225 results on '"Van Goor H"'
Search Results
2. Variability in perfusion conditions and set-up parameters used in ex vivo human placenta models: A literature review
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Glättli, S.C., Elzinga, F.A., van der Bijl, W., Leuvenink, H.G.D., Prins, J.R., van Goor, H., Gordijn, S.J., Olinga, P., Touw, D.J., and Mian, P.
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- 2024
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3. The effect of iron therapy on oxidative stress and intestinal microbiota in inflammatory bowel diseases: A review on the conundrum
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Loveikyte, R., Bourgonje, A.R., van Goor, H., Dijkstra, G., and van der Meulen – de Jong, A.E.
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- 2023
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4. Oxidative Stress Predicts Post-Surgery Complications in Gastrointestinal Cancer Patients
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Leimkühler, M., Bourgonje, A. R., van Goor, H., Campmans-Kuijpers, M. J. E., de Bock, G. H., and van Leeuwen, B. L.
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- 2022
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5. Increased frequency of proangiogenic tunica intima endothelial kinase 2 (Tie2) expressing monocytes in individuals with type 2 diabetes mellitus
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Reijrink, M., van Ark, J., Lexis, C. P. H., Visser, L. M., Lodewijk, M. E., van der Horst, I. C. C., Zeebregts, C. J., van Goor, H., de Jager, S. C. A., Pasterkamp, G., Wolffenbuttel, B. H. R., and Hillebrands, J. L.
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- 2022
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- View/download PDF
6. Caloric restriction reduces proteinuria in male rats with established nephropathy
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Sijbesma, J. W. A., primary, van Waarde, A., additional, Klooster, A., additional, Kion, I., additional, Slart, R. H. J. A., additional, Lammertsma, A. A., additional, Giacobbo, B. Lima, additional, Boersma, H. H., additional, Dierckx, R. A. J. O., additional, van Goor, H., additional, and Bakker, S. J. L., additional
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- 2024
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- View/download PDF
7. P394 Unsuitability of the Oxidation-Reduction Potential measurement for the quantification of fecal redox status in Inflammatory Bowel Disease
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Geertsema, S, primary, Jansen, B H, additional, van Goor, H, additional, Dijkstra, G, additional, Faber, K N, additional, and Bourgonje, A R, additional
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- 2024
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- View/download PDF
8. P454 Systemic free thiols associate with clinical and biochemical disease activity in Inflammatory Bowel Disease: a prospective diagnostic validation study
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Geertsema, S, primary, Holstein, H J, additional, Bulthuis, M L C, additional, Faber, K N, additional, van Goor, H, additional, Dijkstra, G, additional, and Bourgonje, A R, additional
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- 2024
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9. P241 Systemic redox status associates with disease activity and clinical phenotypes in Inflammatory Bowel Disease
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Geertsema, S, primary, Bourgonje, A R, additional, Gacesa, R, additional, Fagundes, R R, additional, Spekhorst, L M, additional, Hu, S, additional, Kannan, A K, additional, Ruane, D, additional, de Jong, S, additional, Jansen, B H, additional, Bulthuis, M L C, additional, Reinders-Luinge, M, additional, Weersma, R K, additional, van Goor, H, additional, Dijkstra, G, additional, and Faber, K N, additional
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- 2024
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10. ASO Visual Abstract: Oxidative Stress Predicts Post-surgery Complications in Gastrointestinal Cancer Patients
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Leimkühler, M., Bourgonje, A. R., van Goor, H., Campmans-Kuijpers, M. J. E., de Bock, G. H., and van Leeuwen, B. L.
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- 2022
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- View/download PDF
11. ASO Author Reflections: Oxidative Stress as a Predictor of Short-Term Outcome After Oncological Surgery for Gastrointestinal Cancer
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Leimkühler, M., Bourgonje, A. R., van Goor, H., Campmans-Kuijpers, M. J. E., de Bock, G. H., and van Leeuwen, B. L.
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- 2022
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- View/download PDF
12. Reproducibility and predictive value of three grading systems for intraoperative adverse events in a cohort of abdominal surgery
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Gawria, L., primary, Krielen, P., additional, Stommel, M.W.J., additional, van Goor, H., additional, and ten Broek, R.P.G., additional
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- 2023
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13. Long-term outcome of immediate versus postponed intervention in patients with infected necrotizing pancreatitis
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van Veldhuisen, C.L., primary, Sissingh, N.J., additional, Boxhoorn, L., additional, van Dijk, S.M., additional, van Grinsven, J., additional, Verdonk, R.C., additional, Boermeester, M.A., additional, Bouwense, S.A.W., additional, Bruno, M.J., additional, Cappendijk, V.C., additional, van Duijvendijk, P., additional, van Eijck, C.H.J., additional, Fockens, P., additional, van Goor, H., additional, Hadithi, M., additional, Haveman, J.W., additional, Jacobs, M.A.J.M., additional, Jansen, J.M., additional, Kop, M.P.M., additional, Manusama, E.R., additional, Mieog, J.S.D., additional, Molenaar, I.Q., additional, Nieuwenhuijs, V.B., additional, Poen, A.C., additional, Poley, J.W., additional, Quispel, R., additional, Romkens, T.E.H., additional, Schwartz, M.P., additional, Seerden, T.C., additional, Dijkgraaf, M.G.W., additional, Stommel, M.W.J., additional, Straathof, J.W.A., additional, Venneman, N.G., additional, Voermans, R.P., additional, van Hooft, J.E., additional, van Santvoort, H.C., additional, and Besselink, M.G., additional
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- 2023
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14. Development of pancreatic diseases during long-term follow-up of patients with acute pancreatitis in a prospective nationwide cohort
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de Rijk, F.E.M., primary, Sissingh, N.J., additional, Boel, T.T., additional, Timmerhuis, H.C., additional, de Jong, M.J.P., additional, Pauw, H.A., additional, van Veldhuisen, C.L., additional, Hallensleben, N.D., additional, Anten, M.P., additional, Brink, M.A., additional, Curvers, W.L., additional, van Duijvendijk, P., additional, Hazen, W.L., additional, Kuiken, S.D., additional, Poen, A.C., additional, Quispel, R., additional, Romkens, T.E.H., additional, Spanier, B.W.M., additional, Tan, A.C.I.T.L., additional, Vleggaar, F.P., additional, Voorburg, A.M.C.J., additional, Witteman, B.J.M., additional, Ali, U Ahmed, additional, Issa, Y., additional, Bouwense, S.A.W., additional, Voermans, R.P., additional, van Geenen, E.J.M., additional, van Hooft, J.E., additional, de Jonge, P.J., additional, van Goor, H., additional, Boermeester, M.A., additional, Besselink, M.G., additional, Bruno, M.J., additional, Verdonk, R.C., additional, and van Santvoort, H.C., additional
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- 2023
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15. EP15.17: Placental pathology after sildenafil treatment in early‐onset fetal growth restriction
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Feenstra, M., primary, Schoots, M. H., additional, Van der Meeren, L., additional, Nikkels, P. G., additional, van Goor, H., additional, Prins, J. R., additional, Ganzevoort, W., additional, and Gordijn, S., additional
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- 2023
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- View/download PDF
16. POS0619 HIGH SERUM CXCL10 PREDICTS NEW ONSET OF SYSTEMIC SCLEROSIS-INTERSTITIAL LUNG DISEASE
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Al-Adwi, Y., primary, Atzeni, I. M., additional, Doornbos- van der Meer, B., additional, Van der Leij, M., additional, Kroesen, B. J., additional, Stel, A. J., additional, Van Goor, H., additional, Gan, T. J., additional, Timens, W., additional, Westra, J., additional, and Mulder, D. J., additional
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- 2023
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17. Inter-Rater Agreement of the Classification of Intraoperative Adverse Events (ClassIntra) in Abdominal Surgery
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Krielen, P., primary, Gawria, L., additional, Stommel, M. W. J., additional, Dell-Kuster, S., additional, Rosenthal, R., additional, ten Broek, R. P. G., additional, and van Goor, H., additional
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- 2023
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18. Minimally invasive surgery in emergency surgery: a WSES survey
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Ceresoli M., Pisano M., Abu-Zidan F., Allievi N., Gurusamy K., Biffl W. L., Tebala G. D., Catena F., Ansaloni L., Sartelli M., Kluger Y., Baiocchi G., Fette A., Hecker A., Litvin A., Forgione A., Leppaniemi A., De Simone B., Sakakushev B., Palmatier C. R., Bendinelli C., Damascos D., Picetti E., Tan E., Poiasina E., Pikoulis E., Cicuttin E., Moore E. E., Velmahos G., Fraga G., Van Goor H., Civil I., Wani I., Di Carlo I., Galante J., Soreide K., Degrate L., Zorcolo L., De Moya M., Braga M., Cereda M., Sugrue M., Chirica M., De Angelis N., Stahel P. F., Ivatury R., Ten Broek R., Di Saverio S., Beka S. G., Magnone S., Cui Y., Balogh Z. J., Kelly M. D., Inaba K., Coccolini F., Ceresoli, M, Pisano, M, Abu-Zidan, F, Allievi, N, Gurusamy, K, Biffl, W, Tebala, G, Catena, F, Ansaloni, L, Sartelli, M, Kluger, Y, Baiocchi, G, Fette, A, Hecker, A, Litvin, A, Forgione, A, Leppaniemi, A, De Simone, B, Sakakushev, B, Palmatier, C, Bendinelli, C, Damascos, D, Picetti, E, Tan, E, Poiasina, E, Pikoulis, E, Cicuttin, E, Moore, E, Velmahos, G, Fraga, G, Van Goor, H, Civil, I, Wani, I, Di Carlo, I, Galante, J, Soreide, K, Degrate, L, Zorcolo, L, De Moya, M, Braga, M, Cereda, M, Sugrue, M, Chirica, M, De Angelis, N, Stahel, P, Ivatury, R, Ten Broek, R, Di Saverio, S, Beka, S, Magnone, S, Cui, Y, Balogh, Z, Kelly, M, Inaba, K, and Coccolini, F
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Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] ,All institutes and research themes of the Radboud University Medical Center ,Minimally invasive surgery ,Emergency Medicine ,Emergency surgery ,Surgery ,Laparoscopy ,Survey - Abstract
Background The diffusion of minimally invasive surgery in emergency surgery still represents a developing challenge. Evidence about the use of minimally invasive surgery shows its feasibility and safety; however, the diffusion of these techniques is still poor. The aims of the present survey were to explore the diffusion and variations in the use of minimally invasive surgery among surgeons in the emergency setting. Methods This is a web-based survey administered to all the WSES members investigating the diffusion of minimally invasive surgery in emergency. The survey investigated personal characteristics of participants, hospital characteristics, personal confidence in the use of minimally invasive surgery in emergency, limitations in the use of it and limitations to prosecute minimally invasive surgery in emergency surgery. Characteristics related to the use of minimally invasive surgery were studied with a multivariate ordinal regression. Results The survey collected a total of 415 answers; 42.2% of participants declared a working experience > 15 years and 69.4% of responders worked in tertiary level center or academic hospital. In primary emergencies, only 28,7% of participants declared the use of laparoscopy in more than 50% of times. Personal confidence with minimally invasive techniques was the highest for appendectomy and cholecystectomy. At multivariate ordinal regression, a longer professional experience, the use of laparoscopy in major elective surgery and bariatric surgery expertise were related to a higher use of laparoscopy in emergency surgery. Conclusions The survey shows that minimally invasive techniques in emergency surgery are still underutilized. Greater focus should be placed on the development of dedicated training in laparoscopy among emergency surgeons.
