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Mammographic correlation with molecular subtypes of breast carcinoma 乳腺x线摄影与乳腺癌分子亚型的相关性
Pub Date : 2023-02-14 DOI: 10.29328/journal.jro.1001045
Rayamajhi Kundana, Bansal Richa, Aggarwal Bharat
Aim: To determine the correlation between mammographic features of breast cancer with molecular subtypes and to calculate the predictive value of these features. Materials and method: This is a retrospective study of breast cancer patients presenting between January 2017 and December 2021, who underwent mammography of the breast followed by true cut biopsy and immunohistochemical staining of the tissue sample. Breast carcinoma patients without preoperative mammograms, those unable to undergo histopathological and IHC examinations and h/o prior cancer treatment were excluded. On mammography, size, shape, margins, density, the presence or absence of suspicious calcifications and associated features were noted. Results: Irregular-shaped tumors with spiculated margins were likely to be luminal A/B subtypes of breast cancer. Tumors with a round or oval shape with circumscribed margins were highly suggestive of Triple negative breast cancer. Tumors with suspicious calcifications were likely to be HER2 enriched. Conclusion: Mammographic features such as irregular or round shape, circumscribed or noncircumscribed margins and suspicious calcifications are strongly correlated in predicting the molecular subtypes of breast cancer and thus may further expand the role of conventional breast imaging.
目的:探讨乳腺癌的x线影像特征与分子亚型的相关性,并计算这些特征对乳腺癌的预测价值。材料和方法:这是一项对2017年1月至2021年12月期间就诊的乳腺癌患者的回顾性研究,这些患者接受了乳房x光检查,然后对组织样本进行了真切片活检和免疫组织化学染色。排除术前未做乳房x光检查的乳腺癌患者、无法进行组织病理学和免疫组化检查的患者以及既往未接受过癌症治疗的患者。在乳房x线摄影,大小,形状,边缘,密度,是否存在可疑的钙化和相关特征被记录。结果:伴有毛刺边缘的不规则肿瘤可能是乳腺癌腔内A/B亚型。圆形或椭圆形边缘有边界的肿瘤高度提示三阴性乳腺癌。可疑钙化的肿瘤可能是HER2富集的。结论:不规则或圆形、边缘有边界或无边界、可疑钙化等乳腺影像学特征与预测乳腺癌分子亚型密切相关,可进一步扩大常规乳腺影像学的作用。
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引用次数: 1
Nanometer-scale distribution of PD-1 in the melanoma tumor microenvironment. PD-1在黑色素瘤微环境中的纳米级分布。
Pub Date : 2023-01-01 DOI: 10.29328/journal.jro.1001048
Colin J Comerci, Dannielle G McCarthy, Mehdi Nosrati, Kevin B Kim, Mohammed Kashani-Sabet, W E Moerner, Stanley P Leong

The nanometer-scale spatial organization of immune receptors plays a role in cell activation and suppression. While the connection between this spatial organization and cell signaling events is emerging from cell culture experiments, how these results translate to more physiologically relevant settings like the tumor microenvironment remains poorly understood due to the challenges of high-resolution imaging in vivo. Here we perform super-resolution immunofluorescence microscopy of human melanoma tissue sections to examine the spatial organization of the immune checkpoint inhibitor programmed cell death 1 (PD-1). We show that PD-1 exhibits a variety of organizations ranging from nanometer-scale clusters to more uniform membrane labeling. Our results demonstrate the capability of super-resolution imaging to examine the spatial organization of immune checkpoint markers in the tumor microenvironment, suggesting a future direction for both clinical and immunology research.

