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":",
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"-",
"negative",
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"cancer",
".",
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",",
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"cancer",
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".",
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"Board",
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"2000",
",",
"176",
"women",
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"-",
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"breast",
"cancer",
"who",
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"candidates",
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"were",
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"the",
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"Board",
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")",
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"93",
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".",
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",",
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",",
"6",
",",
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",",
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505 | [
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508 | [
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"cancer",
":",
"the",
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"HFRT",
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".",
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"-",
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"patients",
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"HFRT",
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"Christchurch",
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"HFRT",
"yields",
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"efficacy",
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"breast",
"cancer",
"patients",
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"the",
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509 | [
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"Centre",
"Georges",
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"/",
"vomiting",
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515 | [
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"L",
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"radiation",
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"breast",
"cancer",
":",
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"randomized",
",",
"double",
"-",
"blind",
",",
"placebo",
"-",
"controlled",
",",
"clinical",
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".",
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"study",
"aimed",
"to",
"evaluate",
"the",
"effectiveness",
"of",
"Nigella",
"sativa",
"L",
".",
"(",
"N",
".",
"sativa",
")",
"extract",
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"the",
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"acute",
"radiation",
"dermatitis",
"(",
"ARD",
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"breast",
"cancer",
"patients",
".",
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"-",
"two",
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"cancer",
"patients",
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"(",
"RT",
")",
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".",
"sativa",
"5",
"%",
"gel",
"or",
"placebo",
".",
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",",
"the",
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",",
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"skin",
"-",
"related",
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"life",
"(",
"SRQOL",
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"scores",
"were",
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"weekly",
"during",
"RT",
".",
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"who",
"were",
"treated",
"with",
"the",
"N",
".",
"sativa",
"gel",
"developed",
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"(",
"p",
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"2",
",",
"p",
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"0.36",
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"time",
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"2",
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"3",
"of",
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"Therapy",
"Oncology",
"Group",
"and",
"the",
"European",
"Organization",
"for",
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"and",
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"(",
"RTOG",
"/",
"EORTC",
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"toxicity",
"was",
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"N",
".",
"sativa",
"gel",
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"placebo",
"(",
"35",
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"29",
"days",
",",
"p",
"=",
"0.00",
"and",
"42",
"vs.",
"40",
"days",
",",
"p",
"=",
"0.01",
",",
"respectively",
")",
".",
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",",
"the",
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"N",
".",
"sativa",
"gel",
"group",
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"placebo",
"group",
"(",
"37",
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"33",
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"worst",
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"patients",
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"placebo",
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"p",
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".",
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".",
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".",
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".",
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"extract",
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"ARD",
"and",
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"the",
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"cancer",
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516 | [
"Fertility",
"preservation",
"with",
"ovarian",
"stimulation",
"and",
"time",
"to",
"treatment",
"in",
"women",
"with",
"stage",
"II",
"-",
"III",
"breast",
"cancer",
"receiving",
"neoadjuvant",
"therapy",
".",
"To",
"determine",
"whether",
"fertility",
"preservation",
"with",
"ovarian",
"stimulation",
"(",
"OS",
")",
"results",
"in",
"treatment",
"delay",
"in",
"breast",
"cancer",
"(",
"BC",
")",
"patients",
"receiving",
"neoadjuvant",
"therapy",
"(",
"NAT",
")",
".",
"This",
"is",
"a",
"retrospective",
"study",
"of",
"women",
"screened",
"for",
"the",
"prospective",
"neoadjuvant",
"ISPY",
"2",
"trial",
"at",
"the",
"University",
"of",
"California",
"San",
"Francisco",
".",
"All",
"patients",
"were",
"<",
"43",
",",
"had",
"stage",
"II",
"-",
"III",
"BC",
",",
"and",
"received",
"neoadjuvant",
"therapy",
".",
"Time",
"to",
"initiation",
"of",
"NAT",
"was",
"compared",
"between",
"women",
"who",
"underwent",
"OS",
"(",
"STIM",
")",
"and",
"women",
"who",
"did",
"not",
"(",
"control",
")",
".",
"Patient",
"and",
"tumor",
"characteristics",
",",
"as",
"well",
"as",
"oncologic",
"outcomes",
",",
"were",
"compared",
"between",
"STIM",
"and",
"control",
"groups",
".",
"82",
"patients",
"were",
"included",
"(",
"34",
"STIM",
"and",
"48",
"control",
")",
".",
"STIM",
"patients",
"were",
"overall",
"younger",
"(",
"mean",
"=",
"35",
"vs.",
"36.9",
"years",
"old",
",",
"p",
"=",
"0.06",
")",
",",
"and",
"more",
"likely",
"to",
"be",
"childless",
"(",
"79.4",
"vs",
"31.2",
"%",
",",
"p",
"<",
"0.0001",
")",
"than",
"controls",
".",
"Mean",
"time",
"from",
"diagnosis",
"to",
"initiation",
"of",
"NAT",
"was",
"40",
"days",
",",
"with",
"no",
"significant",
"difference",
"between",
"STIM",
"and",
"control",
"groups",
"(",
"mean",
"39.8",
"days",
"vs",
"40.9",
"days",
",",
"p",
"=",
"0.75",
")",
".",
"Mean",
"time",
"from",
"diagnosis",
"to",
"fertility",
"consultation",
"was",
"16.3",
"days",
".",
"With",
"median",
"follow",
"-",
"up",
"of",
"79",
"months",
",",
"16",
"(",
"19.5",
"%",
")",
"patients",
"have",
"recurred",
"or",
"died",
"from",
"BC",
".",
"Rates",
"of",
"pCR",
",",
"recurrence",
",",
"and",
"death",
"were",
"similar",
"in",
"both",
"groups",
".",
"Six",
"of",
"34",
"STIM",
"patients",
"have",
"undergone",
"embryo",
"transfer",
",",
"resulting",
"in",
"one",
"patient",
"with",
"two",
"live",
"births",
".",
"Fertility",
"preservation",
"with",
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"can",
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"performed",
"in",
"the",
"neoadjuvant",
"setting",
"without",
"delay",
"in",
"initiation",
"of",
"systemic",
"therapy",
"and",
"should",
"be",
"discussed",
"with",
"all",
"early",
"-",
"stage",
"BC",
"patients",
"of",
"reproductive",
"age",
"."
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517 | [
"Impact",
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"an",
"educational",
"intervention",
"designed",
"to",
"reduce",
"unnecessary",
"recall",
"during",
"screening",
"mammography",
".",
"The",
"aim",
"of",
"this",
"study",
"was",
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"the",
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"of",
"a",
"tailored",
"Web",
"-",
"based",
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"reduce",
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".",
"Radiologists",
"enrolled",
"in",
"one",
"of",
"four",
"mammography",
"registries",
"in",
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"United",
"States",
"were",
"invited",
"to",
"take",
"part",
"and",
"were",
"randomly",
"assigned",
"to",
"receive",
"the",
"intervention",
"or",
"to",
"serve",
"as",
"controls",
".",
"The",
"controls",
"were",
"offered",
"the",
"intervention",
"at",
"the",
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"of",
"the",
"study",
",",
"and",
"data",
"collection",
"included",
"an",
"assessment",
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"clinical",
"practice",
"as",
"well",
".",
"The",
"intervention",
"provided",
"each",
"radiologist",
"with",
"individual",
"audit",
"data",
"for",
"his",
"or",
"her",
"sensitivity",
",",
"specificity",
",",
"recall",
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",",
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",",
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"cancer",
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"compared",
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"national",
"benchmarks",
"and",
"peer",
"comparisons",
"for",
"the",
"same",
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";",
"profiled",
"breast",
"cancer",
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"each",
"radiologist",
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"respective",
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"low",
"breast",
"cancer",
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"is",
"in",
"population",
"-",
"based",
"settings",
";",
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"evaluated",
"the",
"possible",
"impact",
"of",
"medical",
"malpractice",
"concerns",
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"recall",
"rates",
".",
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"'",
"recall",
"rates",
"from",
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"were",
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"three",
"time",
"periods",
":",
"the",
"9",
"months",
"before",
"the",
"intervention",
"was",
"delivered",
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"(",
"baseline",
"period",
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",",
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"months",
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"control",
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"T",
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")",
",",
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"months",
"after",
"completion",
"of",
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"intervention",
"by",
"the",
"controls",
"(",
"T",
"2",
")",
".",
"Logistic",
"regression",
"models",
"examining",
"the",
"probability",
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"a",
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"recalled",
"included",
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"versus",
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"time",
"period",
"(",
"baseline",
",",
"T",
"1",
",",
"and",
"T",
"2",
")",
".",
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"between",
"the",
"groups",
"and",
"time",
"period",
"were",
"also",
"included",
"to",
"determine",
"if",
"the",
"association",
"between",
"time",
"period",
"and",
"the",
"probability",
"of",
"a",
"positive",
"result",
"differed",
"across",
"groups",
".",
"Thirty",
"-",
"one",
"radiologists",
"who",
"completed",
"the",
"continuing",
"medical",
"education",
"intervention",
"were",
"included",
"in",
"the",
"adjusted",
"model",
"comparing",
"radiologists",
"in",
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"intervention",
"group",
"(",
"n",
"=",
"22",
")",
"to",
"radiologists",
"who",
"completed",
"the",
"intervention",
"in",
"the",
"control",
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"(",
"n",
"=",
"9",
")",
".",
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"T",
"1",
",",
"the",
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"group",
"had",
"12",
"%",
"higher",
"odds",
"of",
"positive",
"mammographic",
"results",
"compared",
"to",
"the",
"controls",
",",
"after",
"controlling",
"for",
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"(",
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",",
"1.12",
";",
"95",
"%",
"confidence",
"interval",
",",
"1.00",
"-",
"1.27",
";",
"P",
"=",
".",
"0569",
")",
".",
"At",
"T",
"2",
",",
"a",
"similar",
"association",
"was",
"found",
",",
"but",
"it",
"was",
"not",
"statistically",
"significant",
"(",
"odds",
"ratio",
",",
"1.10",
";",
"95",
"%",
"confidence",
"interval",
",",
"0.96",
"to",
"1.25",
")",
".",
"No",
"associations",
"were",
"found",
"among",
"radiologists",
"in",
"the",
"control",
"group",
"when",
"comparing",
"those",
"who",
"completed",
"the",
"continuing",
"medical",
"education",
"intervention",
"(",
"n",
"=",
"9",
")",
"to",
"those",
"who",
"did",
"not",
"(",
"n",
"=",
"10",
")",
".",
"In",
"addition",
",",
"no",
"associations",
"were",
"found",
"between",
"time",
"period",
"and",
"recall",
"rate",
"among",
"radiologists",
"who",
"set",
"realistic",
"goals",
".",
"This",
"study",
"resulted",
"in",
"a",
"null",
"effect",
",",
"which",
"may",
"indicate",
"that",
"a",
"single",
"1",
"-hour",
"intervention",
"is",
"not",
"adequate",
"to",
"change",
"excessive",
"recall",
"among",
"radiologists",
"who",
"undertook",
"the",
"intervention",
"being",
"tested",
"."