- Published
- 2022
19. PO.5.111 Long-term follow-up of plasma-free thiols levels in patients with lupus nephritis
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Liu, L, primary, De Leeuw, K, additional, Arends, S, additional, Doornbos-Van Der Meer, B, additional, Van Goor, H, additional, and Westra, J, additional
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- 2022
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20. [18F]Sodium Fluoride PET has the potential to identify active formation of calcinosis cutis in limited cutaneous systemic sclerosis
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Atzeni, IM, primary, Hogervorst, EM, additional, Stel, AJ, additional, de Leeuw, K, additional, Bijl, M, additional, Bos, R, additional, Westra, J, additional, van Goor, H, additional, Bolling, MC, additional, Slart, RHJA, additional, and Mulder, DJ, additional
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- 2022
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21. Analgesia in patients with adhesion-related chronic abdominal and pelvic pain after surgery: a systematic review
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van den Beukel, B. A. W., primary, de Ree, R., additional, van Goor, H., additional, van der Wal, S. E. I., additional, and ten Broek, R. P. G., additional
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- 2022
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22. In-hospital Delay of Appendectomy in Acute, Complicated Appendicitis
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Bolmers, M. D. M., de Jonge, J., Bom, W. J., van Rossem, C. C., van Geloven, A. A. W., Bemelman, W. A., van Acker, G. J., Akkermans, B., Akkersdijk, G. J., Algie, G. D., Allema, J. H., Andeweg, C. S., Appeldoorn, N., van Baal, J. G., Bakker, C. M. den, Bartels, S. A., van den Berg, C., Boekestijn, B., Boer, F. C. den, Boerma, D., van den Boom, A. L., Boute, M. C., Bouwense, S. A., Bransen, J., van Brussel, F. A., Busch, O. R., de Castro, S. M., Cense, H. A., Croese, C., van dalen, T., Dawson, I., van Dessel, E., Dettmers, R., Dhar, N., Dohmen, F. Y., van Dongen, K. W., van Duijvendijk, P., Dulfer, R. R., Dwars, B. J., Eerenberg, J. P., van der Elst, M., van den Ende, E., Fassaert, L. M., Fikkers, J. T., Foppen, J. W., Furnee, E. J., Garssen, F. P., Gerhards, M. F., van Goor, H., de Graaf, J. S., Graat, L. J., Grootr, J., van der Ham, A. C., Hamming, J. F., Hamminga, J. T., van der Harst, E., Heemskerk, J., Heijne, A., Heikens, J. T., Heineman, E., Hertogs, R., van Heurn, E., van den Hil, L. C., Hooftwijk, A. G., Hulsker, C. C., Hunen, D. R., Ibelings, M. S., Klaase, J. M., Klicks, R., Knaapen, L., Kortekaas, R. T., Kruyt, F., Kwant, S., Lases, S. S., Lettinga, T., Loupatty, A., Matthijsen, R. A., Minnee, R. C., Mirck, B., Mitalas, L., Moes, D., Moorman, A. M., Nieuwenhuijs, V. B., Nieuwenhuizen, G. A., Nijk, P. D., Omloo, J. M., Ottenhof, A. G., Palamba, H. W., van der Peet, D. L., Pereboom, I. T., Plaisier, P. W., van der Ploeg, A. P., Raber, M. H., Reijen, M. M., Rijna, H., Rosman, C., Roumen, R. M., Scmitz, R. F., Schouten van der Velden, A. P., Scheurs, W. H., Sigterman, T. A., Smeets, H. J., Sonnevled, D. J., Sosef, M. N., Spoor, S. F., Stassen, L. P., van Steensel, L., Stortelder, E., Straatman, J., van Susante, H. J., Suykerbuyk de Hoog, D. E., Terwisscha van Scheltinga, C., Toorenvliet, B. R., Verbeek, P. C., Verseveld, M., Volders, J. H., Vriens, M. R., Vriens, P. W., Vrouenraets, B. C., van de wall, B. J., Wegdam, J. A., Westerduin, E., Wever, J. J., Wijfels, N. A., Wijnhoven, B. P., Winkel, T. A., van der Zee, D. C., Zeillemaker, A. M., Zietse, C., Amsterdam Reproduction & Development (AR&D), Pediatrics, AGEM - Re-generation and cancer of the digestive system, CCA - Cancer Treatment and quality of life, Other Research, Surgery, Amsterdam Gastroenterology Endocrinology Metabolism, Graduate School, AII - Infectious diseases, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, Paediatric Surgery, and ARD - Amsterdam Reproduction and Development
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Delay in surgery ,Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14] ,Gastroenterology ,Surgery ,Appendicitis ,Complicated - Abstract
Item does not contain fulltext BACKGROUND: Present theory is that uncomplicated and complicated appendicitis are different entities. Recent studies suggest it is safe to delay surgery in patients with uncomplicated appendicitis. We hypothesize that patients with complicated appendicitis are at higher risk for postoperative complications when surgery is delayed. METHODS: Data was used from the multicenter, prospective SNAPSHOT appendicitis study of 1975 patients undergoing surgery for suspected appendicitis. Adult patients (≥ 18 years) who underwent appendectomy for appendicitis were included in this study. The primary outcome was the difference in postoperative complications between patients with complicated appendicitis who were operated within and after 8 h after hospital presentation. Secondary outcomes were the incidence of both uncomplicated and complicated appendicitis in relationship to delay of appendectomy. Follow-up was 30 days. A multivariable analysis was performed. RESULTS: Of 1341 adult patients with appendicitis, 34.3% had complicated appendicitis. In patients with complicated appendicitis, 22.8% developed a postoperative complication compared to 8.2% for uncomplicated appendicitis (P 8 h) increased the complication rate in patients with complicated appendicitis (28.1%) compared to surgery within 8 h (18.3%; P = 0.01). Multivariate analysis showed a delay in surgery as an independent predictor for a postoperative complication in patients with complicated appendicitis (OR 1.71; 95%CI 1.01-2.68, P = 0.02). CONCLUSION: In-hospital delay of surgery (> 8 h) in patients with complicated appendicitis is associated with a higher risk of a postoperative complication. It is important that we recognize and treat these patients early.
- Published
- 2022
23. AB0127 BRONCHOALVEOLAR LAVAGE (BAL) FLUID AND SERUM FROM PATIENTS WITH SYSTEMIC SCLEROSIS WITH INTERSTITIAL LUNG DISEASE (SSc-ILD) PROMOTE A PRO-INFLAMMATORY GENE SIGNATURE IN HUMAN PRIMARY LUNG FIBROBLASTS
- Author
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Al-Adwi, Y., primary, Westra, J., additional, Stel, A. J., additional, van Goor, H., additional, and Mulder, D. J., additional
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- 2022
- Full Text
- View/download PDF
24. POS0785 EXPRESSION OF MYXOVIRUS RESISTANCE PROTEIN A IN LUPUS NEPHRITIS
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Liu, L., primary, De Leeuw, K., additional, Diercks, G., additional, Stegeman, C., additional, Doornbos- van der Meer, B., additional, Van Goor, H., additional, Heuvel, M., additional, and Westra, J., additional
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- 2022
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25. AB0659 Recruitment and prevalence of mixed phenotype macrophages is prominent in Bronchoalveolar Lavage (BAL) of Systemic Sclerosis (SSc) patients with Interstitial Lung Disease (ILD).
- Author
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Al-Adwi, Y., primary, Gan, T. J., additional, Bosma, J., additional, Abdulahad, W., additional, Atzeni, I. M., additional, Van der Leij, M., additional, Kroesen, B. J., additional, Stel, A. J., additional, Timens, W., additional, Burgess, J., additional, Van Goor, H., additional, Westra, J., additional, and Mulder, D. J., additional
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- 2022
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- View/download PDF
26. Minimally invasive surgery in emergency surgery: a WSES survey
- Author
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Ceresoli, M. Pisano, M. Abu-Zidan, F. Allievi, N. Gurusamy, K. Biffl, W.L. Tebala, G.D. Catena, F. Ansaloni, L. Sartelli, M. Kluger, Y. Baiocchi, G. Fette, A. Hecker, A. Litvin, A. Forgione, A. Leppaniemi, A. De Simone, B. Sakakushev, B. Palmatier, C.R. Bendinelli, C. Damascos, D. Picetti, E. Tan, E. Poiasina, E. Pikoulis, E. Cicuttin, E. Moore, E.E. Velmahos, G. Fraga, G. Van Goor, H. Civil, I. Wani, I. Di Carlo, I. Galante, J. Søreide, K. Degrate, L. Zorcolo, L. De Moya, M. Braga, M. Cereda, M. Sugrue, M. Chirica, M. De Angelis, N. Stahel, P.F. Ivatury, R. Ten Broek, R. Di Saverio, S. Beka, S.G. Magnone, S. Cui, Y. Balogh, Z.J. Kelly, M.D. Inaba, K. Coccolini, F. WSES MIS working group WSES MIS consortia
- Abstract
Background: The diffusion of minimally invasive surgery in emergency surgery still represents a developing challenge. Evidence about the use of minimally invasive surgery shows its feasibility and safety; however, the diffusion of these techniques is still poor. The aims of the present survey were to explore the diffusion and variations in the use of minimally invasive surgery among surgeons in the emergency setting. Methods: This is a web-based survey administered to all the WSES members investigating the diffusion of minimally invasive surgery in emergency. The survey investigated personal characteristics of participants, hospital characteristics, personal confidence in the use of minimally invasive surgery in emergency, limitations in the use of it and limitations to prosecute minimally invasive surgery in emergency surgery. Characteristics related to the use of minimally invasive surgery were studied with a multivariate ordinal regression. Results: The survey collected a total of 415 answers; 42.2% of participants declared a working experience > 15 years and 69.4% of responders worked in tertiary level center or academic hospital. In primary emergencies, only 28,7% of participants declared the use of laparoscopy in more than 50% of times. Personal confidence with minimally invasive techniques was the highest for appendectomy and cholecystectomy. At multivariate ordinal regression, a longer professional experience, the use of laparoscopy in major elective surgery and bariatric surgery expertise were related to a higher use of laparoscopy in emergency surgery. Conclusions: The survey shows that minimally invasive techniques in emergency surgery are still underutilized. Greater focus should be placed on the development of dedicated training in laparoscopy among emergency surgeons. © 2022, The Author(s).
