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Eastern Cooperative Oncology Group performance status (ECOG-PS) is a widely used functional status measure in oncology, yet its prognostic value in upper tract urothelial carcinoma remains unclear. In this multicenter study of 2473 patients undergoing radical nephroureterectomy, ECOG-PS ≥ 2 was independently associated with worse overall survival (hazard ratio [HR] 2.53, p < 0.001), cancer-specific survival (HR 2.02, p < 0.001), and disease-free survival (HR 1.50, p = 0.003) than those with ECOG-PS 0-1. They also had a higher risk of major perioperative complications (odds ratio 2.46, p < 0.001). These findings support ECOG-PS as a valuable preoperative risk stratification tool.
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http://dx.doi.org/10.1038/s41598-025-95128-1 | DOI Listing |
Neurology
October 2025
Department of Radiology, Mayo Clinic, Rochester, MN.
Background And Objectives: The relationship between insomnia and cognitive decline is poorly understood. We investigated associations between chronic insomnia, longitudinal cognitive outcomes, and brain health in older adults.
Methods: From the population-based Mayo Clinic Study of Aging, we identified cognitively unimpaired older adults with or without a diagnosis of chronic insomnia who underwent annual neuropsychological assessments (z-scored global cognitive scores and cognitive status) and had quantified serial imaging outcomes (amyloid-PET burden [centiloid] and white matter hyperintensities from MRI [WMH, % of intracranial volume]).
Pol Merkur Lekarski
September 2025
FACULTY OF NURSING, UNIVERSITY OF KUFA, NAJAF, IRAQ.
Objective: Aim: To investigate the role of serum vitamin D3 in the pathogenesis and diagnosis for hypothyroidism..
Patients And Methods: Materials and Methods: Cross-sectional study was conducted at the Outpatient Analytics Center of Al-Nokhba and Al-Sadder Teaching Hospital, Najaf, Iraq, between October 2021 and February 2022.
J Bras Pneumol
September 2025
. Departamento de Pneumologia, Centro Hospitalar Universitário de São João, Porto, Portugal.
Objectives: The 9th edition of the Tumor, Node, Metastasis (TNM-9) lung cancer classification is set to replace the 8th edition (TNM-8) starting in 2025. Key updates include the splitting of the mediastinal nodal category N2 into single- and multiple-station involvement, as well as the classification of multiple extrathoracic metastatic lesions as involving a single organ system (M1c1) or multiple organ systems (M1c2). This study aimed to assess how the TNM-9 revisions affect the final staging of lung cancer patients and how these changes correlate with overall survival (OS).
View Article and Find Full Text PDFArq Gastroenterol
September 2025
Hospital das Clínicas da Universidade Federal de Minas Gerais/Ebserh, Instituto Alfa de Gastroenterologia; Belo Horizonte, MG, Brasil.
Background: Most Helicobacter pylori (H. pylori) infections are acquired in childhood. It remains uncertain whether gastroenterologists involved in endoscopic procedures face an increased occupational risk of H.
View Article and Find Full Text PDFCien Saude Colet
August 2025
Faculdade Ciências Médicas de Minas Gerais. Alameda Ezequiel Dias 275, Centro. 30130-110 Belo Horizonte MG Brasil.
The aim is to identify the prevalence and main factors associated with self-reported poor sleep quality in Brazilian adults aged 50 and older. A cross-sectional study with participants from the Brazilian Longitudinal Study of Aging (2019-2021). A total of 9,849 participants aged 50 and older with complete information for the variables of interest were included.
View Article and Find Full Text PDF