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0,
0,
0,
0,
0,
0
] |
705 | [
"Efficacy",
"of",
"ginger",
"for",
"prophylaxis",
"of",
"chemotherapy",
"-",
"induced",
"nausea",
"and",
"vomiting",
"in",
"breast",
"cancer",
"patients",
"receiving",
"adriamycin",
"-",
"cyclophosphamide",
"regimen",
":",
"a",
"randomized",
",",
"double",
"-",
"blind",
",",
"placebo",
"-",
"controlled",
",",
"crossover",
"study",
".",
"The",
"purpose",
"of",
"this",
"study",
"is",
"to",
"determine",
"the",
"efficacy",
"of",
"ginger",
"for",
"reducing",
"chemotherapy",
"-",
"induced",
"nausea",
"and",
"vomiting",
"(",
"CINV",
")",
"in",
"breast",
"cancer",
"patients",
"receiving",
"adriamycin",
"and",
"cyclophosphamide",
"(",
"AC",
")",
"regimens",
".",
"We",
"enrolled",
"breast",
"cancer",
"patients",
"receiving",
"AC",
"who",
"experienced",
"moderate",
"to",
"severe",
"nausea",
"or",
"vomiting",
"during",
"the",
"first",
"chemotherapy",
"cycle",
".",
"Subjects",
"were",
"randomized",
"to",
"receive",
"a",
"500",
"-mg",
"ginger",
"capsule",
"or",
"placebo",
"twice",
"a",
"day",
"for",
"5",
"days",
"starting",
"on",
"the",
"first",
"day",
"of",
"the",
"second",
"AC",
"cycle",
"and",
"were",
"switched",
"to",
"the",
"other",
"treatment",
"in",
"the",
"third",
"cycle",
".",
"All",
"participants",
"also",
"received",
"ondansetron",
"and",
"dexamethasone",
"for",
"CINV",
"prophylaxis",
".",
"Nausea",
"severity",
"was",
"recorded",
"once",
"a",
"day",
"during",
"the",
"first",
"5",
"days",
"of",
"each",
"cycle",
".",
"The",
"primary",
"outcome",
"was",
"reduction",
"in",
"nausea",
"score",
".",
"Thirty",
"-",
"four",
"subjects",
"(",
"68",
"cycles",
"of",
"AC",
")",
"were",
"enrolled",
".",
"Mean",
"(",
"range",
")",
"maximum",
"nausea",
"score",
"in",
"the",
"first",
"AC",
"cycle",
"was",
"58",
"(",
"40",
"-",
"90",
")",
".",
"Thirty",
"-",
"three",
"subjects",
"(",
"97",
"%",
")",
"received",
"the",
"same",
"AC",
"doses",
"in",
"the",
"second",
"as",
"in",
"the",
"third",
"cycle",
".",
"Mean",
"(",
"±standard",
"error",
")",
"maximum",
"nausea",
"scores",
"in",
"patients",
"receiving",
"ginger",
"and",
"placebo",
"were",
"35.36",
"(",
"±",
"4.43",
")",
"and",
"32.17",
"(",
"±",
"3.71",
")",
",",
"respectively",
".",
"The",
"difference",
"in",
"mean",
"maximum",
"nausea",
"scores",
"was",
"3",
"(",
"95",
"%",
"confidence",
"interval",
",",
"-",
"3",
"to",
"9",
";",
"P",
"=",
"0.3",
")",
".",
"There",
"were",
"no",
"significant",
"differences",
"between",
"ginger",
"and",
"placebo",
"in",
"terms",
"of",
"vomiting",
"incidence",
"and",
"severity",
",",
"rescue",
"medication",
"use",
",",
"chemotherapy",
"compliance",
",",
"and",
"adverse",
"events",
".",
"Ginger",
"(",
"500",
"mg",
")",
"twice",
"daily",
"was",
"safe",
",",
"but",
"conferred",
"no",
"additional",
"benefit",
"in",
"terms",
"of",
"reducing",
"nausea",
"severity",
"in",
"breast",
"cancer",
"patients",
"receiving",
"AC",
"and",
"ondansetron",
"and",
"dexamethasone",
"for",
"CINV",
"prophylaxis",
"."
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706 | [
"Effects",
"of",
"exercise",
"on",
"sleep",
"problems",
"in",
"breast",
"cancer",
"patients",
"receiving",
"radiotherapy",
":",
"a",
"randomized",
"clinical",
"trial",
".",
"Sleep",
"problems",
"frequently",
"affect",
"breast",
"cancer",
"patients",
"during",
"and",
"after",
"treatment",
"and",
"reduce",
"their",
"quality",
"of",
"life",
".",
"Treatment",
"strategies",
"are",
"mostly",
"unknown",
".",
"Thus",
",",
"we",
"assessed",
"within",
"a",
"randomized",
"controlled",
"trial",
"whether",
"a",
"12",
"-week",
"exercise",
"program",
"starting",
"with",
"the",
"radiotherapy",
"influences",
"sleep",
"trajectories",
".",
"Sleep",
"quality",
"and",
"problems",
"were",
"assessed",
"via",
"self",
"-",
"report",
"in",
"160",
"breast",
"cancer",
"patients",
"before",
",",
"during",
",",
"and",
"2",
",",
"6",
",",
"and",
"12",
"months",
"after",
"participation",
"in",
"a",
"trial",
"investigating",
"resistance",
"exercise",
"versus",
"a",
"relaxation",
"control",
"group",
"concomitant",
"with",
"radiotherapy",
".",
"As",
"additional",
"comparison",
"group",
",",
"25",
"age",
"-",
"matched",
"healthy",
"women",
"exercised",
"and",
"followed",
"identical",
"study",
"procedures",
".",
"Ordinal",
"logistic",
"regression",
"analyses",
"were",
"used",
".",
"The",
"exercise",
"intervention",
"significantly",
"decreased",
"sleep",
"problems",
"compared",
"to",
"the",
"relaxation",
"control",
"group",
"(",
"scale",
":",
"0",
"-",
"100",
",",
"with",
"between",
"-",
"group",
"mean",
"differences",
"of",
"-",
"10.2",
"(",
"p",
"=",
"0.03",
")",
"from",
"baseline",
"to",
"the",
"end",
"of",
"radiotherapy",
"and",
"-",
"10.9",
"(",
"p",
"=",
"0.005",
")",
"to",
"the",
"end",
"of",
"the",
"intervention",
")",
",",
"with",
"sleep",
"problems",
"decreasing",
"in",
"the",
"exercise",
"group",
"and",
"increasing",
"in",
"the",
"control",
"group",
".",
"At",
"12",
"months",
",",
"differences",
"were",
"still",
"observed",
"but",
"statistically",
"non",
"-",
"significant",
"(",
"mean",
"difference",
"=",
"-",
"5.9",
",",
"p",
"=",
"0.20",
")",
".",
"Further",
"adjustment",
"for",
"potential",
"confounders",
"did",
"not",
"change",
"the",
"results",
".",
"Several",
"determinants",
"of",
"sleep",
"problems",
"at",
"baseline",
"were",
"identified",
",",
"e.g.",
",",
"previous",
"chemotherapy",
"and",
"higher",
"body",
"mass",
"index",
".",
"Our",
"randomized",
"exercise",
"intervention",
"trial",
"confirmed",
"results",
"from",
"earlier",
"but",
"mostly",
"smaller",
"studies",
"that",
"radiotherapy",
"aggravates",
"sleep",
"problems",
"in",
"breast",
"cancer",
"patients",
"and",
"that",
"exercise",
"can",
"ameliorate",
"these",
"effects",
".",
"Considering",
"that",
"sleep",
"quality",
"can",
"be",
"a",
"major",
"predictor",
"of",
"quality",
"of",
"life",
",",
"our",
"findings",
"are",
"of",
"substantial",
"importance",
"to",
"many",
"breast",
"cancer",
"patients",
"."