- Published
- 2022
27. P176 The effect of induction therapy with infliximab or vedolizumab on hepcidin and iron status in patients with Inflammatory Bowel Disease
- Author
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Loveikyte, R, primary, Bourgonje, A R, additional, van der Reijden, J J, additional, Bulthuis, M L C, additional, Hawinkels, L J A C, additional, van Goor, H, additional, van der Meulen-de Jong, A E, additional, and Dijkstra, G, additional
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- 2022
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- View/download PDF
28. ExTENSION: Long-Term Follow-up Study of an Endoscopic versus a Surgical Step-up Approach for Infected Necrotizing Pancreatitis
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Onnekink, A., primary, Boxhoorn, L., additional, Bac, S., additional, Timmerhuis, H., additional, Besselink, M., additional, Bollen, T., additional, Bruno, M., additional, van Brunschot, S., additional, Cappendijk, V., additional, Dijkgraaf, M., additional, van Eijck, C., additional, van Goor, H., additional, van Grinsven, J., additional, Verdonk, R., additional, van Santvoort, H., additional, Fockens, P., additional, and Voermans, R., additional
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- 2022
- Full Text
- View/download PDF
29. Increased frequency of proangiogenic tunica intima endothelial kinase 2 (Tie2) expressing monocytes in individuals with type 2 diabetes mellitus
- Author
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Reijrink, M, van Ark, J, Lexis, C P H, Visser, L.M., Lodewijk, M E, van der Horst, I C C, Zeebregts, C J, van Goor, H, de Jager, S C A, Pasterkamp, G, Wolffenbuttel, B H R, Hillebrands, J L, Man, Biomaterials and Microbes (MBM), Groningen Institute for Organ Transplantation (GIOT), Groningen Kidney Center (GKC), Center for Liver, Digestive and Metabolic Diseases (CLDM), MUMC+: MA Intensive Care (3), Intensive Care, MUMC+: MA Medische Staf IC (9), and RS: Carim - V04 Surgical intervention
- Subjects
GROWTH-FACTOR ,endocrine system diseases ,Type 2/metabolism ,IgG ,SUBSETS ,Endocrinology, Diabetes and Metabolism ,Macrovascular disease ,BONE-MARROW ,CORONARY ATHEROSCLEROTIC PLAQUES ,PERIPHERAL-BLOOD ,PHENOTYPE ,Monocytes ,CD14++CD16+ MONOCYTES ,Angiopoietin-2 ,Tunica Intima/chemistry ,Atherosclerosis/metabolism ,Monocytes/metabolism ,Receptors ,Type 2 diabetes mellitus ,Diabetes Mellitus ,Angiopoietin-1 ,Humans ,Plaque, Atherosclerotic/pathology ,Angiopoietin-1/metabolism ,Plaque ,Monocyte heterogeneity ,RECEPTOR ,Angiopoietin-2/metabolism ,Receptors, IgG ,nutritional and metabolic diseases ,Atherosclerosis ,Diabetes Mellitus, Type 2/metabolism ,Receptor, TIE-2 ,TIE2-EXPRESSING MONOCYTES ,Plaque, Atherosclerotic ,Tie2 ,Diabetes Mellitus, Type 2 ,cardiovascular system ,Atherosclerotic/pathology ,Angiogenesis ,Cardiology and Cardiovascular Medicine ,Tunica Intima - Abstract
Background Individuals with type 2 diabetes mellitus (T2DM) have an increased risk for developing macrovascular disease (MVD) manifested by atherosclerosis. Phenotypically and functionally different monocyte subsets (classical; CD14++CD16−, non-classical; CD14+CD16++, and intermediate; CD14++CD16+) including pro-angiogenic monocytes expressing Tie2 (TEMs) can be identified. Here we investigated monocyte heterogeneity and its association with T2DM and MVD. Methods Individuals with (N = 51) and without (N = 56) T2DM were recruited and allocated to "non-MVD" or "with MVD" (i.e., peripheral or coronary artery disease) subgroups. Blood monocyte subsets were quantified based on CD14, CD16 and Tie2 expression levels. Plasma levels of Tie2-ligands angiopoietin-1 and angiopoietin-2 were determined using ELISA. Carotid endarterectomy samples from individuals with (N = 24) and without (N = 22) T2DM were stained for intraplaque CD68+ macrophages (inflammation) and CD34+ (angiogenesis), as plaque vulnerability markers. Results Monocyte counts were similar between individuals with T2DM and healthy controls (non-diabetic, non-MVD). Non-classical monocytes were reduced (p Conclusions Monocyte subset distribution is altered in T2DM with reduced non-classical monocytes and increased TEM percentage in the intermediate monocyte subset. Increased angiopoietin-2 levels together with increased frequency of TEMs might promote plaque vulnerability in T2DM which could however not be confirmed at tissue level in advanced atherosclerotic lesions.
- Published
- 2021
30. HIGH SERUM CXCL10 PREDICTS NEW ONSET OF SYSTEMIC SCLEROSIS-INTERSTITIAL LUNG DISEASE.
- Author
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Al-Adwi, Y., Atzeni, I. M., der Meer, B. Doornbos-van, Van der Leij, M., Kroesen, B. J., Stel, A. J., Van Goor, H., Gan, T. J., Timens, W., Westra, J., and Mulder, D. J.
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- 2023
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31. It is time to define an organizational model for the prevention and management of infections along the surgical pathway : a worldwide cross-sectional survey
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Massimo Sartelli, Francesco M. Labricciosa, Federico Coccolini, Raul Coimbra, Fikri M. Abu-Zidan, Luca Ansaloni, Majdi N. Al-Hasan, Shamshul Ansari, Philip S. Barie, Miguel Angel Caínzos, Marco Ceresoli, Massimo Chiarugi, Jeffrey A. Claridge, Enrico Cicuttin, Evan Patchen Dellinger, Donald E. Fry, Xavier Guirao, Timothy Craig Hardcastle, Andreas Hecker, Ari K. Leppäniemi, Andrey Litvin, Sanjay Marwah, Emilio Maseda, John E. Mazuski, Ziad Ahmed Memish, Andrew W. Kirkpatrick, Leonardo Pagani, Mauro Podda, Huseyin Kemal Rasa, Boris E. Sakakushev, Robert G. Sawyer, Fabio Tumietto, Yonghong Xiao, Wedad Faraj Aboubreeg, Harissou Adamou, Lali Akhmeteli, Emrah Akin, Maria Grazia Alberio, Felipe Alconchel, Ibrahim Amadou Magagi, Ana Belén Araúz, Giulio Argenio, Boyko C. Atanasov, Semra Demirli Atici, Selmy Sabry Awad, Efstratia Baili, Lovenish Bains, Miklosh Bala, Oussama Baraket, Suman Baral, Vladislav A. Belskii, Moussa Benboubker, Offir Ben-Ishay, Pierpaolo Bordoni, Abdalia Boumédiène, Giuseppe Brisinda, Laura Cavazzuti, Sujith J. Chandy, Maria Michela Chiarello, Nicola Cillara, Guglielmo Clarizia, Maria-Elena Cocuz, Iuliu Gabriel Cocuz, Luigi Conti, Raffaella Coppola, Yunfeng Cui, Jacek Czepiel, Fabrizio D’Acapito, Dimitrios Damaskos, Koray Das, Belinda De Simone, Samir Delibegovic, Zaza Demetrashvili, Dzemail S. Detanac, Sameer Dhingra, Stefano Di Bella, Evgeni N. Dimitrov, Agron Dogjani, Mario D’Oria, Irina Magdalena Dumitru, Mutasim M. Elmangory, Octavian Enciu, Massimo Fantoni, Daniela Filipescu, Francesco Fleres, Domitilla Foghetti, Pietro Fransvea, Mahir Gachabayov, Rita Galeiras, Gianni Gattuso, Wagih M. Ghannam, Valeria Ghisetti, Giorgio Giraudo, Kebebe Bekele Gonfa, Emre Gonullu, Yousif Tag Elsir Y. Hamad, Matthias Hecker, Arda Isik, Nizar Ismail, Azzain Ismail, Sumita Agarwal Jain, Souha S. Kanj, Garima Kapoor, Ilias Karaiskos, Alfie J. Kavalakat, Jakub Kenig, Faryal Khamis, Vladimir Khokha, Ronald Kiguba, Jae Il Kim, Yoshiro Kobe, Kenneth Yuh Yen Kok, Bojan M. Kovacevic, Igor Andreevich Kryvoruchko, Akira Kuriyama, Aitor Landaluce-Olavarria, Konstantinos Lasithiotakis, Varut Lohsiriwat, Eftychios Lostoridis, Davide Luppi, Gustavo Miguel Machain Vega, Marc Maegele, Athanasios Marinis, Gennaro Martines, Aleix Martínez-Pérez, Damien Massalou, Cristian Mesina, Gökhan Metan, María Guadalupe Miranda-Novales, Shyam Kumar Mishra, Mohaned Ibrahim Hussein Mohamed, Ali Yasen Y. Mohamedahmed, Ismael Mora-Guzmán, Francesk Mulita, Ana-Maria Musina, Pradeep H. Navsaria, Ionut Negoi, Gabriela Elisa Nita, Donal B. O’Connor, Carlos Alberto Ordoñez, Desiré Pantalone, Arpád Panyko, Aristeidis Papadopoulos, Nikolaos Pararas, Francesco Pata, Tapan Patel, Gianluca Pellino, Teresa Perra, Gennaro Perrone, Antonio Pesce, Tadeja Pintar, Georgi Ivanov Popivanov, Alberto Porcu, Martha Alexa Quiodettis, Razrim Rahim, Ashrarur Rahman Mitul, Martin Reichert, Miran Rems, Glendee Yolande Reynolds Campbell, Nuno Rocha-Pereira, Gabriel Rodrigues, Gustavo Eduardo Roncancio Villamil, Stefano Rossi, Ibrahima Sall, Hossein Samadi Kafil, Diego Sasia, Jeremiah Seni, Charalampos Seretis, Mario Serradilla-Martín, Vishal G. Shelat, Boonying Siribumrungwong, Mihail Slavchev, Leonardo Solaini, Boun Kim Tan, Antonio Tarasconi, Dario Tartaglia, Elena Adelina Toma, Gia Tomadze, Adriana Toro, Marcos Roberto Tovani-Palone, Harry van Goor, Alin Vasilescu, Andras Vereczkei, Massimiliano Veroux, Sergio Alberto Weckmann, Lukas Werner Widmer, AliIbrahim Yahya, Sanoop K. Zachariah, Andee Dzulkarnaen Zakaria, Nadezhda Zubareva, Wietse P. Zuidema, Isidoro Di Carlo, Francesco Cortese, Gian Luca Baiocchi, Ronald V. Maier, Fausto Catena, Surgery, Other Research, AMS - Musculoskeletal Health, APH - Quality of Care, HUS Abdominal Center, II kirurgian klinikka, Sartelli M., Labricciosa F.M., Coccolini F., Coimbra R., Abu-Zidan F.M., Ansaloni L., Al-Hasan M.N., Ansari S., Barie P.S., Cainzos M.A., Ceresoli M., Chiarugi M., Claridge J.A., Cicuttin E., Dellinger E.P., Fry D.E., Guirao X., Hardcastle T.C., Hecker A., Leppaniemi A.K., Litvin A., Marwah S., Maseda E., Mazuski J.E., Memish Z.A., Kirkpatrick A.W., Pagani L., Podda M., Rasa H.K., Sakakushev B.E., Sawyer R.G., Tumietto F., Xiao Y., Aboubreeg W.F., Adamou H., Akhmeteli L., Akin E., Alberio M.G., Alconchel F., Magagi I.A., Arauz A.B., Argenio G., Atanasov B.C., Atici S.D., Awad S.S., Baili E., Bains L., Bala M., Baraket O., Baral S., Belskii V.A., Benboubker M., Ben-Ishay O., Bordoni P., Boumediene A., Brisinda G., Cavazzuti L., Chandy S.J., Chiarello M.M., Cillara N., Clarizia G., Cocuz M.