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518 | [
"Effects",
"of",
"physical",
"exercise",
"on",
"markers",
"of",
"inflammation",
"in",
"breast",
"cancer",
"patients",
"during",
"adjuvant",
"chemotherapy",
".",
"Exercise",
"has",
"been",
"shown",
"to",
"reduce",
"fatigue",
"during",
"cancer",
"treatment",
".",
"Hypothesized",
"mechanisms",
"include",
"inflammatory",
"pathways",
".",
"Therefore",
",",
"we",
"investigated",
"effects",
"of",
"exercise",
"on",
"markers",
"of",
"inflammation",
"in",
"breast",
"cancer",
"patients",
"during",
"adjuvant",
"chemotherapy",
".",
"We",
"pooled",
"data",
"from",
"two",
"randomized",
"controlled",
"exercise",
"intervention",
"trials",
"with",
"breast",
"cancer",
"patients",
"during",
"adjuvant",
"chemotherapy",
"(",
"n",
"=",
"130",
")",
",",
"which",
"had",
"previously",
"shown",
"beneficial",
"effects",
"of",
"exercise",
"on",
"fatigue",
".",
"Exercise",
"comprised",
"a",
"12",
"-week",
"resistance",
"training",
"(",
"BEATE",
"study",
")",
"or",
"an",
"18",
"-week",
"combined",
"resistance",
"and",
"aerobic",
"training",
"(",
"PACT",
"study",
")",
".",
"Serum",
"IL-",
"6",
",",
"IL-",
"1",
"ra",
",",
"and",
"the",
"IL-",
"6",
"/",
"IL-",
"1",
"ra",
"ratio",
"were",
"quantified",
"at",
"baseline",
",",
"mid",
"-",
"intervention",
",",
"post",
"-",
"intervention",
",",
"and",
"6",
"-",
"9",
"months",
"post",
"-",
"baseline",
".",
"Mixed",
"effect",
"models",
"showed",
"significant",
"increases",
"in",
"IL-",
"6",
"and",
"IL-",
"6",
"/",
"IL-",
"1",
"ra",
"ratio",
"during",
"chemotherapy",
"and",
"decreases",
"afterwards",
".",
"Differences",
"between",
"exercise",
"and",
"control",
"group",
"were",
"not",
"significant",
"at",
"any",
"time",
"point",
".",
"Changes",
"in",
"total",
"cancer",
"-",
"related",
"fatigue",
"were",
"significantly",
"correlated",
"with",
"changes",
"in",
"IL-",
"6",
"/",
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"1",
"ra",
"ratio",
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"0.23",
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"IL-",
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"=",
"0.21",
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",",
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"changes",
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"physical",
"cancer",
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"related",
"fatigue",
"with",
"changes",
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"IL-",
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"/",
"IL-",
"1",
"ra",
"ratio",
"(",
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"=",
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".",
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"fatigue",
"were",
"slightly",
"correlated",
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"changes",
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"inflammatory",
"markers",
",",
"and",
"there",
"was",
"a",
"strong",
"inflammatory",
"response",
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"adjuvant",
"chemotherapy",
".",
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"supervised",
"exercise",
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"did",
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"this",
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"inflammation",
",",
"suggesting",
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"beneficial",
"effects",
"of",
"exercise",
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"chemotherapy",
"for",
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"cancer",
"are",
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"6",
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"IL-",
"1",
"ra",
",",
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"the",
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519 | [
"Does",
"preoperative",
"core",
"needle",
"biopsy",
"increase",
"surgical",
"site",
"infections",
"in",
"breast",
"cancer",
"surgery",
"?",
"Randomized",
"study",
"of",
"antibiotic",
"prophylaxis",
".",
"Preoperative",
"core",
"needle",
"biopsies",
"may",
"increase",
"the",
"risk",
"of",
"surgical",
"site",
"infection",
"(",
"SSI",
")",
"in",
"breast",
"cancer",
"surgery",
".",
"The",
"purpose",
"of",
"this",
"randomized",
"trial",
"was",
"to",
"determine",
"whether",
"a",
"prophylactic",
"antibiotic",
"would",
"prevent",
"SSI",
"under",
"these",
"conditions",
".",
"Imaging",
"-",
"guided",
"multiple",
"core",
"needle",
"biopsies",
"were",
"performed",
"one",
"to",
"two",
"weeks",
"prior",
"to",
"surgery",
"to",
"obtain",
"confirmation",
"of",
"the",
"presence",
"of",
"breast",
"cancer",
".",
"Then",
"the",
"patients",
"were",
"randomized",
"to",
"receive",
"either",
"a",
"single",
"intravenous",
"dose",
"of",
"1.0",
"g",
"of",
"dicloxacillin",
"(",
"n",
"=",
"144",
")",
"or",
"placebo",
"infusion",
"of",
"saline",
"(",
"n",
"=",
"148",
")",
"30",
"min",
"prior",
"to",
"operation",
".",
"After",
"breast",
"surgery",
",",
"incisional",
"morbidity",
"was",
"monitored",
"for",
"30",
"days",
".",
"The",
"number",
"of",
"SSIs",
"was",
"compared",
"with",
"that",
"in",
"672",
"patients",
"treated",
"before",
"the",
"implementation",
"of",
"core",
"needle",
"biopsies",
".",
"The",
"patient",
"characteristics",
"and",
"risk",
"factors",
"for",
"SSI",
"were",
"similar",
"in",
"the",
"antibiotic",
"prophylaxis",
"and",
"placebo",
"groups",
".",
"The",
"incidence",
"of",
"SSI",
"was",
"7.2",
"%",
"(",
"21",
"/",
"292",
")",
"in",
"the",
"prospective",
"trial",
"compared",
"with",
"6.8",
"%",
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"46",
"/",
"672",
")",
"in",
"the",
"retrospective",
"cohort",
"(",
"p",
"=",
"0.890",
")",
".",
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"incidence",
"of",
"postoperative",
"SSIs",
"was",
"5.6",
"%",
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"8",
"/",
"144",
")",
"in",
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"8.8",
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"13",
"/",
"148",
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"placebo",
"group",
"(",
"p",
"=",
"0.371",
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".",
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",",
"there",
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"non",
"-",
"significant",
"trend",
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"fewer",
"SSIs",
"in",
"the",
"antibiotic",
"group",
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"n",
"=",
"1",
")",
"than",
"the",
"placebo",
"group",
"(",
"n",
"=",
"4",
")",
".",
"Body",
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"smoking",
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"or",
"previous",
"illness",
"did",
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"affect",
"the",
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"SSI",
".",
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"needle",
"biopsy",
"did",
"not",
"increase",
"the",
"incidence",
"of",
"SSI",
".",
"Antibiotic",
"prophylaxis",
"did",
"not",
"prevent",
"SSI",
",",
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"because",
"so",
"few",
"infections",
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520 | [
"Locoregional",
"recurrence",
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"doxorubicin",
"-",
"based",
"chemotherapy",
"and",
"postmastectomy",
":",
"Implications",
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"-",
"stage",
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"predictors",
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"(",
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"radiation",
".",
"Kaplan",
"-",
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"-",
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"-",
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",",
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"based",
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",",
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"reported",
"rates",
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"1031",
"patients",
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"in",
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".",
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"-",
"up",
"was",
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".",
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"1",
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"T",
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"%",
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"13",
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"p",
"=",
"0.003",
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"no",
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"close",
"/",
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"6.25",
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"4.61",
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521 | [
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"locoregional",
"treatment",
"for",
"early",
"breast",
"cancer",
"may",
"prevent",
"secondary",
"dissemination",
".",
"To",
"analyze",
"different",
"events",
"that",
"determine",
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"-",
"free",
"survival",
"(",
"EFS",
")",
"in",
"a",
"randomized",
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"radiotherapy",
"in",
"early",
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"cancer",
"patients",
"with",
"more",
"than",
"15",
"years",
"of",
"follow",
"-",
"up",
"evaluation",
".",
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"included",
"960",
"patients",
"with",
"a",
"unilateral",
",",
"operable",
"breast",
"cancer",
".",
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"consisted",
"of",
"a",
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"mastectomy",
".",
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"trial",
"compared",
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",",
"as",
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":",
"preoperative",
"radiotherapy",
",",
"postoperative",
"radiotherapy",
",",
"and",
"no",
"adjuvant",
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".",
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"were",
"analyzed",
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"a",
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"-",
"risk",
"approach",
".",
"A",
"proportional",
"hazards",
"multiple",
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"the",
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"analyses",
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"-",
"negative",
"[",
"N",
"(",
"-",
")",
"]",
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"not",
"include",
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",",
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"dissemination",
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"(",
"+",
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522 | [
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"(",
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"post",
"-",
"menopausal",
"breast",
"cancer",
"survivors",
".",
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"-month",
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"text",
"message",
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",",
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523 | [
"Low",
"-",
"molecular",
"-",
"weight",
"heparin",
"versus",
"placebo",
"for",
"the",
"prevention",
"of",
"venous",
"thromboembolism",
"in",
"metastatic",
"breast",
"cancer",
"or",
"stage",
"III",
"/",
"IV",
"lung",
"cancer",
".",
"In",
"2",
"double",
"-",
"blind",
"studies",
",",
"ambulatory",
"patients",
"with",
"objectively",
"proven",
",",
"disseminated",
"metastatic",
"breast",
"carcinoma",
"(",
"TOPIC-",
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")",
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"stage",
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"/",
"IV",
"non",
"-",
"small",
"-",
"cell",
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"(",
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"were",
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"certoparin",
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"or",
"placebo",
"subcutaneously",
"once",
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",",
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".",
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"venous",
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"(",
"VTE",
")",
".",
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"bleeding",
"(",
"major",
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")",
",",
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".",
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".",
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"thromboembolism",
"occurrence",
"was",
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"(",
"4",
"%",
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",",
"7",
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"%",
"receiving",
"placebo",
",",
"7",
"of",
"177",
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"odds",
"ratio",
"[",
"OR",
"]",
"1.02",
";",
"95",
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"interval",
"[",
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"0.30",
"-",
"3.48",
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"(",
"4.5",
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",",
"12",
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"8.3",
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",",
"22",
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",",
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"0.52",
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"1.12",
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".",
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".",
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"post",
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"(",
"3.5",
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";",
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")",
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"bleeding",
".",
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"conclusion",
",",
"thrombosis",
"risk",
"and",
"prophylactic",
"benefit",
"was",
"highest",
"in",
"stage",
"IV",
"lung",
"carcinoma",
"patients",
"."
