Les complications incluent la métastase, la douleur chronique et des problèmes fonctionnels.
ComplicationsLéiomyosarcomeMétastase
#2
Le léiomyosarcome peut-il se propager ?
Oui, il peut se propager à d'autres organes, notamment les poumons et le foie.
MétastaseLéiomyosarcomePropagation
#3
Y a-t-il des risques liés aux traitements ?
Oui, les traitements peuvent entraîner des effets secondaires comme la fatigue et des nausées.
Effets secondairesLéiomyosarcomeTraitements
#4
Comment gérer la douleur liée au léiomyosarcome ?
La gestion de la douleur peut inclure des médicaments, la physiothérapie et des soins palliatifs.
Gestion de la douleurLéiomyosarcomeSoins palliatifs
#5
Le suivi post-traitement est-il crucial ?
Oui, un suivi régulier est essentiel pour surveiller les récidives et gérer les complications.
Suivi post-traitementLéiomyosarcomeRécidive
Facteurs de risque
5
#1
Quels sont les principaux facteurs de risque ?
Les facteurs incluent l'exposition à des radiations, des produits chimiques et des antécédents familiaux.
Facteurs de risqueLéiomyosarcomeRadiations
#2
L'âge influence-t-il le risque de léiomyosarcome ?
Oui, le risque augmente généralement avec l'âge, touchant souvent les adultes d'âge moyen.
ÂgeLéiomyosarcomeRisque
#3
Les maladies génétiques sont-elles un facteur ?
Certaines maladies génétiques, comme le syndrome de Li-Fraumeni, augmentent le risque.
Maladies génétiquesLéiomyosarcomeSyndrome de Li-Fraumeni
#4
Le sexe joue-t-il un rôle dans le risque ?
Oui, les femmes sont légèrement plus susceptibles de développer un léiomyosarcome utérin.
SexeLéiomyosarcomeRisque
#5
L'obésité est-elle un facteur de risque ?
Oui, l'obésité peut être associée à un risque accru de certains types de sarcomes, y compris le léiomyosarcome.
ObésitéLéiomyosarcomeRisque
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"name": "Comment diagnostique-t-on un léiomyosarcome ?",
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"text": "Le diagnostic repose sur l'imagerie médicale et la biopsie des tissus affectés."
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"@type": "Question",
"name": "Quels examens d'imagerie sont utilisés ?",
"position": 2,
"acceptedAnswer": {
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"name": "Le diagnostic nécessite-t-il une biopsie ?",
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"name": "Quels marqueurs tumoraux sont associés ?",
"position": 4,
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"@type": "Question",
"name": "Le léiomyosarcome provoque-t-il une perte de poids ?",
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"position": 8,
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"@type": "Question",
"name": "Les facteurs environnementaux jouent-ils un rôle ?",
"position": 12,
"acceptedAnswer": {
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}
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"name": "Y a-t-il des habitudes à éviter ?",
"position": 13,
"acceptedAnswer": {
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}
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"name": "Les antécédents familiaux influencent-ils le risque ?",
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}
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"position": 15,
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}
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"name": "Quels traitements sont disponibles pour le léiomyosarcome ?",
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}
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{
"@type": "Question",
"name": "La chirurgie est-elle toujours nécessaire ?",
"position": 17,
"acceptedAnswer": {
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"text": "La chirurgie est souvent nécessaire pour retirer la tumeur, selon sa taille et son emplacement."
}
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{
"@type": "Question",
"name": "La chimiothérapie est-elle efficace ?",
"position": 18,
"acceptedAnswer": {
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}
},
{
"@type": "Question",
"name": "La radiothérapie est-elle une option ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la radiothérapie peut être utilisée pour traiter les tumeurs inopérables ou résiduelles."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements expérimentaux ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des essais cliniques peuvent proposer des traitements expérimentaux pour le léiomyosarcome."
}
},
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"@type": "Question",
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"position": 21,
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"@type": "Question",
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"position": 27,
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"@type": "Question",
"name": "Les maladies génétiques sont-elles un facteur ?",
"position": 28,
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While many studies have assessed and measured patient attitudes toward deprescribing, less quantitative research has addressed the provider perspective. We thus sought to describe provider knowledge, ...
An electronic anonymous survey was distributed to primary care providers at Kaiser Permanente Washington. Two reminder emails were sent. The survey included 10 questions on general deprescribing, and ...
Of 370 eligible primary care providers, 95 (26%) completed the survey. For general deprescribing questions, a majority believed that lack of patient willingness, withdrawal symptoms and fear of sympto...
Results suggest that raising provider awareness of patient willingness to deprescribe, addressing knowledge gaps, and increasing self-efficacy for deprescribing are important targets for improving dep...