免疫受体的纳米尺度空间组织在细胞活化和抑制中起作用。虽然这种空间组织和细胞信号事件之间的联系正在从细胞培养实验中出现,但由于体内高分辨率成像的挑战,这些结果如何转化为更生理相关的环境,如肿瘤微环境,仍然知之甚少。在这里,我们对人类黑色素瘤组织切片进行超分辨率免疫荧光显微镜检查免疫检查点抑制剂程序性细胞死亡1 (PD-1)的空间组织。我们发现PD-1表现出从纳米级簇到更均匀的膜标记的各种组织。我们的研究结果证明了超分辨率成像在肿瘤微环境中检测免疫检查点标记物空间组织的能力,为临床和免疫学研究提供了一个未来的方向。
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引用次数: 0
Neurointerventional Radiology: History, Present and Future. 神经介入放射学:历史、现在和未来。
Pub Date : 2023-01-01 Epub Date: 2023-06-20 DOI: 10.29328/journal.jro.1001049
Andre Calixte, Schan Lartigue, Scott McGaugh, Michael Mathelier, Anjali Patel, Mohammad Reza Hosseini Siyanaki, Kevin Pierre, Brandon Lucke-Wold

Neurointerventional Radiology (NIR), encompassing neuroendovascular surgery, endovascular neurosurgery, and interventional neurology, is an innovative and rapidly evolving multidisciplinary specialty focused on minimally invasive therapies for a wide range of neurological disorders. This review provides a comprehensive overview of NIR, discussing the three routes into the field, highlighting their distinct training paradigms, and emphasizing the importance of unified approaches through organizations like the Society of Neurointerventional Surgery (SNIS). The paper explores the benefits of co-managed care and its potential to improve patient outcomes, as well as the role of interdisciplinary collaboration and cross-disciplinary integration in advancing the field. We discuss the various contributions of neurosurgery, radiology, and neurology to cerebrovascular surgery, aiming to inform and educate those interested in pursuing a career in neurointervention. Additionally, the review examines the adoption of innovative technologies such as robotic-assisted techniques and artificial intelligence in NIR, and their implications for patient care and the future of the specialty. By presenting a comprehensive analysis of the field of neurointervention, we hope to inspire those considering a career in this exciting and rapidly advancing specialty, and underscore the importance of interdisciplinary collaboration in shaping its future.

神经介入放射学(NIR)涵盖神经血管内手术、血管内神经外科和介入神经病学,是一门创新且快速发展的多学科专业,专注于各种神经疾病的微创治疗。这篇综述对NIR进行了全面概述,讨论了进入该领域的三条途径,强调了它们不同的培训模式,并强调了通过神经介入外科学会(SNIS)等组织统一方法的重要性。本文探讨了共同管理护理的好处及其改善患者预后的潜力,以及跨学科合作和跨学科整合在推进该领域中的作用。我们讨论了神经外科、放射学和神经病学对脑血管外科的各种贡献,旨在为那些有兴趣从事神经干预事业的人提供信息和教育。此外,该综述考察了近红外中机器人辅助技术和人工智能等创新技术的采用情况,以及它们对患者护理和专业未来的影响。通过对神经干预领域进行全面分析,我们希望激励那些考虑在这一令人兴奋且快速发展的专业中从事职业的人,并强调跨学科合作在塑造其未来方面的重要性。
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引用次数: 0
Radiation-induced salivary gland damage/dysfunction in head and neck cancer: Nano-bioengineering strategies and artificial intelligence for prevention, therapy and reparation 头颈癌放射引起的唾液腺损伤/功能障碍:纳米生物工程策略和人工智能用于预防、治疗和修复
Pub Date : 2022-12-20 DOI: 10.29328/journal.jro.1001044
Haidar Ziyad S
Saliva is produced by and secreted from salivary glands. It is an extra-cellular fluid, 98% water, plus electrolytes, mucus, white blood cells, epithelial cells, enzymes, and anti-microbial agents. Saliva serves a critical role in the maintenance of oral, dental, and general health and well-being. Hence, alteration(s) in the amount/quantity and/or quality of secreted saliva may induce the development of several oro-dental variations, thereby the negatively-impacting overall quality of life. Diverse factors may affect the process of saliva production and quantity/quality of secretion, including medications, systemic or local pathologies and/or reversible/irreversible damage. Herein, chemo- and/or