-E., Cocuz I.G., Conti L., Coppola R., Cui Y., Czepiel J., D'Acapito F., Damaskos D., Das K., De Simone B., Delibegovic S., Demetrashvili Z., Detanac D.S., Dhingra S., Di Bella S., Dimitrov E.N., Dogjani A., D'Oria M., Dumitru I.M., Elmangory M.M., Enciu O., Fantoni M., Filipescu D., Fleres F., Foghetti D., Fransvea P., Gachabayov M., Galeiras R., Gattuso G., Ghannam W.M., Ghisetti V., Giraudo G., Gonfa K.B., Gonullu E., Hamad Y.T.E.Y., Hecker M., Isik A., Ismail N., Ismail A., Jain S.A., Kanj S.S., Kapoor G., Karaiskos I., Kavalakat A.J., Kenig J., Khamis F., Khokha V., Kiguba R., Kim J.I., Kobe Y., Kok K.Y.Y., Kovacevic B.M., Kryvoruchko I.A., Kuriyama A., Landaluce-Olavarria A., Lasithiotakis K., Lohsiriwat V., Lostoridis E., Luppi D., Vega G.M.M., Maegele M., Marinis A., Martines G., Martinez-Perez A., Massalou D., Mesina C., Metan G., Miranda-Novales M.G., Mishra S.K., Mohamed M.I.H., Mohamedahmed A.Y.Y., Mora-Guzman I., Mulita F., Musina A.-M., Navsaria P.H., Negoi I., Nita G.E., O'Connor D.B., Ordonez C.A., Pantalone D., Panyko A., Papadopoulos A., Pararas N., Pata F., Patel T., Pellino G., Perra T., Perrone G., Pesce A., Pintar T., Popivanov G.I., Porcu A., Quiodettis M.A., Rahim R., Mitul A.R., Reichert M., Rems M., Campbell G.Y.R., Rocha-Pereira N., Rodrigues G., Villamil G.E.R., Rossi S., Sall I., Kafil H.S., Sasia D., Seni J., Seretis C., Serradilla-Martin M., Shelat V.G., Siribumrungwong B., Slavchev M., Solaini L., Tan B.K., Tarasconi A., Tartaglia D., Toma E.A., Tomadze G., Toro A., Tovani-Palone M.R., van Goor H., Vasilescu A., Vereczkei A., Veroux M., Weckmann S.A., Widmer L.W., Yahya A.I., Zachariah S.K., Zakaria A.D., Zubareva N., Zuidema W.P., Di Carlo I., Cortese F., Baiocchi G.L., Maier R.V., Catena F., Sartelli, M, Labricciosa, F, Coccolini, F, Coimbra, R, Abu-Zidan, F, Ansaloni, L, Al-Hasan, M, Ansari, S, Barie, P, Cainzos, M, Ceresoli, M, Chiarugi, M, Claridge, J, Cicuttin, E, Dellinger, E, Fry, D, Guirao, X, Hardcastle, T, Hecker, A, Leppaniemi, A, Litvin, A, Marwah, S, Maseda, E, Mazuski, J, Memish, Z, Kirkpatrick, A, Pagani, L, Podda, M, Rasa, H, Sakakushev, B, Sawyer, R, Tumietto, F, Xiao, Y, Aboubreeg, W, Adamou, H, Akhmeteli, L, Akin, E, Alberio, M, Alconchel, F, Magagi, I, Arauz, A, Argenio, G, Atanasov, B, Atici, S, Awad, S, Baili, E, Bains, L, Bala, M, Baraket, O, Baral, S, Belskii, V, Benboubker, M, Ben-Ishay, O, Bordoni, P, Boumediene, A, Brisinda, G, Cavazzuti, L, Chandy, S, Chiarello, M, Cillara, N, Clarizia, G, Cocuz, M, Cocuz, I, Conti, L, Coppola, R, Cui, Y, Czepiel, J, D'Acapito, F, Damaskos, D, Das, K, De Simone, B, Delibegovic, S, Demetrashvili, Z, Detanac, D, Dhingra, S, Di Bella, S, Dimitrov, E, Dogjani, A, D'Oria, M, Dumitru, I, Elmangory, M, Enciu, O, Fantoni, M, Filipescu, D, Fleres, F, Foghetti, D, Fransvea, P, Gachabayov, M, Galeiras, R, Gattuso, G, Ghannam, W, Ghisetti, V, Giraudo, G, Gonfa, K, Gonullu, E, Hamad, Y, Hecker, M, Isik, A, Ismail, N, Ismail, A, Jain, S, Kanj, S, Kapoor, G, Karaiskos, I, Kavalakat, A, Kenig, J, Khamis, F, Khokha, V, Kiguba, R, Kim, J, Kobe, Y, Kok, K, Kovacevic, B, Kryvoruchko, I, Kuriyama, A, Landaluce-Olavarria, A, Lasithiotakis, K, Lohsiriwat, V, Lostoridis, E, Luppi, D, Vega, G, Maegele, M, Marinis, A, Martines, G, Martinez-Perez, A, Massalou, D, Mesina, C, Metan, G, Miranda-Novales, M, Mishra, S, Mohamed, M, Mohamedahmed, A, Mora-Guzman, I, Mulita, F, Musina, A, Navsaria, P, Negoi, I, Nita, G, O'Connor, D, Ordonez, C, Pantalone, D, Panyko, A, Papadopoulos, A, Pararas, N, Pata, F, Patel, T, Pellino, G, Perra, T, Perrone, G, Pesce, A, Pintar, T, Popivanov, G, Porcu, A, Quiodettis, M, Rahim, R, Mitul, A, Reichert, M, Rems, M, Campbell, G, Rocha-Pereira, N, Rodrigues, G, Villamil, G, Rossi, S, Sall, I, Kafil, H, Sasia, D, Seni, J, Seretis, C, Serradilla-Martin, M, Shelat, V, Siribumrungwong, B, Slavchev, M, Solaini, L, Tan, B, Tarasconi, A, Tartaglia, D, Toma, E, Tomadze, G, Toro, A, Tovani-Palone, M, van Goor, H, Vasilescu, A, Vereczkei, A, Veroux, M, Weckmann, S, Widmer, L, Yahya, A, Zachariah, S, Zakaria, A, Zubareva, N, Zuidema, W, Di Carlo, I, Cortese, F, Baiocchi, G, Maier, R, Catena, F, Sartelli, Massimo, Labricciosa, Francesco M, Coccolini, Federico, Coimbra, Raul, Abu-Zidan, Fikri M, Ansaloni, Luca, Al-Hasan, Majdi N, Ansari, Shamshul, Barie, Philip S, Caínzos, Miguel Angel, Ceresoli, Marco, Chiarugi, Massimo, Claridge, Jeffrey A, Cicuttin, Enrico, Dellinger, Evan Patchen, Fry, Donald E, Guirao, Xavier, Hardcastle, Timothy Craig, Hecker, Andrea, Leppäniemi, Ari K, Litvin, Andrey, Marwah, Sanjay, Maseda, Emilio, Mazuski, John E, Memish, Ziad Ahmed, Kirkpatrick, Andrew W, Pagani, Leonardo, Podda, Mauro, Rasa, Huseyin Kemal, Sakakushev, Boris E, Sawyer, Robert G, Tumietto, Fabio, Xiao, Yonghong, Aboubreeg, Wedad Faraj, Adamou, Harissou, Akhmeteli, Lali, Akin, Emrah, Alberio, Maria Grazia, Alconchel, Felipe, Magagi, Ibrahim Amadou, Araúz, Ana Belén, Argenio, Giulio, Atanasov, Boyko C, Atici, Semra Demirli, Awad, Selmy Sabry, Baili, Efstratia, Bains, Lovenish, Bala, Miklosh, Baraket, Oussama, Baral, Suman, Belskii, Vladislav A, Benboubker, Moussa, Ben-Ishay, Offir, Bordoni, Pierpaolo, Boumédiène, Abdalia, Brisinda, Giuseppe, Cavazzuti, Laura, Chandy, Sujith J, Chiarello, Maria Michela, Cillara, Nicola, Clarizia, Guglielmo, Cocuz, Maria-Elena, Cocuz, Iuliu Gabriel, Conti, Luigi, Coppola, Raffaella, Cui, Yunfeng, Czepiel, Jacek, D'Acapito, Fabrizio, Damaskos, Dimitrio, Das, Koray, De Simone, Belinda, Delibegovic, Samir, Demetrashvili, Zaza, Detanac, Dzemail S, Dhingra, Sameer, Di Bella, Stefano, Dimitrov, Evgeni N, Dogjani, Agron, D'Oria, Mario, Dumitru, Irina Magdalena, Elmangory, Mutasim M, Enciu, Octavian, Fantoni, Massimo, Filipescu, Daniela, Fleres, Francesco, Foghetti, Domitilla, Fransvea, Pietro, Gachabayov, Mahir, Galeiras, Rita, Gattuso, Gianni, Ghannam, Wagih M, Ghisetti, Valeria, Giraudo, Giorgio, Gonfa, Kebebe Bekele, Gonullu, Emre, Hamad, Yousif Tag Elsir Y, Hecker, Matthia, Isik, Arda, Ismail, Nizar, Ismail, Azzain, Jain, Sumita Agarwal, Kanj, Souha S, Kapoor, Garima, Karaiskos, Ilia, Kavalakat, Alfie J, Kenig, Jakub, Khamis, Faryal, Khokha, Vladimir, Kiguba, Ronald, Kim, Jae Il, Kobe, Yoshiro, Kok, Kenneth Yuh Yen, Kovacevic, Bojan M, Kryvoruchko, Igor Andreevich, Kuriyama, Akira, Landaluce-Olavarria, Aitor, Lasithiotakis, Konstantino, Lohsiriwat, Varut, Lostoridis, Eftychio, Luppi, Davide, Vega, Gustavo Miguel Machain, Maegele, Marc, Marinis, Athanasio, Martines, Gennaro, Martínez-Pérez, Aleix, Massalou, Damien, Mesina, Cristian, Metan, Gökhan, Miranda-Novales, María Guadalupe, Mishra, Shyam Kumar, Mohamed, Mohaned Ibrahim Hussein, Mohamedahmed, Ali Yasen Y, Mora-Guzmán, Ismael, Mulita, Francesk, Musina, Ana-Maria, Navsaria, Pradeep H, Negoi, Ionut, Nita, Gabriela Elisa, O'Connor, Donal B, Ordoñez, Carlos Alberto, Pantalone, Desiré, Panyko, Arpád, Papadopoulos, Aristeidi, Pararas, Nikolao, Pata, Francesco, Patel, Tapan, Pellino, Gianluca, Perra, Teresa, Perrone, Gennaro, Pesce, Antonio, Pintar, Tadeja, Popivanov, Georgi Ivanov, Porcu, Alberto, Quiodettis, Martha Alexa, Rahim, Razrim, Mitul, Ashrarur Rahman, Reichert, Martin, Rems, Miran, Campbell, Glendee Yolande Reynold, Rocha-Pereira, Nuno, Rodrigues, Gabriel, Villamil, Gustavo Eduardo Roncancio, Rossi, Stefano, Sall, Ibrahima, Kafil, Hossein Samadi, Sasia, Diego, Seni, Jeremiah, Seretis, Charalampo, Serradilla-Martín, Mario, Shelat, Vishal G, Siribumrungwong, Boonying, Slavchev, Mihail, Solaini, Leonardo, Tan, Boun Kim, Tarasconi, Antonio, Tartaglia, Dario, Toma, Elena Adelina, Tomadze, Gia, Toro, Adriana, Tovani-Palone, Marcos Roberto, van Goor, Harry, Vasilescu, Alin, Vereczkei, Andra, Veroux, Massimiliano, Weckmann, Sergio Alberto, Widmer, Lukas Werner, Yahya, Aliibrahim, Zachariah, Sanoop K, Zakaria, Andee Dzulkarnaen, Zubareva, Nadezhda, Zuidema, Wietse P, Di Carlo, Isidoro, Cortese, Francesco, Baiocchi, Gian Luca, Maier, Ronald V, Catena, Fausto, Department of Medicine, and Faculty of Health Sciences
