In 80 patients pCR was not achieved. 12/80 patients received platinum and 68/80 non platinum-based NAC. pCR was significantly higher among patients with platinum-based chemotherapy (chi-square, p < 0.003). 20/23 patients who achieved pCR received NAC containing anthracycline/taxane/carboplatin, 3/23 patients received a taxane/carboplatin-based regime. Treatment discontinuation was seen in 12/35 (34%) patients receiving platinum-based NAC vs 15/108 (14%) in non-platinum-based NAC. Mean follow up was 17 months (1-70months). A significant difference in OS (p=0.007) and DFS (p=0.001) was seen for patients with a pCR.
Conclusion
Our trial confirms that platinum based NAC achieves significantly higher rates of pCR in patients with TNBC. pCR was associated with significantly longer DFS and OS. The CALBG protocol (CALBG 40603) was the preferred choice of treatment regimen followed by the GeparSixto protocol. In our study the pCR rate was comparable to that of both trials in which pCR rates of 60% (CALBG 40603) and 53% (GeparSixto) were achieved. However, in our trial 34% of the patients discontinued treatment due to toxicity. Therefore these protocols should be used in carefully selected patients. In a real world setting less toxic chemotherapy regimens achieved a pCR rate of 37%. In terms of toxicity and adherence to chemotherapy, these regimens are reasonable alternative options. In daily care close monitoring of treatment response is essential during NAC. In patients who have a rapid clinical response to platinum-free NAC the benefit of adding platinum is questionable. In contrast, the addition of platinum seems to be appropriate in those patients who show only limited response under NAC.
Citation Format: Kuehnle E, Kaur P, Siggelkow W, Luebbe K, Schrader I, Uleer C, Noeding S, Noeding K-H, Noesselt T, Arfsten M, Busch C, Krentel N, Hillemanns P, Dörk T, Park-Simon T-W. A prospective multicenter real-world study on neoadjuvant treatment and clinical outcome in TNBC patients [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P1-15-10.
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Affiliation(s)
- E Kuehnle
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - P Kaur
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - W Siggelkow
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - K Luebbe
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - I Schrader
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - C Uleer
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - S Noeding
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - K-H Noeding
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - T Noesselt
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - M Arfsten
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - C Busch
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - N Krentel
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - P Hillemanns
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - T Dörk
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
| | - T-W Park-Simon
- Hannover Medical School, Hanover, Germany; DIAKOVERE Henriettenstift, Breast Center, Hanover, Germany; Klinikum Hannover Nordstadt, Cooperative Breast Center Klinikum Region Hanover, Hanover, Germany; HELIOS Klinikum Hildesheim, Breast Center, Hildesheim, Germany; Sana Klinikum Hameln-Pyrmont, Breast Center, Hameln, Germany; Kreiskrankenhaus Stadthagen, Breast Center Schaumburg, Stadthagen, Germany; PVA Mammographiescreening Niedersachsen Süd, Hildesheim, Germany
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Fischer F, Beckmeier S, Klapdor R, Hillemanns P, Hertel H. Behandlung des Beckenbodendescensus im mittleren Kompartiment – wie gut sind uteruserhaltende Operationsmethoden? Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671094] [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: 10/28/2022] Open
Affiliation(s)
- F Fischer
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - S Beckmeier
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - R Klapdor
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - H Hertel
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
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Kühnle E, Jungk J, Klapdor R, Kohls F, Hillemanns P, Staboulidou I. Einfluss von 3D Ultraschall und Beschäftigungstherapie auf die Entwicklung depressiver Symptome von hospitalisierten Risikoschwangeren. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671195] [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: 10/28/2022] Open