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524 | [
"Efficacy",
"of",
"a",
"combined",
"alendronate",
"and",
"calcitriol",
"agent",
"(",
"Maxmarvil",
"®",
")",
"in",
"Korean",
"postmenopausal",
"women",
"with",
"early",
"breast",
"cancer",
"receiving",
"aromatase",
"inhibitor",
":",
"a",
"double",
"-",
"blind",
",",
"randomized",
",",
"placebo",
"-",
"controlled",
"study",
".",
"The",
"use",
"of",
"aromatase",
"inhibitor",
"(",
"AI",
")",
"in",
"postmenopausal",
"women",
"with",
"hormone",
"receptor",
"(",
"HR",
")",
"-positive",
"early",
"breast",
"cancer",
"(",
"EBC",
")",
"produces",
"a",
"deleterious",
"effect",
"on",
"bone",
"mass",
"and",
"an",
"increase",
"in",
"fractures",
".",
"Several",
"studies",
"using",
"intravenous",
"bisphosphonates",
"have",
"shown",
"effective",
"management",
"of",
"AI",
"-",
"induced",
"bone",
"loss",
".",
"To",
"determine",
"whether",
"a",
"lower",
"dosage",
"in",
"oral",
"form",
"combined",
"with",
"calcitriol",
"can",
"effectively",
"manage",
"AI",
"-",
"induced",
"bone",
"loss",
",",
"we",
"performed",
"a",
"randomized",
",",
"double",
"-",
"blind",
",",
"prospective",
",",
"placebo",
"-",
"controlled",
"24",
"-week",
"trial",
"with",
"a",
"combination",
"of",
"alendronate",
"and",
"0.5",
"-µg",
"of",
"calcitriol",
"daily",
"to",
"HR",
"-",
"positive",
"EBC",
"patients",
".",
"A",
"total",
"of",
"98",
"Korean",
"postmenopausal",
"women",
"with",
"HR",
"-",
"positive",
"EBC",
"who",
"received",
"daily",
"AI",
",",
"calcium",
"and",
"vitamin",
"D",
"were",
"randomly",
"assigned",
"to",
"5",
"-mg",
"of",
"alendronate",
"and",
"0.5",
"-µg",
"of",
"calcitriol",
"(",
"Maxmarvil",
"®",
")",
"or",
"placebo",
"groups",
".",
"The",
"bone",
"mineral",
"density",
"(",
"BMD",
")",
"and",
"turnover",
"markers",
"were",
"measured",
".",
"At",
"week",
"24",
",",
"the",
"difference",
"in",
"lumbar",
"BMD",
"between",
"the",
"groups",
"was",
"3.0",
"%",
"(",
"p",
"<",
"0.005",
")",
".",
"The",
"increase",
"in",
"C",
"-",
"telopeptide",
"after",
"24",
"weeks",
"was",
"significantly",
"less",
"in",
"the",
"Maxmarvil",
"group",
"compared",
"to",
"that",
"in",
"the",
"placebo",
"group",
"(",
"35.2",
"±",
"17.5",
"%",
"vs.",
"109.8",
"±",
"28.6",
"%",
",",
"p",
"<",
"0.05",
")",
".",
"Our",
"study",
"demonstrates",
"that",
"a",
"combination",
"of",
"5",
"-mg",
"alendronate",
"and",
"0.5",
"-µg",
"calcitriol",
"is",
"effective",
"to",
"prevent",
"bone",
"loss",
"due",
"to",
"AI",
"in",
"Korean",
"postmenopausal",
"women",
"with",
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525 | [
"Effect",
"of",
"melatonin",
"on",
"depressive",
"symptoms",
"and",
"anxiety",
"in",
"patients",
"undergoing",
"breast",
"cancer",
"surgery",
":",
"a",
"randomized",
",",
"double",
"-",
"blind",
",",
"placebo",
"-",
"controlled",
"trial",
".",
"Depression",
",",
"anxiety",
"and",
"sleep",
"disturbances",
"are",
"known",
"problems",
"in",
"patients",
"with",
"breast",
"cancer",
".",
"The",
"effect",
"of",
"melatonin",
"as",
"an",
"antidepressant",
"in",
"humans",
"with",
"cancer",
"has",
"not",
"been",
"investigated",
".",
"We",
"investigated",
"whether",
"melatonin",
"could",
"lower",
"the",
"risk",
"of",
"depressive",
"symptoms",
"in",
"women",
"with",
"breast",
"cancer",
"in",
"a",
"three",
"-",
"month",
"period",
"after",
"surgery",
"and",
"assessed",
"the",
"effect",
"of",
"melatonin",
"on",
"subjective",
"parameters",
":",
"anxiety",
",",
"sleep",
",",
"general",
"well",
"-",
"being",
",",
"fatigue",
",",
"pain",
"and",
"sleepiness",
".",
"Randomized",
",",
"double",
"-",
"blind",
",",
"placebo",
"-",
"controlled",
"trial",
"undertaken",
"from",
"July",
"2011",
"to",
"December",
"2012",
"at",
"a",
"department",
"of",
"breast",
"surgery",
"in",
"Copenhagen",
",",
"Denmark",
".",
"Women",
",",
"30",
"-",
"75",
"years",
",",
"undergoing",
"surgery",
"for",
"breast",
"cancer",
"and",
"without",
"signs",
"of",
"depression",
"on",
"Major",
"Depression",
"Inventory",
"(",
"MDI",
")",
"were",
"included",
"1",
"week",
"before",
"surgery",
"and",
"received",
"6",
"mg",
"oral",
"melatonin",
"or",
"placebo",
"for",
"3",
"months",
".",
"The",
"primary",
"outcome",
"was",
"the",
"incidence",
"of",
"depressive",
"symptoms",
"measured",
"by",
"MDI",
".",
"The",
"secondary",
"outcomes",
"were",
"area",
"under",
"the",
"curve",
"(",
"AUC",
")",
"for",
"the",
"subjective",
"parameters",
".",
"54",
"patients",
"were",
"randomized",
"to",
"melatonin",
"(",
"n",
"=",
"28",
")",
"or",
"placebo",
"(",
"n",
"=",
"26",
")",
"and",
"11",
"withdrew",
"from",
"the",
"study",
"(",
"10",
"placebo",
"group",
"and",
"1",
"melatonin",
"group",
",",
"P",
"=",
"0.002",
")",
".",
"The",
"risk",
"of",
"developing",
"depressive",
"symptoms",
"was",
"significantly",
"lower",
"with",
"melatonin",
"than",
"with",
"placebo",
"(",
"3",
"[",
"11",
"%",
"]",
"of",
"27",
"vs.",
"9",
"[",
"45",
"%",
"]",
"of",
"20",
";",
"relative",
"risk",
"0.25",
"[",
"95",
"%",
"CI",
"0.077",
"-",
"0.80",
"]",
")",
",",
"giving",
"a",
"NNT",
"of",
"3.0",
"[",
"95",
"%",
"CI",
"1.7",
"-",
"11.0",
"]",
".",
"No",
"significant",
"differences",
"were",
"found",
"between",
"AUC",
"for",
"the",
"subjective",
"parameters",
".",
"No",
"differences",
"in",
"side",
"effects",
"were",
"found",
"(",
"P",
"=",
"0.78",
")",
".",
"Melatonin",
"significantly",
"reduced",
"the",
"risk",
"of",
"depressive",
"symptoms",
"in",
"women",
"with",
"breast",
"cancer",
"during",
"a",
"three",
"-",
"month",
"period",
"after",
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"."
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"and",
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"(",
"DA",
"group",
")",
"or",
"standard",
"trial",
"consent",
"materials",
"(",
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")",
".",
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"IBIS",
"-",
"II",
"(",
"post",
"decision",
")",
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"months",
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"(",
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"-",
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")",
".",
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"from",
"112",
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"34",
"DCIS",
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"were",
"analysed",
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"decision",
"(",
"73",
"DA",
";",
"73",
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")",
";",
"95",
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"24",
"DCIS",
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"-",
"up",
"(",
"58",
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";",
"61",
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")",
".",
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"no",
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"on",
"the",
"primary",
"outcome",
"of",
"decisional",
"conflict",
".",
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"had",
"higher",
"knowledge",
"post",
"decision",
",",
"and",
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"-",
"DA",
"group",
"had",
"lower",
"decisional",
"regret",
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"-",
"up",
".",
"This",
"was",
"the",
"first",
"study",
"to",
"evaluate",
"a",
"DA",
"in",
"the",
"clinical",
"trial",
"setting",
".",
"The",
"results",
"suggest",
"DAs",
"can",
"potentially",
"increase",
"knowledge",
"and",
"reduce",
"decisional",
"regret",
"about",
"clinical",
"trial",
"participation",
"."
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529 | [
"Randomized",
"phase",
"II",
"study",
"of",
"two",
"irinotecan",
"schedules",
"for",
"patients",
"with",
"metastatic",
"breast",
"cancer",
"refractory",
"to",
"an",
"anthracycline",
",",
"a",
"taxane",
",",
"or",
"both",
".",
"A",
"pressing",
"need",
"exists",
"for",
"agents",
"active",
"against",
"anthracycline-",
"or",
"taxane",
"-",
"refractory",
"metastatic",
"breast",
"cancer",
"(",
"MBC",
")",
",",
"or",
"both",
".",
"Previous",
"clinical",
"trials",
"suggested",
"that",
"irinotecan",
"might",
"have",
"such",
"activity",
".",
"We",
"conducted",
"this",
"multicenter",
"phase",
"II",
"study",
"to",
"assess",
"efficacy",
"and",
"tolerability",
"of",
"two",
"irinotecan",
"schedules",
".",
"MBC",
"patients",
"who",
"experienced",
"disease",
"progression",
"after",
"one",
"to",
"three",
"chemotherapy",
"regimens",
",",
"including",
"at",
"least",
"one",
"anthracycline-",
"or",
"taxane",
"-",
"based",
"regimen",
",",
"were",
"randomly",
"assigned",
"to",
"irinotecan",
"in",
"6",
"-week",
"cycles",
"comprising",
"100",
"mg",
"/",
"m",
"(",
"2",
")",
"weekly",
"for",
"4",
"weeks",
",",
"then",
"a",
"2",
"-week",
"rest",
"(",
"weekly",
")",
"or",
"240",
"mg",
"/",
"m",
"(",
"2",
")",
"every",
"3",
"weeks",
".",
"The",
"weekly",
"arm",
"had",
"52",
"assessable",
"patients",
";",
"the",
"every-",
"3",
"-",
"weeks",
"arm",
"had",
"51",
"assessable",
"patients",
".",
"In",
"the",
"weekly",
"arm",
",",
"the",
"objective",
"response",
"(",
"complete",
"regression",
"[",
"CR",
"]",
"+",
"partial",
"regression",
"[",
"PR",
"]",
")",
"rate",
"was",
"23",
"%",
"(",
"one",
"CR",
",",
"11",
"PR",
";",
"95",
"%",
"CI",
",",
"13",
"%",
"to",
"37",
"%",
")",
".",
"Median",
"response",
"duration",
"was",
"4.9",
"months",
"(",
"range",
",",
"1.9",
"to",
"15.9",
"months",
")",
",",
"and",
"median",
"overall",
"survival",
"was",
"9.7",
"months",
"(",
"95",
"%",
"CI",
",",
"8.0",
"to",
"14.2",
"months",
")",
".",
"In",
"the",
"every-",
"3",
"-",
"weeks",
"arm",
",",
"the",
"objective",
"response",
"rate",
"was",
"14",
"%",
"(",
"nine",
"PR",
";",
"95",
"%",
"CI",
",",
"6",
"%",
"to",
"26",
"%",
")",
",",
"median",
"response",
"duration",
"was",
"4.2",
"months",
"(",
"range",
",",
"3.1",
"to",
"13.9",
"months",
")",
",",
"and",
"median",
"overall",
"survival",
"was",
"8.6",
"months",
"(",
"95",
"%",
"CI",
",",
"7.0",
"to",
"12.3",
"months",
")",
".",
"Treatment",
"generally",
"was",
"well",
"tolerated",
",",
"especially",
"in",
"the",
"weekly",
"arm",
".",
"Grade",
"3",
"to",
"4",
"adverse",
"events",
"with",
">",
"or",
"=",
"10",
"%",
"incidence",
"included",
"neutropenia",
"(",
"29",
"%",
")",
"and",
"diarrhea",
"(",
"17",
"%",
")",
"in",
"the",
"weekly",
"arm",
"and",
"neutropenia",
"(",
"36",
"%",
")",
",",
"vomiting",
"(",
"20",
"%",
")",
",",
"dyspnea",
"(",
"18",
"%",
")",
",",
"nausea",
"(",
"16",
"%",
")",
",",
"and",
"diarrhea",
"(",
"12",
"%",
")",
"in",
"the",
"every-",
"3",
"-",
"weeks",
"arm",
".",
"Irinotecan",
"is",
"active",
"with",
"good",
"tolerability",
"in",
"refractory",
"MBC",
".",
"Irinotecan",
"(",
"especially",
"weekly",
")",
"warrants",
"additional",
"study",
"as",
"monotherapy",
"and",
"in",
"combination",
"regimens",
"in",
"this",
"setting",
"."
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530 | [
"Evaluation",
"of",
"Short",
"-",
"Term",
"Use",
"of",
"N",
"-",
"Acetylcysteine",
"as",
"a",
"Strategy",
"for",
"Prevention",
"of",
"Anthracycline",
"-",
"Induced",
"Cardiomyopathy",
":",
"EPOCH",
"Trial",
"-",
"A",
"Prospective",
"Randomized",
"Study",
".",
"We",
"investigate",
"to",
"determine",
"whether",
"N",
"-",
"acetylcysteine",
"(",
"NAC",
")",
"can",
"prevent",
"anthracycline",
"-",
"induced",
"cardiotoxicity",
".",
"A",
"total",
"of",
"103",
"patients",
"were",
"enrolled",
"in",
"this",
"prospective",
"randomized",
"open",
"label",
"controlled",
"trial",
".",
"They",
"are",
"patients",
"first",
"diagnosed",
"with",
"breast",
"cancer",
"or",
"lymphoma",
",",
"who",
"require",
"chemotherapy",
",",
"including",
"anthracycline",
"like",
"adriamycine",
"or",
"epirubicine",
".",
"Patients",
"were",
"randomized",
"to",
"the",
"NAC",
"group",
"{",
"n=",
"50",
";",
"1200",
"mg",
"orally",
"every",
"8",
"hours",
"starting",
"before",
"and",
"ending",
"after",
"the",
"intravenous",
"infusion",
"of",
"anthracycline",
"in",
"all",
"chemotherapy",
"cycles",
"(",
"3",
"-",
"6",
")",
"}",
"or",
"the",
"control",
"group",
"(",
"n=",
"53",
")",
".",
"Primary",
"outcome",
"was",
"the",
"decrease",
"in",
"left",
"ventricular",
"ejection",
"fraction",
"(",
"LVEF",
")",
"absolutely",
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"10",
"%",
"from",
"the",
"baseline",
"and",
"concomitantly",
"<",
"50",
"%",
"at",
"6",
"-month",
".",
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"of",
"all",
"-",
"cause",
"death",
",",
"heart",
"failure",
"and",
"readmission",
"were",
"compared",
".",
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"primary",
"outcome",
"was",
"not",
"significantly",
"different",
"in",
"the",
"NAC",
"and",
"control",
"groups",
"{",
"3",
"/",
"47",
"(",
"6.4",
"%",
")",
"vs.",
"1",
"/",
"52",
"(",
"1.9",
"%",
")",
",",
"p=",
"0.343",
"}",
".",
"The",
"mean",
"LVEF",
"significantly",
"decreased",
"in",
"both",
"the",
"NAC",
"(",
"from",
"64.5",
"to",
"60.8",
"%",
",",
"p=",
"0.001",
")",
"and",
"control",
"groups",
"(",
"from",
"64.1",
"to",
"61.3",
"%",
",",
"p",
"<",
"0.001",
")",
"after",
"the",
"completion",
"of",
"whole",
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".",
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"mean",
"LVEF",
"change",
"did",
"not",
"differ",
"between",
"the",
"two",
"groups",
"(",
"-",
"3.64",
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"vs.",
"-",
"2.78",
"%",
"in",
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"group",
",",
"p=",
"0.502",
")",
".",
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"ventricular",
"(",
"LV",
")",
"end",
"systolic",
"dimension",
"increased",
"with",
"higher",
"trend",
"in",
"NAC",
"by",
"3.08",
"±",
"4.56",
"mm",
"as",
"compared",
"with",
"1.47",
"±",
"1.83",
"mm",
"in",
"the",
"control",
"group",
"(",
"p=",
"0.064",
")",
".",
"LV",
"end",
"diastolic",
"dimension",
"did",
"not",
"change",
"in",
"each",
"group",
"and",
"change",
"does",
"not",
"differ",
"in",
"both",
".",
"Peak",
"E",
",",
"A",
"and",
"E",
"/",
"A",
"ratio",
"change",
"and",
"cardiac",
"enzymes",
"were",
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"in",
"two",
"groups",
".",
"Cumulative",
"12",
"-month",
"event",
"rate",
"was",
"6",
"%",
"and",
"3.8",
"%",
"in",
"the",
"NAC",
"group",
"and",
"the",
"control",
"group",
",",
"respectively",
",",
"with",
"no",
"difference",
"(",
"p=",
"0.672",
")",
".",
"We",
"can",
"not",
"prove",
"that",
"NAC",
"prevents",
"anthracycline",
"-",
"induced",
"cardiomyopathy",
"."