radio-therapy, particularly, in cases of head and neck cancer, for example, are well-documented to induce serious damage and dysfunction to the radio-sensitive salivary gland tissue, resulting in hypo-salivation, xerostomia (dry mouth) as well as numerous other adverse Intra-/extra-oral, medical and quality-of-life issues. Indeed, radio-therapy inevitably causes damage to the normal head and neck tissues including nerve structures (brain stem, spinal cord, and brachial plexus), mucous membranes, and swallowing muscles. Current commercially-available remedies as well as therapeutic interventions provide only temporary symptom relief, hence, do not address irreversible glandular damage. Further, despite salivary gland-sparing techniques and modified dosing strategies, long-term hypo-function remains a significant problem. Although a single governing mechanism of radiation-induced salivary gland tissue damage and dysfunction has not been yet elucidated, the potential for synergy in radio-protection (mainly, and possibly -reparation) via a combinatorial approach of mechanistically distinct strategies, has been suggested and explored over the years. This is, undoubtfully, in parallel to the ongoing efforts in improving the precision, safety, delivery, and efficacy of clinical radiotherapy protocols/outcomes, and in designing, developing, evaluating and optimizing (for translation) new artificial intelligence, technological and bio-pharmaceutical alternatives, topics covered in this review.
唾液是由唾液腺产生和分泌的。它是一种细胞外液体,98%的水,加上电解质、粘液、白细胞、上皮细胞、酶和抗微生物剂。唾液在维持口腔、牙齿和一般健康和福祉方面发挥着关键作用。因此,分泌唾液的数量/数量和/或质量的改变可能会导致几种口腔变异,从而对整体生活质量产生负面影响。多种因素可能影响唾液的产生过程和分泌的数量/质量,包括药物、全身或局部病理和/或可逆/不可逆损伤。在本文中,化学和/或放射性疗法,特别是在头部和颈部癌症的情况下,例如,被充分证明会导致放射性敏感的唾液腺组织的严重损伤和功能障碍,导致生存能力低下、口干症(口干)以及许多其他不利的体内/体外、医学和生活质量问题。事实上,放射治疗不可避免地会对正常的头颈部组织造成损伤,包括神经结构(脑干、脊髓和臂丛神经)、粘膜和吞咽肌肉。目前商业上可用的治疗方法和治疗干预措施只能暂时缓解症状,因此不能解决不可逆转的腺体损伤。此外,尽管有保留唾液腺的技术和改良的给药策略,但长期功能低下仍然是一个重大问题。尽管辐射诱导的唾液腺组织损伤和功能障碍的单一控制机制尚未阐明,但多年来,人们已经提出并探索了通过机制不同策略的组合方法在无线电保护(主要是,可能是修复)方面发挥协同作用的潜力。毫无疑问,这与正在进行的提高临床放射治疗方案/结果的准确性、安全性、交付和疗效的努力,以及设计、开发、评估和优化(翻译)新的人工智能、技术和生物药物替代品的努力是平行的,这些都是本综述所涵盖的主题。
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引用次数: 0
Renal neoplasms and computed tomography 肾肿瘤和计算机断层扫描
Pub Date : 2022-11-08 DOI: 10.29328/journal.jro.1001043
Mbbs Hajra Idrees,, MBBS, MD Raza Zarrar,, MD Bilal Mujtaba,
Introduction: In recent years the increased utilization of imaging modalities has led to an accelerated diagnosis of renal masses. Initial diagnoses and staging are commonly done with the abdominal Computed Tomography (CT). This study evaluates the various aspects to consider when utilizing CT scan for the diagnosis of renal masses. Discussion: CT scan is the most important imaging modality to evaluate renal neoplasms. Postcontrast acquisitions can be tailored according to the indication for the study. This alongside various techniques, imaging modalities and classification systems may help differentiate the malignant Renal Cell Carcinoma, from benign or metastatic lesions, lymphomas or renal pseudotumor. Finally CT can also be utilized alongside other tools for staging the tumor. Conclusion: Certain CT imaging features are pertinent to evaluate the malignancy potential of renal lesions. However the CT alone may be inconclusive in diagnosing the majority of renal neoplasms, excluding AML with macroscopic fat. Hence it is recommended that the CT aid additional imaging modalities and tools to reach an accurate diagnosis.