Affiliation(s)
- E Kühnle
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - J Jungk
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - R Klapdor
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - F Kohls
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - I Staboulidou
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
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25
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Jentschke M, Bau E, Hass R, Hertel H, Kampers J, Klapdor R, Soergel P, Hillemanns P. Humane Papillomvirus Messenger RNA aus Lymphknoten zur Sentineldiagnostik bei Patientinnen mit Zervixkarzinom. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671048] [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: 10/28/2022] Open
Affiliation(s)
- M Jentschke
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - E Bau
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - R Hass
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - H Hertel
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - J Kampers
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - R Klapdor
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - P Soergel
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
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Kühnle E, Siggelkow W, Luebbe K, Schrader I, Noeding S, Noeding KH, Noesselt T, Arfsten M, Hillemanns P, Dörk T, Park-Simon TW. Auftreten von equivocal Her2neu Ergebnissen nach Revision der ASCO/CAP Empfehlungen in einem Real-world-setting. Ergebnisse einer prospektiven Querschnittsstudie von Brustkrebspatienten der Region Hannover. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671501] [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: 10/28/2022] Open
Affiliation(s)
- E Kühnle
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - W Siggelkow
- DIAKOVERE Henriettenstift, Brustzentrum, Hannover, Deutschland
| | - K Luebbe
- DIAKOVERE Henriettenstift, Brustzentrum, Hannover, Deutschland
| | - I Schrader
- DIAKOVERE Henriettenstift, Brustzentrum, Hannover, Deutschland
| | - S Noeding
- Klinikum Hannover Nordstadt, Kooperatives Brustzentrum Klinikum Region Hannover, Hannover, Deutschland
| | - KH Noeding
- HELIOS Klinikum Hildesheim, Brustentrum, Hildesheim, Deutschland
| | - T Noesselt
- Sana Klinikum Hameln-Pyrmont, Brustzentrum, Hameln, Deutschland
| | - M Arfsten
- Kreiskrankenhaus Stadthagen, Brustzentrum Schaumburg, Stadthagen, Deutschland
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - T Dörk
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - TW Park-Simon
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
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Schippert C, Witte YJ, Soergel P, Kühnle E, Hertel H, Hillemanns P, Kundu S. Postoperative Rezidiv- und Schwangerschaftsraten nach Sanierung moderater bzw. schwerer Endometriose (Stadium III/IV gemäß rASRM) – Ergebnisse einer retrospektiven 11-Jahres Auswertung einer Universitätsfrauenklinik. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671411] [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: 10/28/2022] Open
Affiliation(s)
- C Schippert
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - YJ Witte
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - P Soergel
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - E Kühnle
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - H Hertel
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - S Kundu
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
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Fischer F, Beckmeier S, Klapdor R, Hillemanns P, Hertel H. Verbessert der Uteruserhalt die postoperative Lebensqualität nach Descensuschirurgie des zentralen Kompartiments? Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671083] [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: 10/28/2022] Open
Affiliation(s)
- F Fischer
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - S Beckmeier
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - R Klapdor
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - H Hertel
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
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Hasenburg A, Sehouli J, Lampe B, Reuss A, Schmalfeldt B, Belau A, Bossart M, Mahner S, Hillemanns P, Petry KU, du Bois A, Herwig U, Hilpert F, Gropp-Meier M, Hanf V, Janni W, Schindelhauer A, Kimmig R, Greimel E, Wagner U, Harter P. LION-PAW – Lymphonodectomy (LNE) in Ovarian Neoplasm – Pleasure Ability of Women Prospektive Substudie der multizentrischen AGO LION Studie. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671032] [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: 10/28/2022] Open