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531 | [
"Clinical",
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"women",
"in",
"MA",
".",
"17",
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"a",
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"in",
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"women",
"with",
"early",
"stage",
"breast",
"cancer",
".",
"Aromatase",
"inhibitors",
"are",
"widely",
"employed",
"in",
"the",
"adjuvant",
"treatment",
"of",
"early",
"stage",
"breast",
"cancer",
".",
"The",
"impact",
"of",
"aromatase",
"inhibitors",
"has",
"not",
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"established",
"in",
"ethnic",
"minority",
"women",
".",
"The",
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"was",
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"of",
"letrozole",
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"minority",
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"MA",
".",
"17",
",",
"a",
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"-",
"controlled",
"trial",
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"women",
"with",
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"breast",
"cancer",
".",
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"comparison",
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"-",
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"(",
"DFS",
")",
",",
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",",
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".",
"Minority",
"(",
"n",
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"352",
")",
"and",
"Caucasian",
"(",
"n",
"=",
"4708",
")",
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".",
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"(",
"91.6",
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"Letrozole",
",",
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",",
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"(",
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"0.55",
";",
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"=",
"1.39",
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"0.53",
")",
".",
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",",
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"0.02",
")",
",",
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"29",
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"0.005",
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",",
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"7",
"%",
";",
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".",
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"0.046",
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".",
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"women",
"tolerated",
"letrozole",
"better",
"than",
"Caucasians",
"in",
"terms",
"of",
"toxicity",
".",
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"results",
"need",
"confirmation",
"in",
"other",
"trials",
"of",
"aromatase",
"inhibitors",
"."
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532 | [
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"acid",
"spacer",
"injection",
"for",
"skin",
"toxicity",
"reduction",
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"brachytherapy",
"accelerated",
"partial",
"breast",
"irradiation",
"(",
"APBI",
")",
":",
"a",
"study",
"protocol",
".",
"Accelerated",
"partial",
"breast",
"irradiation",
"(",
"APBI",
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"is",
"a",
"treatment",
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"selected",
"early",
"stage",
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"cancer",
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".",
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"techniques",
"lead",
"to",
"skin",
"toxicity",
"with",
"the",
"skin",
"dose",
"as",
"main",
"risk",
"factor",
".",
"We",
"hypothesize",
"that",
"a",
"spacer",
"injected",
"between",
"the",
"skin",
"and",
"target",
"volume",
"reduces",
"the",
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"toxicity",
"in",
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"implant",
"(",
"PBSI",
")",
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".",
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"-",
"group",
",",
"single",
"-",
"center",
",",
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",",
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"skin",
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"tested",
".",
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"participation",
"is",
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",",
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",",
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",",
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"chemotherapy",
",",
"lymphovascular",
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",",
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",",
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"4",
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"10",
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",",
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"Sciences",
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",",
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",",
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"SubQ",
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",",
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"Benelux",
",",
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",",
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")",
"is",
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"an",
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"0.5",
"-",
"1",
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"space",
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"the",
"treatment",
"volume",
"and",
"the",
"skin",
".",
"The",
"primary",
"outcome",
"is",
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"rate",
"of",
"telangiectasia",
"at",
"two",
"years",
",",
"blindly",
"assessed",
"using",
"Bentzen",
"'s",
"4",
"-point",
"scale",
".",
"Secondary",
"outcomes",
"include",
":",
"local",
"recurrence",
";",
"disease",
"-",
"free",
"and",
"overall",
"survival",
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";",
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"events",
"(",
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",",
"redness",
",",
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"/",
"subcutaneous",
"induration",
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"pigmentation",
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";",
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";",
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"and",
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"results",
";",
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"health",
"-",
"related",
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"life",
".",
"A",
"Fisher",
"'s",
"exact",
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"will",
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"used",
"to",
"test",
"differences",
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"on",
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".",
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"found",
"22.4",
"%",
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"at",
"two",
"years",
".",
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"expect",
"the",
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"could",
"reduce",
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"A",
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"a",
"10",
"%",
"lost",
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"follow",
"-",
"up",
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",",
"the",
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"treated",
"with",
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"in",
"the",
"setting",
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"-",
"conserving",
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".",
"Our",
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"relevant",
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"of",
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"brachytherapy",
"as",
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",",
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"Netherlands",
"Trial",
"Register",
",",
"NTR",
"6549",
".",
"Registered",
"on",
"27",
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":",
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534 | [
"Role",
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"-",
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":",
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"-",
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536 | [
"Late",
"radiation",
"toxicity",
"after",
"intraoperative",
"radiotherapy",
"(",
"IORT",
")",
"for",
"breast",
"cancer",
":",
"results",
"from",
"the",
"randomized",
"phase",
"III",
"trial",
"TARGIT",
"A",
".",
"The",
"randomized",
"phase",
"III",
"trial",
"TARGIT",
"A",
"showed",
"non",
"-",
"inferiority",
"regarding",
"local",
"control",
"after",
"intraoperative",
"radiotherapy",
"(",
"IORT",
"20",
"Gy",
"which",
"was",
"followed",
"by",
"whole",
"breast",
"radiotherapy",
"(",
"WBRT",
")",
"in",
"patients",
"with",
"risk",
"factors",
"only",
")",
"in",
"comparison",
"to",
"standard",
"WBRT",
"(",
"50",
"-",
"56",
"Gy",
")",
"after",
"breast",
"-",
"conserving",
"surgery",
"in",
"selected",
"patients",
".",
"This",
"is",
"the",
"first",
"analysis",
"of",
"long",
"-",
"term",
"toxicities",
"in",
"the",
"setting",
"of",
"TARGIT",
".",
"Between",
"02",
"/",
"2002",
"and",
"12",
"/",
"2008",
",",
"305",
"patients",
"were",
"treated",
"within",
"TARGIT",
"A",
"(",
"Arm",
"A",
":",
"n",
"=",
"34",
"IORT",
",",
"n",
"=",
"20",
"IORT",
"+",
"WBRT",
"for",
"risk",
"factors",
";",
"Arm",
"B",
"WBRT",
":",
"n",
"=",
"55",
")",
"or",
"received",
"IORT",
"as",
"a",
"planned",
"boost",
"(",
"control",
"group",
":",
"n",
"=",
"196",
")",
"at",
"a",
"single",
"center",
".",
"Toxicity",
"was",
"assessed",
"according",
"to",
"the",
"LENT",
"SOMA",
"scales",
".",
"No",
"significant",
"differences",
"were",
"seen",
"between",
"Arm",
"A",
"and",
"Arm",
"B",
"regarding",
"fibrosis",
",",
"breast",
"edema",
",",
"retraction",
",",
"ulceration",
",",
"lymphedema",
",",
"hyperpigmentation",
",",
"and",
"pain",
".",
"Arm",
"A",
"had",
"significantly",
"less",
"telangiectases",
"compared",
"to",
"Arm",
"B",
"(",
"p",
"=",
"0.049",
")",
".",
"In",
"the",
"subanalysis",
"(",
"Arm",
"A",
"IORT",
"vs.",
"Arm",
"A",
"IORT",
"+",
"WBRT",
"vs.",
"Arm",
"B",
")",
",",
"fibrosis",
"had",
"a",
"cumulative",
"rate",
"of",
"5.9",
"versus",
"37.5",
"versus",
"18.4",
"%",
",",
"respectively",
"(",
"38.2",
"%",
"IORT",
"boost",
"control",
"group",
")",
",",
"at",
"3",
"years",
".",
"No",
"telangiectases",
"were",
"seen",
"after",
"IORT",
"alone",
"(",
"0",
"%",
"Arm",
"A",
"IORT",
"vs.",
"17.5",
"%",
"Arm",
"A",
"IORT",
"+",
"WBRT",
"vs.",
"17.7",
"%",
"Arm",
"B",
")",
".",
"The",
"hazard",
"ratio",
"of",
"higher",
"grade",
"toxicity",
"as",
"first",
"event",
"was",
"0.46",
"(",
"95",
"%",
"CI",
",",
"0.26",
"-",
"0.83",
")",
"for",
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"IORT",
"as",
"compared",
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"(",
"p",
"=",
"0.010",
")",
".",
"No",
"recurrences",
"were",
"seen",
"after",
"a",
"median",
"follow",
"-",
"up",
"of",
"40",
"months",
"(",
"Arm",
"A",
")",
"and",
"42",
"months",
"(",
"Arm",
"B",
")",
".",
"With",
"its",
"very",
"low",
"chronic",
"skin",
"toxicity",
"rates",
"and",
"outstanding",
"long",
"-",
"term",
"results",
"regarding",
"toxicity",
"and",
"local",
"control",
",",
"IORT",
"with",
"50",
"kV",
"X",
"-",
"rays",
"is",
"a",
"safe",
"and",
"effective",
"method",
"for",
"treatment",
"of",
"selected",
"breast",
"cancer",
"patients",
"."
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537 | [
"Sentinel",
"node",
"biopsy",
"compared",
"with",
"complete",
"axillary",
"dissection",
"for",
"staging",
"early",
"breast",
"cancer",
"with",
"clinically",
"negative",
"lymph",
"nodes",
":",
"results",
"of",
"randomized",
"trial",
".",
"Sentinel",
"lymph",
"node",
"(",
"SLN",
")",
"staging",
"is",
"currently",
"used",
"to",
"avoid",
"complete",
"axillary",
"dissection",
"in",
"breast",
"cancer",
"patients",
"with",
"negative",
"SLNs",
".",
"Evidence",
"of",
"a",
"similar",
"efficacy",
",",
"in",
"terms",
"of",
"survival",
"and",
"regional",
"control",
",",
"of",
"this",
"strategy",
"as",
"compared",
"with",
"axillary",
"resection",
"is",
"based",
"on",
"few",
"clinical",
"trials",
".",
"In",
"1998",
",",
"we",
"started",
"a",
"randomized",
"study",
"comparing",
"the",
"two",
"strategies",
",",
"and",
"we",
"present",
"here",
"its",
"results",
".",
"Patients",
"were",
"randomly",
"assigned",
"to",
"sentinel",
"lymph",
"node",
"biopsy",
"(",
"SLNB",
")",
"and",
"axillary",
"dissection",
"[",
"axillary",
"lymph",
"node",
"dissection",
"(",
"ALND",
"arm",
")",
"]",
"or",
"to",
"SLNB",
"plus",
"axillary",
"resection",
"if",
"SLNs",
"contained",
"metastases",
"(",
"SLNB",
"arm",
")",
".",
"Main",
"end",
"points",
"were",
"overall",
"survival",
"(",
"OS",
")",
"and",
"axillary",
"recurrence",
".",
"One",
"hundred",
"and",
"fifteen",
"patients",
"were",
"assigned",
"to",
"the",
"ALND",
"arm",
"and",
"110",
"to",
"the",
"SLNB",
"arm",
".",
"A",
"positive",
"SLN",
"was",
"found",
"in",
"27",
"patients",
"in",
"the",
"ALND",
"arm",
"and",
"in",
"31",
"in",
"the",
"SLNB",
"arm",
".",
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"accuracy",
"of",
"SLNB",
"was",
"93.0",
"%",
".",
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"and",
"negative",
"predictive",
"values",
"were",
"77.1",
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"and",
"91.1",
"%",
",",
"respectively",
".",
"At",
"a",
"median",
"follow",
"-",
"up",
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"5.5",
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",",
"no",
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"SLNB",
"arm",
".",
"OS",
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"event",
"-",
"free",
"survival",
"were",
"not",
"statistically",
"different",
"between",
"the",
"two",
"arms",
".",
"The",
"SLNB",
"procedure",
"does",
"not",
"appear",
"inferior",
"to",
"conventional",
"ALND",
"for",
"the",
"subset",
"of",
"patients",
"here",
"considered",
"."
