Publications by authors named "Emmanuel Chirpaz"

CD248 (endosialin/tumor endothelial marker 1) is upregulated in cancer, including colorectal cancer (CRC), but its exact role in tumor progression remains to be elucidated. Previous studies have shown that the extracellular domain of CD248 mediates the interaction between tumor cells and extracellular matrix proteins and that interfering with this interaction may reduce tumor invasion and migration activities. We have examined the expression of CD248 in 117 human CRC samples by immunohistochemistry and investigated the association with various clinicopathologic features, including the occurrence of metastasis, intratumoral immune cell density and overall survival.

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Invasive fungal infections are a serious complication for haematology patients. However, there is no study on this subject in Reunion Island. The aim of this study was to estimate the incidence of invasive fungal infections in patients with haematological malignancies at the University Hospital of Reunion Island.

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  • The study aimed to evaluate the prevalence and types of human papillomavirus (HPV) in Reunion Island over a one-year period from 2020 to 2021.
  • The overall HPV prevalence was found to be 14.5%, with the most common HPV types being clusters 56, 59, and 66, along with types 16 and 52; notably, vaccine-covered HPV types were present in over half of the HPV-positive cases.
  • The research concluded that HPV types in the vaccine are most prevalent and linked to severe cervical issues, emphasizing the need to improve vaccination rates on the island to combat cervical cancer effectively.
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  • Réunion Island faces higher rates of cervical cancer and mortality compared to mainland France, prompting the need to assess barriers to Pap smear screening among local women.
  • A KABP survey was conducted with 1,000 women aged 25 to 65 to identify factors affecting their participation in screening, utilizing phone interviews and statistical analyses to compare demographics.
  • Key factors linked to lower screening rates include being over 55, childless, having a low income, limited health literacy, not visiting a doctor recently, and being obese, suggesting targeted interventions for these groups could improve screening rates.
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Aim: Real-life estimations of survival by stage in colorectal cancer are scanty. We estimated population-based net survival by pathological stage and location, and for rectal cancer by patterns of evolution according to clinical and pathological stage with regard to neoadjuvant therapy.

Method: Age-standardized net survival was estimated on 19,630 colorectal cancers diagnosed between 2009 and 2015.

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  • HPV is linked to various cancers, particularly cervical cancer, which has a higher incidence on Reunion Island compared to mainland France, highlighting the need for improved vaccination and screening efforts.
  • The RUN-SurV-HPV study aims to explore the prevalence of different HPV genotypes among the young population at risk, examining factors like gender and anatomical sites.
  • The research will analyze samples from 1200 patients aged 16 to 30, collected during routine STI testing from 2020 to 2022, to better understand HPV risks and support vaccination initiatives.
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Background: In Reunion Island, papillomavirus (HPV) vaccination coverage is low. A study encouraging vaccination in middle school showed low rate of participation. The main objective of the study was to understand barriers and motivations to HPV vaccination in populations yet sensitized to its benefits.

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Background: Diabetes self-management education is exposed to attrition from services and structured ambulatory care. However, knowledge about factors related to attrition in educational programs remains limited. The context of social vulnerability due to low income may interfere.

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Background: The only French center for pediatric oncology and hematology outside of the metropolitan territory is in the Indian Ocean, in Saint Denis, on Reunion Island. It welcomes children from Reunion Island but also from Mayotte and neighboring countries. A quarter of them requires a secondary medical transfer to metropolitan France for specific technic care.

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Introduction: On Reunion Island, cervical cancer is the third most common cause of cancer in women. Primary prevention is based on the HPV vaccination, yet coverage rate is low (8.1%).