Affiliation(s)
- A Hasenburg
- Universitätsmedizin Mainz, Klinik und Poliklinik für Geburtshilfe und Frauengesundheit, Mainz, Deutschland
| | - J Sehouli
- Charité, Campus Virchow Klinikum, Berlin, Deutschland
| | - B Lampe
- Kaiserswerther Diakonie/Florence Nightingale Krankenhaus, Düsseldorf, Deutschland
| | - A Reuss
- Philipps-University of Marburg, Coordinating Center for Clinical Trials, Marburg, Deutschland
| | - B Schmalfeldt
- Klinikum rechts der Isar; Technical University of Munich, München, Deutschland
- University Medical Center Hamburg-Eppendorf, Dept. of Gynecology and Gynecologic Oncology, Hamburg, Deutschland
| | - A Belau
- University of Greifswald, Clinic and Policlinic for Gynecology and Obstetrics, Greifswald, Deutschland
| | - M Bossart
- Universitätsklinik Freiburg, Universitätsfrauenklinik, Freiburg, Deutschland
| | - S Mahner
- University Medical Center Hamburg-Eppendorf, Dept. of Gynecology and Gynecologic Oncology, Hamburg, Deutschland
- Universitätsfrauenklinik LMU München, Geburtshilfe und Frauenheilkunde, München, Deutschland
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - KU Petry
- Klinikum Wolfsburg, Frauenklinik, Wolfsburg, Deutschland
| | - A du Bois
- Kliniken Essen-Mitte (KEM) Evang. Huyssens-Stiftung/Knappschaft GmbH, Klinik für Gynäkologie und gyn. Onkologie, Essen, Deutschland
| | - U Herwig
- Albertinen-Hospital Hamburg, Research Center Gynecology, Hamburg, Deutschland
| | - F Hilpert
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | - M Gropp-Meier
- Oberschwabenklinik, Krankenhaus St. Elisabeth, Ravensburg, Deutschland
| | - V Hanf
- Klinikum Fürth, Frauenklinik, Fürth, Deutschland
| | - W Janni
- University of Ulm, Department of Gynecology, Ulm, Deutschland
| | - A Schindelhauer
- Medical Faculty and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Deutschland
| | - R Kimmig
- Universitätsklinikum Essen, Frauenklinik, Essen, Deutschland
| | - E Greimel
- Medical University Graz, Department of Obstetrics and Gynecology, Graz, Österreich
| | - U Wagner
- University of Gießen and Marburg GmbH Site Marburg, Klinik für Gynäkologie, Gyn. Endokrinologie und Onkologie, Marburg, Deutschland
| | - P Harter
- Kliniken Essen-Mitte (KEM) Evang. Huyssens-Stiftung/Knappschaft GmbH, Klinik für Gynäkologie und gyn. Onkologie, Essen, Deutschland
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Jentschke M, Wiestler M, Knitsch W, Hertel B, Hillemanns P, Kaisenberg C. Mütterlicher Todesfall infolge eines akuten Lungenversagens (ARDS) nach Ketoazidose mit Fruchttod und anschließender 4-wöchiger ECMO. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671242] [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: 10/28/2022] Open
Affiliation(s)
- M Jentschke
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - M Wiestler
- Medizinische Hochschule Hannover, Klinik für Gastroenterologie, Hepatologie und Endokrinologie, Hannover, Deutschland
| | - W Knitsch
- Medizinische Hochschule Hannover, Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Hannover, Deutschland
| | - B Hertel
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - C Kaisenberg
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
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Jentschke M, Kampers J, Hillemanns P. Uterus duplex mit Hämatometra und Uterus-Blasenfistel. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671580] [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: 10/28/2022] Open
Affiliation(s)
- M Jentschke
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - J Kampers
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
| | - P Hillemanns
- Medizinische Hochschule Hannover, Klinik für Frauenheilkunde und Geburtshilfe, Hannover, Deutschland
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de Gregorio N, du Bois A, Sehouli J, Reuss A, Burges A, Kimmig R, Hilpert F, Hasenburg A, Hillemanns P, Leffern I, Gropp-Maier M, Petry KU, Schindelhauer A, Rothmund R, Zivanovic O, Kullmer U, Hanf V, Emons G, Wager U, Harter P. Die Lion Studie: Lymphadenektomie beim fortgeschrittenen primären Ovarialkarzinom – Eine multinationale randomisiert-prospektive Studie der AGO. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671634] [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: 10/28/2022] Open
Affiliation(s)
| | - A du Bois