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538 | [
"Interim",
"analysis",
"of",
"the",
"incidence",
"of",
"breast",
"cancer",
"in",
"the",
"Royal",
"Marsden",
"Hospital",
"tamoxifen",
"randomised",
"chemoprevention",
"trial",
".",
"Tamoxifen",
",",
"a",
"drug",
"with",
"antioestrogenic",
"effects",
",",
"is",
"predicted",
"to",
"prevent",
"the",
"occurrence",
"of",
"breast",
"cancer",
".",
"We",
"have",
"undertaken",
"a",
"trial",
"of",
"tamoxifen",
"in",
"healthy",
"women",
"who",
"are",
"at",
"increased",
"risk",
"of",
"breast",
"cancer",
"because",
"of",
"family",
"history",
".",
"We",
"report",
"a",
"planned",
"interim",
"analysis",
".",
"Between",
"October",
",",
"1986",
",",
"and",
"April",
",",
"1996",
",",
"we",
"accrued",
"2494",
"healthy",
"women",
"aged",
"between",
"30",
"and",
"70",
"with",
"a",
"family",
"history",
"of",
"breast",
"cancer",
".",
"They",
"have",
"been",
"randomised",
"(",
"double",
"blind",
")",
"to",
"receive",
"tamoxifen",
"20",
"mg",
"per",
"day",
"orally",
"or",
"placebo",
"for",
"up",
"to",
"8",
"years",
".",
"Follow",
"-",
"up",
"included",
"clinical",
"assessment",
",",
"annual",
"mammography",
",",
"and",
"assessment",
"of",
"toxicity",
"and",
"compliance",
".",
"The",
"primary",
"endpoint",
"was",
"the",
"occurrence",
"of",
"breast",
"cancer",
",",
"which",
"was",
"analysed",
"on",
"an",
"intention",
"-",
"to",
"-",
"treat",
"basis",
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",",
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"-",
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"-",
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".",
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"-",
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539 | [
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540 | [
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"exercise",
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".",
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541 | [
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"phase",
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"effect",
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"metformin",
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"-",
"free",
"survival",
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"women",
"with",
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"breast",
"cancer",
"receiving",
"standard",
"chemotherapy",
".",
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"-",
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"data",
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"cancer",
"(",
"BC",
")",
".",
"We",
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"II",
"randomized",
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"of",
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"plus",
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"breast",
"cancer",
"(",
"MBC",
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".",
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"II",
"trial",
"we",
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"-",
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"patients",
"on",
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"st",
"to",
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"850",
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"bid",
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",",
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",",
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"one",
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"-",
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"a",
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"40",
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",",
"18",
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")",
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"PR",
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"vs",
"83.3",
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",",
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"/",
"m",
"2",
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".",
"The",
"majority",
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"were",
"on",
"1",
"st",
"line",
"chemotherapy",
".",
"Grade",
"3",
"-",
"4",
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"placebo",
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".",
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",",
"stable",
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"progressive",
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",",
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"2.31",
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542 | [
"Effects",
"of",
"the",
"ACTIVity",
"And",
"TEchnology",
"(",
"ACTIVATE",
")",
"intervention",
"on",
"health",
"-",
"related",
"quality",
"of",
"life",
"and",
"fatigue",
"outcomes",
"in",
"breast",
"cancer",
"survivors",
".",
"The",
"ACTIVATE",
"Trial",
"examined",
"the",
"efficacy",
"of",
"a",
"wearable",
"-",
"based",
"intervention",
"to",
"increase",
"physical",
"activity",
"and",
"reduce",
"sedentary",
"behavior",
"in",
"breast",
"cancer",
"survivors",
".",
"This",
"paper",
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"the",
"effects",
"of",
"the",
"intervention",
"on",
"health",
"-",
"related",
"quality",
"of",
"life",
"(",
"HRQoL",
")",
"and",
"fatigue",
"at",
"12",
"weeks",
"(",
"T",
"2",
";",
"end",
"of",
"intervention",
")",
"and",
"24",
"weeks",
"(",
"T",
"3",
";",
"follow",
"-",
"up",
")",
".",
"Inactive",
"and",
"postmenopausal",
"women",
"who",
"had",
"completed",
"primary",
"treatment",
"for",
"stage",
"I",
"-",
"III",
"breast",
"cancer",
"were",
"randomized",
"to",
"intervention",
"or",
"waitlist",
"control",
".",
"Physical",
"activity",
"and",
"sedentary",
"behavior",
"were",
"measured",
"by",
"Actigraph",
"and",
"activPAL",
"accelerometers",
"at",
"baseline",
"(",
"T",
"1",
")",
",",
"end",
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"the",
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"(",
"T",
"2",
")",
",",
"and",
"12",
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"-",
"up",
"(",
"T",
"3",
")",
".",
"HRQoL",
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"fatigue",
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"the",
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"Assessment",
"of",
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"Therapy",
"-",
"Breast",
"(",
"FACT",
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"B",
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"-",
"Fatigue",
"(",
"FACIT",
"-",
"Fatigue",
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".",
"Primary",
"intervention",
"effects",
"were",
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"comparing",
"intervention",
"and",
"waitlist",
"group",
"at",
"T",
"2",
"using",
"repeated",
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"mixed",
"effects",
"models",
".",
"Overall",
",",
"83",
"women",
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"trial",
"retention",
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"(",
"94",
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")",
".",
"A",
"4.6",
"-point",
"difference",
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"score",
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"groups",
"at",
"T",
"2",
"(",
"95",
"%",
"CI",
":",
"1.3",
",",
"7.8",
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"indicating",
"improvement",
"in",
"fatigue",
"profiles",
"in",
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"intervention",
"group",
".",
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"within",
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"analyses",
",",
"the",
"intervention",
"group",
"reported",
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"5.1",
"-point",
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"fatigue",
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"2",
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"2.0",
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"8.2",
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"T",
"3",
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"0.1",
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"6.41",
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"no",
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"improvements",
"in",
"physical",
"activity",
"and",
"sedentary",
"behavior",
",",
"more",
"intensive",
"or",
"longer",
"duration",
"interventions",
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"needed",
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543 | [
"Cosmesis",
"and",
"Breast",
"-",
"Related",
"Quality",
"of",
"Life",
"Outcomes",
"After",
"Intraoperative",
"Radiation",
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"for",
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"Breast",
"Cancer",
":",
"A",
"Substudy",
"of",
"the",
"TARGIT",
"-",
"A",
"Trial",
".",
"To",
"report",
"the",
"first",
"comprehensive",
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"outcomes",
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"adapted",
"single",
"-",
"dose",
"intraoperative",
"radiation",
"therapy",
"(",
"TARGIT",
"-",
"IORT",
")",
"versus",
"external",
"beam",
"radiation",
"therapy",
"(",
"EBRT",
")",
"on",
"the",
"TARGIT",
"-",
"A",
"trial",
".",
"Longitudinal",
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"and",
"QOL",
"data",
"were",
"collected",
"from",
"a",
"subset",
"of",
"TARGIT",
"-",
"A",
"participants",
"who",
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"IORT",
"as",
"a",
"separate",
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"(",
"postpathology",
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".",
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"a",
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"assessment",
"before",
"radiation",
"therapy",
"and",
"annually",
"thereafter",
"for",
"at",
"least",
"5",
"years",
".",
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"also",
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".",
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"EORTC",
"questionnaires",
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",",
"6",
",",
"and",
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"local",
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".",
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"-",
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",",
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544 | [
"A",
"randomized",
"and",
"open",
"-",
"label",
"phase",
"II",
"trial",
"reports",
"the",
"efficacy",
"of",
"neoadjuvant",
"lobaplatin",
"in",
"breast",
"cancer",
".",
"Currently",
",",
"one",
"sixth",
"of",
"triple",
"-",
"negative",
"breast",
"cancer",
"(",
"TNBC",
")",
"patients",
"who",
"receive",
"docetaxel",
"(",
"T",
")",
"and",
"epirubicin",
"(",
"E",
")",
"as",
"neoadjuvant",
"chemotherapy",
"achieve",
"a",
"pathologic",
"complete",
"response",
"(",
"pCR",
")",
".",
"This",
"study",
"evaluates",
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"impact",
"of",
"adding",
"lobaplatin",
"(",
"L",
")",
"to",
"the",
"TE",
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".",
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",",
"we",
"show",
"data",
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"125",
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"(",
"63",
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"62",
"TEL",
"patients",
")",
".",
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"patients",
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"complete",
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"cycles",
".",
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"-",
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"L",
"(",
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",",
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";",
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",",
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"-",
"4",
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"52.5",
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"L",
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545 | [
"Lisinopril",
"or",
"Coreg",
"CR",
"in",
"reducing",
"cardiotoxicity",
"in",
"women",
"with",
"breast",
"cancer",
"receiving",
"trastuzumab",
":",
"A",
"rationale",
"and",
"design",
"of",
"a",
"randomized",
"clinical",
"trial",
".",
"Trastuzumab",
"(",
"TZB",
")",
"is",
"an",
"established",
"therapy",
"for",
"HER",
"2",
"-",
"positive",
"breast",
"cancer",
".",
"The",
"use",
"of",
"TZB",
"is",
"commonly",
"associated",
"with",
"cardiotoxicity",
"manifesting",
"as",
"asymptomatic",
"decrease",
"in",
"left",
"ventricular",
"ejection",
"fraction",
"(",
"LVEF",
")",
"or",
"overt",
"heart",
"failure",
".",
"Several",
"studies",
"demonstrated",
"favorable",
"effects",
"of",
"angiotensin",
"-",
"converting",
"enzyme",
"(",
"ACE",
")",
"inhibitors",
"and",
"β",
"-",
"blockers",
"(",
"BBs",
")",
"in",
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"-",
"induced",
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".",
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"hypothesize",
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",",
"randomized",
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"an",
"ACE",
"inhibitor",
"or",
"a",
"BB",
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"breast",
"cancer",
",",
"will",
"maintain",
"a",
"higher",
"LVEF",
"than",
"patients",
"randomized",
"to",
"placebo",
".",
"We",
"designed",
"a",
"prospective",
",",
"multicenter",
",",
"randomized",
",",
"phase",
"II",
"placebo",
"-",
"controlled",
"clinical",
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"(",
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")",
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"(",
"carvedilol",
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"-",
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")",
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"with",
"breast",
"cancer",
"who",
"are",
"receiving",
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"or",
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"TZB",
"therapy",
".",
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"(",
"1",
")",
"comparison",
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"incidence",
"of",
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"(",
"2",
")",
"comparison",
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"LVEF",
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"a",
"continuous",
"variable",
"in",
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"arms",
".",
"Cardiotoxicity",
"was",
"defined",
"as",
"an",
"absolute",
"decrease",
"in",
"LVEF",
"from",
"baseline",
"of",
"≥",
"10",
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"-",