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707 | [
"Differences",
"in",
"breast",
"cancer",
"risk",
"factors",
"by",
"tumor",
"marker",
"subtypes",
"among",
"premenopausal",
"Vietnamese",
"and",
"Chinese",
"women",
".",
"We",
"evaluated",
"associations",
"between",
"reproductive",
"and",
"lifestyle",
"risk",
"factors",
"with",
"breast",
"cancer",
"tumor",
"marker",
"status",
"in",
"a",
"case",
"-",
"control",
"study",
".",
"Cases",
"were",
"premenopausal",
"women",
"living",
"in",
"Vietnam",
"and",
"China",
"who",
"were",
"eligible",
"for",
"a",
"clinical",
"trial",
"of",
"oophorectomy",
"and",
"tamoxifen",
"as",
"treatment",
"for",
"breast",
"cancer",
"(",
"n",
"=",
"682",
")",
".",
"Controls",
"were",
"nonrelative",
"hospital",
"visitors",
",",
"matched",
"on",
"age",
"to",
"the",
"cases",
"(",
"n",
"=",
"649",
")",
".",
"Immunohistochemical",
"analysis",
"was",
"used",
"to",
"identify",
"the",
"presence",
"of",
"estrogen",
"receptor",
"(",
"ER",
")",
"and",
"progesterone",
"receptor",
"and",
"the",
"overexpression",
"of",
"HER-",
"2",
"/",
"neu",
"oncogene",
".",
"Odds",
"ratios",
"(",
"OR",
")",
"and",
"95",
"%",
"confidence",
"intervals",
"(",
"95",
"%",
"CI",
")",
"were",
"estimated",
"using",
"unconditional",
"logistic",
"regression",
",",
"adjusted",
"for",
"known",
"confounders",
".",
"Overall",
",",
"280",
"(",
"61",
"%",
")",
"tumor",
"samples",
"were",
"ER",
"positive",
"and",
"176",
"(",
"38",
"%",
")",
"were",
"ER",
"negative",
".",
"HER-",
"2",
"/",
"neu",
"overexpression",
"was",
"detected",
"in",
"161",
"(",
"35",
"%",
")",
"samples",
",",
"whereas",
"286",
"(",
"26",
"%",
")",
"samples",
"were",
"HER-",
"2",
"/",
"neu",
"negative",
".",
"We",
"observed",
"an",
"inverse",
"trend",
"between",
"increasing",
"parity",
"and",
"decreasing",
"breast",
"cancer",
"risk",
"(",
"P",
"=",
"0.002",
")",
".",
"Women",
"ages",
">",
"or",
"=",
"25",
"years",
"at",
"first",
"birth",
"had",
"increased",
"breast",
"cancer",
"risk",
"compared",
"with",
"women",
"ages",
"<",
"25",
"years",
"at",
"first",
"birth",
"(",
"OR",
",",
"1.53",
";",
"95",
"%",
"CI",
",",
"1.20",
"-",
"1.95",
")",
".",
"Women",
"who",
"consumed",
"alcohol",
"had",
"increased",
"risk",
"of",
"breast",
"cancer",
"compared",
"with",
"women",
"who",
"did",
"not",
"(",
"OR",
",",
"1.85",
";",
"95",
"%",
"CI",
",",
"1.32",
"-",
"2.61",
")",
".",
"Compared",
"with",
"controls",
",",
"OR",
"estimates",
"for",
"breast",
"cancer",
"by",
"parity",
"and",
"age",
"at",
"first",
"birth",
"were",
"significantly",
"associated",
"with",
"ER",
"and/or",
"HER-",
"2",
"/",
"neu",
"tumor",
"status",
"by",
"Wald",
"test",
"(",
"P",
"<",
"0.05",
")",
".",
"Family",
"history",
",",
"age",
"at",
"menarche",
",",
"cumulative",
"lactation",
",",
"body",
"mass",
"index",
",",
"and",
"education",
"were",
"not",
"significantly",
"related",
"to",
"breast",
"cancer",
"risk",
".",
"Our",
"findings",
"support",
"the",
"hypothesis",
"that",
"some",
"breast",
"cancer",
"risk",
"factors",
"differ",
"by",
"ER",
"and",
"HER-",
"2",
"/",
"neu",
"tumor",
"marker",
"subtypes",
"."
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708 | [
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"MRI",
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"-",
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"breast",
"cancer",
":",
"effect",
"on",
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"-",
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".",
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"use",
"of",
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"breast",
"MRI",
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"-",
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"cancer",
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"conservation",
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".",
"A",
"retrospective",
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"174",
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"0",
",",
"I",
",",
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"breast",
"cancer",
"who",
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".",
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",",
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",",
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",",
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",",
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",",
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709 | [
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"expectations",
"to",
"prevent",
"side",
"effects",
"and",
"enhance",
"quality",
"of",
"life",
"in",
"breast",
"cancer",
"patients",
"undergoing",
"endocrine",
"therapy",
":",
"study",
"protocol",
"of",
"a",
"randomized",
"controlled",
"trial",
".",
"Adjuvant",
"endocrine",
"therapy",
"can",
"improve",
"disease",
"-",
"free",
"survival",
"and",
"time",
"before",
"recurrence",
"in",
"breast",
"cancer",
"patients",
".",
"However",
",",
"it",
"is",
"associated",
"with",
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"side",
"effects",
"that",
"negatively",
"affect",
"patients",
"'",
"quality",
"of",
"life",
"and",
"cause",
"non",
"-",
"adherence",
".",
"The",
"recently",
"demonstrated",
"effect",
"of",
"individual",
"expectations",
"on",
"side",
"-",
"effect",
"development",
"(",
"nocebo",
"effect",
")",
"suggests",
"that",
"psychological",
"factors",
"play",
"a",
"role",
"in",
"the",
"prevention",
"of",
"side",
"effects",
".",
"The",
"aim",
"of",
"this",
"study",
"is",
"to",
"evaluate",
"cognitive",
"-",
"behavioral",
"side",
"-",
"effect",
"prevention",
"training",
"(",
"SEPT",
")",
"for",
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"cancer",
"patients",
".",
"This",
"article",
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"the",
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"protocol",
"and",
"applied",
"research",
"methods",
".",
"In",
"a",
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"controlled",
"trial",
",",
"184",
"female",
"breast",
"cancer",
"patients",
"are",
"assigned",
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"either",
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",",
"standard",
"medical",
"care",
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"a",
"manualized",
"supportive",
"therapy",
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"start",
"of",
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"endocrine",
"treatment",
".",
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"three",
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"of",
"cognitive",
"-",
"behavioral",
"training",
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"to",
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",",
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"-",
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"about",
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".",
"Side",
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"three",
"months",
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"start",
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"therapy",
"serve",
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"primary",
"outcomes",
".",
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"outcomes",
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"life",
",",
"coping",
"ability",
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"patients",
"'",
"medication",
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"i.e.",
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",",
"coping",
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",",
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".",
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"might",
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"a",
"potential",
"pathway",
"in",
"health",
"care",
"to",
"improve",
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"'",
"quality",
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"-",
"term",
"medication",
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".",
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"a",
"possible",
"integration",
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"evidence",
"-",
"based",
"prevention",
"training",
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".",
"ClinicalTrials.gov",
",",
"(",
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710 | [
"L",
"-",
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"intake",
"as",
"a",
"potential",
"risk",
"factor",
"for",
"the",
"development",
"of",
"fatigue",
"in",
"breast",
"cancer",
"patients",
"undergoing",
"chemotherapy",
".",
"L",
"-",
"Thyroxine",
"is",
"one",
"of",
"the",
"most",
"commonly",
"prescribed",
"drugs",
"and",
"accordingly",
"used",
"by",
"many",
"breast",
"cancer",
"patients",
"with",
"thyroid",
"disorders",
".",
"Hence",
",",
"potential",
"interactions",
"of",
"chemotherapy",
"with",
"L",
"-",
"thyroxine",
",",
"possibly",
"contributing",
"to",
"fatigue",
",",
"would",
"be",
"of",
"high",
"clinical",
"relevance",
".",
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",",
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"investigated",
"fatigue",
"and",
"underlying",
"pathways",
"in",
"L",
"-",
"thyroxine",
"-",
"using",
"breast",
"cancer",
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"-",
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"hormone",
"(",
"TSH",
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",",
"L",
"-",
"triiodothyronine",
"(",
"T",
"3",
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",",
"and",
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"salivary",
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"patterns",
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"analyzed",
"in",
"breast",
"cancer",
"patients",
"in",
"the",
"beginning",
"and",
"at",
"the",
"end",
"of",
"adjuvant",
"chemotherapy",
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"the",
"control",
"group",
"(",
"n",
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")",
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",",
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712 | [
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"n=",
"44",
")",
"or",
"not",
"(",
"n=",
"49",
")",
".",
"pCR",
"rate",
"was",
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"EDC",
"(",
"23.0",
"%",
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"15.4",
"%",
"ED",
",",
"P=",
"0.027",
")",
",",
"and",
"nonsignificantly",
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"(",
"38.6",
"%",
"EDC",
"versus",
"26.5",
"%",
"ED",
",",
"P=",
"0.212",
")",
".",
"Rates",
"of",
"axillary",
"node",
"involvement",
"at",
"surgery",
"and",
"breast",
"conservation",
"were",
"improved",
"with",
"EDC",
"versus",
"ED",
",",
"but",
"not",
"significantly",
";",
"the",
"addition",
"of",
"trastuzumab",
"had",
"no",
"further",
"impact",
".",
"Hormone",
"receptor",
"status",
",",
"tumor",
"size",
",",
"grade",
",",
"and",
"C",
"(",
"all",
"P≤",
"0.035",
")",
"were",
"independent",
"prognostic",
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"for",
"pCR",
".",
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"ED±C",
"significantly",
"increased",
"the",
"number",
"of",
"serious",
"adverse",
"events",
"(",
"35",
"versus",
"18",
";",
"P=",
"0.020",
")",
",",
"mainly",
"due",
"to",
"infusion",
"-",
"related",
"reactions",
".",
"These",
"findings",
"show",
"that",
"the",
"integration",
"of",
"C",
"into",
"a",
"neoadjuvant",
"taxane-",
"/",
"anthracycline",
"-",
"based",
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"is",
"a",
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",",
"safe",
",",
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"effective",
"treatment",
"option",
",",
"with",
"incorporation",
"of",
"trastuzumab",
"in",
"HER",
"2",
"-",
"positive",
"disease",
".",
"NCT",
"00309556",
",",
"www.clinicaltrials.gov",
"."