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Anti-Infective Agent ,Infection prevention and control ,Antibiotic resistance ,Settore MED/18 - CHIRURGIA GENERALE ,610 Medicine & health ,Antimicrobial stewardship ,Cross-sectional survey, Antimicrobial stewardship, Antibiotic prescribing, Antibiotic resistance, Infection prevention and control ,Organizational ,Antibiotic prescribing ,Cross-sectional survey ,Anti-Infective Agents ,Models ,Anti-Bacterial Agent ,Humans ,Pandemics ,Cross-Sectional Studie ,ANTIMICROBIAL RESISTANCE ,Pandemic ,COVID-19 ,3126 Surgery, anesthesiology, intensive care, radiology ,Anti-Bacterial Agents ,Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] ,Cross-Sectional Studies ,Models, Organizational ,HEALTH-CARE ,Emergency Medicine ,Surgery ,Human - Abstract
Background The objectives of the study were to investigate the organizational characteristics of acute care facilities worldwide in preventing and managing infections in surgery; assess participants’ perception regarding infection prevention and control (IPC) measures, antibiotic prescribing practices, and source control; describe awareness about the global burden of antimicrobial resistance (AMR) and IPC measures; and determine the role of the Coronavirus Disease 2019 pandemic on said awareness. Methods A cross-sectional web-based survey was conducted contacting 1432 health care workers (HCWs) belonging to a mailing list provided by the Global Alliance for Infections in Surgery. The self-administered questionnaire was developed by a multidisciplinary team. The survey was open from May 22, 2021, and June 22, 2021. Three reminders were sent, after 7, 14, and 21 days. Results Three hundred four respondents from 72 countries returned a questionnaire, with an overall response rate of 21.2%. Respectively, 90.4% and 68.8% of participants stated their hospital had a multidisciplinary IPC team or a multidisciplinary antimicrobial stewardship team. Local protocols for antimicrobial therapy of surgical infections and protocols for surgical antibiotic prophylaxis were present in 76.6% and 90.8% of hospitals, respectively. In 23.4% and 24.0% of hospitals no surveillance systems for surgical site infections and no monitoring systems of used antimicrobials were implemented. Patient and family involvement in IPC management was considered to be slightly or not important in their hospital by the majority of respondents (65.1%). Awareness of the global burden of AMR among HCWs was considered very important or important by 54.6% of participants. The COVID-19 pandemic was considered by 80.3% of respondents as a very important or important factor in raising HCWs awareness of the IPC programs in their hospital. Based on the survey results, the authors developed 15 statements for several questions regarding the prevention and management of infections in surgery. The statements may be the starting point for designing future evidence-based recommendations. Conclusion Adequacy of prevention and management of infections in acute care facilities depends on HCWs behaviours and on the organizational characteristics of acute health care facilities to support best practices and promote behavioural change. Patient involvement in the implementation of IPC is still little considered. A debate on how operationalising a fundamental change to IPC, from being solely the HCWs responsibility to one that involves a collaborative relationship between HCWs and patients, should be opened.
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- 2022
32. Colonization of the gastrointestinal microbiota with Enterococcus and Staphylococcus predicts infected necrosis in patients with acute pancreatitis (POEMA): a prospective multicenter study.
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Pauw, H.S., van den Berg, F.F., Timmerhuis, H.C., Besselink, M.G.H., Issa, Y., Bruno, M.J., van Goor, H., Quispel, R., van de Vrie, W., Tan, A.C.I.T.L., Hadithi, M., Venneman, N.G., Witteman, B.J.M., Schwartz, M.P., van Wanrooij, R.L.J., Poen, A.C., van Duijvendijk, P., van Anten, M.P., Römkens, T., and Sieswerda, E.
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- 2024
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33. Immediate versus Postponed Intervention for Infected Necrotizing Pancreatitis.
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Boxhoorn, L., van Dijk, S. M., van Grinsven, J., Verdonk, R. C., Boermeester, M. A., Bollen, T. L., Bouwense, S. A. W., Bruno, M. J., Cappendijk, V. C., Dejong, C. H. C., van Duijvendijk, P., van Eijck, C. H. J., Fockens, P., Francken, M. F. G., van Goor, H., Hadithi, M., Hallensleben, N. D. L., Haveman, J. W., Jacobs, M. A. J. M., and Jansen, J. M.
- Abstract
BACKGROUND: Infected necrotizing pancreatitis is a potentially lethal disease that is treated with the use of a step-up approach, with catheter drainage often delayed until the infected necrosis is encapsulated. Whether outcomes could be improved by earlier catheter drainage is unknown. METHODS: We conducted a multicenter, randomized superiority trial involving patients with infected necrotizing pancreatitis, in which we compared immediate drainage within 24 hours after randomization once infected necrosis was diagnosed with drainage that was postponed until the stage of walled-off necrosis was reached. The primary end point was the score on the Comprehensive Complication Index, which incorporates all complications over the course of 6 months of follow-up. RESULTS: A total of 104 patients were randomly assigned to immediate drainage (55 patients) or postponed drainage (49 patients). The mean score on the Comprehensive Complication Index (scores range from 0 to 100, with higher scores indicating more severe complications) was 57 in the immediate-drainage group and 58 in the postponed-drainage group (mean difference, -1; 95% confidence interval [CI], -12 to 10; P=0.90). Mortality was 13% in the immediate-drainage group and 10% in the postponed-drainage group (relative risk, 1.25; 95% CI, 0.42 to 3.68). The mean number of interventions (catheter drainage and necrosectomy) was 4.4 in the immediate-drainage group and 2.6 in the postponed-drainage group (mean difference, 1.8; 95% CI, 0.6 to 3.0). In the postponed-drainage group, 19 patients (39%) were treated conservatively with antibiotics and did not require drainage; 17 of these patients survived. The incidence of adverse events was similar in the two groups. CONCLUSIONS: This trial did not show the superiority of immediate drainage over postponed drainage with regard to complications in patients with infected necrotizing pancreatitis. Patients randomly assigned to the postponed-drainage strategy received fewer invasive interventions. [ABSTRACT FROM AUTHOR]
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- 2021
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34. WSES consensus guidelines on sigmoid volvulus management
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Tian, B.W.C.A., Vigutto, G., Tan, E.C.T.H., Goor, H. van, Bendinelli, C., Abu-Zidan, F., Ivatury, R., Sakakushev, B., Carlo, I. Di, Sganga, G., Maier, R.V., Coimbra, R., Leppäniemi, A., Litvin, A., Damaskos, D., Broek, R.P.G ten, Biffl, W., Saverio, S. Di, Simone, B. De, Ceresoli, M., Picetti, E., Galante, J., Tebala, G.D., Beka, S.G., Bonavina, L., Cui, Y., Khan, J., Cicuttin, E., Amico, F., Kenji, I., Hecker, A., Ansaloni, L., Sartelli, M., Moore, E.E., Kluger, Y., Testini, M., Weber, D., Agnoletti, V., Angelis, N.D., Coccolini, F., Sall, I., Catena, F., Tian, B, Vigutto, G, Tan, E, van Goor, H, Bendinelli, C, Abu-Zidan, F, Ivatury, R, Sakakushev, B, Di Carlo, I, Sganga, G, Maier, R, Coimbra, R, Leppaniemi, A, Litvin, A, Damaskos, D, Broek, R, Biffl, W, Di Saverio, S, De Simone, B, Ceresoli, M, Picetti, E, Galante, J, Tebala, G, Beka, S, Bonavina, L, Cui, Y, Khan, J, Cicuttin, E, Amico, F, Kenji, I, Hecker, A, Ansaloni, L, Sartelli, M, Moore, E, Kluger, Y, Testini, M, Weber, D, Agnoletti, V, Angelis, N, Coccolini, F, Sall, I, and Catena, F
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Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] ,Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14] ,All institutes and research themes of the Radboud University Medical Center ,Emergency Medicine ,sigmoid volvolus ,Surgery - Abstract
Contains fulltext : 293045.pdf (Publisher’s version ) (Open Access) Sigmoid volvulus is a common surgical emergency, especially in elderly patients. Patients can present with a wide range of clinical states: from asymptomatic, to frank peritonitis secondary to colonic perforation. These patients generally need urgent treatment, be it endoscopic decompression of the colon or an upfront colectomy. The World Society of Emergency Surgery united a worldwide group of international experts to review the current evidence and propose a consensus guidelines on the management of sigmoid volvulus.