- Kliniken Essen-Mitte (KEM) Evang. Huyssens-Stiftung/Knappschaft GmbH, Essen, Deutschland
| | - J Sehouli
- Charité Universitätsklinikum, Campus Virchow-Klinikum, Berlin, Deutschland
| | - A Reuss
- KKS Marburg, Marburg, Deutschland
| | - A Burges
- LMU München, München, Deutschland
| | - R Kimmig
- Universitätsklinikum Essen, Essen, Deutschland
| | - F Hilpert
- Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland
| | | | - P Hillemanns
- Medizinische Hochschule Hannover, Hannover, Deutschland
| | - I Leffern
- Albertinenkrankenhaus, Hamburg, Deutschland
| | - M Gropp-Maier
- Elisabethenkrankenhaus Ravensburg, Ravensburg, Deutschland
| | - KU Petry
- Klinikum Wolfsburg, Wolfsburg, Deutschland
| | | | - R Rothmund
- Unifrauenklinik Tübingen, Tübingen, Deutschland
| | | | | | - V Hanf
- Klinikum Fürth, Fürth, Deutschland
| | - G Emons
- Unifrauenklinik Göttingen, Göttingen, Deutschland
| | - U Wager
- Unifrauenklinik Marburg, Marburg, Deutschland
| | - P Harter
- Kliniken Essen Mitte, Essen, Deutschland
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Ledig S, Tewes A, Hucke J, Römer T, Kapczuk K, Schippert C, Hillemanns P, Wieacker P. Array-comparative genomic hybridization analysis in patients with Müllerian fusion anomalies. Clin Genet 2018; 93:640-646. [DOI: 10.1111/cge.13160] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Revised: 10/19/2017] [Accepted: 10/20/2017] [Indexed: 12/18/2022]
Affiliation(s)
- S. Ledig
- Institute of Human Genetics; Westfälische Wilhelms-Universität Münster (WWU); Münster Germany
| | - A.C. Tewes
- Institute of Human Genetics; Westfälische Wilhelms-Universität Münster (WWU); Münster Germany
| | - J. Hucke
- Department of Obstetrics and Gynecology; Agaplesion Bethesda Krankenhaus; Wuppertal Germany
| | - T. Römer
- Department of Obstetrics and Gynecology; Evangelisches Krankenhaus Köln-Weyertal; Köln-Weyertal Germany
| | - K. Kapczuk
- Division of Gynecology; Poznan University of Medical Sciences; Poznan Poland
| | - C. Schippert
- Department of Obstetrics and Gynecology; Medical School Hannover; Hannover Germany
| | - P. Hillemanns
- Department of Obstetrics and Gynecology; Medical School Hannover; Hannover Germany
| | - P. Wieacker
- Institute of Human Genetics; Westfälische Wilhelms-Universität Münster (WWU); Münster Germany
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Kundu S, Kuehnle E, Schippert C, von Ehr J, Hillemanns P, Staboulidou I. Estimation of neonatal outcome artery pH value according to CTG interpretation of the last 60 min before delivery: a retrospective study. Can the outcome pH value be predicted? Arch Gynecol Obstet 2017; 296:897-905. [DOI: 10.1007/s00404-017-4516-4] [Citation(s) in RCA: 5] [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] [Received: 05/31/2017] [Accepted: 09/01/2017] [Indexed: 10/18/2022]
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Jentschke M, Hillemanns P. Systematic Comparison of Different Meta-analyses, Systematic Reviews and HTA Reports on Cervical Cancer Screening based on Cytology or HPV Test. Geburtshilfe Frauenheilkd 2016; 76:1081-1085. [PMID: 27761029 DOI: 10.1055/s-0042-112457] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 01/08/2023] Open
Abstract
Introduction: Cervical cancer screening programs all over the world are being radically revised; preventive screening is increasingly based on detecting infection with human papillomavirus (HPV). This change was driven by large international studies (comparing cytological and HPV-based screening), which were then summarized in systematic reviews or HTA reports. We carried out a systematic comparison of these meta-analyses, comparing their contents, quality, results and recommendations. Material and Methods: A systematic search in MEDLINE identified eight meta-analyses. Seven more papers were also included in our analysis. The quality of these publications was reviewed using the AMSTAR criteria and presented in tabular form. Results: There were significant differences with regard to the primary studies included in the meta-analyses, the quality of the meta-analyses, the endpoints, and the outcomes and recommendations based on these endpoints. Conclusion: Different meta-analyses on the same or similar issues sometimes came to quite different conclusions because they used different approaches. This is quite significant because the underlying primary data did not change. The data indicated that HPV-based screening was superior. The heterogeneity of the meta-analyses affects the decisions taken by policymakers in the healthcare system.
