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Blockade of sonic hedgehog signal pathway enhances antiproliferative effect of EGFR inhibitor in pancreatic cancer cells

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Acta Pharmacologica Sinica 2007年第8期28卷 1224-1230页

作者： wei-guo hu tao liu jiong-xin xiong chun-you wang~2 pancreatic surgery center,union hospital,tongji medical college,huazhong university of science and technology,wuhan 430022,china pancreaticsurgerycenter UnionHospitalTongjiMedicalCollegeHuazhongUniversityofScienceandTechnologyWuhan430022China

Aim:To investigate the expression of sonic hedgehog(SHH)and epidermal growthfactor receptor(EGFR)signal molecules in pancreatic cancer cells,and to assessthe inhibitory effects through the blockade of the SHH and EGFR signaling path-ways by cyclopamine and Iressa,***:The expression of SHHand EGFR in pancreatic cancer cell lines(PANC-I,SUIT-2,and ASPC-1)was de-tected by RT-PCR and Western blot *** treatment with different con-centrations of cyclopamine,alone or in combination with Iressa,the antiproliferativeeffect on pancreatic cancer cells was analyzed by methyl thiazolyl tetrazoliumassays.A flow cytometry analysis was used to detect the cellular cycle distribu-tion and apoptosis of pancreatic cancer ***:All of the 3 pancreaticcancer cell lines expressed SHH,Smoothened(SMO),and *** downregulate the expression of EGFR in all cell *** or Iressacould induce a growth inhibitory effect in a dose-dependent ***,the combined use of 2.5μmol/L cyclopamine and 1μmol/L iressa induced anenhanced inhibitory effect and a greater apoptosis rate than any agent *** of the cell population of the G0/G1and sub-G1phases was significantlyincreased along with the increasing dose of cyclopamine and/or ***:The blockade of the sonic hedgehog signal pathway enhances theantiproliferative effect of the EGFR inhibitor through the downregulation of itsexpression in pancreatic cancer *** simultaneous blockade of SHH andEGFR signaling represents possible targets of new treatment strategies for pan-creatic carcinoma.

关键词： pancreas cancer sonic hedgehog epidermal growth factor receptor inhibitor cyclopa-mine

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One-year status of hepatic venous pressure gradient measurement from 85 hospitals in china

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Portal Hypertension & Cirrhosis 2024年第2期3卷 116-123页