引言:近年来,影像学方法的使用越来越多,导致肾脏肿块的诊断速度加快。初步诊断和分期通常用腹部计算机断层扫描(CT)完成。本研究评估了在利用CT扫描诊断肾脏肿块时应考虑的各个方面。讨论:CT扫描是评估肾脏肿瘤最重要的成像方式。对比后采集可以根据研究的适应症进行定制。这与各种技术、成像模式和分类系统一起可能有助于区分恶性肾细胞癌与良性或转移性病变、淋巴瘤或肾假瘤。最后,CT也可以与其他工具一起用于肿瘤分期。结论:某些CT影像学特征与评估肾脏病变的恶性潜能有关。然而,单独的CT在诊断大多数肾肿瘤方面可能没有结论,不包括伴有肉眼可见脂肪的AML。因此,建议CT辅助额外的成像模式和工具,以达到准确的诊断。
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引用次数: 0
Non-invasive physical plasma as an innovative physical approach for the oncological therapy of skeletal sarcomas 非侵入性物理血浆作为骨骼肉瘤肿瘤治疗的创新物理方法
Pub Date : 2022-09-21 DOI: 10.29328/journal.jro.1001042
Stope Matthias B
https://doi.org/10.29328/journal.jro.1001042 Human osteosarcoma is the most common malignant bone tumor with an annual incidence of two cases per 1 million population. Osteosarcoma account for 60% of all malignant bone tumors occurring in childhood, followed by Ewing’s sarcoma [1-3]. In adults, however, chondrosarcoma is the most common primary bone malignancy. The prognosis of skeletal tumors depends on their localization, histological typing, and the degree of metastasis. The therapeutical set-up is oriented toward these modalities and for osteosarcoma and Ewing sarcomas consists of preoperative, neoadjuvant chemotherapy, surgical tumor resection, and postoperative, adjuvant chemotherapy. With current therapies, the recurrence-free overall 5 year survival rate is approximately 60% [4-6]. In contrast, surgical resection is the treatment of choice for chondrosarcoma due to its phenotypic characteristics and resistance to chemotherapy and radiotherapy [7]. It is therefore important to look for new options for the treatment of osseous sarcomas. Due to its anti-oncological effect, one such option may be treated with physical plasma [8-10].
https://doi.org/10.29328/journal.jro.1001042人骨肉瘤是最常见的恶性骨肿瘤,年发病率为每100万人2例。在儿童期发生的所有恶性骨肿瘤中,骨肉瘤占60%,其次是尤文氏肉瘤[1-3]。然而,在成人中,软骨肉瘤是最常见的原发性骨恶性肿瘤。骨骼肿瘤的预后取决于其定位、组织学分型和转移程度。骨肉瘤和尤文氏肉瘤的治疗方法包括术前新辅助化疗、手术肿瘤切除和术后辅助化疗。采用目前的治疗方法,无复发总5年生存率约为60%[4-6]。相比之下,由于软骨肉瘤的表型特征和对化疗和放疗的耐药性,手术切除是治疗软骨肉瘤的首选方法。因此,寻找治疗骨肉瘤的新方法是很重要的。由于其抗肿瘤作用,其中一种选择可能是用物理血浆治疗[8-10]。
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引用次数: 0
The effects of boric acid and disodium pentaborate dechydrate in metastatic prostate cancer cells 硼酸和脱水五硼酸二钠对转移性前列腺癌细胞的影响
Pub Date : 2022-07-15 DOI: 10.29328/journal.jro.1001041
Tütüncü Merve, Özşengezer Selen Kum, Karakayali Tuğba, Altun Zekiye S
Boron and their derived molecules have prevention or treatment potential against prostate cancer. In this study, we aim to investigate the effects of Boric acid (BA) and Disodium Pentaborate Dechydrate (DPD) in metastatic prostate cancer cells such as DU-145 which is brain metastatic prostate cancer, and PC3 which is bone metastatic prostate cancer. Metastatic human prostate cancer cell lines, PC-3 and DU-145, were