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713 | [
"The",
"Effects",
"of",
"Mind",
"Subtraction",
"Meditation",
"on",
"Breast",
"Cancer",
"Survivors",
"'",
"Psychological",
"and",
"Spiritual",
"Well",
"-",
"being",
"and",
"Sleep",
"Quality",
":",
"A",
"Randomized",
"Controlled",
"Trial",
"in",
"South",
"Korea",
".",
"Most",
"breast",
"cancer",
"survivors",
"experience",
"psychological",
"and",
"spiritual",
"distress",
",",
"including",
"depression",
",",
"anxiety",
",",
"perceived",
"stress",
",",
"and",
"loss",
"of",
"meaningfulness",
"in",
"life",
".",
"This",
"distress",
"can",
"negatively",
"impact",
"physical",
"health",
",",
"quality",
"of",
"life",
",",
"and",
"quality",
"of",
"sleep",
".",
"The",
"aim",
"of",
"this",
"study",
"was",
"to",
"compare",
"and",
"examine",
"the",
"effectiveness",
"of",
"mind",
"subtraction",
"meditation",
"(",
"MSM",
")",
"and",
"a",
"self",
"-",
"management",
"education",
"(",
"SME",
")",
"group",
"on",
"breast",
"cancer",
"survivors",
".",
"A",
"randomized",
"controlled",
"trial",
"was",
"conducted",
"with",
"South",
"Korean",
"female",
"breast",
"cancer",
"survivors",
"(",
"stages",
"I",
"-",
"III",
")",
".",
"Self",
"-",
"reported",
"questionnaires",
"were",
"administered",
"to",
"both",
"MSM",
"group",
"(",
"n",
"=",
"22",
")",
"and",
"SME",
"group",
"(",
"n",
"=",
"24",
")",
"to",
"measure",
"psychological",
"and",
"spiritual",
"well",
"-",
"being",
",",
"as",
"well",
"as",
"quality",
"of",
"sleep",
".",
"Compared",
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"the",
"SME",
"group",
",",
"the",
"MSM",
"group",
"reported",
"a",
"significant",
"decrease",
"in",
"depression",
"(",
"P",
"=",
".",
"034",
")",
",",
"anxiety",
"(",
"P",
"=",
".",
"036",
")",
",",
"and",
"perceived",
"stress",
"(",
"P",
"=",
".",
"009",
")",
"and",
"an",
"increase",
"in",
"quality",
"of",
"life",
"(",
"P",
"<",
".",
"001",
")",
",",
"satisfaction",
"with",
"life",
"(",
"P",
"<",
".",
"001",
")",
",",
"posttraumatic",
"growth",
"(",
"P",
"=",
".",
"007",
")",
",",
"and",
"quality",
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"sleep",
"(",
"P",
"=",
".",
"010",
")",
".",
"Mind",
"subtraction",
"meditation",
"may",
"have",
"positive",
"therapeutic",
"effects",
"among",
"breast",
"cancer",
"survivors",
".",
"This",
"meditation",
"program",
"may",
"be",
"useful",
"to",
"manage",
"psychological",
"and",
"spiritual",
"distress",
",",
"as",
"well",
"as",
"improve",
"quality",
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"life",
"and",
"sleep",
",",
"in",
"clinical",
"settings",
"among",
"breast",
"cancer",
"survivors",
".",
"This",
"study",
"demonstrated",
"the",
"clinical",
"effectiveness",
"and",
"the",
"feasibility",
"of",
"applying",
"the",
"MSM",
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"cancer",
"survivors",
".",
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"participants",
"had",
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"high",
"attendance",
"rate",
"in",
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",",
"which",
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"to",
"the",
"likelihood",
"of",
"the",
"applicability",
"of",
"the",
"meditation",
"program",
"on",
"an",
"outpatient",
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714 | [
"A",
"clinical",
"study",
"on",
"the",
"use",
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"granules",
"in",
"post",
"-",
"surgical",
"treatment",
"of",
"triple",
"-",
"negative",
"breast",
"cancer",
".",
"In",
"recent",
"years",
",",
"traditional",
"Chinese",
"medicine",
"(",
"TCM",
")",
"has",
"been",
"developing",
"rapidly",
"in",
"cancer",
"treatment",
".",
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"a",
"widely",
"used",
"fungus",
"by",
"TCM",
"to",
"treat",
"different",
"kinds",
"of",
"cancers",
".",
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"good",
"efficacy",
"in",
"prevention",
"of",
"tumor",
"recurrence",
"and",
"metastasis",
"has",
"been",
"proven",
"by",
"a",
"large",
"number",
"of",
"clinical",
"studies",
".",
"In",
"order",
"to",
"further",
"investigate",
"the",
"efficacy",
"and",
"safety",
"of",
"Huaier",
"granules",
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"-",
"surgical",
"therapy",
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"I",
"-",
"III",
"triple",
"-",
"negative",
"breast",
"cancer",
"(",
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"patients",
",",
"we",
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"a",
"case",
"-",
"control",
"clinical",
"study",
"to",
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"its",
"effects",
"on",
"the",
"post",
"-",
"surgical",
"safety",
"and",
"survival",
"rates",
"of",
"these",
"patients",
".",
"Two",
"hundred",
"and",
"one",
"TNBC",
"patients",
"underwent",
"modified",
"radical",
"mastectomy",
"were",
"selected",
",",
"they",
"were",
"admitted",
"to",
"our",
"hospital",
"between",
"October",
"2010",
"to",
"September",
"2014",
".",
"The",
"patients",
"were",
"randomly",
"allocated",
"to",
"the",
"experimental",
"group",
"(",
"101",
"cases",
")",
"or",
"the",
"control",
"group",
"(",
"100",
"cases",
")",
".",
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"in",
"the",
"experimental",
"group",
"were",
"treated",
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"granules",
",",
"by",
"orally",
"taking",
"20",
"g",
"each",
"time",
"with",
"3",
"times",
"a",
"day",
".",
"Medication",
"was",
"started",
"during",
"chemotherapy",
"or",
"at",
"the",
"time",
"in",
"6",
"or",
"18",
"months",
"after",
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".",
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"control",
"group",
"did",
"not",
"receive",
"any",
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"preparations",
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"disease",
"-",
"free",
"survival",
"(",
"DFS",
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"and",
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"survival",
"(",
"OS",
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"were",
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"the",
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".",
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"median",
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"-",
"up",
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"46",
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".",
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"the",
"100",
"patients",
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",",
"5",
"-year",
"DFS",
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"OS",
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"82",
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"and",
"86",
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",",
"while",
"87.1",
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"90.1",
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"for",
"the",
"101",
"patients",
"in",
"the",
"experimental",
"group",
".",
"The",
"difference",
"was",
"not",
"statistically",
"significant",
".",
"However",
",",
"stage",
"III",
"patients",
"in",
"the",
"control",
"group",
"showed",
"a",
"5",
"-year",
"DFS",
"of",
"53.8",
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"OS",
"of",
"65.4",
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",",
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"lower",
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"patients",
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"81.3",
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"87.5",
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".",
"In",
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"group",
",",
"10",
"patients",
"with",
"6",
"-month",
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",",
"whereas",
"only",
"3",
"patients",
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"18",
"-month",
"medication",
"showed",
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".",
"This",
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"well",
".",
"Huaier",
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"OS",
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"cancer",
"patients",
"at",
"middle",
"to",
"advanced",
"stage",
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715 | [
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716 | [
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"-",
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"-",
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"and",
"shoulder",
"mobility",
"and",
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"nurses",
"are",
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"suggestions",
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"manage",
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",",
"and",
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"cancer",
",",
"and",
"interest",
"is",
"growing",
"in",
"nontraditional",
"exercise",
"options",
".",
"Nia",
"can",
"benefit",
"women",
"with",
"breast",
"cancer",
"undergoing",
"radiation",
"therapy",
"."