"up",
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"an",
"absolute",
"decrease",
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"5",
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"LVEF",
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"for",
"individuals",
"with",
"<",
"50",
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"LVEF",
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"-",
"up",
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"accrual",
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",",
"representing",
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"without",
"anthracycline",
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".",
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"enrollment",
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".",
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"co",
"-",
"sponsored",
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"University",
"of",
"South",
"Florida",
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"National",
"Cancer",
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"for",
"breast",
"cancer",
"without",
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546 | [
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"-",
"based",
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",",
"one",
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"three",
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"-",
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",",
"and",
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"-",
"receptor",
"positive",
",",
"early",
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"cancer",
"patients",
":",
"7",
"-year",
"follow",
"-",
"up",
"results",
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"randomised",
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".",
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"adjuvant",
"therapy",
"between",
"complete",
"hormonal",
"blockade",
"in",
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"patients",
"with",
"hormone",
"receptor",
"positive",
"breast",
"cancer",
"and",
"one",
"to",
"three",
"positive",
"nodes",
".",
"We",
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"333",
"patients",
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"(",
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"m.",
",",
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"3",
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"(",
"TAM",
"-",
"LHRHa",
",",
"n=",
"164",
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",",
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547 | [
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",",
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"-",
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"/",
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"/",
"4",
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548 | [
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555 | [
"Anastrozole",
"for",
"prevention",
"of",
"breast",
"cancer",
"in",
"high",
"-",
"risk",
"postmenopausal",
"women",
"(",
"IBIS",
"-",
"II",
")",
":",
"an",
"international",
",",
"double",
"-",
"blind",
",",
"randomised",
"placebo",
"-",
"controlled",
"trial",
".",
"Aromatase",
"inhibitors",
"effectively",
"prevent",
"breast",
"cancer",
"recurrence",
"and",
"development",
"of",
"new",
"contralateral",
"tumours",
"in",
"postmenopausal",
"women",
".",
"We",
"assessed",
"the",
"efficacy",
"and",
"safety",
"of",
"the",
"aromatase",
"inhibitor",
"anastrozole",
"for",
"prevention",
"of",
"breast",
"cancer",
"in",
"postmenopausal",
"women",
"who",
"are",
"at",
"high",
"risk",
"of",
"the",
"disease",
".",
"Between",
"Feb",
"2",
",",
"2003",
",",
"and",
"Jan",
"31",
",",
"2012",
",",
"we",
"recruited",
"postmenopausal",
"women",
"aged",
"40",
"-",
"70",
"years",
"from",
"18",
"countries",
"into",
"an",
"international",
",",
"double",
"-",
"blind",
",",
"randomised",
"placebo",
"-",
"controlled",
"trial",
".",
"To",
"be",
"eligible",
",",
"women",
"had",
"to",
"be",
"at",
"increased",
"risk",
"of",
"breast",
"cancer",
"(",
"judged",
"on",
"the",
"basis",
"of",
"specific",
"criteria",
")",
".",
"Eligible",
"women",
"were",
"randomly",
"assigned",
"(",
"1",
":1",
")",
"by",
"central",
"computer",
"allocation",
"to",
"receive",
"1",
"mg",
"oral",
"anastrozole",
"or",
"matching",
"placebo",
"every",
"day",
"for",
"5",
"years",
".",
"Randomisation",
"was",
"stratified",
"by",
"country",
"and",
"was",
"done",
"with",
"blocks",
"(",
"size",
"six",
",",
"eight",
",",
"or",
"ten",
")",
".",
"All",
"trial",
"personnel",
",",
"participants",
",",
"and",
"clinicians",
"were",
"masked",
"to",
"treatment",
"allocation",
";",
"only",
"the",
"trial",
"statistician",
"was",
"unmasked",
".",
"The",
"primary",
"endpoint",
"was",
"histologically",
"confirmed",
"breast",
"cancer",
"(",
"invasive",
"cancers",
"or",
"non",
"-",
"invasive",
"ductal",
"carcinoma",
"in",
"situ",
")",
".",
"Analyses",
"were",
"done",
"by",
"intention",
"to",
"treat",
".",
"This",
"trial",
"is",
"registered",
",",
"number",
"ISRCTN",
"31488319",
".",
"1920",
"women",
"were",
"randomly",
"assigned",
"to",
"receive",
"anastrozole",
"and",
"1944",
"to",
"placebo",
".",
"After",
"a",
"median",
"follow",
"-",
"up",
"of",
"5",
"·",
"0",
"years",
"(",
"IQR",
"3",
"·",
"0",
"-",
"7",
"·",
"1",
")",
",",
"40",
"women",
"in",
"the",
"anastrozole",
"group",
"(",
"2",
"%",
")",
"and",
"85",
"in",
"the",
"placebo",
"group",
"(",
"4",
"%",
")",
"had",
"developed",
"breast",
"cancer",
"(",
"hazard",
"ratio",
"0",
"·",
"47",
",",
"95",
"%",
"CI",
"0",
"·",
"32",
"-",
"0",
"·",
"68",
",",
"p",
"<",
"0",
"·",
"0001",
")",
".",
"The",
"predicted",
"cumulative",
"incidence",
"of",
"all",
"breast",
"cancers",
"after",
"7",
"years",
"was",
"5",
"·",
"6",
"%",
"in",
"the",
"placebo",
"group",
"and",
"2",
"·",
"8",
"%",
"in",
"the",
"anastrozole",
"group",
".",
"18",
"deaths",
"were",
"reported",
"in",
"the",
"anastrozole",
"group",
"and",
"17",
"in",
"the",
"placebo",
"group",
",",
"and",
"no",
"specific",
"causes",
"were",
"more",
"common",
"in",
"one",
"group",
"than",
"the",
"other",
"(",
"p=",
"0",
"·",
"836",
")",
".",
"Anastrozole",
"effectively",
"reduces",
"incidence",
"of",
"breast",
"cancer",
"in",
"high",
"-",
"risk",
"postmenopausal",
"women",
".",
"This",
"finding",
",",
"along",
"with",
"the",
"fact",
"that",
"most",
"of",
"the",
"side",
"-",
"effects",
"associated",
"with",
"oestrogen",
"deprivation",
"were",
"not",
"attributable",
"to",
"treatment",
",",
"provides",
"support",
"for",
"the",
"use",
"of",
"anastrozole",
"in",
"postmenopausal",
"women",
"at",
"high",
"risk",
"of",
"breast",
"cancer",
".",
"Cancer",
"Research",
"UK",
",",
"the",
"National",
"Health",
"and",
"Medical",
"Research",
"Council",
"Australia",
",",
"Sanofi",
"-",
"Aventis",
",",
"and",
"AstraZeneca",
"."
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556 | [
"Feasibility",
"of",
"two",
"dose",
"-",
"dense",
"FEC",
"regimens",
"with",
"growth",
"factor",
"support",
"for",
"adjuvant",
"therapy",
"in",
"patients",
"with",
"early",
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"cancer",
":",
"results",
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"a",
"randomised",
"study",
"of",
"the",
"Central",
"European",
"Cooperative",
"Oncology",
"Group",
"(",
"CECOG",
")",
".",
"Addition",
"of",
"epirubicin",
"to",
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"chemotherapy",
"can",
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"important",
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"with",
"early",
"breast",
"cancer",
",",
"but",
"the",
"optimal",
"dose",
"remains",
"unclear",
".",
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"improvements",
"can",
"be",
"achieved",
"with",
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"-",
"dense",
"regimens",
",",
"but",
"densification",
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"/",
"epirubicin",
"/",
"cyclophosphamide",
"(",
"FEC",
")",
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",",
"with",
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"(",
"60",
")",
"providing",
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"over",
"standard",
"chemotherapy",
"and",
"FEC",
"(",
"100",
")",
"associated",
"with",
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".",
"We",
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"the",
"feasibility",
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"intermediate",
"dose",
"-",
"dense",
"FEC",
"regimens",
".",
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"(",
"75",
")",
"or",
"FEC",
"(",
"90",
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",",
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"given",
"on",
"day",
"1",
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"14",
"-day",
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"also",
"received",
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"6",
"mg",
"as",
"a",
"single",
"subcutaneous",
"injection",
"on",
"day",
"2",
"of",
"each",
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">",
"or",
"=",
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"arms",
",",
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"75",
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"4.1",
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",",
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"9.8",
"%",
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"143",
"FEC",
"(",
"90",
")",
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"/",
"logistical",
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"(",
"90",
")",
")",
",",
"related",
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"-",
"4",
"haematological",
"toxicities",
"were",
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"in",
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"patients",
"in",
"the",
"FEC",
"(",
"90",
")",
"arm",
".",
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"were",
"no",
"incidences",
"of",
"febrile",
"neutropenia",
"during",
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"study",
".",
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"most",
"common",
"adverse",
"events",
"were",
"increases",
"in",
"liver",
"enzymes",
"and",
"gastrointestinal",
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";",
"no",
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"(",
"FEC",
"(",
"90",
")",
")",
"experienced",
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".",
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"(",
"90",
")",
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"support",
".",
"These",
"regimens",
"are",
"associated",
"with",
"a",
"very",
"low",
"risk",
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"3",
"-",
"4",
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557 | [
"Cost",
"-",
"effectiveness",
"of",
"a",
"pragmatic",
"exercise",
"intervention",
"for",
"women",
"with",
"breast",
"cancer",
":",
"results",
"from",
"a",
"randomized",
"controlled",
"trial",
".",
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"report",
"on",
"the",
"cost",
"-",
"effectiveness",
"of",
"the",
"Exercise",
"for",
"Health",
"trial",
",",
"comparing",
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"intervention",
"with",
"usual",
"care",
"during",
"and",
"following",
"treatment",
"for",
"women",
"with",
"breast",
"cancer",
".",
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"with",
"breast",
"cancer",
"were",
"randomized",
"to",
"an",
"8",
"-month",
"exercise",
"intervention",
"(",
"involving",
"regular",
"contact",
"with",
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"over",
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",",
"n",
"=",
"67",
",",
"or",
"home",
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"face",
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",",
"n",
"=",
"67",
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"or",
"usual",
"care",
"(",
"n",
"=",
"60",
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"group",
"and",
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"-",
"intervention",
"(",
"5",
"weeks",
"post",
"-",
"surgery",
")",
",",
"mid",
"-",
"intervention",
"(",
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"-",
"surgery",
")",
",",
"and",
"10",
"weeks",
"post",
"-",
"intervention",
"(",
"12",
"months",
"post",
"-",
"surgery",
")",
".",
"The",
"benefit",
"measures",
"were",
"\"",
"number",
"of",
"improvers",
"\"",
"in",
"quality",
"of",
"life",
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"FACT",
"-",
"B+",
"4",
")",
"and",
"quality",
"-",
"adjusted",
"life",
"years",
"(",
"QALYs",
")",
".",
"Data",
"on",
"provider",
",",
"patient",
",",
"and",
"government",
"costs",
"were",
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"2",
"cost",
"scenarios",
":",
"(",
"1",
")",
"a",
"service",
"provider",
"model",
"and",
"(",
"2",
")",
"a",
"private",
"model",
".",
"There",
"were",
"69",
"improvers",
"in",
"the",
"intervention",
"group",
"compared",
"with",
"21",
"in",
"the",
"usual",
"care",
"group",
"(",
"odds",
"ratio",
"2.09",
",",
"95",
"%",
"confidence",
"interval",
"1.08",
",",
"4.01",
";",
"P",
"=",
".",
"033",
")",
".",
"The",
"incremental",
"cost",
"per",
"improver",
"was",
"A$",
"2282",
"to",
"A$",
"2644",
".",
"Quality",
"-",
"adjusted",
"life",
"years",
"gain",
"for",
"the",
"intervention",
"group",
"versus",
"the",
"usual",
"care",
"group",
"was",
"0.009",
",",
"with",
"incremental",
"cost",
"per",
"QALY",
"gain",
"for",
"models",
"1",
"and",
"2",
"being",
"A$",
"105",
"231",
"and",
"A$",
"90",
"842",
",",
"respectively",
".",
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",",
"sensitivity",
"analyses",
"indicate",
"that",
"incremental",
"cost",
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"QALY",
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"was",
"volatile",
"to",
"EuroQol-",
"5",
"D-",
"3",
"L",
"weights",
".",
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"a",
"pragmatic",
"exercise",
"intervention",
"yields",
"more",
"women",
"with",
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"improved",
"quality",
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"life",
"after",
"breast",
"cancer",
"than",
"usual",
"care",
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"may",
"be",
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"-",
"effective",
".",
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"less",
"certain",
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"of",
"incremental",
"cost",
"per",
"quality",
"-",
"adjusted",
"life",
"years",
";",
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",",
"this",
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"an",
"inappropriate",
"measure",
"for",
"reflecting",
"exercise",
"benefit",
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"women",
"with",
"breast",
"cancer",
"."