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  • In March 2020, the French government imposed a strict 8-week home lockdown to combat COVID-19, impacting various regions including Reunion Island, which has significant social inequalities.
  • A study was conducted via a telephone survey involving 892 adults to assess the effects of the lockdown on social inequalities in health (SIH) within the Reunionese population.
  • Findings indicated that the lockdown worsened psychological well-being, increased addictive behaviors, created food access issues, reduced physical activity, and intensified violence against women—all of which disproportionately affected socially disadvantaged groups.
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Introduction: Although breast cancer survival has improved in France, it appears that women living in deprived areas are more likely to die from breast cancer. However, no study has yet examined socioeconomic inequalities in breast cancer survival in La Réunion. Our objective was to examine whether socioeconomic inequalities in breast cancer survival exist in Reunion Island and whether stage at diagnosis could partly explain these differences.

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Background: On Reunion Island, incidence and mortality for uterine cervical cancer is high, yet coverage rate for human papillomavirus (HPV) vaccination is low.

Objective: The main objective of the study is to evaluate the impact of a health promotion program promoting HPV vaccination on the proportion of middle school girls who complete the full HPV vaccination schedule (2 or 3 doses) by the end of school year.

Methods: This study is a cluster controlled intervention study using a superiority design.

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Objective: To explore the factors associated with the uptake of mammography screening in Reunionese women aged 50-65 years.

Methods: This study included all women aged 50 to 65 years participating in a population-based cross-sectional study "FOSFORE". Participants were recruited between March and June 2017 using two sampling frames.

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Introduction: Population-based cancer survival is a major indicator of effectiveness of cancer management. This study is the first population-based study to estimate the net survival (NS) of adult cancer patients in Reunion Island, a French overseas department with distinctive epidemiological, cultural, and sociodemographic characteristics.

Methods: All adult incident cases (n=23,055) of invasive solid tumors diagnosed between 1998 and 2014 and registered in the Reunion Island Cancer Registry were included in the study.

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The major social, cultural, economic and demographic changes in Reunion Island in the last 70 years have had effects on its population and the evolution of its public health issues. The demographic transition and changes in lifestyle have led to a rapidly aging population with increased needs for care for dependency and chronic illness such as cancers. The aim of this paper is to offer a review of the literature and ongoing research on health and cancer in Reunion Island.

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Background: Patients under biological therapy for auto-immune disease are considered immunosuppressed and several recent recommendations highlight the need for vaccination against influenza and pneumococcal infections. The aims of this study were to evaluate influenza and pneumococcal vaccine coverage among patients receiving biological therapy and identify factors associated with vaccine uptake within this population.

Methods: A retrospective cross-sectional study was performed in adult patients attending hospitals for an auto-immune/inflammatory disease and treated with biological therapy.

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Objective: In Reunion Island, the standardized mortality rate for cervical cancer is 4.8/100,000 women, twice higher than in Metropolitan France. For locally advanced disease, the standard of care includes a treatment by brachytherapy.

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Aim: To examine the rates of follow-up at two years of age and perinatal factors associated with non-compliance in an observational population-based cohort of very preterm children enrolled in a routine follow-up program.

Method: Data review of infants born between 2008 and 2012 in the Observatoire de La Grande Prématurité, Reunion Island cohort. All singletons born alive before 33weeks of gestational age and resident on the island at two years of age were included.

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Background/aims: The purpose of our study was to compare disease-free survival in patients with synchronous colorectal liver metastasis who underwent delayed hepatic resection or simultaneous resection.

Methodology: All patients who underwent a curative resection of synchronous colorectal liver metastasis between 2000 and 2006 in our tertiary care referral centre were retrospectively included in our study. Patients who underwent the first stage of a two-stage hepatectomy during the primary resection were included in the delayed resection group.

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Objective: To assess compliance of anesthesiologist practices in antibiotic prophylaxis during total hip replacement (THR) surgery with the French Society of Anesthesiology and Intensive Care consensus-based guidelines.

Design: Retrospective review of medical records. Compliance of anesthesiologist practices with the guidelines was assessed according to antibiotic prophylaxis use, antimicrobial agent, dosage of first injection, time from first dose to incision, and total duration of antibiotic prophylaxis.

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