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EPICC study" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "618" "paginaFinal" => "624" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Análisis del síndrome de vejiga hiperactiva y de la incontinencia urinaria en mujeres laboralmente activas entre 25–64 años. Estudio EPICC" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Martínez-Agulló, J.L. Ruiz-Cerdá, S. Arlandis, P. Rebollo, M. Pérez, J. Chaves" "autores" => array:7 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Martínez-Agulló" ] 1 => array:2 [ "nombre" => "J.L." "apellidos" => "Ruiz-Cerdá" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Arlandis" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Rebollo" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Pérez" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Chaves" ] 6 => array:1 [ "colaborador" => "the Cooperative Study Group EPICC" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578610701505?idApp=UINPBA00004N" "url" => "/21735786/0000003400000007/v1_201304251610/S2173578610701505/v1_201304251610/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2173578610701487" "issn" => "21735786" "doi" => "10.1016/S2173-5786(10)70148-7" "estado" => "S300" "fechaPublicacion" => "2010-01-01" "aid" => "70148" "copyright" => "AEU" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2010;34:603-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 668 "formatos" => array:3 [ "EPUB" => 12 "HTML" => 139 "PDF" => 517 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Practical treatment approach of radiation induced cystitis" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "603" "paginaFinal" => "609" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Guía práctica para el manejo y tratamiento ante la cistitis radical" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Martínez-Rodríguez, J. Areal Calama, O. Buisan Rueda, C. González Satue, J. Sanchez Macias, M. Arzoz Fabregas, J. Gago Ramos, S. Bayona Arenas, L. Ibarz Servio, J.M. Saladié Roig" "autores" => array:10 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Martínez-Rodríguez" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Areal Calama" ] 2 => array:2 [ "nombre" => "O." "apellidos" => "Buisan Rueda" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "González Satue" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Sanchez Macias" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Arzoz Fabregas" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Gago Ramos" ] 7 => array:2 [ "nombre" => "S." "apellidos" => "Bayona Arenas" ] 8 => array:2 [ "nombre" => "L." "apellidos" => "Ibarz Servio" ] 9 => array:2 [ "nombre" => "J.M." "apellidos" => "Saladié Roig" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578610701487?idApp=UINPBA00004N" "url" => "/21735786/0000003400000007/v1_201304251610/S2173578610701487/v1_201304251610/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "Metastatic progression, cancer-specific mortality and need for secondary treatments in patients with clinically high-risk prostate cancer treated initially with radical prostatectomy" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "610" "paginaFinal" => "617" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Rubio-Briones, I. Iborra, M. Trassierra, A. Collado, J. Casanova, A. Gómez-Ferrer, J.V. Ricós, J.L. Monrós, R. Dumont, E. Solsona" "autores" => array:10 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Rubio-Briones" "email" => array:1 [ 0 => "jrubio@fivo.org" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Iborra" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Trassierra" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Collado" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Casanova" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Gómez-Ferrer" ] 6 => array:2 [ "nombre" => "J.V." "apellidos" => "Ricós" ] 7 => array:2 [ "nombre" => "J.L." "apellidos" => "Monrós" ] 8 => array:2 [ "nombre" => "R." "apellidos" => "Dumont" ] 9 => array:2 [ "nombre" => "E." "apellidos" => "Solsona" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Department of Urology, Instituto Valenciano de Oncología, Valencia, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Progresión metastática, mortalidad cáncer específica y necesidad de tratamientos de segunda línea en pacientes con cáncer de próstata de alto riesgo tratados inicialmente mediante prostatectomía radical" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-01-14" "fechaAceptado" => "2010-03-31" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec85960" "palabras" => array:9 [ 0 => "Death" 1 => "Gleason score" 2 => "Metastases" 3 => "Prediction" 4 => "Prostate cancer" 5 => "PSA" 6 => "Radical prostatectomy" 7 => "Risk groups" 8 => "Treatment failure" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec85959" "palabras" => array:9 [ 0 => "Muerte" 1 => "Gleason score" 2 => "Metástasis" 3 => "Predicción" 4 => "Cáncer de próstata" 5 => "PSA" 6 => "Prostatectomía radical" 7 => "Grupos de riesgo" 8 => "Fallo de tratamiento" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Purpose</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To determine our results in high risk (HR) prostate cancer (PCa) patients treated with radical prostatectomy (RP) and to establish preoperative prognosis factors.