The use of hypnotic and sedative medication for sleep improvement is common and long-term use has been associated with an increased risk of adverse events and mortality. A proportion of patients might...
To evaluate the risk of falls and fractures in users of benzodiazepines, Z-drugs, or melatonin....
We followed 699,335 adults with a purchase of benzodiazepines, Z-drugs, or melatonin in the Danish National Prescription Registry between 2003 and 2016 for falls and fractures in the Danish National P...
In total 62,105 and 36,808 adults, respectively, experienced a fall or fracture. For older adults, the risk of falls was highest during the 3-month pre-treatment period (IRR...
Although falls and fractures occur more often in persons using sedative-hypnotic medication, the higher risk of falls and fractures in the pre-treatment period relative to the period directly after tr...
To evaluate co-prescribing of sedatives hypnotics and opioids....
Retrospective study evaluating the association of patient characteristics and comorbidities with coprescribing....
Using the national Merative MarketScan Database between 2005 and 2018, we identified patients who received an incident sedative prescription with or without subsequent, incident opioid prescriptions w...
Coprescription of sedative-hypnotics and opioids....
A total of 2 632 622 patients (mean (SD) age, 43.2 (12.34) years; 1 297 356 (62.5%) female) received incident prescriptions for sedatives over the course of the study period. The largest proportion of...
Coprescription of sedatives with opioids was associated with the presence of comorbidities and substance use disorder, gender and types of sedatives prescribed at the index date. Additionally, more th...
Insomnia and frailty are prevalent in older adults. This study aimed to elucidate the impact of insomnia and sedative-hypnotic use on the frailty rate over time....
We used data from community-dwelling older adults (mean ± SD age = 69.4 ± 8.2 years) from the Healthy Aging Longitudinal Study in Taiwan (HALST). A total of 4,744 participants were included in the stu...
The adjusted odds ratio (OR) of frailty was 1.41 (95% CI: [1.16, 1.72], Z-test statistics Z = 3.39, p <0.001) for insomnia and 1.52 ([1.16, 2.00], Z = 3.00, p = 0.0027) for sedative-hypnotic use. Inte...
Insomnia and sedative-hypnotic use were independently associated with increased frailty. The implementation of nonpharmacological treatments to attenuate insomnia may reduce frailty rates....
Sedative-hypnotic drugs are often initiated in hospital to manage insomnia and anxiety. Guidelines discourage their use, particularly in older adults, due to risks of falls, fractures, and delirium....
To identify publicly available resources to decrease the use of sedative-hypnotic drugs and promote sleep in hospital....
An advanced Google search with 6 search strategies was conducted. Key websites were also identified and searched. Hospital- or community-based resources using non-pharmacologic measures to reduce seda...
A total of 79 resources met inclusion criteria, with 65 (82.3%) providing education and 31 (39.2%) describing sleep hygiene strategies. Other resources included deprescribing (17, 21.5%), relaxation t...
Many resources were available to patients and healthcare providers to reduce inappropriate or ineffective use of sedative-hypnotic drugs and promote better sleep. Specific resources for the hospital s...
This article discusses the rare but serious occurrence of sedative hypnotic drug-induced sexual thoughts. We searched PubMed from the earliest date to February 7, 2023. Articles were selected if they ...
In this paper, we investigated the sedative-hypnotic effect of Cinnamomum camphora chvar. Borneol essential oil (BEO, 16.4% borneol), a by-product of steam distillation of Cinnamomum camphora chvar. B...
To comprehensively assess peer-reviewed studies using volatile (VA) or intravenous (i/v) anesthetics for sedation in intensive care units (ICUs), with the hypothesis that the type of sedation may have...
Systematic review and meta-analysis of randomized and non-randomized trials....
ICUs....
Critically ill and postoperative patients....
None....
Studies comparing VA versus i/v anesthetics used in the ICU settings were independently systematically searched. Finally, 15 studies (1520 patients of predominantly surgical profile needed VA sedation...
In this meta-analysis, volatile sedation vs propofol caused the increase in ventilator-free days, the reduction in the duration of mechanical ventilation, time to extubation and the troponin release i...
To investigate the patterns and trends of suspected suicides and suicide attempts involving antipsychotic or sedative-hypnotic medications reported to United States poison centers....
Data from the National Poison Data System for 2000 through 2021 were retrospectively analyzed....
There were 972,975 suspected suicides and suicide attempts with antipsychotics or sedative-hypnotics ranked as the primary substance reported to poison centers from 2000-2021, averaging 44,226 cases a...
Suspected suicides and suicide attempts involving antipsychotic or sedative-hypnotic medications increased during the 22-year study period, especially among individuals 13-19 years old, and these case...