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718 | [
"The",
"Effect",
"of",
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"Systemic",
"Lidocaine",
"on",
"Postoperative",
"Persistent",
"Pain",
"Using",
"Initiative",
"on",
"Methods",
",",
"Measurement",
",",
"and",
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"Trials",
"Criteria",
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"Cancer",
"Surgery",
":",
"A",
"Randomized",
",",
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"-",
"Blind",
",",
"Placebo",
"-",
"Controlled",
"Trial",
".",
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"compare",
"the",
"incidence",
"in",
"postsurgical",
"persistent",
"pain",
"following",
"breast",
"cancer",
"surgery",
"in",
"women",
"receiving",
"intravenous",
"lidocaine",
"compared",
"to",
"saline",
"using",
"validated",
"pain",
"instruments",
"in",
"accordance",
"with",
"the",
"Initiative",
"on",
"Methods",
",",
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",",
"and",
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"Assessment",
"in",
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"(",
"IMMPACT",
")",
"recommendations",
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",",
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"-",
"blinded",
",",
"placebo",
"-",
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",",
"clinical",
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".",
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"(",
"1.5",
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"/",
"kg",
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"/",
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"(",
"normal",
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".",
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"and",
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".",
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"pain",
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719 | [
"Comparison",
"of",
"pegfilgrastim",
"on",
"day",
"2",
"vs.",
"day",
"4",
"as",
"primary",
"prophylaxis",
"of",
"intense",
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"dense",
"chemotherapy",
"in",
"patients",
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"-",
"positive",
"primary",
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"the",
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",",
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"-",
"center",
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":",
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")",
".",
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"(",
"P",
"4",
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"2",
"(",
"P",
"2",
")",
"in",
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"grade",
"4",
"leucopenia",
".",
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"node",
"-",
"positive",
"primary",
"breast",
"cancer",
"receiving",
"epirubicin",
"-",
"paclitaxel",
"-",
"cyclophosphamide",
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"were",
"randomized",
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"P",
"2",
"versus",
"P",
"4",
".",
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"endpoint",
"was",
"leucopenia",
"grade",
"4",
",",
"assuming",
"a",
"risk",
"reduction",
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"50",
"%",
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"4",
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"50",
"%",
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"2",
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"25",
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"P",
"4",
".",
"Three",
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"one",
"patients",
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"P",
"2",
"(",
"n",
"=",
"174",
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"P",
"4",
"(",
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"=",
"177",
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".",
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720 | [
"Aspirin",
"and",
"serum",
"estrogens",
"in",
"postmenopausal",
"women",
":",
"a",
"randomized",
"controlled",
"clinical",
"trial",
".",
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"suggest",
"a",
"reduced",
"risk",
"of",
"breast",
"cancer",
"among",
"women",
"who",
"use",
"aspirin",
".",
"A",
"plausible",
"mechanism",
"is",
"through",
"aspirin",
"'s",
"effect",
"on",
"estrogens",
",",
"possibly",
"mediated",
"through",
"interference",
"with",
"estrogen",
"synthesis",
"via",
"reduction",
"in",
"inflammation",
",",
"which",
"is",
"increased",
"in",
"adipose",
"tissues",
",",
"including",
"breast",
".",
"In",
"a",
"randomized",
"placebo",
"-",
"controlled",
"trial",
",",
"we",
"evaluated",
"the",
"effects",
"of",
"six",
"-",
"month",
"administration",
"of",
"325",
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"/",
"day",
"aspirin",
"on",
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"estrogens",
"(",
"estradiol",
",",
"estrone",
",",
"free",
"estradiol",
",",
"and",
"bioavailable",
"estradiol",
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"and",
"sex",
"hormone",
"-",
"binding",
"globulin",
"(",
"SHBG",
")",
"in",
"144",
"healthy",
"postmenopausal",
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"NCT",
"01048528",
"."
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723 | [
"Tamoxifen",
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"cancer",
":",
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"the",
"Italian",
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".",
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",",
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"-",
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"-",
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".",
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",",
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",",
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"31",
",",
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",",
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"(",
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".",
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"(",
"RRs",
")",
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"(",
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".",
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",",
"136",
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"74",
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",",
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",",
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"0.60",
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"1.17",
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"2.48",
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"2.07",
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"-",
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",",
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")",
".",
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",",
"6.26",
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"-",
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",",
"tamoxifen",
",",
"1.50",
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"-",
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",",
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",",
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",",
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",",
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"=",
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724 | [
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":",
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")",
".",
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"(",
"RT",
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"PBMT",
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".",
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"in",
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".",
"The",
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"show",
"that",
"PBMT",
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"tool",
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"prevent",
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"©",
"2018",
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727 | [
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"strength",
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"to",
"prevent",
"LYmphoedema",
"in",
"the",
"first",
"year",
"after",
"breast",
"CAncer",
"-",
"the",
"LYCA",
"feasibility",
"study",
".",
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"is",
"a",
"common",
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"cancer",
"(",
"BC",
")",
"that",
"has",
"no",
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"cure",
"once",
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".",
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"strength",
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"PRT",
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"as",
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"exercise",
"modality",
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"to",
"the",
"onset",
"and",
"exacerbation",
"of",
"lymphoedema",
".",
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"'",
"preventive",
"intervention",
"against",
"LYmphoedema",
"after",
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"CAncer",
"'",
"(",
"LYCA",
")",
"feasibility",
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"we",
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"the",
"feasibility",
"of",
"a",
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"of",
"PRT",
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"the",
"first",
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"randomised",
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"RCT",
")",
".",
"LYCA",
"was",
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"one",
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"group",
"prospective",
"pilot",
"trial",
"inviting",
"women",
"operated",
"with",
"axillary",
"lymph",
"node",
"dissection",
"for",
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"primary",
"BC",
".",
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"a",
"week",
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"20",
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"muscle",
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",",
"eight",
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"-",
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"LYCA",
"program",
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"be",
"further",
"tested",
"in",
"a",
"full",
"-",
"scale",
"RCT",
"."