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558 | [
"Local",
"recurrence",
"in",
"breast",
"cancer",
"after",
"conservative",
"surgery",
":",
"timing",
"of",
"radiotherapy",
"and",
"sequencing",
"of",
"chemotherapy",
".",
"A",
"randomized",
"trial",
"was",
"conducted",
"to",
"determine",
"(",
"a",
")",
"the",
"role",
"of",
"radiotherapy",
"and",
"chemotherapy",
"on",
"local",
"control",
"and",
"(",
"b",
")",
"to",
"determine",
"the",
"timing",
"of",
"radiotherapy",
"for",
"early",
"-",
"stage",
"breast",
"cancer",
".",
"Five",
"hundred",
"and",
"ninety",
"patients",
"were",
"treated",
"with",
"both",
"conservative",
"surgery",
"and",
"radiotherapy",
"(",
"group",
"A",
")",
".",
"The",
"average",
"time",
"interval",
"between",
"surgery",
"and",
"radiation",
"was",
"90",
"days",
"for",
"452",
"patients",
"and",
"over",
"90",
"days",
"for",
"138",
"patients",
".",
"One",
"hundred",
"and",
"ninety",
"-",
"four",
"patients",
"underwent",
"adjuvant",
"therapy",
"based",
"on",
"CMF",
"regimens",
"(",
"group",
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".",
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"396",
"patients",
"of",
"group",
"A",
",",
"8.1",
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"had",
"local",
"failure",
";",
"we",
"observed",
"7.2",
"%",
"local",
"recurrences",
"in",
"363",
"patients",
"who",
"received",
"therapy",
"before",
"90",
"days",
"and",
"18.2",
"%",
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"patients",
"who",
"received",
"therapy",
"after",
"90",
"days",
".",
"Among",
"patients",
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"group",
"B",
",",
"7.7",
"%",
"had",
"local",
"failure",
";",
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"patients",
"who",
"underwent",
"radiotherapy",
"before",
"90",
"days",
",",
"the",
"local",
"recurrence",
"rate",
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"6.6",
"%",
",",
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"12.3",
"%",
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"underwent",
"therapy",
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"90",
"days",
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",",
"it",
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",",
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"with",
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"more",
"then",
"90",
"days",
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"surgery",
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"can",
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"the",
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559 | [
"Late",
"cardiac",
"effects",
"of",
"adjuvant",
"chemotherapy",
"in",
"breast",
"cancer",
"survivors",
"treated",
"on",
"Southwest",
"Oncology",
"Group",
"protocol",
"s",
"8897",
".",
"The",
"late",
"cardiac",
"effects",
"of",
"adjuvant",
"anthracycline",
"therapy",
"in",
"survivors",
"of",
"early",
"-",
"stage",
"breast",
"cancer",
"have",
"had",
"limited",
"study",
".",
"Subclinical",
"and",
"clinical",
"cardiac",
"late",
"effects",
"may",
"contribute",
"to",
"added",
"comorbidity",
"over",
"time",
".",
"We",
"recruited",
"patients",
"treated",
"on",
"Southwest",
"Oncology",
"Group",
"(",
"SWOG",
")",
"protocol",
"S",
"8897",
"who",
"had",
"been",
"randomly",
"assigned",
"to",
"adjuvant",
"chemotherapy",
"with",
"or",
"without",
"doxorubicin",
".",
"Left",
"ventricular",
"ejection",
"fraction",
"(",
"LVEF",
")",
"was",
"evaluated",
"at",
"5",
"to",
"8",
"years",
"and",
"10",
"to",
"13",
"years",
"after",
"treatment",
"randomization",
".",
"Cardiac",
"risk",
"factors",
"and",
"events",
"were",
"reported",
"by",
"clinicians",
"annually",
"between",
"the",
"two",
"assessments",
".",
"A",
"total",
"of",
"180",
"breast",
"cancer",
"survivors",
"from",
"a",
"potential",
"sample",
"of",
"1",
",",
"176",
"patients",
"were",
"entered",
",",
"163",
"patients",
"at",
"5",
"to",
"8",
"years",
"and",
"17",
"additional",
"patients",
"at",
"10",
"to",
"13",
"years",
",",
"with",
"93",
"longitudinal",
"assessments",
"of",
"LVEF",
".",
"There",
"was",
"no",
"significant",
"difference",
"in",
"the",
"proportion",
"of",
"women",
"with",
"an",
"LVEF",
"less",
"than",
"50",
"%",
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"5",
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"8",
"(",
"cyclophosphamide",
",",
"doxorubicin",
",",
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"[",
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"]",
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",",
"methotrexate",
",",
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"]",
":",
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"v",
"7",
"%",
";",
"P",
"=",
".",
"68",
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"to",
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"16",
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",",
"the",
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"in",
"the",
"5",
"-",
"to",
"8",
"-year",
"sample",
"(",
"64.8",
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"v",
"61.4",
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"=",
".",
"01",
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"but",
"not",
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"the",
"10",
"-",
"to",
"13",
"-year",
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".",
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",",
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",",
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"up",
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"doxorubicin",
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"not",
"increase",
"the",
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"of",
"adverse",
"cardiac",
"effects",
"."
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"-",
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"-",
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"Median",
"overall",
"survival",
"at",
"clinical",
"cutoff",
"(",
"1",
",",
"337",
"deaths",
")",
"was",
"17.2",
"months",
"in",
"the",
"EPO",
"and",
"17.4",
"months",
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"the",
"best",
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"1.057",
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"95",
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",",
"0.949",
"to",
"1.177",
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",",
"median",
"time",
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"progression",
"was",
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"months",
"in",
"both",
"groups",
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"HR",
",",
"1.094",
";",
"95",
"%",
"CI",
",",
"0.991",
"to",
"1.209",
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",",
"and",
"overall",
"response",
"rate",
"was",
"50",
"%",
"versus",
"51",
"%",
"(",
"odds",
"ratio",
",",
"0.950",
";",
"95",
"%",
"CI",
",",
"0.799",
"to",
"1.130",
")",
".",
"RBC",
"transfusions",
"were",
"5.8",
"%",
"versus",
"11.4",
"%",
"(",
"P",
"<",
".",
"001",
")",
",",
"and",
"thrombotic",
"vascular",
"events",
"were",
"2.8",
"%",
"versus",
"1.4",
"%",
"(",
"P",
"=",
".",
"038",
")",
",",
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".",
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",",
"PFS",
"based",
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"-",
"determined",
"PD",
",",
"did",
"not",
"meet",
"noninferiority",
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".",
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"a",
"consistency",
"assessment",
"with",
"the",
"primary",
"finding",
",",
"PFS",
"based",
"on",
"independent",
"review",
"committee",
"-",
"determined",
"PD",
"met",
"noninferiority",
"criteria",
".",
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",",
"this",
"study",
"did",
"not",
"achieve",
"noninferiority",
"objective",
"in",
"ruling",
"out",
"a",
"15",
"%",
"increased",
"risk",
"in",
"PD",
"/",
"death",
".",
"RBC",
"transfusion",
"should",
"be",
"the",
"preferred",
"approach",
"for",
"the",
"management",
"of",
"anemia",
"in",
"this",
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563 | [
"Superior",
"outcome",
"after",
"neoadjuvant",
"chemotherapy",
"with",
"docetaxel",
",",
"anthracycline",
",",
"and",
"cyclophosphamide",
"versus",
"docetaxel",
"plus",
"cyclophosphamide",
":",
"results",
"from",
"the",
"NATT",
"trial",
"in",
"triple",
"negative",
"or",
"HER",
"2",
"positive",
"breast",
"cancer",
".",
"The",
"purpose",
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"evaluate",
"the",
"efficacy",
"and",
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"of",
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"plus",
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"(",
"TC",
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"compared",
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",",
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",",
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"(",
"TEC",
")",
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"negative",
"or",
"HER",
"2",
"positive",
"breast",
"cancer",
".",
"Eligible",
"breast",
"cancer",
"patients",
"were",
"randomized",
"to",
"receive",
"six",
"cycles",
"of",
"TC",
"or",
"TEC",
".",
"The",
"primary",
"end",
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"pathological",
"complete",
"remission",
"(",
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".",
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"included",
"safety",
",",
"clinical",
"response",
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".",
"One",
"hundred",
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"patients",
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"initially",
"randomized",
"and",
"96",
"patients",
"were",
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".",
"96.9",
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"pCR",
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"setting",
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564 | [
"Prophylactic",
"use",
"of",
"Mepitel",
"Film",
"prevents",
"radiation",
"-",
"induced",
"moist",
"desquamation",
"in",
"an",
"intra",
"-",
"patient",
"randomised",
"controlled",
"clinical",
"trial",
"of",
"78",
"breast",
"cancer",
"patients",
".",
"Safetac",
"-",
"based",
"soft",
"silicone",
"dressings",
"used",
"in",
"a",
"management",
"setting",
"decrease",
"the",
"severity",
"of",
"radiation",
"-",
"induced",
"acute",
"skin",
"reactions",
"but",
"do",
"not",
"affect",
"moist",
"desquamation",
"rates",
".",
"Here",
"we",
"investigate",
"the",
"prophylactic",
"use",
"of",
"another",
"Safetac",
"product",
",",
"Mepitel",
"Film",
",",
"on",
"moist",
"desquamation",
"rates",
".",
"A",
"total",
"of",
"80",
"breast",
"cancer",
"patients",
"receiving",
"radiation",
"therapy",
"were",
"recruited",
"between",
"October",
"2012",
"and",
"April",
"2013",
";",
"78",
"participants",
"contributed",
"data",
"for",
"analysis",
".",
"Lateral",
"and",
"medial",
"halves",
"of",
"the",
"skin",
"areas",
"to",
"be",
"irradiated",
"were",
"randomised",
"to",
"Mepitel",
"Film",
"or",
"aqueous",
"cream",
";",
"skin",
"dose",
"was",
"measured",
"using",
"thermoluminescent",
"dosimeters",
";",
"skin",
"reaction",
"severity",
"was",
"assessed",
"using",
"RISRAS",
"and",
"RTOG",
"scales",
".",
"Overall",
"skin",
"reaction",
"severity",
"was",
"reduced",
"by",
"92",
"%",
"(",
"p",
"<",
"0.0001",
")",
"in",
"favour",
"of",
"Mepitel",
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"(",
"RISRAS",
")",
".",
"All",
"patients",
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"some",
"form",
"of",
"reaction",
"in",
"cream",
"-",
"treated",
"skin",
"which",
"progressed",
"to",
"moist",
"desquamation",
"in",
"26",
"%",
"of",
"patients",
"(",
"RTOG",
"grades",
"I",
":",
"28",
"%",
";",
"IIA",
":",
"46",
"%",
";",
"IIB",
":",
"18",
"%",
";",
"III",
":",
"8",
"%",
")",
".",
"Only",
"44",
"%",
"of",
"patients",
"had",
"a",
"skin",
"reaction",
"under",
"the",
"Film",
",",
"which",
"did",
"not",
"progress",
"to",
"moist",
"desquamation",
"in",
"any",
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"RTOG",
"grades",
"I",
":",
"36",
"%",
";",
"IIA",
":",
"8",
"%",
")",
".",
"Mepitel",
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"completely",
"prevented",
"moist",
"desquamation",
"and",
"reduced",
"skin",
"reaction",
"severity",
"by",
"92",
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"patients",
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"\"",
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"course",
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",",
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"8",
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"10",
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"11",
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"21",
",",
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"questionnaire",
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"RT",
"were",
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"logistic",
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".",
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"100",
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"intervention",
"\"",
"and",
"\"",
"control",
"\"",
"arm",
",",
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"score",
"changes",
"by",
"\"",
"intervention",
"\"",
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"\"",
"control",
"\"",
"(",
"n",
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"145",
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"were",
"+",
"0.59",
"(",
"SD",
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"2.47",
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"2.81",
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"0.45",
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"2.77",
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"anxiety",
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"6.9",
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"arm",
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":",
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"-",
"IIR-",
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566 | [
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":",
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567 | [
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"tissue",
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"(",
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569 | [
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"-",
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577 | [
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"and",
"moderating",
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".",
"Copyright",
"©",
"2015",
"John",
"Wiley",
"&",
"Sons",
",",
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"fat",
"mass",
"in",
"BCS",
"with",
"premature",
"menopause",