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Affiliation(s)
- M Jentschke
- Klinik für Frauenheilkunde und Geburtshilfe, Medizinische Hochschule Hannover, Hannover, Germany
| | - P Hillemanns
- Klinik für Frauenheilkunde und Geburtshilfe, Medizinische Hochschule Hannover, Hannover, Germany
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Polkowski M, Schippert C, Kundu S, Kuehnle E, Hillemanns P, Staboulidou I. Neonatales und maternales Kurzzeitoutcome nach vaginal operativen Entbindungen im Vergleich zu sekundären Sectiones. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593220] [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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Soergel P, Buschau S, Ehr JV, Hillemanns P, Kundu S. Perzeption von Aufklärungsinhalten bei der Sectio caesarea. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592872] [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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Klapdor R, Grosse J, Hillemanns P, Hertel H. Hohe anatomische Korrekturraten und hohe Lebensqualität nach vaginaler Sakrokolporektopexie: Eine vielversprechende minimalinvasive Operationstechnik zur Behebung zentraler Deszensusfälle. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592786] [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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Soergel P, Kundu S, Klapdor R, Nacke AK, Hillemanns P, Hertel H. Sentinel-Detektion beim Vulvakarzinom mittels Indocyaningrün und Technetium-99 m. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592986] [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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Kundu S, Ehr JV, Kühnle E, Schippert C, Soergel P, Hillemanns P, Staboulidou I. Inter-und Intraobserver Variabilität der subpartu CTG-Interpretation und Einschätzung des arteriellen Geburts-pHs. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592878] [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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Kohls F, Rios N, Länger F, Hillemanns P, Hertel H. Das operative Management eines riesen Kystoms. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592858] [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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Kundu S, Karakas H, Staboulidou I, Schippert C, Hertel H, Hillemanns P, Soergel P. Peri- und postoperatives Management sowie Outcome bei gynäkologischen Patientinnen mit einer extremen Adipositas (Grad 3, BMI über 40). Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593123] [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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Soergel P, Hertel H, Kundu S, Klapdor R, Hillemanns P. Sentinel-Detektion beim Zervixkarzinom mittels Indocyaningrün. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592692] [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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Lanowski JS, Lanowski G, Schippert C, Drinkut K, Hillemanns P, Staboulidou I. Fetale Gewichtsschätzung am Termin-Ultraschall oder abdominale Palpation? Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592928] [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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Ehr JV, Kundu S, Kaisenberg CV, Hillemanns P, Soergel P. Fetale Morbidität abhängig von Tag und Uhrzeit der Entbindung. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593194] [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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Klapdor R, Wölber L, Jückstock J, Hillemanns P, Hilpert F, de Gregorio N, Iborra S, Sehouli J, Habermann A, Fürst ST, Strauß HG, Baumann K, Thiel F, Mustea A, Meier W, Harter P, Wimberger P, Hanker L, Schmalfeldt B, Canzler U, Fehm T, Luyten A, Hellriegel M, Kosse J, Heiss C, Hantschmann P, Mallmann P, Tanner B, Pfisterer J, Richter B, Jäger M, Mahner S. Sentinellymphonodektomie beim Vulvakarzinom: Eine Subgruppenanalye der AGO-CaRE-1 Multicenterstudie. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593256] [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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Kühnle E, Tordai KE, Siggelkow W, Lübbe K, Moser A, Noeding S, John J, Hillemanns P, Öztürk T, Dörk-Bousset T, Park-Simon TW. Prospektive Querschnittstudie zur Anwendungshäufigkeit und Umsetzung der S3-Leitlinie an vier zertifizierten Brustzentren in Hannover und Hildesheim. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593141] [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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Drinkut K, Korotkaia A, Rode B, Hillemanns P, Park-Simon TW. coolHAIR – Kopfhautkühlung zur Vermeidung der chemotherapieinduzierten Alopezie. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593048] [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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Friebe K, Soergel P, Hillemanns P, Jentschke M. Nutzen der partiellen HPV Genotypisierung im Follow-up nach Konisation zervikaler Dysplasien. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592977] [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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50
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Kolben TM, Etzel LT, Noskowicz M, Hillemanns P, Bergauer F, Hagemann I, Kolben T, Gallwas J, Mahner S, Dannecker C. Vergleich zweier operativer Vorgehensweisen im Rahmen der Therapie der CIN III: Klassische LLETZ versus isolierte Resektion der kolposkopisch sichtbaren Läsion – ECO-ROCS Study. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593281] [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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