Publications by authors named "Patrick D Michael"
View Article and Find Full Text PDF
Article Synopsis
- This study reviewed 89 female patients with non-metastatic muscle-invasive bladder cancer (MIBC) who underwent neoadjuvant chemotherapy (NAC) followed by radical cystectomy between 2012 and 2023, focusing on the impact of clinical staging changes on surgical eligibility.* -
- Out of the 75 patients with pre- and post-NAC imaging, 8% were clinically upstaged, meaning their disease progressed such that they were no longer eligible for a vaginal-sparing surgical approach.* -
- The findings suggest that while upstaging occurred infrequently, interim imaging assessments during NAC could help identify patients who aren’t responding to treatment, potentially preserving their eligibility for less invasive surgical options.*
Article Synopsis
- Pathologic re-review of TURBT specimens at a tertiary care center was evaluated to understand its impact on disease risk stratification for bladder cancer patients.
- Out of 173 patients whose specimens were re-reviewed, changes in grade, clinical stage, and risk stratification were observed, particularly in those with less advanced (
- The study found that re-review by a GU pathologist affected more than 20% of patients' risk assessments, highlighting its importance in potentially altering patient management strategies.
We studied pediatric bicycle accident victims (age ≤ 15 years) who were treated at our pediatric Level I trauma center during a 10-year period. Demographic data, injury severity, hospital course, and hospital cost data were collected. We compared the children who were helmeted to those who were unhelmeted.
View Article and Find Full Text PDF