".",
"We",
"conducted",
"a",
"randomized",
"controlled",
"trial",
"in",
"71",
"BCS",
"(",
"mean",
"age",
",",
"46.5",
"years",
")",
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"years",
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"-",
"related",
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".",
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"were",
"randomly",
"assigned",
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"one",
"of",
"two",
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":",
"(",
"1",
")",
"impact",
"+",
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"(",
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"(",
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"(",
"FLEX",
")",
"3",
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"/",
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".",
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"spine",
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"(",
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")",
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"(",
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"(",
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"bone",
"turnover",
"markers",
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")",
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"urinary",
"deoxypryrodinoline",
"(",
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"0.020",
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".",
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581 | [
"Neoadjuvant",
"chemotherapy",
"with",
"trastuzumab",
"followed",
"by",
"adjuvant",
"trastuzumab",
"versus",
"neoadjuvant",
"chemotherapy",
"alone",
",",
"in",
"patients",
"with",
"HER",
"2",
"-",
"positive",
"locally",
"advanced",
"breast",
"cancer",
"(",
"the",
"NOAH",
"trial",
")",
":",
"a",
"randomised",
"controlled",
"superiority",
"trial",
"with",
"a",
"parallel",
"HER",
"2",
"-",
"negative",
"cohort",
".",
"The",
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"antibody",
"trastuzumab",
"has",
"survival",
"benefit",
"when",
"given",
"with",
"chemotherapy",
"to",
"patients",
"with",
"early",
",",
"operable",
",",
"and",
"metastatic",
"breast",
"cancer",
"that",
"has",
"HER",
"2",
"(",
"also",
"known",
"as",
"ERBB",
"2",
")",
"overexpression",
"or",
"amplification",
".",
"We",
"aimed",
"to",
"assess",
"event",
"-",
"free",
"survival",
"in",
"patients",
"with",
"HER",
"2",
"-",
"positive",
"locally",
"advanced",
"or",
"inflammatory",
"breast",
"cancer",
"receiving",
"neoadjuvant",
"chemotherapy",
"with",
"or",
"without",
"1",
"year",
"of",
"trastuzumab",
".",
"We",
"compared",
"1",
"year",
"of",
"treatment",
"with",
"trastuzumab",
"(",
"given",
"as",
"neoadjuvant",
"and",
"adjuvant",
"treatment",
";",
"n=",
"117",
")",
"with",
"no",
"trastuzumab",
"(",
"118",
")",
",",
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"2",
"-",
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"or",
"inflammatory",
"breast",
"cancer",
"treated",
"with",
"a",
"neoadjuvant",
"chemotherapy",
"regimen",
"consisting",
"of",
"doxorubicin",
",",
"paclitaxel",
",",
"cyclophosphamide",
",",
"methotrexate",
",",
"and",
"fluorouracil",
".",
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"was",
"done",
"with",
"a",
"computer",
"program",
"and",
"minimisation",
"technique",
",",
"taking",
"account",
"of",
"geographical",
"area",
",",
"disease",
"stage",
",",
"and",
"hormone",
"receptor",
"status",
".",
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"were",
"informed",
"of",
"treatment",
"allocation",
".",
"A",
"parallel",
"cohort",
"of",
"99",
"patients",
"with",
"HER",
"2",
"-",
"negative",
"disease",
"was",
"included",
"and",
"treated",
"with",
"the",
"same",
"chemotherapy",
"regimen",
".",
"Primary",
"endpoint",
"was",
"event",
"-",
"free",
"survival",
".",
"Analysis",
"was",
"by",
"intention",
"to",
"treat",
".",
"This",
"study",
"is",
"registered",
",",
"number",
"ISRCTN",
"86043495",
".",
"Trastuzumab",
"significantly",
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"event",
"-",
"free",
"survival",
"in",
"patients",
"with",
"HER",
"2",
"-",
"positive",
"breast",
"cancer",
"(",
"3",
"-year",
"event",
"-",
"free",
"survival",
",",
"71",
"%",
"[",
"95",
"%",
"CI",
"61",
"-",
"78",
";",
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"36",
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",",
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"56",
"%",
"[",
"46",
"-",
"65",
";",
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"51",
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"without",
";",
"hazard",
"ratio",
"0.59",
"[",
"95",
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"CI",
"0.38",
"-",
"0.90",
"]",
";",
"p=",
"0.013",
")",
".",
"Trastuzumab",
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",",
"despite",
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"administration",
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"doxorubicin",
",",
"only",
"two",
"patients",
"(",
"2",
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")",
"developed",
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"cardiac",
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".",
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"drugs",
".",
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"addition",
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"and",
"adjuvant",
"trastuzumab",
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"neoadjuvant",
"chemotherapy",
"should",
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"women",
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"free",
"survival",
",",
"survival",
",",
"and",
"clinical",
"and",
"pathological",
"tumour",
"responses",
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582 | [
"A",
"phase",
"III",
",",
"randomized",
",",
"placebo",
"-",
"controlled",
",",
"double",
"-",
"blind",
"trial",
"of",
"flaxseed",
"for",
"the",
"treatment",
"of",
"hot",
"flashes",
":",
"North",
"Central",
"Cancer",
"Treatment",
"Group",
"N",
"08",
"C",
"7",
".",
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"data",
"suggest",
"that",
"flaxseed",
",",
"a",
"rich",
"source",
"of",
"dietary",
"lignans",
",",
"may",
"be",
"a",
"potentially",
"effective",
"treatment",
"of",
"hot",
"flashes",
".",
"A",
"phase",
"III",
",",
"randomized",
",",
"placebo",
",",
"controlled",
"trial",
"was",
"conducted",
"to",
"evaluate",
"the",
"efficacy",
"of",
"flaxseed",
"in",
"reducing",
"hot",
"flashes",
".",
"Postmenopausal",
"women",
"with",
"or",
"without",
"breast",
"cancer",
"were",
"randomly",
"assigned",
"to",
"a",
"flaxseed",
"bar",
"(",
"providing",
"410",
"mg",
"of",
"lignans",
")",
"for",
"6",
"weeks",
"versus",
"a",
"placebo",
"bar",
".",
"Participants",
"completed",
"daily",
",",
"prospective",
",",
"hot",
"flash",
"diaries",
"during",
"the",
"baseline",
"week",
",",
"and",
"then",
"ate",
"one",
"study",
"bar",
"per",
"day",
"for",
"6",
"weeks",
"while",
"recording",
"their",
"daily",
"hot",
"flashes",
".",
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"difference",
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"hot",
"flash",
"activity",
"between",
"baseline",
"and",
"the",
"last",
"treatment",
"week",
"was",
"the",
"primary",
"endpoint",
".",
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"effects",
"were",
"evaluated",
"through",
"a",
"self",
"-",
"report",
"and",
"the",
"Common",
"Terminology",
"Criteria",
"assessment",
".",
"A",
"total",
"of",
"188",
"women",
"were",
"enrolled",
"in",
"this",
"trial",
".",
"The",
"mean",
"hot",
"flash",
"score",
"was",
"reduced",
"4.9",
"in",
"the",
"flaxseed",
"group",
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"3.5",
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"group",
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597 | [
"Preventive",
"Analgesic",
"Efficacy",
"of",
"Nefopam",
"in",
"Acute",
"and",
"Chronic",
"Pain",
"After",
"Breast",
"Cancer",
"Surgery",
":",
"A",
"Prospective",
",",
"Double",
"-",
"Blind",
",",
"and",
"Randomized",
"Trial",
".",
"Breast",
"cancer",
"surgery",
"is",
"known",
"to",
"cause",
"severe",
"acute",
"postoperative",
"pain",
",",
"which",
"can",
"persist",
"for",
"a",
"long",
"time",
".",
"We",
"administered",
"nefopam",
"preventively",
"to",
"patients",
"undergoing",
"lumpectomy",
"with",
"axillary",
"lymph",
"node",
"dissection",
"or",
"sentinel",
"lymph",
"node",
"biopsy",
",",
"and",
"evaluated",
"its",
"efficacy",
"on",
"acute",
"and",
"chronic",
"postoperative",
"pain",
".",
"Enrolled",
"patients",
"were",
"assigned",
"to",
"the",
"nefopam",
"(",
"n",
"=",
"41",
")",
"or",
"the",
"control",
"(",
"n",
"=",
"42",
")",
"group",
".",
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"the",
"operation",
",",
"20",
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"was",
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"the",
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"the",
"nefopam",
"group",
",",
"and",
"normal",
"saline",
"was",
"used",
"in",
"the",
"control",
"group",
".",
"Ketorolac",
"was",
"given",
"at",
"the",
"end",
"of",
"surgery",
",",
"and",
"meloxicam",
"was",
"prescribed",
"in",
"the",
"postoperative",
"period",
"to",
"all",
"patients",
"in",
"both",
"groups",
".",
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"assessed",
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"a",
"numerical",
"rating",
"scale",
"(",
"NRS",
")",
",",
"and",
"the",
"rescue",
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">",
"5",
".",
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",",
"radiotherapy",
"(",
"RT",
")",
",",
"or",
"hormone",
"therapy",
"was",
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".",
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"NRS",
"of",
"postoperative",
"pain",
"was",
"significantly",
"lower",
"in",
"the",
"nefopam",
"than",
"in",
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"control",
"group",
"in",
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"care",
"unit",
"(",
"4.5",
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"2.2",
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"5.7",
"±",
"1.5",
",",
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";",
"P",
"=",
"0.01",
")",
",",
"at",
"postoperative",
"6",
"h",
"(",
"3.0",
"±",
"1.6",
"vs",
"4.5",
"±",
"1.3",
",",
"respectively",
";",
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"<",
"0.001",
")",
",",
"and",
"at",
"postoperative",
"24",
"h",
"(",
"3.1",
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"1.1",
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"3.8",
"±",
"1.5",
",",
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";",
"P",
"=",
"0.01",
")",
"with",
"reduced",
"use",
"of",
"rescue",
"analgesic",
"drugs",
".",
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"fewer",
"patients",
"suffered",
"from",
"chronic",
"postoperative",
"pain",
"in",
"the",
"nefopam",
"than",
"in",
"the",
"control",
"group",
"at",
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"3",
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"(",
"36.6",
"%",
"vs",
"59.5",
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",",
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"=",
"0.04",
")",
".",
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"the",
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"RT",
",",
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".",
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"cancer",
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598 | [
"A",
"randomized",
",",
"double",
"-",
"blind",
",",
"placebo",
"-",
"controlled",
"trial",
"of",
"preemptive",
"analgesia",
"with",
"bupivacaine",
"in",
"patients",
"undergoing",
"mastectomy",
"for",
"carcinoma",
"of",
"the",
"breast",
".",
"In",
"this",
"prospective",
",",
"randomized",
",",
"placebo",
"-",
"controlled",
",",
"double",
"-",
"blinded",
"clinical",
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"we",
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"the",
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"analgesia",
"with",
"bupivacaine",
"applied",
"in",
"the",
"area",
"of",
"the",
"surgical",
"incision",
"in",
"patients",
"undergoing",
"mastectomy",
"for",
"breast",
"cancer",
"would",
"reduce",
"post",
"-",
"operative",
"acute",
"pain",
"and",
"would",
"reduce",
"the",
"amount",
"of",
"analgesics",
"used",
"during",
"surgery",
"and",
"in",
"the",
"post",
"-",
"operative",
"period",
".",
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"were",
"assigned",
"into",
"1",
"of",
"2",
"groups",
"--",
"with",
"bupivacaine",
"applied",
"in",
"the",
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".",
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",",
"the",
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"-",
"operative",
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".",
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",",
"112",
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"106",
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"cancer",
"cases",
".",
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599 | [
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"and",
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"effects",
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"no",
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"this",
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"was",
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"the",
"influence",
"of",
"ropivacaine",
"wound",
"infiltration",
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",",
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":1",
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"to",
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"third",
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"pain",
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"consumption",
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"were",
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"h",
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"the",
"postanesthesia",
"care",
"unit",
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"every",
"6",
"h",
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"months",
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"6",
"months",
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"1",
"yr",
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"hospital",
"anxiety",
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"depression",
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"neuropathic",
"pain",
"questionnaires",
".",
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"wound",
"infiltration",
"significantly",
"decreased",
"immediate",
"postoperative",
"pain",
"for",
"the",
"first",
"90",
"min",
",",
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"did",
"not",
"decrease",
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