作者： Jitao wang Ting Cui Linpeng Zhang Zhiping Yan Lei Li Jinjun Chen Junhui Sun hua Xiang He Zhu Hao Wu Jiancuo Gengzang Feng Zhang wei Wu guohong Cao Wuhua guo Haibin Shi hui Xue Guangjun huang Qiang Yu Meng Niu huiling Xiang Derun Kong wei Gou Xuefeng Luo Fuliang He Min Yuan wei liu Yong wang Hongjie hu Xiaoli Zhu tao Yu Qinxue Sun wei Qu Ting Lu Deqiang Ma Li Zhang Jun Ma Jun Yang Ketao Mu Xiaoliang Zhu Kai xiong huiguo Ding Shengjuan Yao Mingsheng huang Fang wang Zexin wang Yong huang Jianan Li Hongfeng Yi Birun huang Zhongwei Zhao Duiping Feng Yanming Lei Changlong Hou Wenbo guo Shirong liu Gaojun Teng Kangshun Zhu Fan Wu Xiaogang hu Wenfeng Zhang Shaoqi Yang Zhouchao hu Pengfei Pang Shaowu Zhuang weidong wang Qingliang Zhu Kunpeng Zhang Chengyu liu Dongliang Li Chao Ma Hong Jiang xingong Zhao weixin Ren Zhiwei wang Lei Yu Fuhuang Lin Chaoguang Yan Feng wang Lei Yu hui huan Wenyong Shen Shaofei He Chengda Zhang Jinlun Bao Jiangtao liu Jun Wu Jianbo Zhao Jian Zhang Xiaolong Qi Hebei Provincial Key Laboratory of Cirrhosis&Portal Hypertension Xingtai People's HospitalXingtaiHebeiChina center of Portal Hypertension Department of RadiologyZhongda HospitalSchool of MedicineSoutheast UniversityNanjingJiangsuChina Department of Interventional Therapy Beijing Shijitan Hospital Affiliated to Capital Medical UniversityBeijingChina Department of Intervention Taiyuan Third People's HospitalTaiyuanShanxiChina Department of Intervention Zhongshan Hospital Affiliated to Fudan UniversityShanghaiChina Department of Interventional Medicine The First Hospital of Lanzhou UniversityLanzhouGansuChina Department of Infectious Diseases Nanfang Hospital of Southern Medical UniversityGuangzhouGuangdongChina Hepatobiliary and pancreatic Intervention center The First Affiliated Hospital of Zhejiang University School of MedicineHangzhouZhejiangChina Interventional Vascular surgery Hunan Provincial People's HospitalChangshaHunanChina Department of Intervention Sixth People's Hospital of ShenyangShenyangLiaoningChina Department of Gastroenterology West China Hospital of Sichuan UniversityChengduSichuanChina Department of Intervention The Fourth People's Hospital of Qinghai ProvinceXiningQinghaiChina Department of Gastroenterology Nanjing Drum Tower HospitalNanjingJiangsuChina Department of Gastroenterology The First Affiliated Hospital of Wenzhou Medical UniversityWenzhouZhejiangChina Department of Radiology Shulan(Hangzhou)HospitalHangzhouZhejiangChina Department of Intervention Mengchao Hepatobiliary Hospital of Fujian Medical UniversityFuzhouFujianChina Department of Interventional Radiology The First Affiliated Hospital of Nanjing Medical UniversityNanjingJiangsuChina Department of Gastroenterology The First Affiliated Hospital of Xi'an Jiaotong UniversityXi'anShaanxiChina Department of Gastroenterology Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityJinanShandongChina Department of Interventional Radiology Fifth Medical Center

Aims:Surveys and research on the applications of the hepatic venous pressure gradient(HVPG)are important for understanding the current status and future development of this technology in *** article aimed to investigate the status of hepatic venous pressure gradient measurement in china in ***:We investigated the overall status of HVPG technology in china-including hospital distribution,hospital level,annual number of cases,catheters used,average cost,indications,and current challenges by using online *** counting the number and percentages of cases of these results,we hope to clarify the current status of HVPG measurements in ***:According to the survey,85 hospitals in china used HVPG technology in 2022 distributed across 29 provinces.A total of 4989 HVPG measurements were performed in all of the surveyed hospitals in 2022,of which 2813 cases(56.4%)were measured *** average cost of HVPG measurement was 5646.8±2327.9 *** the clinical teams who performed the measurements(sometimes multiple per hospital),94.3%(82/87)used the balloon method,and the majority of the teams(72.4%,63/87)used embolectomy ***:This survey clarified the clinical application status of HVPG in china and confirmed that some medical institutions in china have established a foundation for this *** is still necessary to continue promoting and popularizing this technology in the future.

关键词： application status hepatic vein pressure gradient questionnaire survey

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International consensus on natural orifice specimen extraction surgery(NOSES)for colorectal cancer

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Gastroenterology Report 2019年第1期7卷 24-31,I0001页

