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Start Over Author "Xu, Jinming" Topic risk factors
4 results on '"Xu, Jinming"'

1. Risk Factors for Distant Metastasis in T3 T4 Rectal Cancer.

Author

Tang, Cui, Xu, Jinming, Lin, Moubin, Qiu, Shixiong, Wang, Huan, Zuo, Xiaoming, Liu, Mengxiao, and Wang, Peijun

Subjects
*STATISTICS, *CONFIDENCE intervals, *ACADEMIC medical centers, *LIVER tumors, *MULTIPLE regression analysis, *MULTIVARIATE analysis, *METASTASIS, *MAGNETIC resonance imaging, *RETROSPECTIVE studies, *LYMPH nodes, *MANN Whitney U Test, *FISHER exact test, *LUNG tumors, *TUMOR classification, *RISK assessment, *T-test (Statistics), *PERITONEUM tumors, *DESCRIPTIVE statistics, *CHI-squared test, *TUMOR markers, *LOGISTIC regression analysis, *STATISTICAL models, *ODDS ratio, *RECEIVER operating characteristic curves, *COMPUTED tomography, *DATA analysis software, *LONGITUDINAL method, *DISEASE risk factors, RECTUM tumors
Abstract

Background: Distant metastasis is the leading cause of death in patients with rectal cancer. This study aims to comprehensively analyze the risk factors of distant metastasis in T3 T4 rectal cancer using magnetic resonance imaging (MRI), pathological features, and serum indicators. Methods: The clinicopathological data of 146 cases of T3 T4 rectal cancer after radical resection from January 2015 to March 2023 were retrospectively analyzed. Pre- and postoperative follow-up data of all cases were collected to screen for distant metastatic lesions. Univariate and multivariate Logistic regression methods were used to analyze the relationship between MRI features, pathological results, serum test indexes, and distant metastasis. Results: Of the 146 included patients, synchronous or metachronous distance metastasis was confirmed in 43 (29.4%) cases. The patients' baseline data and univariate analysis showed that mrEMVI, maximum tumor diameter, mr T Stage, pathological N stage, number of lymph node metastasis, cancer nodules, preoperative serum CEA, (Carcinoembryonic antigen) and CA199 were associated with distant metastasis. In the multiple logistic regression model, mrEMVI, pathological N stage, number of lymph node metastasis, maximum tumor diameter, and preoperative serum CEA were identified as independent risk factors for distant metastasis: mrEMVI [odds ratio (OR) = 3.06], pathological N stage (OR = 6.52 for N1 vs N0; OR = 63.47 for N2 vs N0), preoperative serum CEA (OR = 0.27), tumor maximum diameter (OR = 1.03), number of lymph nodes metastasis (OR = 0.62). And, the receiver operating characteristic (ROC) curve was plotted and the area under the curve was calculated (area under the curve [AUC) = 0.817, 95% CI = 0.744-0.890, P <.001]. Conclusions: mrEMVI, pathological N stage, number of lymph node metastasis, maximum tumor diameter and preoperative serum CEA are the independent risk factors for distant metastasis in T3 T4 rectal cancer. A comprehensive analysis of the risk factors for distant metastasis in rectal cancer can provide a reliable basis for formulating individualized treatment strategies, follow-up plans, and evaluating prognosis. [ABSTRACT FROM AUTHOR]

Published
2024
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3. Risk factors of postoperative pulmonary complications after minimally invasive anatomic resection for lung cancer

Author

Yang, Rong, Wu, Yihe, Yao, Linpeng, Xu, Jinming, Zhang, Siying, Du, Chengli, and Chen, Feng

Subjects
lung cancer, risk factors, postoperative pulmonary complications, postoperative pneumonia, Original Research, minimally invasive lung resection
Abstract

Purpose This study investigated the perioperative risk factors of postoperative pulmonary complications (PPCs) after minimally invasive anatomic resection for lung cancer. Patients and methods We retrospectively reviewed the data from medical records of 729 lung cancer patients undergoing minimally invasive anatomic lung resections between January 2017 and December 2017. Univariate and binary logistic regression analyses were performed to select the independent risk factors for PPCs during the patient’s postoperative hospitalization after surgery. Results The incidence of PPCs was 24.8% (n=181/729). No patient died during the period of hospitalization. Logistic regression analysis revealed that body mass index (BMI) ≥24.0 kg/m2 (vs

Published
2019

4. Risk Factors for Recurrent L5–S1 Disc Herniation After Percutaneous Endoscopic Transforaminal Discectomy: A Retrospective Study

Author

Yu, Chaojie, Zhan, Xinli, Liu, Chong, Liao, Shian, Xu, Jinming, Liang, Tuo, Zhang, Zide, and Chen, Jiarui

Subjects
Male, Sacrum, Lumbar Vertebrae, Endoscopy, Middle Aged, Body Mass Index, Pelvis, Ilium, Logistic Models, Clinical Research, Recurrence, Risk Factors, Humans, Diskectomy, Percutaneous, Female, Range of Motion, Articular, Intervertebral Disc, Intervertebral Disc Displacement, Retrospective Studies
Abstract

BACKGROUND This retrospective study aimed to investigate the risk factors associated with the recurrence of L5-S1 disc herniation after percutaneous endoscopic transforaminal discectomy (PETD). MATERIAL AND METHODS There were 484 patients L5-S1 disc herniation who underwent PETD who were divided into the recurrence group (n=46) and the non-recurrence group (n=438). Transforaminal endoscopic approaches included modifications of the Yeung endoscopy spine system (YESS) (the intraforaminal intradiscal approach) and the transforaminal endoscopic spine system (TESSYS) (intraforaminal extradiscal approach). Demographic and clinical characteristics and imaging data were analyzed. The two study groups were compared to determine the factors associated with the recurrence of L5-S1 disc herniation. The patients underwent postoperative follow-up for between one and four years. RESULTS At follow-up, 9.504% of patients (46/484) with the recurrence of L5-S1 disc herniation following PETD when compared with the non-recurrence group showed no significant difference for time to return to work, gender, history of diabetes mellitus, trauma, duration of symptoms, smoking and alcohol history, hypertension, location of disc herniation, transverse process length, intervertebral space height, and pelvic incidence angle (P0.05). However, age, body mass index (BMI), the degree of disc degeneration, sagittal range of motion, lumbar lordosis angle, and sacral slope were significantly associated with the recurrence of L5-S1 disc herniation following PETD (P0.05). Logistic regression analysis supported these main associations. CONCLUSIONS The recurrence of L5-S1 disc herniation following PETD was significantly associated with increased age and BMI, more severe disc degeneration, increased sagittal range of motion, increased lumbar lordosis, and sacral slope.

Published
2020

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