Per la fase avanzata. Al San Carlo di Potenza
Risultati per: Indicazioni sull’uso della radioterapia per il trattamento del sarcoma dei tessuti molli (STS)
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Speranze da trattamento meno invasivo per raro tumore della colonna vertebrale
Studio dell’Istituto nazionale tumori su terapia non chirurgica
Tumore colonna vertebrale, speranze da trattamento meno invasivo
Studio dell’Istituto nazionale tumori su terapia non chirurgica
Tumori, con Re-Model supporto su ultima frontiera radioterapia
Il modello Novartis ottimizza risorse Medicina Nucleare per Rlt
Nuova linea guida per la diagnosi e il trattamento dell’ipertensione
Raro trattamento per una fibrillazione, il cuore a destra
All’ospedale ‘Mazzini’ di Teramo, eseguito intervento complesso
Oftalmologi, troppi pazienti con maculopatia senza trattamento
Soi, in Italia un terzo delle procedure rispetto a Francia e UK
Regione-sindacati, ok uso fondi per medici di medicina generale
Accordo integrativo, 8,5 milioni per Aft e sanità territoriale
Diabete, con l'uso delle tecnologie la gestione è più leggera
Tra i giovani pazienti cresce l’uso di microinfusori di insulina
Da vaccini a cure, indicazioni ai pellegrini del Giubileo
Previsti in 30 milioni. Le raccomandazioni di Oms, Ecdc e Iss
Insonnia e uso di farmaci per dormire collegati alla disabilità negli anziani
Diagnosi e trattamento dell’urolitiasi
Diagnosi, trattamento e cura della meningite
Outcomes of Transcatheter Aortic Valve Replacement in Low-Risk Patients in the United States: A Report From the STS/ACC TVT Registry
Circulation, Ahead of Print. BACKGROUND:Real-world low-risk transcatheter aortic valve replacement (TAVR) outcomes in the United States have not been assessed comprehensively versus pivotal trials, which is a key component of measuring the quality of clinical technology adoption.METHODS:We identified heart team–designated low-risk patients undergoing TAVR for trileaflet severe, symptomatic aortic stenosis in the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Registry, as well as a subset of patients who met low-risk trial inclusion and exclusion criteria, from January 2020 to March 2024. Outcomes (mortality, stroke, new pacemaker, and “alive and well,” defined as alive at 1 year with Kansas City Cardiomyopathy Questionnaire score ≥60 and ≤10-point decrease from baseline) at 30 days and 1 year were assessed. Multivariable models were developed to assess predictors of death within 1 year after TAVR.RESULTS:Among 383 030 patients who underwent TAVR during the study period, 108 407 (28%) were designated low risk by the heart team, and 68 194 (18%) met other study inclusion and exclusion criteria. Of these, 62% (n=42 093) would have been eligible for the low-risk trials. In the overall heart team–designated low-risk population, 30-day outcomes included 0.8% mortality, 1.5% stroke, and 8.4% new permanent pacemaker requirement; 1-year outcomes included 4.6% mortality, 2.6% stroke, and 90% alive and well. In the trial-eligible population, 0.6% mortality, 1.4% stroke, and 8.0% new permanent pacemaker requirement had occurred by 30 days; values at 1 year included 3.1% mortality, 2.4% stroke, and 92% alive and well. Notable multivariable predictors of 1-year mortality were atrial fibrillation, nontransfemoral access, and lower baseline Kansas City Cardiomyopathy Questionnaire score.CONCLUSIONS:One-year outcomes among real-world trial-eligible patients are excellent, but adverse events are higher compared with published clinical trial data, likely because of greater comorbidity burden and lower baseline Kansas City Cardiomyopathy Questionnaire score. These data can help inform expected outcomes and health status after low-risk TAVR.
Radioterapia a rischio, in Italia solo 1.045 radio-oncologi
Necessaria al 60% dei malati di tumore ma solo il 30% vi accede. La specialità potrebbe scomparire nell’arco di 10 anni
Radioterapia a rischio, in Italia solo 1.045 radio-oncologi
Necessaria al 60% dei malati di tumore ma solo il 30% vi accede