作者： Xu Guan Zheng liu Antonio Longo Jian-chun Cai William Tzu-Liang Chen Lu-Chuan Chen Ho-Kyung chun Joaquim Manuel da Costa Pereira Sergey Efetov Ricardo Escalante Qing-Si He Jun-Hong hu Cuneyt Kayaalp Seon-Hahn Kim Jim S.Khan Li-Jen Kuo Atsushi Nishimura Fernanda Nogueira Junji Okuda Avanish Saklani Ali A.Shafik Ming-Yin Shen Jung-Tack Son Jun-Min Song Dong-hui Sun Keisuke Uehara Gui-Yu wang Ye wei Zhi-guo xiong Hong-Liang Yao Gang Yu Shao-Jun Yu Hai-tao Zhou Suk-Hwan Lee Petr V.Tsarkov Chuan-Gang Fu Xi-Shan wang The International Alliance of NOSES Department of Colorectal surgery National Cancer Center/National Clinical Research Center for Cancer/Cancer HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBejingChina Department of Coloproctology and Pelvic Diseases Humanitas GavazzeniBergamoItaly Department of Gastrointestinal surgery Zhongshan Hospital of Xiamen UniversityXiamenChina Department of surgery China Medical University HospitalTaichungTaiwanChina Department of Abdominal surgery Fujian Medical University Cancer HospitalFuzhouChina Department of surgery Kangbuk Samsung HospitalSungkyunkwan University School of MedicineSeoulSouth Korea Department of surgery Hospital de BragaBragaPortugal Colorectal surgery Department Sechenov First Moscow State Medical UniversityMoscowRussia Universidad Central de Venezuela Centro Medico LoiraCaracasVenezuela Department of General surgery Shandong University Qilu HospitalJinanChina Department of General surgery Huaihe Hospital of Henan UniversityKaifengChina Department of Gastrointestinal surgery Inonu UniversityMalatyaTurkey Department of surgery Korea University Anam HospitalKorea University College of MedicineSeoulSouth Korea Department of Colorectal surgery Portsmouth Hospitals NHS TrustQueen Alexandra HospitalPortsmouthUK Division of Colorectal surgery Taipei Medical University HospitalTaipeiTaiwanChina Department of surgery Nagaka Chuo General HospitalNagaoka CityJapan Innovation Unit/Colorectal Cancer Osaka Medical College Hospital Cancer CenterOsakaJapan Department of GI Surgical Oncology Tata Memorial HospitalMumbaiIndia Department of Colorectal surgery Cairo UniversityCairoEgypt Department of Anorectal surgery First Affiliated HospitalZhengzhou UniversityZhengzhouChina Department of Gastric and Colorectal surgery Jilin University First HospitalChangchunChina Division of Surgical Oncology Nagoya University Graduate School of MedicineNagoyaJapan Department of Colorectal Cancer surgery The Second Affiliated Hospital of Harbin Medical

In recent years,natural orifice specimen extraction surgery(NOSES)in the treatment of colorectal cancer has attracted widespread *** potential benefits of NOSES including reduction in postoperative pain and wound complications,less use of postoperative analgesic,faster recovery of bowel function,shorter length of hospital stay,better cosmetic and psychological effect have been described in colorectal *** significant decrease in surgical trauma of NOSES have been observed,the potential pitfalls of this technique have been ***,several issues including bacteriological concerns,oncological outcomes and patient selection are raised with this new ***,it is urgent and necessary to reach a consensus as an industry guideline to standardize the implementation of NOSES in colorectal *** three rounds of discussion by all members of the International Alliance of NOSES,the consensus is finally completed,which is also of great significance to the long-term progress of NOSES worldwide.

关键词： colorectal cancer natural orifice specimen extraction surgery(NOSES) laparoscopy natural orifice transluminal endoscopic surgery(NOTES) transanal total mesorectal excision(TaTME)

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Sex differences in the scored Patient-Generated Subjective Global Assessment in 19,528 cancer patients

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Journal of Nutritional Oncology 2023年第1期8卷 38-46页