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- 2023
35. Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery
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Miklosh Bala, Fausto Catena, Jeffry Kashuk, Belinda De Simone, Carlos Augusto Gomes, Dieter Weber, Massimo Sartelli, Federico Coccolini, Yoram Kluger, Fikri M. Abu-Zidan, Edoardo Picetti, Luca Ansaloni, Goran Augustin, Walter L. Biffl, Marco Ceresoli, Osvaldo Chiara, Massimo Chiarugi, Raul Coimbra, Yunfeng Cui, Dimitris Damaskos, Salomone Di Saverio, Joseph M. Galante, Vladimir Khokha, Andrew W. Kirkpatrick, Kenji Inaba, Ari Leppäniemi, Andrey Litvin, Andrew B. Peitzman, Vishal G. Shelat, Michael Sugrue, Matti Tolonen, Sandro Rizoli, Ibrahima Sall, Solomon G. Beka, Isidoro Di Carlo, Richard Ten Broek, Chirika Mircea, Giovanni Tebala, Michele Pisano, Harry van Goor, Ronald V. Maier, Hans Jeekel, Ian Civil, Andreas Hecker, Edward Tan, Kjetil Soreide, Matthew J. Lee, Imtiaz Wani, Luigi Bonavina, Mark A. Malangoni, Kaoru Koike, George C. Velmahos, Gustavo P. Fraga, Andreas Fette, Nicola de’Angelis, Zsolt J. Balogh, Thomas M. Scalea, Gabriele Sganga, Michael D. Kelly, Jim Khan, Philip F. Stahel, Ernest E. Moore, Bala, M, Catena, F, Kashuk, J, De Simone, B, Gomes, C, Weber, D, Sartelli, M, Coccolini, F, Kluger, Y, Abu-Zidan, F, Picetti, E, Ansaloni, L, Augustin, G, Biffl, W, Ceresoli, M, Chiara, O, Chiarugi, M, Coimbra, R, Cui, Y, Damaskos, D, Di Saverio, S, Galante, J, Khokha, V, Kirkpatrick, A, Inaba, K, Leppaniemi, A, Litvin, A, Peitzman, A, Shelat, V, Sugrue, M, Tolonen, M, Rizoli, S, Sall, I, Beka, S, Di Carlo, I, Ten Broek, R, Mircea, C, Tebala, G, Pisano, M, van Goor, H, Maier, R, Jeekel, H, Civil, I, Hecker, A, Tan, E, Soreide, K, Lee, M, Wani, I, Bonavina, L, Malangoni, M, Koike, K, Velmahos, G, Fraga, G, Fette, A, De'Angelis, N, Balogh, Z, Scalea, T, Sganga, G, Kelly, M, Khan, J, Stahel, P, and Moore, E
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Endovascular Procedures ,Mesenteric artery stenting ,Guideline ,Recommendation ,Bowel ischemia ,Intestines ,Mesenteric ischemia ,Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] ,Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14] ,Ischemia ,Mesenteric Vascular Occlusion ,World Society of Emergency Surgery ,Emergency Medicine ,Humans ,Surgery ,Mesenteric arterial occlusion - Abstract
Contains fulltext : 288450.pdf (Publisher’s version ) (Open Access) Acute mesenteric ischemia (AMI) is a group of diseases characterized by an interruption of the blood supply to varying portions of the intestine, leading to ischemia and secondary inflammatory changes. If untreated, this process may progress to life-threatening intestinal necrosis. The incidence is low, estimated at 0.09-0.2% of all acute surgical admissions, but increases with age. Although the entity is an uncommon cause of abdominal pain, diligence is required because if untreated, mortality remains in the range of 50%. Early diagnosis and timely surgical intervention are the cornerstones of modern treatment to reduce the high mortality associated with this entity. The advent of endovascular approaches in parallel with modern imaging techniques is evolving and provides new treatment options. Lastly, a focused multidisciplinary approach based on early diagnosis and individualized treatment is essential. Thus, we believe that updated guidelines from World Society of Emergency Surgery are warranted, in order to provide the most recent and practical recommendations for diagnosis and treatment of AMI.
- Published
- 2022
36. Postponed or Immediate Drainage of Infected Necrotizing Pancreatitis (POINTER): A Multicenter Randomized Trial.
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Boxhoorn, L., van Dijk, S.M., van Grinsven, J., Verdonk, R.C., Boermeester, M.A., Bollen, T.L., Bruno, M.J., van Duijvendijk, P., van Eijck, C.H., Fockens, P., van Goor, H., Hadithi, M., Hallensleben, N.D., Haveman, J.W., Jansen, J.M., Kop, M.P., van Lienden, K.P., Manusama, E.R., Mieog, J.S.D., and Poen, A.C.
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- *
NECROTIZING pancreatitis , *DRAINAGE - Published
- 2021
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37. Automated Identification of Postoperative Infections to Allow Prediction and Surveillance Based on Electronic Health Record Data: Scoping Review.
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van der Meijden SL, van Boekel AM, van Goor H, Nelissen RG, Schoones JW, Steyerberg EW, Geerts BF, de Boer MG, and Arbous MS
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Background: Postoperative infections remain a crucial challenge in health care, resulting in high morbidity, mortality, and costs. Accurate identification and labeling of patients with postoperative bacterial infections is crucial for developing prediction models, validating biomarkers, and implementing surveillance systems in clinical practice., Objective: This scoping review aimed to explore methods for identifying patients with postoperative infections using electronic health record (EHR) data to go beyond the reference standard of manual chart review., Methods: We performed a systematic search strategy across PubMed, Embase, Web of Science (Core Collection), the Cochrane Library, and Emcare (Ovid), targeting studies addressing the prediction and fully automated surveillance (ie, without manual check) of diverse bacterial infections in the postoperative setting. For prediction modeling studies, we assessed the labeling methods used, categorizing them as either manual or automated. We evaluated the different types of EHR data needed for the surveillance and labeling of postoperative infections, as well as the performance of fully automated surveillance systems compared with manual chart review., Results: We identified 75 different methods and definitions used to identify patients with postoperative infections in studies published between 2003 and 2023. Manual labeling was the predominant method in prediction modeling research, 65% (49/75) of the identified methods use structured data, and 45% (34/75) use free text and clinical notes as one of their data sources. Fully automated surveillance systems should be used with caution because the reported positive predictive values are between 0.31 and 0.76., Conclusions: There is currently no evidence to support fully automated labeling and identification of patients with infections based solely on structured EHR data. Future research should focus on defining uniform definitions, as well as prioritizing the development of more scalable, automated methods for infection detection using structured EHR data., (©Siri Lise van der Meijden, Anna M van Boekel, Harry van Goor, Rob GHH Nelissen, Jan W Schoones, Ewout W Steyerberg, Bart F Geerts, Mark GJ de Boer, M Sesmu Arbous. Originally published in JMIR Medical Informatics (https://medinform.jmir.org), 10.09.2024.)
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- 2024
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38. Animal models for preventing seroma after surgery: a systematic review and meta-analysis.
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Poos SEM, Hermans BP, van Goor H, and Ten Broek RPG
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Novel interventions for seroma prevention are urgently needed in clinical practice. Animal models are pivotal tools for testing these interventions; however, a significant translational gap persists between clinical and animal model outcomes. This systematic review aims to assess the methodological characteristics and quality of animal models utilized for seroma prevention. A meta-analysis was performed to estimate the expected seroma incidence rate for control groups and determine the effect size of typical interventions. We systematically retrieved all studies describing animal models in which seroma formation was induced. Methodological characteristics, risks of bias, and study quality were assessed. Seroma volume and -incidence data were used for the meta-analysis. In total, 55 studies were included, with 42 eligible for meta-analysis. Rats (69%) were the most frequently used species, with mastectomy (50%) being the predominant surgical procedure in these models. Despite significant risks of bias across all studies, an improving trend in reporting quality per decade was observed. The meta-analysis revealed an average seroma incidence of 90% in typical control groups. The average intervention halved the seroma incidence (RR = 0.49; CI 0.35, 0.70) and significantly reduced seroma volume (SMD = -3.31; CI -4.21, -2.41), although notable heterogeneity was present. In conclusion, animal models for seroma prevention exhibit methodological flaws and multiple risks of bias. Implementing sufficiently powered positive and negative control groups could improve the internal validity of these models. More research is needed for further development of animal seroma models., Competing Interests: Declaration of conflicting interestsThe authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Steven E.M. Poos is an employee of GATT Technologies. Harry van Goor was a scientific advisor for GATT Technologies until 31 December 2021, but not in relation to this research.
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- 2024
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39. Transcriptomic analyses of lung tissues reveal key genes associated with progression of systemic sclerosis-interstitial lung disease (SSc-ILD).
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Al-Adwi Y, Westra J, van Goor H, van Kempen LC, Osman M, Gan CT, Timens W, and Mulder DJ
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- Humans, Male, Female, Middle Aged, Adult, Biomarkers, Scleroderma, Systemic genetics, Scleroderma, Systemic pathology, Scleroderma, Systemic metabolism, Lung Diseases, Interstitial genetics, Lung Diseases, Interstitial metabolism, Disease Progression, Gene Expression Profiling, Lung pathology, Lung metabolism, Transcriptome
- Abstract
Objective: Systemic sclerosis-interstitial lung disease (SSc-ILD) is the leading cause of death in SSc, affecting around 50 % of the patients. Lung tissue of patients with early-stage SSc-ILD is characterized by a predominant inflammatory response with inconspicuous fibrosis, which may progress to honeycombing fibrosis. Hence, a better understanding of the molecular mechanisms underpinning SSc-ILD pathogenesis is needed to improve treatment options and progression prediction. This transcriptomic study aims to reveal the differential gene expression between control (ctrl) lung tissue and inflammatory, prefibrotic and fibrotic lung tissue to capture progression of early to late phase SSc-ILD., Methods: Twelve explanted lungs from patients with SSc-ILD were used to analyze gene expression from formalin-fixed paraffin-embedded lung tissues with varying stages of ILD (n = 18) and control lung tissue (n = 6). The SSc-ILD tissues were stratified into three ROIs: inflammatory, prefibrotic, and fibrotic using histological assessments to define a longitudinal simulation of early to late phases of SSc-ILD. The nanoString (nS) nCounter Human Fibrosis Panel was used to profile the transcriptome in the regions of interest. Validation of potential targetswas performed with immunohistochemistry in the same tissues that were used for transcriptome analysis., Results: To validate our simulation model, we performed subgroup analysis that showed an incremental increase in pathway scores related to the severity of fibrosis. Ctrl vs SSc-ILD comparison demonstrated 24 differentially expressed genes, two of which had the most pronounced p-values. Cyclin-dependent kinase inhibitor (cdkn2c) was overexpressed (P = 0.00052) in SSc-ILD compared to ctrl, while expression of Pellino E3 ubiquitin-protein ligase 1 (peli1) showed lower expression (P = 0.0012). Additionally, in all four groups, cdkn2c and peli1 gene expression showed an incremental increase and decrease, respectively. Immunohistochemistry of cdkn2c showed consistent results with the nS analysis., Conclusion: More cdkn2c and less peli1 expression were associated with more advanced stages of SSc-ILD on histologic assessment. We report the potential of the cell cycle inhibitor and senescence marker, cdkn2c (p18) to be associated with fibrosis progression., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
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- 2024
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40. Virtual reality for postsurgical pain management: An explorative randomized controlled study.