used to show whether inhibition effects of BA and DPD on prostate cancer cells in this study. BA and DPD were applied for 24 hours to the cells. Cell viability determination was performed using WST-1 assay. Apoptotic cell death was evaluated with Annexin-V/PI flow cytometric analysis and caspase-3 expression immunohistochemically. A wound healing assay was also used to measure cancer cell migration after exposure to BA and DPD. Applying BA and DPD made inhibition of cell proliferation in both BA (1 mM) and DPD (7 mM) at 24 h. The results of Annexin-V/PI showed that DPD induced higher levels of apoptosis than BA in both prostate cancer cells. Caspase-3 expressions were also higher than BA with DPD in both metastatic prostate cancer cells. We evaluated cell migration using a wound healing assay and the result showed that cell migration was inhibited with BA and DPD in both cells. Both BA and DPD inhibited the cell viability of metastatic prostate cancer cells. Apoptotic cell death with applying DPP had a higher rate than BA treatment. Moreover, BA and DPD inhibited cell migration in both cells when we compared them with control. This study’s results showed that BA and DPD of boron derivates significantly induced cells to apoptosis and the migration was inhibited by the derived form of boron in metastatic prostate cancer cells.
硼及其衍生分子具有预防或治疗前列腺癌的潜力。本研究旨在探讨硼酸(BA)和五硼酸二钠(DPD)对脑转移性前列腺癌DU-145和骨转移性前列腺癌PC3等转移性前列腺癌细胞的影响。本研究以转移性人前列腺癌细胞PC-3和DU-145为实验对象,观察BA和DPD对前列腺癌细胞是否有抑制作用。BA和DPD作用于细胞24小时。采用WST-1法测定细胞活力。Annexin-V/PI流式细胞分析和caspase-3免疫组织化学表达评价凋亡细胞死亡。伤口愈合试验也用于测量暴露于BA和DPD后癌细胞的迁移。BA和DPD对BA (1 mM)和DPD (7 mM) 24 h的细胞增殖均有抑制作用。Annexin-V/PI结果显示,DPD诱导两种前列腺癌细胞的凋亡水平均高于BA。Caspase-3在两种转移性前列腺癌细胞中的表达均高于BA和DPD。我们用伤口愈合实验评估了细胞迁移,结果表明BA和DPD抑制了细胞迁移。BA和DPD均能抑制转移性前列腺癌细胞的细胞活力。DPP处理的细胞凋亡率高于BA处理。此外,与对照组相比,BA和DPD抑制了两种细胞的细胞迁移。本研究结果表明,硼衍生物BA和DPD显著诱导转移性前列腺癌细胞凋亡,硼衍生物的迁移受到抑制。
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引用次数: 0
The value of bone scans to predict survival time in patients with diagnosed prostate cancer: single-center retrospective study 骨扫描对诊断为前列腺癌症患者生存时间的预测价值:单中心回顾性研究
Pub Date : 2022-05-25 DOI: 10.29328/journal.jro.1001040
M. Elif, Yüksel Doğangün, Yaylalı Olga, Eskiçorapçı Saadettin Yılmaz, Şen Nilay, Aybek Hülya, Kıraç Fatma Suna
Objective: In this study, we investigated the significance of the bone scan results as a prognostic factor to predict survival by comparing age, serum PSA level, and Gleason score. Methods: Medical records of 313 patients were retrospectively examined. 265 patients of 313 were included in the study. Results: 202 (76%) patients of 265 were still alive and 63 (24%) patients of 265 were dead because of prostate cancer. Patients’ mean estimated survival times for those with, without, and suspected bone metastases were 47.4 ± 5.4 months, 159.1 ± 8.6 months, and 71.1 ± 14.4 months, respectively (p = 0.0001). While the mean estimated survival time of < 70 years patients old was 137.1 ± 9.4 months, the mean estimated survival time of ≥ 70 years old patients was 78.2 ± 5.0 (p = 0.031). 