作者： wang Yan-Li Wu Tian-Tian Fu Zhen-Ming guo Zeng-Qing Lin Yuan Shi Ying-Ying hu Wen Ba Yi Li Su-Yi Li Zeng-Ning wang Kun-hua Wu Jing He Ying Yang Jia-Jun Xie Cong-hua Zhou Fu-Xiang Song xin-Xia Chen Gong-Yan Ma Wen-Jun Luo Su-Xia Chen Zi-hua Cong Ming-hua Ma hu Zhou chun-Ling wang wei Luo Qi Shi Yong-Mei Qi Yu-Mei Jiang Hai-Ping Guan Wen-Xian Chen Jun-Qiang Chen Jia-xin Fang Yu Zhou Lan Feng Yong-Dong Tan Rong-Shao Li tao Ou Jun-Wen Zhao Qing-Chuan Wu Jian-xiong Lin xin Yang liu-Qing Zhang Qi Jia Ping-Ping Li wei Xu Hong-Xia Shi Han-Ping Song chun-hua The Investigation on Nutrition Status and Clinical Outcome of Common Cancers(INSCOC)Group Chinese Society of Nutritional Oncology Department of Epidemiology and Statistics College of Public HealthZhengzhou UniversityZhengzhouHenanChina Cancer center Renmin Hospital of Wuhan UniversityWuhanHubeiChina Department of medical Oncology Fujian Cancer HospitalFujian Medical University Cancer HospitalFuzhouFujianChina Department of Gastrointestinal surgery Affiliated Tumor Hospital of Guangxi Medical UniversityNanningGuangxiChina Department of surgery The First Affiliated Hospital of Sun Yat-sen UniversityGuangzhouGuangdongChina Department of Clinical Nutrition West China Hospital of Sichuan UniversityChengduSichuanChina Department of Gastrointestinal Oncology Tianjin Medical University Cancer Institute and HospitalNational Clinical Research Center for CancerTianjin Key Laboratory of Cancer Prevention and TherapyTianjinChina Department of Nutrition and Metabolism of Oncology Affiliated Provincial Hospital of Anhui Medical UniversityHefeiAnhuiChina Department of Clinical Nutrition The First Hospital of Hebei Medical UniversityShijiazhuangHebeiChina Department of Gastrointestinal surgery Institute of GastroenterologyThe First Affiliated Hospital of Kunming Medical UniversityKunmingYunnanChina Zhongshan Chenxinghai hospital(Affiliated Zhongshan Chenxinghai hospital of Guangdong medical university) ZhongshanGuangdongChina Department of Clinical Nutrition The First People's Hospital of KashiKashiXinjiangChina Department of Clinical Nutrition Chongqing General HospitalChongqingChina Department of Colorectal and Anal surgery Huizhou Municipal Central HospitalHuizhouGuangdongChina Department of Radiation and medical Oncology Zhongnan Hospital of Wuhan UniversityWuhanHubeiChina Department of Oncology Xingtai People’s HospitalHebei Medical UniversityXingtaiHebeiChina The First Department of the Tumor hospital of Harbin medical university HarbinHeilongjiangChina Department of Nutrition Guangdong General HospitalGuangdong Academy of Medical SciencesGuangzhouGuangdongChina Department of Oncology Affiliated

Background:The scored Patient-Generated Subjective Global Assessment(PG-SGA)has been widely used to assess the nutritional status of cancer *** purpose of this study is to compare the differences in PG-SGA scores and the 7 domain scores of the PG-SGA in male and female cancer ***:This study was conducted at 72 hospitals from July 2013 to December 2018,a part of the Investigation on Nutritional Status and its Clinical Outcomes of Common *** PG-SGA was recorded to evaluate the nutritional status of patients.A total of 19,528 patients with 13 common malignancies were included in this *** t test and the χ^(2) test were applied to analyze the sex diferences in the 7 domain *** Cancer Genome Atlas(TCGA)database was used to analyze the expression levels of symptom-related ***:There were significant sex dfferences in the PG-SGA(P=0.032),notably in patients with gastric cancer(male vs female:9.09±4.86 vs 9.58±5.07,P=0.005)and esophageal cancer(9.64±4.90 vs 10.46±4.96,P=0.011)and the average total PG-SGA of female patients was slightly higher than that of male patients(7.64±4.98 vs 7.77±5.14).The differences were mainly related to the weight,eating,symptom,as well as activity and physical function scores in the stratified *** causes of the sex differences were the rates of nausea,vomiting,dry mouth,and other symptoms,in both gastric and esophageal cancer *** of the TCGA database suggested that most of the related genes were sex neutral,except for genes related to dysphagia in gastric cancer(VEGFC was higher in female patients,VEGFA and VEGFB higher in male patients).Conclusions:There are sex differences in the PG-SGA scores in patients with various tumor types(female patients generally had higher scores than male patients),with differences mainly in the weight,eating,symptom,as well as activity and physical function *** sex differences in PG-SGA scores might be due to the differences i

关键词： PG-SGA Sex differences Malnutrition Cancer patients TCGA database

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Malnutrition and Quality of Life in Chinese Cancer Patients: a Clinical Study of 23,994 Subjects

