RESUMO
To review and update last protocols in hormone sensitive metastatic prostate cancer for improving clinical management in routine. Evidence analysis available about recent updates protocols in hormone sensitive metastatic prostate cancer according to expert panel of clinicians about this field. A nominal consensus group for unify and improve the recommendations to the management of sensitive metastatic prostate cancer patients is currently needed. This document unifies and improve the management of patients with hormone sensitive metastatic prostate cancer, with a methodology that combines data quantitative and qualitative and based on the participation of a broad scientific committee appointed by the Spanish Association of Urology.
Assuntos
Neoplasias da Próstata , Urologia , Masculino , Humanos , Antagonistas de Androgênios , Neoplasias da Próstata/tratamento farmacológico , Neoplasias da Próstata/patologia , HormôniosRESUMO
CAR-T cell therapy represents a therapeutic revolution in the prognosis and treatment of patients with certain types of hematological cancer. However, they also pose new challenges in the healthcare, regulatory and financial fields. The aim of the RET-A project was to undertake a strategic reflection on the management of CAR-T therapies within the Spanish National Health System, to agree on recommendations that will help to better deal with the new context introduced by these cell therapies in the present and in the future. This think tank involved 40 key agents and opinion leaders. The experts identified three great challenges for implementing advanced therapies in Spain: therapeutic individualisation, with a multidisciplinary approach; acceleration of access times, by minimizing bureaucracy; and increase in the number of centers qualified to manage the CAR-T therapies in the NHS. The experts agreed on the ideal criteria for designating those qualified centers. They also agreed on a comprehensive CAR-T care pathway with the timings and roles which would ideally be involved in each part of the process.
Assuntos
Neoplasias Hematológicas , Receptores de Antígenos Quiméricos , Consenso , Humanos , Imunoterapia Adotiva , EspanhaRESUMO
Precision medicine is an emerging approach for disease treatment and prevention that takes into account individual variability in genes, environment, and lifestyle for each person. Precision medicine is transforming clinical and biomedical research, as well as health care itself from a conceptual, as well as a methodological viewpoint, providing extraordinary opportunities to improve public health and lower the costs of the healthcare system. However, the implementation of precision medicine poses ethical-legal, regulatory, organizational, and knowledge-related challenges. Without a national strategy, precision medicine, which will be implemented one way or another, could take place without the appropriate planning that can guarantee technical quality, equal access of all citizens to the best practices, violating the rights of patients and professionals, and jeopardizing the solvency of the healthcare system. With this paper from the Spanish Societies of Medical Oncology, Pathology, and Hospital Pharmacy, we highlight the need to institute a consensual national strategy for the development of precision medicine in our country, review the national and international context, comment on the opportunities and challenges for implementing precision medicine, and outline the objectives of a national strategy on precision medicine in cancer.
Assuntos
Política de Saúde , Oncologia/métodos , Neoplasias/terapia , Medicina de Precisão , Humanos , Oncologia/tendências , EspanhaRESUMO
OBJECTIVES: To evaluate the quality of life (QOL) of a cohort of women undergoing assisted reproduction techniques (ART), to compare two QOL questionnaires [Short Form 36 (SF36) and FertiQoL], and to identify the predictive factors related to QOL. STUDY DESIGN: Women who received infertility medication from a hospital pharmacist during a one-year period were included in this study. Two standardized validated questionnaires - FertiQoL and SF36 - were used. Multivariate analyses were used to assess predictive factors for QOL. RESULTS: Sixty-one women participated in this study. Median QOL scores ranged from 58 to 100. Comparisons between the two questionnaires revealed lower QOL scores when using FertiQoL. Most correlations between the questionnaires were positive, and significant for the majority of SF36 mental dimensions. The major predictors of QOL were: accompanied to the pharmacist's visit by partner, nationality, ART (in vitro fertilization or artificial insemination), employment status (employed or unemployed), tobacco consumption, age, number of cycles, infertility factor and treatment results (pregnancy, no pregnancy or treatment cancellation). CONCLUSIONS: FertiQoL examines dimensions such as partner and social relationships. As such, it is recommended that FertiQoL should be used together with a short version of SF36 to investigate QOL among patients undergoing ART.
Assuntos
Fármacos para a Fertilidade Feminina/administração & dosagem , Fertilização in vitro , Infertilidade Feminina/psicologia , Inseminação Artificial , Qualidade de Vida , Estresse Psicológico/diagnóstico , Adulto , Estudos de Coortes , Efeitos Psicossociais da Doença , Prescrições de Medicamentos , Feminino , Fármacos para a Fertilidade Feminina/efeitos adversos , Fármacos para a Fertilidade Feminina/farmacologia , Fertilização in vitro/efeitos adversos , Hospitais Públicos , Humanos , Infertilidade Feminina/etiologia , Infertilidade Masculina/fisiopatologia , Inseminação Artificial/efeitos adversos , Masculino , Serviço de Farmácia Hospitalar , Valor Preditivo dos Testes , Estudos Prospectivos , Espanha , Estresse Psicológico/etiologia , Inquéritos e QuestionáriosRESUMO
A 74-year-old woman with a 4-month history of hoarseness had a granulomatous lesion of the vocal cords by laryngoscopy and a normal physical examination. Wegener's granulomatosis was confirmed by biopsy. Early treatment with trimethoprim-sulfamethoxazole prevented the evolution toward a more severe systemic form of the disease. The patient remains asymptomatic a year and a half after treatment.
Assuntos
Granulomatose com Poliangiite/diagnóstico , Idoso , Anti-Infecciosos/uso terapêutico , Combinação de Medicamentos , Quimioterapia Combinada , Feminino , Granulomatose com Poliangiite/tratamento farmacológico , Rouquidão/diagnóstico , Humanos , Sulfametoxazol/uso terapêutico , Trimetoprima/uso terapêuticoRESUMO
Paper dealing with 3 cases of laryngeal Pseudosarcoma diagnosed and treated recently (in the last 6 years) at the AA's Department. Discussion about the histogenesis of these growths which components are epithelial and sarcomatous tissues. Survey of the bibliography of the subject.
Assuntos
Fibroma/patologia , Neoplasias Laríngeas/patologia , Laringe/patologia , Adulto , Fibroma/complicações , Fibroma/cirurgia , Humanos , Neoplasias Laríngeas/complicações , Neoplasias Laríngeas/cirurgia , Laringectomia , Laringoscopia , Masculino , Pessoa de Meia-Idade , Distúrbios da Voz/etiologia , Distúrbios da Voz/patologiaRESUMO
The AA. present 2 cases of esophageal perforation due to foreign bodies among 179 esophagoscopies done for removal of other intruders, which required the endoscopic procedure, during a lapse of 4 years. Considerations regarding the treatment and the evolutive course.
Assuntos
Perfuração Esofágica/etiologia , Esôfago , Corpos Estranhos/complicações , Idoso , Emergências , Perfuração Esofágica/diagnóstico por imagem , Esofagoscopia , Corpos Estranhos/diagnóstico , Corpos Estranhos/diagnóstico por imagem , Humanos , Pessoa de Meia-Idade , RadiografiaRESUMO
Extradural block was performed in a nulliparous patient with previous spinal surgery. Epidurographic evidence explains the rapid onset and extensive sensory block obtained.