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Retrospective study of 925 RP. Mean follow-up for the HR group was 89.8+/−53.6 months. Following NCCN criteria, we operated 210 (22.7%) HR and 715 (77.3%) low/intermediate risk patients. The endpoint was metastatic progression. Kaplan-Meier method for survival comparison among groups and Cox regression model for multivariate analysis of preoperative prognostic factors were used.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Revised period; 1986–2007. Fifty-four patients (25.7%) were free of disease and 8 patients (3.8%) died for other causes free of disease. Disease progressed in 148 patients (70.5%); death due to tumour progression occurred in 42 cases (20%) and due to other causes in 25 patients (11.9%). Seventy-nine patients in HR group (38%) vs 549 low/intermediate risk group (78.5%) did not deserve further treatments (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001). The uni and multivariate analysis for metastatic progression showed both Gleason score at biopsy (RR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1.922; 95% CI 1.106–3.341, p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.020) and clinical stage (RR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2.290; 95% CI 1.269–4.133, p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.006) showed independent prognostic value for metastatic progression, but not PSA.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">An HR patient can be cured in a third of the cases and will need multimodal treatments in more than half of the times. We prompt surgery in a young healthy patient with a resectable tumour, mainly if just one bad prognostic factor is present and defiantly if this is just PSA elevation.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Determinar nuestros resultados en pacientes con cáncer de próstata (CaP) de alto riesgo (AR) tratados mediante prostatectomía radical (PR) y establecer criterios pronósticos preoperatorios.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de 925 PR. El seguimiento medio fue 89,8+/−53,6 meses para el grupo de CaP de AR. Siguiendo los criterios NCCN, operamos 210 (22,7%) PR de AR y 715 (77,3%) de riesgo bajo/intermedio. Se utilizó el método Kaplan-Meier para análisis de supervivencia y el modelo de Cox para el análisis multivariado de factores pronósticos para progresión metastática.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Periodo revisado; 1986–2007. Cincuenta y cuatro pacientes de AR (25,7%) estaban libres de progresión y 8 pacientes (3,8%) murieron por otras causas libres de enfermedad. El CaP progresó en 148 pacientes (70,5%). Murieron por progresión tumoral 42 pacientes (20%) y por otras causas 25 pacientes (11,9%). Setenta y nueve pacientes de AR (38%) frente a 549 de riesgo bajo/intermedio (78,5%) no necesitaron más líneas de tratamiento (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,001). Los análisis uni y multivariados demostraron que tanto el score Gleason en biopsia (RR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1,922; IC 95% 1,106–3,341, p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,020) como el estadio clínico (RR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2,290; IC 95% 1,269–4,133, p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,006) mostraron valor pronóstico independiente para progresión metastásica, pero no el PSA.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Un paciente con CaP de AR que se opere tiene un 25% de posibilidades de curarse y podrá necesitar un tratamiento multimodal en más de la mitad de los casos. Recomendamos PR en un paciente joven si el tumor se considera resecable, sobre todo si el único factor pronóstico que lo encasilla como AR es la elevación del PSA.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "EAU guidelines on prostate cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Heidenreich" 1 => "G. Aus" 2 => "M. Bolla" 3 => "S. Joniau" 4 => "V.B. Matveev" 5 => "H.P. 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2020 February | 0 | 2 | 2 |
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2019 November | 0 | 3 | 3 |
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2018 December | 0 | 11 | 11 |
2018 November | 0 | 5 | 5 |
2018 October | 0 | 3 | 3 |
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2018 July | 0 | 3 | 3 |
2018 June | 0 | 2 | 2 |
2018 May | 0 | 5 | 5 |
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2018 February | 2 | 2 | 4 |
2018 January | 5 | 2 | 7 |
2017 December | 6 | 5 | 11 |
2017 November | 3 | 2 | 5 |
2017 October | 9 | 2 | 11 |
2017 September | 6 | 6 | 12 |
2017 August | 7 | 4 | 11 |
2017 July | 11 | 3 | 14 |
2017 June | 6 | 2 | 8 |
2017 May | 7 | 1 | 8 |
2017 April | 3 | 2 | 5 |
2017 March | 6 | 13 | 19 |
2017 February | 12 | 0 | 12 |
2016 December | 3 | 3 | 6 |
2016 November | 9 | 3 | 12 |
2016 October | 11 | 5 | 16 |
2016 September | 2 | 1 | 3 |
2016 August | 7 | 2 | 9 |
2016 July | 1 | 0 | 1 |