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Journal of Nutritional Oncology 2021年第1期6卷 16-32页

作者： Hong Xia Xu chun hua Song Zhen Ming Fu Chang wang Zeng Qing guo Yuan Lin Ying Ying Shi Wen hu Yi Ba Su Yi Li Zeng Ning Li Kun hua wang Jing Wu Ying He Jia Jun Yang Cong hua Xie Fu Xiang Zhou xin Xia Song Gong Yan Chen Wen Jun Ma Su Xia Luo Zi hua Chen Ming hua Cong hu Ma chun Ling Zhou wei wang Qi Luo Yong Mei Shi Yu Mei Qi Hai Ping Jiang Wen Xian Guan Jun Qiang Chen Jia xin Chen Yu Fang Lan Zhou Yong Dong Feng Rong Shao Tan tao Li Jun Wen Ou Qing Chuan Zhao Jian xiong Wu Min Weng Qing hua Yao Jiu wei Cui wei Li Han Ping Shi the Investigation on Nutrition Status and Clinical Outcome of Common Cancers(INSCOC)Group Department of Nutrition Daping Hospital&Research Institute of SurgeryThird Military Medical UniversityChongqing 400042China Department of Epidemiology College of Public HealthZhengzhou UniversityZhengzhou 450001HenanChina Cancer center Renmin Hospital of Wuhan UniversityWuhan 430060HubeiChina Cancer center of the First hospital of Jilin university Changchun 130021JilinChina Department of medical Oncology Fujian Cancer HospitalFujian Medical University Cancer HospitalFuzhou 350014FujianChina Department of Gastrointestinal surgery Cancer Hospital Affiliated to Guangxi Medical UniversityNanning 530021GuangxiChina Department of surgery The First Affiliated Hospital of Sun Yat-sen UniversityGuangzhou 510080GuangdongChina Department of Clinical Nutrition West China Hospital of Sichuan UniversityChengdu 610041SichuanChina Department of Gastrointestinal Oncology Tianjin Medical University Cancer Institute and HospitalNational Clinical Research Center for CancerTianjin Key Laboratory of Cancer Prevention and TherapyTianjin 300060China Department of Nutrition and Metabolism of Oncology Affiliated Provincial Hospital of Anhui Medical UniversityHefei 230031AnhuiChina Department of Clinical Nutrition the First Hospital of Hebei Medical UniversityShijiazhuang 050031HebeiChina Department of Gastrointestinal surgery Institute of Gastroenterologythe First Affiliated Hospital of Kunming Medical University 650032KunmingYunnanChina Department of Clinical Nutrition the First People's Hospital of KashiKashi 844000XinjiangChina Department of Clinical Nutrition Chongqing General HospitalChongqing 400014China Department of Colorectal and Anal surgery Huizhou Municipal Central HospitalHuizhou 516001GuangdongChina Department of Radiation and medical Oncology Zhongnan Hospital of Wuhan UniversityWuhan 430071HubeiChina Department of Oncology Xingtai People’s HospitalHebei Medical UniversityXingtai 054031HebeiChina Harbin medical university Cancer hospital Harbin 150085HeilongjiangChina

Background Malnutrition is common in patients with cancer,and can negatively impact their quality of life(QoL)and even ***,there is currently no large data available on the prevalence of malnutrition in Chinese cancer *** study evaluated the prevalence of malnutrition and the QoL of Chinese patients with locoregional,recurrent or metastatic *** We conducted a nationwide observational,multi-center,hospital-based cross-sectional study within the Chinese Society of Nutritional Oncology(CSNO)*** of the patients were diagnosed with one of the following 18 different types of malignant tumors:lung cancer,gastric cancer,liver cancer,colorectal cancer,breast cancer,esophageal cancer,cervical cancer,endometrial cancer,nasopharyngeal carcinoma,malignant lymphoma,leukemia,pancreatic cancer,ovarian cancer,prostate cancer,bladder cancer,brain cancer,biliary tract malignant tumors or gastrointestinal stromal *** patients were enrolled from 72 hospitals located in different regions of *** patients’nutritional status was evaluated based on the body mass index(BMI),loss of bodyweight,laboratory measurements and patient generated-subjective global assessment(PG-SGA)*** cancer patients’physical status and QoL were assessed by the Karnofsky Performance Status(KPS)questionnaire and the European Organization for Research and Treatment of Cancer(EORTC)QLQ-C30 questionnaire,*** From December 2013 to April 2016,23,994 patients hospitalized for cancer treatment(such as surgery,chemotherapy or radiotherapy)were enrolled in the *** patients included 12,494(52.9%)males and 11,124(47.1%)*** mean age was 55.8±13.7 *** proportions of patients in cancer stagesⅠ,Ⅱ,Ⅲ,Ⅳand uncertain were 11.5%,20.3%,27.5%,30.2%and 10.5%,*** the 23,994 inpatients,the proportions of patients who were underweight(BMIweight(24 kg/m2≤BMI<28 kg/m2)and obese(BMI≥2