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728 | [
"Surgery",
"following",
"neoadjuvant",
"therapy",
"in",
"patients",
"with",
"HER",
"2",
"-",
"positive",
"locally",
"advanced",
"or",
"inflammatory",
"breast",
"cancer",
"participating",
"in",
"the",
"NeOAdjuvant",
"Herceptin",
"(",
"NOAH",
")",
"study",
".",
"To",
"describe",
"surgical",
"outcomes",
"in",
"patients",
"with",
"HER",
"2",
"-",
"positive",
"locally",
"advanced",
"(",
"LABC",
")",
"or",
"inflammatory",
"breast",
"cancer",
"(",
"IBC",
")",
"participating",
"in",
"the",
"NeOAdjuvant",
"Herceptin",
"(",
"NOAH",
")",
"study",
"(",
"ISRCTN",
"86043495",
")",
".",
"A",
"total",
"of",
"235",
"patients",
"with",
"HER",
"2",
"-",
"positive",
"disease",
"were",
"randomized",
"to",
"neoadjuvant",
"trastuzumab",
"plus",
"chemotherapy",
"(",
"doxorubicin",
"plus",
"paclitaxel",
",",
"followed",
"by",
"paclitaxel",
",",
"followed",
"by",
"cyclophosphamide",
",",
"methotrexate",
"and",
"fluorouracil",
")",
"or",
"neoadjuvant",
"chemotherapy",
"alone",
".",
"Of",
"these",
"patients",
",",
"228",
"received",
"their",
"allocated",
"treatment",
"(",
"115",
"received",
"trastuzumab",
"plus",
"chemotherapy",
"and",
"113",
"received",
"chemotherapy",
"alone",
")",
"and",
"were",
"potentially",
"eligible",
"for",
"surgery",
".",
"Mastectomy",
"was",
"required",
"for",
"all",
"patients",
"with",
"IBC",
"and",
"was",
"recommended",
"for",
"all",
"patients",
"with",
"LABC",
".",
"However",
",",
"breast",
"-",
"conserving",
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"be",
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"for",
"patients",
"with",
"peripheral",
"neoplasms",
"measuring",
"≤",
"4",
"cm",
"in",
"diameter",
"at",
"diagnosis",
",",
"with",
"a",
"favorable",
"ratio",
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"tumor",
"to",
"breast",
"volume",
",",
"or",
"at",
"the",
"patient",
"'s",
"request",
"if",
"there",
"had",
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"a",
"good",
"response",
"to",
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".",
"As",
"previously",
"reported",
",",
"the",
"addition",
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"trastuzumab",
"to",
"neoadjuvant",
"chemotherapy",
"improved",
"the",
"overall",
",",
"complete",
"and",
"pathological",
"complete",
"response",
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"significantly",
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"-",
"free",
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"(",
"the",
"primary",
"endpoint",
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"the",
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")",
".",
"Trastuzumab",
"also",
"enabled",
"more",
"patients",
"to",
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"breast",
"conserving",
"surgery",
"(",
"BCS",
")",
"(",
"23",
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"13",
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")",
"without",
"an",
"apparent",
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"local",
"disease",
"control",
"(",
"no",
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"had",
"experienced",
"a",
"local",
"recurrence",
"after",
"BCS",
"at",
"the",
"time",
"of",
"analysis",
")",
".",
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"this",
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"an",
"aim",
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"the",
"trial",
",",
"neoadjuvant",
"trastuzumab",
"given",
"concurrently",
"with",
"chemotherapy",
"enabled",
"23",
"%",
"of",
"patients",
"with",
"HER",
"2",
"-",
"positive",
"LABC",
"/",
"IBC",
"to",
"avoid",
"mastectomy",
"(",
"including",
"a",
"small",
"number",
"of",
"patients",
"with",
"IBC",
")",
"."
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729 | [
"Results",
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"the",
"CONFIRM",
"phase",
"III",
"trial",
"comparing",
"fulvestrant",
"250",
"mg",
"with",
"fulvestrant",
"500",
"mg",
"in",
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"women",
"with",
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"receptor",
"-",
"positive",
"advanced",
"breast",
"cancer",
".",
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"compared",
"fulvestrant",
"500",
"mg",
"regimen",
"with",
"the",
"approved",
"dose",
"of",
"fulvestrant",
"250",
"mg",
"per",
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"for",
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"women",
"with",
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"receptor",
"-",
"positive",
"advanced",
"breast",
"cancer",
"who",
"experienced",
"progression",
"after",
"prior",
"endocrine",
"therapy",
".",
"Comparison",
"of",
"Faslodex",
"in",
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"or",
"Metastatic",
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"(",
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")",
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",",
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",",
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",",
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"fulvestrant",
"500",
"mg",
"(",
"500",
"mg",
"intramuscularly",
"[",
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",",
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"28",
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"or",
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"28",
"days",
".",
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".",
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",",
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",",
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"OS",
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",",
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"QOL",
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".",
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"mg",
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"362",
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"than",
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"374",
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"=",
"0.80",
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"0.68",
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"006",
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",",
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".",
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"response",
"rate",
"was",
"similar",
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"500",
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"and",
"250",
"mg",
"(",
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"10.2",
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",",
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"CBR",
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"500",
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"and",
"39.6",
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"250",
"mg",
".",
"DoCB",
"and",
"OS",
"were",
"16.6",
"and",
"25.1",
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",",
"respectively",
",",
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"500",
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",",
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"OS",
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"22.8",
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",",
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",",
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"Fulvestrant",
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"dependent",
"adverse",
"events",
".",
"QOL",
"was",
"similar",
"for",
"both",
"arms",
".",
"Fulvestrant",
"500",
"mg",
"was",
"associated",
"with",
"a",
"statistically",
"significant",
"increase",
"in",
"PFS",
"and",
"not",
"associated",
"with",
"increased",
"toxicity",
",",
"corresponding",
"to",
"a",
"clinically",
"meaningful",
"improvement",
"in",
"benefit",
"versus",
"risk",
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"with",
"fulvestrant",
"250",
"mg",
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730 | [
"Three",
"-",
"Arm",
"Randomized",
"Phase",
"III",
"Trial",
":",
"Quality",
"Aloe",
"and",
"Placebo",
"Cream",
"Versus",
"Powder",
"as",
"Skin",
"Treatment",
"During",
"Breast",
"Cancer",
"Radiation",
"Therapy",
".",
"The",
"efficacy",
"of",
"aloe",
"extract",
"in",
"reducing",
"radiation",
"-",
"induced",
"skin",
"injury",
"is",
"controversial",
".",
"The",
"purpose",
"of",
"the",
"present",
"3",
"-arm",
"randomized",
"trial",
"was",
"to",
"test",
"the",
"efficacy",
"of",
"quality",
"-",
"tested",
"aloe",
"extract",
"in",
"reducing",
"the",
"severity",
"of",
"radiation",
"-",
"induced",
"skin",
"injury",
"and",
",",
"secondarily",
",",
"to",
"examine",
"the",
"effect",
"of",
"a",
"moist",
"cream",
"versus",
"a",
"dry",
"powder",
"skin",
"care",
"regimen",
".",
"A",
"total",
"of",
"248",
"patients",
"with",
"breast",
"cancer",
"were",
"randomized",
"to",
"powder",
",",
"aloe",
"cream",
",",
"or",
"placebo",
"cream",
".",
"Acute",
"skin",
"toxicity",
"was",
"scored",
"weekly",
"and",
"after",
"treatment",
"at",
"weeks",
"1",
",",
"2",
",",
"and",
"4",
"using",
"a",
"modified",
"10",
"-point",
"Catterall",
"scale",
".",
"The",
"patients",
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"their",
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"a",
"6",
"-point",
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"scale",
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"kept",
"an",
"acute",
"phase",
"diary",
".",
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"aloe",
"formulation",
"did",
"not",
"reduce",
"acute",
"skin",
"toxicity",
"or",
"symptom",
"severity",
".",
"Patients",
"with",
"a",
"greater",
"body",
"mass",
"index",
"were",
"more",
"likely",
"to",
"develop",
"acute",
"skin",
"toxicity",
".",
"A",
"similar",
"pattern",
"of",
"increased",
"skin",
"reaction",
"toxicity",
"occurred",
"with",
"both",
"study",
"creams",
"compared",
"with",
"the",
"dry",
"powder",
"regimen",
".",
"No",
"evidence",
"was",
"found",
"to",
"support",
"prophylactic",
"application",
"of",
"quality",
"aloe",
"extract",
"or",
"cream",
"to",
"improve",
"the",
"symptoms",
"or",
"reduce",
"the",
"skin",
"reaction",
"severity",
".",
"Our",
"results",
"support",
"a",
"dry",
"skin",
"care",
"regimen",
"of",
"powder",
"during",
"radiation",
"therapy",
"."