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Lier EJ, Smits MLM, van Boekel RLM, Vissers KCP, Maandag NJG, de Vries M, and van Goor H
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- Humans, Female, Male, Middle Aged, Adult, Aged, Virtual Reality Exposure Therapy methods, Feasibility Studies, Treatment Outcome, Anxiety etiology, Anxiety therapy, Anxiety prevention & control, Analgesics therapeutic use, Pain, Postoperative etiology, Pain, Postoperative diagnosis, Pain, Postoperative therapy, Pain Management methods, Pain Measurement, Virtual Reality
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Background: Virtual reality (VR) is a promising tool in a multimodal analgesic approach; however, evidence regarding virtual reality for postsurgical pain is limited. This study investigates the initial effectiveness and feasibility of self-administered virtual reality in postsurgical pain management., Methods: Patients reporting a postsurgical pain score ≥4 were randomized for control or VR, stratified for 3 interventions with varying levels of immersion and interaction. Subjects were instructed to use virtual reality as add-on treatment at least 3 times a day for 10 minutes on days 2 till 4 postoperatively. Primary outcome was the mean daily pain intensity. Results of pain scores were related to patient and intervention characteristics, to explore which characteristics interact with virtual reality effects. Secondary outcomes were analgesic use, anxiety, stress, and feasibility., Results: One hundred patients were included in the analyses: 37 in the control group and 63 for VR. VR did not demonstrate a significant effect on self-reported pain scores (P = .43), nor were specific patient or intervention characteristics associated with greater VR effects. Analgesic usage did not differ between groups. However, there was a trend toward greater cumulative percentages of patients achieving a 30% pain reduction, and significantly lower daily experienced stress (P = .01) and anxiety (P = .03) levels in VR intervention groups. VR was used less than prescribed, mainly because of illness and pain. Adverse events included disorientation, nausea, and fatigue., Conclusions: This explorative study did not demonstrate initial effectiveness of VR as add-on pain treatment regarding pain and analgesic use; however, VR positively affected stress and anxiety. VR is safe and suitable for a wide target audience, and feasibility differed between interventions. Personalizing and improving VR technology may enhance its effectiveness., (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
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- 2024
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41. Systemic oxidative stress associates with the development of post-COVID-19 syndrome in non-hospitalized individuals.
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Vlaming-van Eijk LE, Bulthuis MLC, van der Gun BTF, Wold KI, Veloo ACM, Vincenti González MF, de Borst MH, den Dunnen WFA, Hillebrands JL, van Goor H, Tami A, and Bourgonje AR
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Background: Post-COVID-19 syndrome (PCS) remains a major health issue worldwide, while its pathophysiology is still poorly understood. Systemic oxidative stress (OS) may be involved in PCS, which is reflected by lower circulating free thiols (R-SH, sulfhydryl groups), as they are receptive to rapid oxidation by reactive species. This study aimed to investigate the longitudinal dynamics of serum R-SH after SARS-CoV-2 infection and its association with the development of PCS in individuals with mild COVID-19., Methods: Baseline serum R-SH concentrations were measured and compared between 135 non-hospitalized COVID-19 subjects and 82 healthy controls (HC). In COVID-19 subjects, serum R-SH concentrations were longitudinally measured during the acute disease phase (up to 3 weeks) and at 3, 6, and 12 months of follow-up, and their associations with relevant clinical parameters were investigated, including the development of PCS., Results: Baseline albumin-adjusted serum R-SH were significantly reduced in non-hospitalized COVID-19 subjects as compared to HC (p = 0.041), reflecting systemic OS. In mild COVID-19 subjects, trajectories of albumin-adjusted serum R-SH levels over a course of 12 months were longitudinally associated with the future presence of PCS 18 months after initial infection (b = -9.48, p = 0.023)., Conclusion: Non-hospitalized individuals with COVID-19 show evidence of systemic oxidative stress, which is longitudinally associated with the development of PCS. Our results provide a rationale for future studies to further investigate the value of R-SH as a monitoring biomarker and a potential therapeutic target in the development of PCS., Competing Interests: Declaration of competing interest A.R.B. has received a research grant from Janssen Pharmaceuticals and received speaker's fees from AbbVie, outside the submitted work. All other authors have no conflicts of interest to declare., (Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)
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- 2024
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42. Evaluating Serum Free Thiols in Inflammatory Bowel Disease: Contribution of Albumin to Extracellular Free Thiol Status.
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Bourgonje AR, Geertsema S, Holstein HJ, Bulthuis MLC, Dijkstra G, Faber KN, and van Goor H
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- Humans, Male, Female, Adult, Biomarkers blood, Serum Albumin analysis, Case-Control Studies, Middle Aged, Sulfhydryl Compounds blood, Inflammatory Bowel Diseases blood
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- 2024
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43. Serum Calcification Propensity Is Increased in Myocardial Infarction and Hints at a Pathophysiological Role Independent of Classical Cardiovascular Risk Factors.
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Mencke R, Al Ali L, de Koning MLY, Pasch A, Minnion M, Feelisch M, van Veldhuisen DJ, van der Horst ICC, Gansevoort RT, Bakker SJL, de Borst MH, van Goor H, van der Harst P, Lipsic E, and Hillebrands JL
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- Humans, Male, Female, Middle Aged, Aged, Biomarkers blood, Heart Disease Risk Factors, Vascular Calcification blood, Vascular Calcification physiopathology, Risk Assessment, Risk Factors, Case-Control Studies, Time Factors, Ventricular Function, Left, Stroke Volume, ST Elevation Myocardial Infarction blood, ST Elevation Myocardial Infarction physiopathology
- Abstract
Background: Vascular calcification is associated with increased mortality in patients with cardiovascular disease. Secondary calciprotein particles are believed to play a causal role in the pathophysiology of vascular calcification. The maturation time (T
50 ) of calciprotein particles provides a measure of serum calcification propensity. We compared T50 between patients with ST-segment-elevated myocardial infarction and control subjects and studied the association of T50 with cardiovascular risk factors and outcome., Methods: T50 was measured by nephelometry in 347 patients from the GIPS-III trial (Metabolic Modulation With Metformin to Reduce Heart Failure After Acute Myocardial Infarction: Glycometabolic Intervention as Adjunct to Primary Coronary Intervention in ST Elevation Myocardial Infarction: a Randomized Controlled Trial) and in 254 matched general population controls from PREVEND (Prevention of Renal and Vascular End-Stage Disease). We also assessed the association between T50 and left ventricular ejection fraction, as well as infarct size, the incidence of ischemia-driven reintervention during 5 years of follow-up, and serum nitrite as a marker of endothelial dysfunction., Results: Patients with ST-segment-elevated myocardial infarction had a significantly lower T50 (ie, higher serum calcification propensity) compared with controls (T50 : 289±63 versus 338±56 minutes; P <0.001). In patients with ST-segment-elevated myocardial infarction, lower T50 was associated with female sex, lower systolic blood pressure, lower total cholesterol, lower LDL (low-density lipoprotein) cholesterol, lower triglycerides, and higher HDL (high-density lipoprotein) cholesterol but not with circulating nitrite or nitrate. Ischemia-driven reintervention was associated with higher LDL ( P =0.03) and had a significant interaction term for T50 and sex ( P =0.005), indicating a correlation between ischemia-driven reintervention and T50 above the median in men and below the median in women, between 150 days and 5 years of follow-up., Conclusions: Serum calcification propensity is increased in patients with ST-segment-elevated myocardial infarction compared with the general population, and its contribution is more pronounced in women than in men. Its lack of/inverse association with nitrite and blood pressure confirms T50 to be orthogonal to traditional cardiovascular disease risk factors. Lower T50 was associated with a more favorable serum lipid profile, suggesting the involvement of divergent pathways of calcification stress and lipid stress in the pathophysiology of myocardial infarction., Competing Interests: A. Pasch is a founder and employee of Calciscon AG, Switzerland, which commercializes the T50 test. The other authors report no conflicts.- Published
- 2024
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44. Characterisation of pulmonary air leak measurements using a mechanical ventilator in a bench setup.
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Hermans BP, van Doorn JLM, Roesthuis LH, Hofland J, Li WWL, van Dort DIM, van der Heijden EHFM, van Goor H, and Verhagen AFTM
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Prolonged air leakage (AL) following pulmonary resections leads to prolonged hospital stay and post-operative complications. Intra- and postoperative quantification of AL might be useful for improving treatment decisions, but these measurements have not been characterised. AL calculations based on inspiratory and expiratory tidal volumes were investigated in an Intensive Care Unit mechanical ventilator circuit (Servo-I). AL was also measured by a digital chest drainage system. This study shows that AL measurements increase in accuracy when corrected for baseline deviations (R: 0.904 > 0.997, p < 0.001). Bland-Altman analysis revealed a funnel-shape, indicative of a detection threshhold. Corrected measurements were most accurate when averaged over five breaths and AL was >500 mL/min, with an estimated mean systemic bias of 7.4% (95%-limits of agreement [LoA]: 1.1%-13.7%) at 500 mL/min air leak. Breath-by-breath analysis showed most accurate results at AL >20 mL/breath (R: 0.989-0.991, p < 0.001) at tidal volumes between 350-600 mL. The digital drain had a mean systemic bias of -11.1% (95%-LoA: -18.9% to -3.3%) with homogenous scatter in Bland-Altman analysis and a strong correlation to the control measurement over a large range (0-2000mL/min, R: 0.999, p < 0.001). This study indicates that the Servo-I can be used for air leak quantification in clinically relevant ranges (>500 mL/min), but is unsuited for small leak detection due to a detection threshold. Researchers and clinicians should be aware of varying accuracy and interoperability characteristics between AL measurement devices.
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- 2024
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45. Ex Situ Left Ventricular Pressure-Volume Loop Analyses for Donor Hearts: Proof of Concept in an Ovine Experimental Model.