关键词： Nutritional status Nutritional assessment Malnutrition Patient generated subjective global assessment Body mass index Body weight loss Karnofsky Performance Status score Quality of life

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Extension Protocol for the Investigation on Nutrition Status and Clinical Outcome of Patients with Common Cancers in china(INSCOC)Study:2021 update

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Journal of Nutritional Oncology 2022年第2期7卷 64-74页

作者： Hong Xia Xu chun hua Song Liang Yu Yin Chang wang Zhen Ming Fu Zeng Qing guo Yuan Lin Ying Ying Shi Wen hu Yi Ba Su Yi Li Zeng Ning Li Kun hua wang Jing Wu Ying He Jia Jun Yang Cong hua Xie Fu Xiang Zhou xin Xia Song Gong Yan Chen Wen Jun Ma Su Xia Luo Zi hua Chen Zhi Kang Chen Ming hua Cong hu Ma chun Ling Zhou wei wang Qi Luo Yong Mei Shi Yu Mei Qi Hai Ping Jiang Wen Xian Guan Jun Qiang Chen Xiang hua Wu Jia xin Chen Yu Fang Lan Zhou Yong Dong Feng Rong Shao Tan tao Li Jun Wen Ou Qing Chuan Zhao Jian xiong Wu Min Weng Qing hua Yao Ya Yin Yu Quan Jun Lyu Hong Qiu Ming liu wei Li Han Ping Shi The Investigation on Nutrition Status and Clinical Outcome of Common Cancers(INSCOC)Group Department of Nutrition Daping HospitalArmy Medical University(Third Military Medical University)Chongqing 400042China Department of Epidemiology College of Public HealthZhengzhou UniversityZhengzhou 450001HenanChina Cancer center of the First hospital of Jilin university Changchun 130021Jilin China Cancer center Renmin Hospital of Wuhan UniversityWuhan 430060HubeiChina Department of medical Oncology Fujian Cancer HospitalFujian Medical University Cancer HospitalFuzhou 350014FujianChina Department of Gastrointestinal surgery Affiliated Tumor Hospital of Guangxi Medical UniversityNanning 530021GuangxiChina Department of surgery The First Affiliated Hospital of SunYat-Sen UniversityGuangzhou 510080GuangdongChina Department of Clinical Nutrition West China Hospital of Sichuan UniversityChengdu 610041SichuanChina Department of Gastrointestinal Oncology Tianjin Medical University Cancer Institute and HospitalNational Clinical Research Center for CancerTianjin Key Laboratory of Cancer Prevention and TherapyTianjin 300060China Department of Nutrition and Metabolism of Oncology The First Affiliated Hospital of University of Science and Technology of ChinaAnhui Provincial Cancer HospitalHefei 230031AnhuiChina Department of Clinical Nutrition The First Hospital of Hebei Medical UniversityShijiazhuang 050031HebeiChina Department of Gastrointestinal surgery Institute of GastroenterologyThe First Affiliated Hospital of Kunming Medical UniversityKunming 650032YunnanChina Department of Clinical Nutrition The First Affiliated Hospital of Zhejiang Chinese Medical UniversityZhejiang Provincial Hospital of Traditional Chinese MedicineHangzhou 310006ZhejiangChina Department of Clinical Nutrition Chongqing General HospitalChongqing 400014China Department of Colorectal and Anal surgery Huizhou Municipal Central HospitalHuizhou 516001GuangdongChina Department of Radiation and medical Oncology Zhongnan Hospital of Wuhan UniversityWuhan 430071HubeiChina Department of Oncology Xingtai Peo