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731 | [
"Effect",
"of",
"Dietary",
"Flaxseed",
"Intake",
"on",
"Circulating",
"Sex",
"Hormone",
"Levels",
"among",
"Postmenopausal",
"Women",
":",
"A",
"Randomized",
"Controlled",
"Intervention",
"Trial",
".",
"Lignan",
"intake",
",",
"and",
"its",
"richest",
"food",
"source",
",",
"flaxseed",
",",
"have",
"been",
"associated",
"with",
"reduced",
"breast",
"cancer",
"risk",
".",
"Endogenous",
"sex",
"hormones",
",",
"such",
"as",
"estrogens",
",",
"play",
"a",
"role",
"in",
"breast",
"cancer",
"development",
",",
"and",
"lignans",
"may",
"alter",
"these",
"sex",
"hormone",
"levels",
".",
"To",
"assess",
"the",
"effect",
"of",
"flaxseed",
"on",
"circulating",
"sex",
"hormones",
",",
"a",
"randomized",
"controlled",
"trial",
"was",
"conducted",
"among",
"99",
"postmenopausal",
"women",
"in",
"Toronto",
",",
"Canada",
".",
"The",
"intervention",
"arm",
"consumed",
"2",
"tablespoons",
"(",
"15",
"g",
")",
"of",
"ground",
"flaxseed",
"daily",
"for",
"7",
"weeks",
";",
"the",
"control",
"arm",
"maintained",
"usual",
"diet",
".",
"Baseline",
"and",
"week",
"7",
"concentrations",
"of",
"14",
"serum",
"sex",
"hormones",
"were",
"measured",
"using",
"liquid",
"chromatography",
"-",
"tandem",
"mass",
"spectrometry",
"(",
"LC",
"-",
"MS",
"/",
"MS",
")",
"and",
"immunoassay",
",",
"and",
"serum",
"enterolignans",
"(",
"lignan",
"biomarker",
")",
"using",
"LC",
"-",
"MS",
"/",
"MS",
".",
"Intervention",
"effects",
"on",
"sex",
"hormone",
"levels",
"were",
"assessed",
"using",
"analysis",
"of",
"covariance",
".",
"Serum",
"enterolignans",
"increased",
"among",
"the",
"flaxseed",
"arm",
"(",
"+",
"516",
"%",
")",
".",
"Women",
"consuming",
"flaxseed",
"(",
"vs.",
"controls",
")",
"had",
"increased",
"serum",
"2",
"-hydroxyestrone",
"[",
"treatment",
"effect",
"ratio",
"(",
"TER",
")",
"=",
"1.54",
";",
"95",
"%",
"CI",
":",
"1.18",
"-",
"2.00",
"]",
"and",
"2",
":",
"16",
"α",
"-",
"hydroxyestrone",
"ratio",
"(",
"TER",
"=",
"1.54",
";",
"95",
"%",
"CI",
":",
"1.15",
"-",
"2.06",
")",
";",
"effects",
"on",
"other",
"hormones",
"were",
"not",
"statistically",
"significant",
".",
"Within",
"the",
"flaxseed",
"arm",
",",
"change",
"in",
"enterolignan",
"level",
"was",
"positively",
"correlated",
"with",
"changes",
"in",
"2",
"-hydroxyestrone",
"and",
"2",
":",
"16",
"α",
"-",
"hydroxyestrone",
"ratio",
",",
"and",
"negatively",
"with",
"prolactin",
".",
"Findings",
"suggest",
"flaxseed",
"affects",
"certain",
"circulating",
"sex",
"hormone",
"levels",
"with",
"possible",
"implications",
"for",
"future",
"breast",
"cancer",
"prevention",
"research",
"."
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732 | [
"Protective",
"effects",
"of",
"salidroside",
"on",
"epirubicin",
"-",
"induced",
"early",
"left",
"ventricular",
"regional",
"systolic",
"dysfunction",
"in",
"patients",
"with",
"breast",
"cancer",
".",
"Salidroside",
"[",
"2",
"-",
"(",
"4",
"-",
"hydroxyphenyl",
")",
"ethyl",
"-",
"β",
"-",
"D",
"-",
"glucopyranoside",
"]",
",",
"one",
"of",
"the",
"most",
"potent",
"ingredients",
"extracted",
"from",
"the",
"plant",
"Rhodiola",
"rosea",
"L",
".",
",",
"has",
"been",
"shown",
"to",
"have",
"a",
"cardiovascular",
"protective",
"effect",
"as",
"an",
"antioxidant",
",",
"and",
"early",
"treatment",
"of",
"epirubicin",
"-",
"induced",
"cardiotoxicity",
"has",
"been",
"the",
"focus",
"of",
"clinical",
"chemotherapy",
"in",
"patients",
"with",
"breast",
"cancer",
".",
"However",
",",
"the",
"cardioprotective",
"effects",
"of",
"salidroside",
"on",
"epirubicin",
"-",
"induced",
"cardiotoxicity",
",",
"especially",
"early",
"left",
"ventricular",
"regional",
"systolic",
"dysfunction",
",",
"have",
"to",
"date",
"been",
"sparsely",
"investigated",
".",
"The",
"aim",
"of",
"this",
"study",
"was",
"to",
"investigate",
"the",
"protective",
"effects",
"of",
"salidroside",
"in",
"preventing",
"early",
"left",
"ventricular",
"regional",
"systolic",
"dysfunction",
"induced",
"by",
"epirubicin",
".",
"Sixty",
"patients",
"with",
"histologically",
"confirmed",
"breast",
"cancer",
"were",
"enrolled",
".",
"Eligible",
"patients",
"were",
"randomized",
"to",
"receive",
"salidroside",
"(",
"600",
"mg",
"/",
"day",
";",
"n",
"=",
"30",
")",
"or",
"placebo",
"(",
"n",
"=",
"30",
")",
"starting",
"1",
"week",
"before",
"chemotherapy",
".",
"Patients",
"were",
"investigated",
"by",
"means",
"of",
"echocardiography",
"and",
"strain",
"rate",
"(",
"SR",
")",
"imaging",
".",
"We",
"also",
"measured",
"plasma",
"concentrations",
"of",
"reactive",
"oxygen",
"species",
"(",
"ROS",
")",
".",
"All",
"parameters",
"were",
"assessed",
"at",
"baseline",
"and",
"7",
"days",
"after",
"each",
"new",
"epirubicin",
"dose",
"of",
"100",
"mg",
"/",
"m",
"2",
".",
"A",
"decline",
"of",
"the",
"SR",
"peak",
"was",
"observed",
"at",
"an",
"epirubicin",
"dose",
"of",
"200",
"mg",
"/",
"m",
"2",
",",
"with",
"no",
"significant",
"differences",
"between",
"salidroside",
"and",
"placebo",
"(",
"1.35",
"±",
"0.36",
"vs",
"1.42",
"±",
"0.49",
"/second",
")",
".",
"At",
"growing",
"cumulative",
"doses",
"of",
"epirubicin",
",",
"the",
"SR",
"normalized",
"only",
"with",
"salidroside",
",",
"showing",
"a",
"significant",
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",",
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"42",
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".",
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"assignment",
".",
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"tumour",
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"(",
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",",
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"IBTR",
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",",
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"00282035",
".",
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"7",
",",
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",",
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"15",
",",
"2011",
",",
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"group",
",",
"16",
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"up",
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"20",
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"-",
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"-",
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"(",
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"7",
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"3",
"-",
"9",
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"0",
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"346",
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"142",
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"]",
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"Adverse",
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"by",
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"breast",
"irradiation",
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"(",
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"11",
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"3",
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",",
"95",
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"7",
"·",
"5",
"-",
"15",
"·",
"0",
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",",
"5",
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"16",
"·",
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"12",
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"5",
"-",
"20",
"·",
"4",
")",
",",
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"17",
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"7",
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",",
"12",
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"9",
"-",
"22",
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"3",
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"-",
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"might",
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"affect",
"cosmesis",
"and",
"should",
"be",
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".",
"Canadian",
"Institutes",
"for",
"Health",
"Research",
"and",
"Canadian",
"Breast",
"Cancer",
"Research",
"Alliance",
"."