243 patients with known PSA values, of those whose PSA levels were < 10 ng/ml, between 10-20 ng/ml, between > 20-50 ng/ml, and > 50 ng/ml, the estimated mean survival time was 106.9 ± 4.2 months, 118.1 ± 14.8 months, 87.6 ± 7.4 months and 51.7 ± 6.2 month, respectively and a significant difference was determined (p = 0.0001). For patients whose Gleason scores were < 7, 7, and >7, the mean estimated survival time was 167.5 ± 10.8 months), 86.8 ± 5.5 months, and 61.0 ± 5.4 months, respectively, and a significant difference was determined (p = 0.0001). Conclusion: We identified that the estimated mean survival time of the patients who had bone metastases, had a high level of PSA, had a high level of Gleason score, and were older than 70 years old was shorter than other groups. We concluded the most important prognostic factor affecting survival time independently was the finding of metastasis detected in bone scintigraphy.
目的:在本研究中,我们通过比较年龄、血清PSA水平和Gleason评分,探讨骨扫描结果作为预测生存率的预后因素的意义。方法:对313例患者的病历资料进行回顾性分析。313名患者中有265名被纳入研究。结果:265例患者中有202例(76%)仍存活,265例中有63例(24%)死于前列腺癌症。有、无和疑似骨转移的患者的平均估计生存时间分别为47.4±5.4个月、159.1±8.6个月和71.1±14.4个月(p=0.0001)。而<70岁患者的平均预计生存时间为137.1±9.4个月,≥70岁患者的平均估计生存时间为78.2±5.0(p=0.031)。243名已知PSA值的患者,其中PSA水平<10 ng/ml、10-20 ng/ml、20-50 ng/ml和>50 ng/ml的患者,估计平均生存时间为106.9±4.2个月、118.1±14.8个月、87.6±7.4个月和51.7±6.2个月,Gleason评分<7、7和>7的患者的平均估计生存时间分别为167.5±10.8个月、86.8±5.5个月和61.0±5.4个月,结论:我们发现,骨转移、PSA水平高、Gleason评分水平高、年龄大于70岁的患者的估计平均生存时间比其他组短。我们得出结论,独立影响生存时间的最重要预后因素是骨闪烁扫描中发现的转移。
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引用次数: 1
Squamous cell carcinoma in a retrorectal cystic hamartoma 直肠后囊性错构瘤中的鳞状细胞癌
Pub Date : 2022-01-20 DOI: 10.29328/journal.jro.1001039
Quintáns Ana Teijo, Valadés José Ignacio Martín, del Río Cristina Garrán, Rojo Irene López, Casado Oscar Alonso
Retrorectal cystic hamartomas (HCR) (“tailgut cyst” in English-language literature) are congenital cystic tumors derived from vestiges of the hindgut. Its incidence is low, being more frequent in adult women. They are variable in size, uni or multiloculated. They can be lined with several types of epithelia (squamous, transitional, mucinous,...) in a same cyst and can contain mucus. Lesions usually present during adulthood due to pain, discomfort, rectal bleeding, infection, or malignant transformation. The incidence of malignancy is low, being adenocarcinoma and neuroendocrine the most frequent tumors associated to HCR. We present a case of HCR associated with squamous cell carcinoma and discuss aspects of the treatment.