Background Malnutrition is common in patients with cancer,and this adversely affects the survival and quality of life of *** Society for Nutritional Oncology issued a multi-center,large-scale,long-term follow-up prospective study,the Investigation on Nutrition Status and Clinical Outcome of Patients with Common Cancers in china(INSCOC study)since *** is an extension to the previous 2013-2020 study *** study still sought to:①address the prognostic impact of nutritional factors and quality of life on cancer patient survival;②describe the overall and cancer-specific incidence and/or distribution of malnutrition and different measurements of patient quality of *** and study design This is an observational,multi-centered,hospital-based prospective cohort *** collection will be performed at baseline(within 48 hours after patient admission),during the hospital stay and 30 days after hospital ***-up will be conducted for 1-20 years after *** primary outcome will be the all-cause mortality/overall survival,and secondary outcomes will be the length of hospital stay and costs of *** factors will include demographic characteristics,tumor characteristics,information about chronic diseases,hematological measurements(e.g.,red blood cell count,total lymphocyte counts,hemoglobin,albumin,prealbumin,creatinine,C-reactive protein,IL-6),anthropometric measurements(e.g.,height,weight,arm circumference,arm muscle circumference,triceps skinfold thickness,and waist circumference),body composition parameters,PG-SGA scores,quality of life(as indicated by the QLQ-C30 questionnaire),muscle mass(as indicated by the calf circumference),muscle strength(as indicated by the handgrip strength),muscle function(as indicated by the six-meter walking speed test)and physical status assessments(as indicated by the Karnofsky Performance Status scores).This clinical study protocol was approved by local Ethics Committees of

关键词： Cancer Malnutrition Nutritional status Nutritional assessment Survival Patient-Generated Subjective Global Assessment

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中国肝静脉压力梯度临床应用现状:一项基于CHESS-HVPG协作组的调研分析

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中华肝脏病杂志 2022年第6期30卷 637-643页

