Search Results

You are looking at 1 - 10 of 59 items for :

  • "treatment patterns" x
Clear All
Restricted access

Mark G. Belza, Sarah S. Donaldson, Gary K. Steinberg, Richard S. Cox and Philip H. Cogen

for medulloblastoma at the Stanford University Medical Center, and evaluate factors influencing prognosis, survival, and cure rates. Clinical Material and Methods Case Material Seventy-seven patients with medulloblastoma were treated at Stanford University Medical Center or one of its affiliated hospitals between 1958 and 1986. Eight (10%) of the 77 patients were lost to follow-up review. All 77 original cases were assessed for clinical presentation, histology, treatment, patterns of recurrence, and survival. Infants were defined as being 0 to 24 months of

Restricted access

Lucy Balian Rorke, Roger J. Packer and Jaclyn A. Biegel

craniospinal radiotherapy (two with adjuvant chemotherapy). Two of the three children treated with high-dose chemotherapy and bone marrow transplantation have died; the other is in stable condition 2 months after receiving treatment. Patterns of first relapse included local alone in 14 children, leptomeningeal dissemination alone in five, and local and leptomeningeal dissemination in 26. Ten of the children who developed disseminated disease at the time of first relapse had negative staging studies. Two of the children with local disease relapse ultimately developed

Restricted access

look at the best methods of treating patients with lumbosacral disorders is overdue, but until now the need was overshadowed by the complexity of the issues confronting clinical investigators. The SPORT study highlighted an increase in operative care and pointed out the existence of large geographic variations in treatment patterns as the bases for the study; however, there have been increases in all medical services with great geographic variations in all forms of therapy directed at lumbar problems, including physical therapy, chiropractic services, and pain

Restricted access

Regina I. Jakacki

note that a similar improvement in survival has not been demonstrated for patients with nonpineal SPNETs. Infants with pineal SPNETs who are treated with chemotherapy alone fare very poorly; 13, 24, 32 median time to progression is extremely brief. In addition, in infants with pineal SPNETs the reported response rate to chemotherapy is generally low, 13, 20 leading us to question whether such tumors in this age group are inherently more resistant to treatment. Patterns of Treatment Failure In the German HIT trials, 71% of treatment failures were confined to

Full access

Gordon Li, Chirag Patil, John R. Adler, Shivanand P. Lad, Scott G. Soltys, Iris C. Gibbs, Laurie Tupper and Maxwell Boakye

, Atkins BA , Kalnicki S , : CyberKnife frameless stereotactic radiosurgery for spinal lesions: clinical experience in 125 cases . Neurosurgery 55 : 89 – 99 , 2004 16 Hart LG , Deyo RA , Cherkin DC : Physician office visits for low back pain. Frequency, clinical evaluation, and treatment patterns from a U.S. national survey . Spine 20 : 11 – 19 , 1995 17 Hooten WM , Martin DP , Huntoon MA : Radiofrequency neurotomy for low back pain: evidence-based procedural guidelines . Pain Med 6 : 129 – 138 , 2005 18 Igarashi T

Restricted access

Ahmed Ibrahim, Alan Crockard, Pierre Antonietti, Stefano Boriani, Cody Bünger, Alessandro Gasbarrini, Anders Grejs, Jürgen Harms, Norio Kawahara, Christian Mazel, Robert Melcher and Katsuro Tomita

clinical practice. It also emphasizes that aggressive spinal surgery can be best used to achieve these results if performed at specialist spinal referral centers. Palliative surgery that may be performed in nonspecialist centers in cases in which more aggressive surgery would have been justified may have less benefit. The current treatment pattern of radiotherapy alone for metastatic tumor may not be the most efficacious. 17 , 18 , 21 However, our results also indicate that patients already given radiotherapy may also benefit from surgery without increased

Restricted access

Jill S. Barnholtz-Sloan, Vonetta L. Williams, John L. Maldonado, Dilip Shahani, Heather G. Stockwell, Marc Chamberlain and Andrew E. Sloan

individuals had Medicare Parts A and B and were not members of an HMO during the period from 6 months before through 12 months after diagnosis. The following were also inclusion criteria: microscopic confirmation of tumor; age as sole reason for Medicare entitlement; and reporting source being a hospital, laboratory, private doctor, or nursing/convalescent home. Treatment Patterns Treatment procedures were defined using ICD-9-CM codes 35 (MEDPAR) and the Healthcare Common Procedure Coding System codes from the 2001 Current Procedural Terminology Manual 1 (NCH and

Full access

Blake E. Pearson, James M. Markert, Winfield S. Fisher, Barton L. Guthrie, John B. Fiveash, Cheryl A. Palmer and Kristen Riley

clinicians, we created a general treatment paradigm upon which the decision of whether or not to use adjuvant radiation therapy or radiosurgery was generally based. The criteria used to create the treatment paradigm were compared with data from patients treated between 2004 and 2006 to evaluate how closely the paradigm actually mirrored our treatment patterns. Results Arrival at a Diagnostic Steady State In 2002, the new WHO criteria began to be cited by the neuropathologists at our institution as the basis by which pathological diagnoses for meningiomas were

Full access

Pascal Jabbour, Michael Fehlings, Alexander R. Vaccaro and James S. Harrop

are incomplete SCIs and patients are often able to recover good function, striving for ideal management specific to this patient population can significantly impact patient care. However, the geriatric patient with a spinal fracture is significantly different from other adult patients with spinal fractures; thus, these populations should be stratified and considered separately in analysis of treatment pattern and outcome. Disclaimer The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in

Restricted access

Amy Lee, Andrea E. Van Pelt, Alex A. Kane, Thomas K. Pilgram, Daniel P. Govier, Albert S. Woo and Matthew D. Smyth

developmental outcomes. 10 Parents of children with DP are faced with a costly treatment decision that may be influenced more strongly by referral and physician bias than by medical evidence. Furthermore, there may be differences between specialties with respect to the perception of DP severity and need for helmet therapy. The purpose of this study was to identify perception and treatment patterns among and between neurosurgeons and craniofacial plastic surgeons regarding DP. Methods Study Design An Internet-based questionnaire was created through a commercial