直肠后囊性错构瘤(HCR)(英语文献中的“尾肠囊肿”)是一种源自后肠残余的先天性囊性肿瘤。其发病率较低,在成年女性中更为常见。它们的大小是可变的,单房或多房。它们可以在同一囊肿中排列有几种类型的上皮细胞(鳞状上皮细胞、移行上皮细胞、粘液上皮细胞等),并可能含有粘液。病变通常出现在成年期,原因是疼痛、不适、直肠出血、感染或恶变。恶性肿瘤的发生率较低,腺癌和神经内分泌是与HCR相关的最常见的肿瘤。我们提出了一个与鳞状细胞癌相关的HCR病例,并讨论了治疗方面的问题。
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引用次数: 0
Addressing the disparities and the factors related to prolonged inpatient length of stay for solid tumor oncology patients during the COVID-19 pandemic: A narrative review 解决COVID-19大流行期间实体肿瘤患者住院时间延长的差异和相关因素:叙述性综述
Pub Date : 2021-09-17 DOI: 10.29328/journal.jro.1001038
S. Kamaraju, M. Mohan, T. Wright, J. Charlson, W. Wiger, J. Kwarteng, A. Rezazadeh, L. Hammons, S. Power
Solid tumor oncology treatments are primarily performed in the outpatient setting. However, hospitalizations are inevitable due to complications of cancer and treatment-related toxicities. With rising health care spending, the length of hospital stay (LOS) is increasingly considered a proxy for healthcare costs. There are several ongoing eff orts to abbreviate the inpatient LOS and ensure a safe and timely discharge to the outpatient setting. In addition to the acute illness and the associated comorbidities, various factors aff ect the LOS: social determinants of health (SDOH), nutritional status in cancer patients, and end-of-life issues. Furthermore, it is unclear how the institutional policies on social distancing and visitation during the current coronavirus disease (COVID-19) pandemic may impact the LOS. The purpose of this article is to review various factors and barriers that lead to longer LOS for solid tumor patients during the COVID-19 pandemic, and identify the critical areas of quality improvement.
实体肿瘤治疗主要在门诊进行。然而,由于癌症并发症和治疗相关的毒性,住院治疗是不可避免的。随着医疗保健支出的增加,住院时间(LOS)越来越被认为是医疗保健成本的一个指标。有几个正在进行的努力,以缩短住院病人的LOS,并确保安全和及时出院到门诊设置。除了急性疾病和相关的合并症外,还有各种因素影响LOS:健康的社会决定因素(SDOH)、癌症患者的营养状况和临终问题。此外,目前尚不清楚在当前冠状病毒病(COVID-19)大流行期间,有关社交距离和探视的制度政策会如何影响LOS。本文的目的是回顾COVID-19大流行期间导致实体瘤患者LOS延长的各种因素和障碍,并确定质量改进的关键领域。
{"title":"Addressing the disparities and the factors related to prolonged inpatient length of stay for solid tumor oncology patients during the COVID-19 pandemic: A narrative review","authors":"S. Kamaraju, M. Mohan, T. Wright, J. Charlson, W. Wiger, J. Kwarteng, A. Rezazadeh, L. Hammons, S. Power","doi":"10.29328/journal.jro.1001038","DOIUrl":"https://doi.org/10.29328/journal.jro.1001038","url":null,"abstract":"Solid tumor oncology treatments are primarily performed in the outpatient setting. However, hospitalizations are inevitable due to complications of cancer and treatment-related toxicities. With rising health care spending, the length of hospital stay (LOS) is increasingly considered a proxy for healthcare costs. There are several ongoing eff orts to abbreviate the inpatient LOS and ensure a safe and timely discharge to the outpatient setting. In addition to the acute illness and the associated comorbidities, various factors aff ect the LOS: social determinants of health (SDOH), nutritional status in cancer patients, and end-of-life issues. Furthermore, it is unclear how the institutional policies on social distancing and visitation during the current coronavirus disease (COVID-19) pandemic may impact the LOS. The purpose of this article is to review various factors and barriers that lead to longer LOS for solid tumor patients during the COVID-19 pandemic, and identify the critical areas of quality improvement.","PeriodicalId":73923,"journal":{"name":"Journal of radiology and oncology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69946352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of radiology and oncology
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