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Ertugrul IA, Puspitarani RADA, Wijntjes B, Vervoorn MT, Ballan EM, van der Kaaij NP, van Goor H, Westenbrink BD, van der Plaats A, Nijhuis F, van Suylen V, and Erasmus ME
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- Animals, Sheep, Tissue Donors, Models, Animal, Perfusion methods, Ventricular Pressure, Proof of Concept Study, Heart physiology, Heart Transplantation, Ventricular Function, Left physiology, Organ Preservation methods
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Ex situ heart perfusion (ESHP) has emerged as an important strategy to preserve donation after brain death (DBD) and donation after circulatory death (DCD) donor hearts. Clinically, both DBD and DCD hearts are successfully preserved using ESHP. Viability assessment is currently based on biochemical values, while a reliable method for graft function assessment in a physiologic working mode is unavailable. As functional assessment during ESHP has demonstrated the highest predictive value of outcome post-transplantation, this is an important area for improvement. In this study, a novel method for ex situ assessment of left ventricular function with pressure-volume loop analyses is evaluated. Ovine hearts were functionally evaluated during normothermic ESHP with the novel pressure-volume loop system. This system provides an afterload and adjustable preload to the left ventricle. By increasing the preload and measuring end-systolic elastance, the system could successfully assess the left ventricular function. End-systolic elastance at 60 min and 120 min was 2.8 ± 1.8 mmHg/mL and 2.7 ± 0.7 mmHg/mL, respectively. In this study we show a novel method for functional graft assessment with ex situ pressure-loop analyses during ESHP. When further validated, this method for pressure-volume assessments, could be used for better graft selection in both DBD and DCD donor hearts., Competing Interests: Authors BW, AvP, and FN were employed by XVIVO. ME holds a patent with XVIVO. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Ertugrul, Puspitarani, Wijntjes, Vervoorn, Ballan, van der Kaaij, van Goor, Westenbrink, van der Plaats, Nijhuis, van Suylen and Erasmus.)
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- 2024
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46. Decidual macrophages and Hofbauer cells in fetal growth restriction.
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Bezemer RE, Faas MM, van Goor H, Gordijn SJ, and Prins JR
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- Pregnancy, Humans, Female, Animals, Fetal Growth Retardation immunology, Macrophages immunology, Decidua immunology, Placenta immunology
- Abstract
Placental macrophages, which include maternal decidual macrophages and fetal Hofbauer cells, display a high degree of phenotypical and functional plasticity. This provides these macrophages with a key role in immunologically driven events in pregnancy like host defense, establishing and maintaining maternal-fetal tolerance. Moreover, placental macrophages have an important role in placental development, including implantation of the conceptus and remodeling of the intrauterine vasculature. To facilitate these processes, it is crucial that placental macrophages adapt accordingly to the needs of each phase of pregnancy. Dysregulated functionalities of placental macrophages are related to placental malfunctioning and have been associated with several adverse pregnancy outcomes. Although fetal growth restriction is specifically associated with placental insufficiency, knowledge on the role of macrophages in fetal growth restriction remains limited. This review provides an overview of the distinct functionalities of decidual macrophages and Hofbauer cells in each trimester of a healthy pregnancy and aims to elucidate the mechanisms by which placental macrophages could be involved in the pathogenesis of fetal growth restriction. Additionally, potential immune targeted therapies for fetal growth restriction are discussed., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision., (Copyright © 2024 Bezemer, Faas, van Goor, Gordijn and Prins.)
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- 2024
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47. Expression of myxovirus resistance protein A in lupus nephritis and other glomerular nephropathies.
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Liu L, de Leeuw K, der Meer BD, van Goor H, Stegeman CA, van den Heuvel MC, Diercks GFH, and Westra J
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- 2024
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48. Proof-of-principle of a lung sealant based on functionalized polyoxazolines: experiments in an ovine acute aerostasis model.
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Hermans BP, Ten Broek RPG, Li WWL, Roozen EA, Vos S, Van Der Heijden EHFM, Van Goor H, and Verhagen AFTM
- Abstract
Objectives: More effective lung sealants are needed to prevent prolonged pulmonary air leakage (AL). Polyoxazoline-impregnated gelatin patch (N-hydroxysuccinimide ester functionalized poly(2-oxazoline)s; NHS-POx) was promising for lung sealing ex vivo. The aim of this study is to confirm sealing effectiveness in an in vivo model of lung injury., Methods: An acute aerostasis model was used in healthy adult female sheep, involving bilateral thoracotomy, amputation lesions (bronchioles Ø > 1.5 mm), sealant application, digital chest tube for monitoring AL, spontaneous ventilation, obduction and bursting pressure measurement. Two experiments were performed: (i) 3 sheep with 2 lesions per lung (N = 4 NHS-POx double-layer, N = 4 NHS-POx single-layer, N = 4 untreated) and (ii) 3 with 1 lesion per lung (N = 3 NHS-POx single-layer, N = 3 untreated). In pooled linear regression, AL was analysed per lung (N = 7 NHS-POx, N = 5 untreated) and bursting pressure per lesion (N = 11 NHS-POx, N = 7 untreated)., Results: Baseline AL was similar between groups (mean 1.38-1.47 l/min, P = 0.90). NHS-POx achieved sealing in 1 attempt in 8/11 (72.7%) and in 10/11 (90.9%) in >1 attempt. Application failures were only observed on triangular lesions requiring 3 folds around the lung. No influences of methodological variation between experiments was detected in linear regression (P > 0.9). AL over initial 3 h of drainage was significantly reduced for NHS-POx [median: 7 ml/min, length of interquartile range: 333 ml/min] versus untreated lesions (367 ml/min, length of interquartile range: 680 ml/min, P = 0.036). Bursting pressure was higher for NHS-POx (mean: 33, SD: 16 cmH2O) versus untreated lesions (mean: 19, SD: 15 cmH2O, P = 0.081)., Conclusions: NHS-POx was effective for reducing early AL, and a trend was seen for improvement of bursting strength of the covered defect. Results were affected by application characteristics and lesion geometry., (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery.)
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- 2024
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49. Clinical Safety and Performance of GATT-Patch for Hemostasis in Minimal to Moderate Bleeding During Open Liver Surgery.
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de Wilt JHW, Verhoef C, de Boer MT, Stommel MWJ, van der Plas-Kemper L, Garms LM, van der Zijden CJ, Head SJ, Bender JCME, van Goor H, and Porte RJ
- Subjects
- Humans, Male, Middle Aged, Female, Aged, Adult, Aged, 80 and over, Hemostasis, Surgical methods, Hemostasis, Surgical instrumentation, Hemostatics administration & dosage, Hemostatics therapeutic use, Hemostatics adverse effects, Treatment Outcome, Gelatin adverse effects, Gelatin administration & dosage, Prospective Studies, Liver Neoplasms surgery, Liver Neoplasms secondary, Hepatectomy adverse effects, Hepatectomy methods, Blood Loss, Surgical statistics & numerical data, Blood Loss, Surgical prevention & control
- Abstract
Introduction: Intraoperative blood loss and postoperative hemorrhage affect outcomes after liver resection. GATT-Patch is a new flexible, pliable hemostatic sealant patch comprising fibrous gelatin carrier impregnated with N-hydroxy-succinimide polyoxazoline. We evaluated safety and performance of the GATT-Patch for hemostasis at the liver resection plane., Methods: Adult patients undergoing elective open liver surgery were recruited in three centers. GATT-Patch was used for minimal to moderate bleeding at the liver resection plane. The primary endpoint was hemostasis of the first-treated bleeding site at 3 min versus a prespecified performance goal of 65.4%., Results: Two trial stages were performed: I (n = 8) for initial safety and II (n = 39) as the primary outcome cohort. GATT-Patch was applied in 47 patients on 63 bleeding sites. Median age was 60.0 (range 25-80) years and 70% were male. Most (66%) surgeries were for colorectal cancer metastases. The primary endpoint was met in 38 out of 39 patients (97.4%; 95% confidence interval: 84.6%-99.9%) versus 65.4% (P < 0.001). Of all the 63 bleeding sites, hemostasis was 82.7% at 30, 93.7% at 60, and 96.8% at 180 s. No reoperations for rebleeding or device-related issues occurred., Conclusions: When compared to a performance goal derived from state-of-the-art hemostatic agents, GATT-Patch for the treatment of minimal to moderate bleeding during liver surgery successfully and quickly achieved hemostasis with acceptable safety outcomes. (ClinicalTrials.gov Identifier: NCT04819945)., (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
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- 2024
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50. Serum T 50 predicts cardiovascular mortality in individuals with type 2 diabetes: A prospective cohort study.
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van der Vaart A, Eelderink C, van Goor H, Hillebrands JL, Te Velde-Keyzer CA, Bakker SJL, Pasch A, van Dijk PR, Laverman GD, and de Borst MH
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- Humans, Male, Middle Aged, Female, Prospective Studies, Aged, Risk Factors, Predictive Value of Tests, Biomarkers blood, Risk Assessment, Diabetes Mellitus, Type 2 blood, Diabetes Mellitus, Type 2 complications, Diabetes Mellitus, Type 2 mortality, Cardiovascular Diseases mortality, Cardiovascular Diseases blood
- Abstract
Background and Aims: Individuals with type 2 diabetes (T2D) have a higher risk of cardiovascular disease, compared with those without T2D. The serum T50 test captures the transformation time of calciprotein particles in serum. We aimed to assess whether serum T50 predicts cardiovascular mortality in T2D patients, independent of traditional risk factors., Methods: We analyzed 621 individuals with T2D in this prospective cohort study. Cox regression models were performed to test the association between serum T50 and cardiovascular and all-cause mortality. Causes of death were categorized according to ICD-10 codes. Risk prediction improvement was assessed by comparing Harrell's C for models without and with T
50. RESULTS: The mean age was 64.2 ± 9.8 years, and 61% were male. The average serum T50 time was 323 ± 63 min. Higher age, alcohol use, high-sensitive C-reactive protein, and plasma phosphate were associated with lower serum T50 levels. Higher plasma triglycerides, venous bicarbonate, sodium, magnesium, and alanine aminotransferase were associated with higher serum T50 levels. After a follow-up of 7.5[5.4-10.7] years, each 60 min decrease in serum T50 was associated with an increased risk of cardiovascular (fully adjusted HR 1.32, 95% CI 1.08-1.50, and p = 0.01) and all-cause mortality (HR 1.15, 95%CI 1.00-1.38, and p = 0.04). Results were consistent in sensitivity analyses after exclusion of individuals with estimated glomerular filtration rate <45 or <60 mL/min/1.73 m2 and higher plasma phosphate levels., Conclusions: Serum T50 improves prediction of cardiovascular and all-cause mortality risk in individuals with T2D. Serum T50 may be useful for risk stratification and to guide therapeutic strategies aiming to reduce cardiovascular mortality in T2D., (© 2024 The Authors. Journal of Internal Medicine published by John Wiley & Sons Ltd on behalf of Association for Publication of The Journal of Internal Medicine.)- Published
- 2024
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