作者：张雯刘福全张林鹏丁惠国诸葛宇征王继涛李雷王广川吴浩李晖曹国洪罗薛峰孔德润孙林吴伟孙军辉刘江涛朱贺李东良郭武华薛挥王宇更藏尖措赵添袁敏刘士荣宦徽牛猛李欣马军朱清亮郭文波张昆鹏朱晓亮黄必润李佳楠王卫东易宏锋张齐高龙张国赵中伟熊恺王泽鑫单鸿李明省张学强施海彬胡晓钢朱康顺张占国姜泓赵剑波黄明声沈文拥张琳谢峰李志伟侯昌龙呼圣娟鹿建伟崔旭东路婷杨少奇刘伟施军平雷彦明暴金伦王涛任伟新朱晓黎王勇余磊余强向慧玲罗文强祁小龙 CHESS-HVPG协作组复旦大学附属中山医院介入治疗科上海200032 首都医科大学附属北京世纪坛医院介入治疗科北京100038 太原市第三人民医院影像科太原030012 首都医科大学附属北京佑安医院肝病消化中心北京100069 南京大学医学院附属鼓楼医院消化内科南京210008 邢台市人民医院肝胆外科邢台054001 兰州大学第一医院介入医学科兰州730013 山东第一医科大学附属省立医院消化内科济南250021 四川大学华西医院消化内科 610044成都南方医科大学南方医院肝病中心广州510515 杭州树兰医院放射科杭州310022 安徽医科大学第一附属医院消化科合肥230022 温州医科大学附属第一医院消化科温州325001 浙江大学医学院附属第一医院肝胆膜介入中心杭州310003 解放军总医院海南医院消化内科三亚572013 沈阳市第六人民医院介入一科沈阳110006 联勤保障部队第九〇〇医院福州350025 福建医科大学孟超肝胆医院介入科福州350025 西安交通大学第一附属医院消化内科西安710061 首都医科大学附属北京友谊医院北京100050 青海省第四人民医院介入科西宁810007 邵逸夫医院放射科杭州310016 上海市公共卫生临床中心介入科上海201508 曲阜市人民医院感染科曲阜273199 西藏自治区人民政府驻成都办事处医院消化内科成都610041 中国医科大学附属第一医院介入科沈阳110001 天津市第二人民医院放射科天津300192 宁夏回族自治区人民医院介入血管外科银川750002 西南医科大学附属医院消化内科泸州646099 中山大学附属第一医院放射介入科广州510080 兰州大学第一医院普外科兰州730013 湖北省荆州市第一人民医院介入血管外科荆州434021 佳木斯市传染病医院肝四科佳木斯154015 南方医科大学顺德医院肝胆膜脾外科佛山市528427 武汉市第一医院消化内科武汉430030 东南大学附属中大医院介入与血管外科南京210009 山西医科大学第一医院肿瘤与血管介入科太原030001 广西壮族自治区人民医院消化内科南宁530016 浙江省丽水市中心医院介入科丽水323030 南昌大学第二附属医院消化内科南昌330008 内蒙古医科大学附属医院呼和浩特010050 中山大学附属第五医院介入医学中心珠海519000 郑州大学第一附属医院腔内血管外科郑州450052 河北医科大学第二医院消化内科石家庄050004 南京医科大学第一附属医院南京210029 金华市中心医院介入科金华321099 广州医科大学附属第二医院微创介入科广州510260 华中科技大学同济医学院附属同济医院肝胆外科武汉430014 空军军医大学第二附属医院感染科西安710038 南方医科大学南方医院血管与介入科广州510515 中山大学附属第三医院介入科广州510000 重庆大学附属沿陵医院消化内科重庆400030 清华大学长庚医院肝胆膜中心北京102200 兰州市第二人民医院功能科兰州730030 深圳第三人民医院肝胆外科深圳518112 中国科学技术大学附属第一医院介入科合肥230001 宁夏回族自治区人民医院消化内科银川750002 曲阜市人民医院介入科曲阜273199 广西壮族自治区人民医院介入科南宁530016 阳泉市第三人民医院消化内科阳泉045099 宁夏医科大学总医院消化内科银川750003 浙江省丽水市人民医院介入科丽水323050 杭州师范大学附属医院肝病科杭州310015 西藏自治区人民医院介入放射科拉萨850001 山南市人民医院消化内科山南856004 青岛大学附属烟台璜顶医院介入治疗科烟台264099 新疆医科大学第一附属医院介入治疗中心乌鲁木齐830011 苏州大学附属第一医院介入科苏州215006 海南医学院第二附属医院介入血管外科海口570216 福建医科大学附属三明第一医院介入科三明365001 解放军总医院第五医学中心北京100039 天津市第三中心医院消化科天津300170 重庆医科大学第二附属医院感染科重庆400010 东南大学附属中大医院放射科/门静脉高压中心南京210009 不详

目的肝静脉压力梯度(HVPG)应用现状调查研究对了解此项技术在国内应用真实情况及未来发展至关重要。方法全面调查了国内开展HVPG技术的基本情况,包括该技术的医院分布、医院级别、全年例数、所用导管、平均费用、适应证、存在问题等。... 详细信息

目的肝静脉压力梯度(HVPG)应用现状调查研究对了解此项技术在国内应用真实情况及未来发展至关重要。方法全面调查了国内开展HVPG技术的基本情况,包括该技术的医院分布、医院级别、全年例数、所用导管、平均费用、适应证、存在问题等。结果经调查,2021年我国开展HVPG技术的医院有70家,分布在28个省(自治区、直辖市)。所有调研医院2021年度共计开展HVPG4398例,其中单独HVPG检测2291例(52.1%)。HVPG平均检测费用(5617.2±2079.4)元。其中,96.3%团队使用球囊闭塞法完成HVPG检测,且绝大多数团队使用取栓球囊导管(80.3%)。结论本次调研明确了国内HVPG的临床应用现状,证实了国内多家医疗机构已经熟练掌握此项技术,但未来仍需要继续推广和普及。

关键词：肝静脉压力梯度应用现状问卷调查

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