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734 | [
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"flaxseed",
"alters",
"tumor",
"biological",
"markers",
"in",
"postmenopausal",
"breast",
"cancer",
".",
"Flaxseed",
",",
"the",
"richest",
"source",
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"lignan",
"precursors",
",",
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"shown",
"to",
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"the",
"growth",
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".",
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",",
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"-",
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"-",
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",",
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"markers",
"and",
"urinary",
"lignan",
"excretion",
"in",
"postmenopausal",
"patients",
"with",
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"diagnosed",
"breast",
"cancer",
".",
"Patients",
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"randomized",
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"intake",
"of",
"either",
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"25",
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"-",
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",",
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"Ki-",
"67",
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"four",
"-",
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",",
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"records",
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"for",
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"caloric",
"intake",
".",
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"32",
"days",
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"flaxseed",
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"labeling",
"index",
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"34.2",
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"0.001",
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",",
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".",
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"(",
"1",
",",
"300",
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";",
"P",
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")",
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".",
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".",
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735 | [
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"controlled",
"trial",
"of",
"supportive",
"care",
"interventions",
"to",
"manage",
"psychological",
"distress",
"and",
"symptoms",
"in",
"Latinas",
"with",
"breast",
"cancer",
"and",
"their",
"informal",
"caregivers",
".",
"Objective",
":",
"The",
"purpose",
"of",
"this",
"study",
"was",
"to",
"test",
"two",
"2",
"-month",
"psychosocial",
"interventions",
"(",
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"[",
"TIPC",
"]",
"and",
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"[",
"SHE",
"]",
")",
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"improve",
"quality",
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"(",
"QOL",
")",
"outcomes",
"for",
"Latinas",
"with",
"breast",
"cancer",
"and",
"their",
"informal",
"caregivers",
".",
"Methods",
":",
"Two",
"hundred",
"and",
"forty",
"-",
"one",
"Latinas",
"with",
"breast",
"cancer",
"and",
"their",
"caregivers",
"were",
"assessed",
"at",
"baseline",
",",
"immediately",
"after",
"the",
"2",
"-month",
"intervention",
",",
"at",
"4",
"and",
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"months",
"after",
"baseline",
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"QOL",
"outcomes",
"were",
"psychological",
"distress",
",",
"symptoms",
"and",
"social",
"support",
".",
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"Linear",
"mixed",
"effects",
"models",
"showed",
"that",
"for",
"cancer",
"survivors",
"at",
"2",
"months",
",",
"TIPC",
"produced",
"lower",
"adjusted",
"mean",
"depression",
"scores",
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"4",
"months",
",",
"SHE",
"had",
"reduced",
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"symptoms",
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"global",
"symptom",
"distress",
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"and",
"social",
"isolation",
"compared",
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"TIPC",
".",
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"total",
"number",
"of",
"symptoms",
"was",
"lower",
"in",
"SHE",
"than",
"in",
"TIPC",
"at",
"6",
"months",
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"caregivers",
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"lower",
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"depression",
"was",
"lower",
"in",
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"compared",
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"SHE",
"at",
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"months",
".",
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":",
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"telephone",
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"improved",
"different",
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".",
"TIPC",
"demonstrated",
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"management",
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736 | [
"Site",
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"primary",
"tumor",
"has",
"a",
"prognostic",
"role",
"in",
"operable",
"breast",
"cancer",
":",
"the",
"international",
"breast",
"cancer",
"study",
"group",
"experience",
".",
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"presenting",
"at",
"the",
"medial",
"site",
"of",
"the",
"breast",
"may",
"have",
"a",
"worse",
"prognosis",
"compared",
"with",
"tumors",
"located",
"in",
"external",
"quadrants",
".",
"For",
"medial",
"tumors",
",",
"axillary",
"lymph",
"node",
"staging",
"may",
"not",
"accurately",
"reflect",
"the",
"metastatic",
"potential",
"of",
"the",
"disease",
".",
"Eight",
"-",
"thousand",
"four",
"-",
"hundred",
"twenty",
"-",
"two",
"patients",
"randomly",
"assigned",
"to",
"International",
"Breast",
"Cancer",
"Study",
"Group",
"clinical",
"trials",
"between",
"1978",
"and",
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"were",
"classified",
"as",
"medial",
"site",
"(",
"1",
",",
"622",
";",
"19",
"%",
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"or",
"lateral",
",",
"central",
",",
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"sites",
"(",
"6",
",",
"800",
";",
"81",
"%",
")",
".",
"Median",
"follow",
"-",
"up",
"was",
"11",
"years",
".",
"A",
"statistically",
"significant",
"difference",
"was",
"observed",
"for",
"patients",
"with",
"medial",
"tumors",
"versus",
"those",
"with",
"nonmedial",
"tumors",
"in",
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"free",
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"DFS",
";",
"10",
"-year",
"DFS",
",",
"46",
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"v",
"48",
"%",
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"HR",
",",
"1.10",
";",
"95",
"%",
"CI",
",",
"1.02",
"to",
"1.18",
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"=",
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"01",
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"61",
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"1.09",
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"1.19",
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"=",
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"04",
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"both",
"P",
"=",
".",
"0001",
")",
".",
"The",
"risk",
"of",
"relapse",
"for",
"patients",
"with",
"medial",
"presentation",
"was",
"largest",
"for",
"the",
"node",
"-",
"negative",
"cohort",
"and",
"for",
"patients",
"with",
"tumors",
"larger",
"than",
"2",
"cm",
".",
"In",
"the",
"subgroup",
"of",
"2",
",",
"931",
"patients",
"with",
"negative",
"axillary",
"lymph",
"nodes",
",",
"10",
"-year",
"DFS",
"was",
"61",
"%",
"v",
"67",
"%",
",",
"and",
"OS",
"was",
"73",
"%",
"v",
"80",
"%",
"for",
"medial",
"versus",
"nonmedial",
"sites",
",",
"respectively",
"(",
"HR",
"1.33",
";",
"95",
"%",
"CI",
",",
"1.15",
"to",
"1.54",
";",
"P",
"=",
".",
"0001",
"for",
"DFS",
";",
"and",
"HR",
"1.40",
";",
"95",
"%",
"CI",
",",
"1.17",
"to",
"1.67",
";",
"P",
"=",
".",
"0003",
"for",
"OS",
")",
".",
"Tumor",
"site",
"has",
"a",
"significant",
"prognostic",
"utility",
",",
"especially",
"for",
"axillary",
"lymph",
"node",
"-",
"negative",
"disease",
",",
"that",
"should",
"be",
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"therapeutic",
"algorithms",
".",
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"staging",
"procedures",
"such",
"as",
"biopsy",
"of",
"the",
"sentinel",
"internal",
"mammary",
"nodes",
"or",
"novel",
"imaging",
"methods",
"should",
"be",
"further",
"studied",
"in",
"patients",
"with",
"medial",
"tumors",
"."
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737 | [
"Melatonin",
"for",
"Prevention",
"of",
"Breast",
"Radiation",
"Dermatitis",
":",
"A",
"Phase",
"II",
",",
"Prospective",
",",
"Double",
"-",
"Blind",
"Randomized",
"Trial",
".",
"Radiation",
"-",
"induced",
"dermatitis",
"is",
"commonly",
"seen",
"during",
"radiotherapy",
"for",
"breast",
"cancer",
".",
"Melatonin",
"-",
"based",
"creams",
"have",
"shown",
"a",
"protective",
"effect",
"against",
"ultraviolet",
"-",
"induced",
"erythema",
"and",
"a",
"radioprotective",
"effect",
"in",
"rats",
".",
"To",
"evaluate",
"the",
"efficacy",
"of",
"melatonin",
"-",
"containing",
"cream",
"in",
"minimizing",
"acute",
"radiation",
"dermatitis",
".",
"In",
"this",
"phase",
"II",
",",
"prospective",
",",
"randomized",
",",
"placebo",
"-",
"controlled",
"double",
"-",
"blind",
"study",
",",
"patients",
"who",
"underwent",
"breast",
"-",
"conserving",
"surgery",
"for",
"stage",
"0",
"-",
"2",
"breast",
"cancer",
"were",
"randomly",
"allocated",
"to",
"melatonin",
"emulsion",
"(",
"26",
"women",
")",
"or",
"placebo",
"(",
"21",
"women",
")",
"for",
"twice",
"daily",
"use",
"during",
"radiation",
"treatment",
"and",
"2",
"weeks",
"following",
"the",
"end",
"of",
"radiotherapy",
".",
"All",
"women",
"received",
"50",
"Gy",
"whole",
"breast",
"radiation",
"therapy",
"with",
"2",
"Gy",
"/",
"fx",
"using",
"computed",
"tomography",
"-",
"based",
"3",
"D",
"planning",
".",
"Patients",
"were",
"examined",
"and",
"completed",
"a",
"detailed",
"questionnaire",
"weekly",
"and",
"2",
"weeks",
"following",
"the",
"end",
"of",
"treatment",
".",
"The",
"occurrence",
"of",
"grade",
"1",
"/",
"2",
"acute",
"radiation",
"dermatitis",
"was",
"significantly",
"lower",
"(",
"59",
"%",
"vs.",
"90",
"%",
",",
"P",
"=",
"0.038",
")",
"in",
"the",
"melatonin",
"group",
".",
"Women",
"older",
"than",
"50",
"had",
"significantly",
"less",
"dermatitis",
"than",
"younger",
"patients",
"(",
"56",
"%",
"vs.",
"100",
"%",
",",
"P",
"=",
"0.021",
")",
".",
"The",
"maximal",
"radiation",
"dermatitis",
"in",
"the",
"study",
"group",
"was",
"grade",
"2",
"in",
"15",
"%",
"of",
"the",
"treated",
"patients",
".",
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"treated",
"with",
"melatonin",
"-",
"containing",
"emulsion",
"experienced",
"significantly",
"reduced",
"radiation",
"dermatitis",
"compared",
"to",
"patients",
"receiving",
"placebo",
"."
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738 | [
"\"",
"Promoting",
"Early",
"Presentation",
"\"",
"intervention",
"sustains",
"increased",
"breast",
"cancer",
"awareness",
"in",
"older",
"women",
"for",
"three",
"years",
":",
"A",
"randomized",
"controlled",
"trial",
".",
"Objective",
"In",
"a",
"randomized",
"controlled",
"trial",
",",
"the",
"Promoting",
"Early",
"Presentation",
"intervention",
"increased",
"older",
"women",
"'s",
"breast",
"cancer",
"awareness",
"after",
"two",
"years",
".",
"We",
"investigated",
"whether",
"this",
"increase",
"was",
"sustained",
"at",
"three",
"years",
",",
"and",
"the",
"effect",
"on",
"breast",
"screening",
"self",
"-",
"referral",
".",
"Methods",
"We",
"randomly",
"allocated",
"867",
"women",
"attending",
"their",
"final",
"invited",
"breast",
"screening",
"appointment",
"to",
"the",
"Promoting",
"Early",
"Presentation",
"intervention",
"or",
"usual",
"care",
".",
"We",
"examined",
"breast",
"cancer",
"awareness",
"after",
"three",
"years",
"and",
"breast",
"screening",
"self",
"-",
"referrals",
"after",
"four",
"years",
".",
"Results",
"Women",
"in",
"the",
"Promoting",
"Early",
"Presentation",
"intervention",
"arm",
"had",
"higher",
"breast",
"cancer",
"awareness",
"at",
"three",
"years",
"than",
"the",
"usual",
"care",
"arm",
"(",
"odds",
"ratio",
":",
"10.4",
";",
"95",
"%",
"confidence",
"interval",
":",
"3.1",
"to",
"34.8",
")",
".",
"There",
"were",
"no",
"differences",
"in",
"proportions",
"self",
"-",
"referring",
"for",
"breast",
"screening",
"between",
"arms",
",",
"but",
"statistical",
"power",
"was",
"limited",
".",
"Conclusion",
"The",
"Promoting",
"Early",
"Presentation",
"intervention",
"has",
"a",
"sustained",
"effect",
"on",
"breast",
"cancer",
"awareness",
"in",
"older",
"women",
".",
"The",
"effect",
"on",
"self",
"-",
"referral",
"for",
"breast",
"screening",
"is",
"unclear",
"."
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739 | [
"[",
"Clinical",
"value",
"of",
"combined",
"therapy",
"with",
"188",
"Re",
"-",
"HEDP",
"and",
"pamidronate",
"in",
"breast",
"cancer",
"with",
"bone",
"metastasis",
"]",
".",
"To",
"evaluate",
"the",
"clinical",
"therapeutic",
"value",
"of",
"(",
"188",
")",
"Re",
"-",
"HEDP",
"combined",
"with",
"pamidronate",
"in",
"breast",
"cancer",
"with",
"bone",
"metastasis",
".",
"Forty",
"-",
"eight",
"patients",
"with",
"breast",
"cancer",
"with",
"multi",
"-",
"bone",
"metastases",
"were",
"randomly",
"divided",
"into",
"three",
"groups",
":",
"15",
"patients",
"received",
"(",
"188",
")",
"Re",
"-",
"HEDP",
"(",
"group",
"A",
")",
",",
"15",
"patients",
"received",
"pamidronate",
"(",
"group",
"B",
")",
"and",
"18",
"patients",
"were",
"treated",
"by",
"(",
"188",
")",
"Re",
"-",
"HEDP",
"plus",
"pamidronate",
"(",
"group",
"C",
")",
".",
"The",
"overall",
"pain",
"relief",
"rate",
"was",
"73.3",
"%",
",",
"80.0",
"%",
",",
"100.0",
"%",
"in",
"groups",
"A",
",",
"B",
"and",
"C",
".",
"The",
"response",
"rate",
"of",
"bone",
"metastasis",
"was",
"40.0",
"%",
",",
"33.3",
"%",
",",
"66.7",
"%",
"in",
"groups",
"A",
",",
"B",
"and",
"C",
"respectively",
".",
"The",
"therapeutic",
"effect",
"of",
"group",
"C",
"was",
"better",
"than",
"those",
"of",
"groups",
"A",
"and",
"B",
"(",
"P",
"<",
"0.05",
")",
",",
"without",
"any",
"significance",
"in",
"the",
"difference",
"(",
"P",
">",
"0.05",
")",
".",
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"therapeutic",
"effect",
"of",
"(",
"188",
")",
"Re",
"-",
"HEDP",
"combined",
"with",
"pamidronate",
"for",
"breast",
"cancer",
"with",
"bone",
"metastasis",
"is",
"remarkable",
"in",
"bone",
"pain",
"relief",
"and",
"bone",
"metastasis",
"control",
",",
"which",
"is",
"better",
"than",
"either",
"(",
"188",
")",
"Re",
"-",
"HEDP",
"or",
"pamidronate",
"alone",
"."
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"cancer",
"survivors",
".",
"Mechanisms",
"underlying",
"symptoms",
"may",
"include",
"inflammation",
".",
"It",
"is",
"hypothesized",
"that",
"n",
"-",
"3",
"polyunsaturated",
"fatty",
"acids",
"(",
"PUFAs",
")",
"have",
"anti",
"-",
"inflammatory",
"properties",
"and",
"may",
"reduce",
"symptoms",
".",
"We",
"conducted",
"a",
"randomized",
",",
"double",
"-",
"blind",
",",
"placebo",
"-",
"controlled",
"study",
"comparing",
"4.3",
"g",
"/",
"day",
"n",
"-",
"3",
"PUFA",
"supplements",
"vs",
"placebo",
"for",
"24",
"weeks",
"in",
"postmenopausal",
"breast",
"cancer",
"patients",
"starting",
"adjuvant",
"AIs",
".",
"Primary",
"endpoints",
"were",
"adherence",
"and",
"tolerability",
";",
"secondary",
"outcomes",
"included",
"inflammatory",
"cytokines",
"and",
"symptoms",
"assessed",
"by",
"the",
"Brief",
"Pain",
"Inventory",
"short",
"form",
"(",
"BPI",
"-",
"SF",
")",
"and",
"Functional",
"Assessment",
"of",
"Cancer",
"Treatment",
"-",
"Endocrine",
"Symptoms",
"(",
"FACT",
"-",
"ES",
")",
"at",
"0",
",",
"12",
",",
"and",
"24",
"weeks",
".",
"Forty",
"-",
"four",
"women",
"were",
"randomized",
",",
"of",
"which",
"35",
"completed",
"the",
"study",
".",
"Adherence",
"was",
"≥",
"88",
"%",
"based",
"on",
"these",
"35",
"patients",
"with",
"pill",
"counts",
"as",
"well",
"as",
"change",
"in",
"red",
"blood",
"cell",
"(",
"RBC",
")",
"n",
"-",
"3",
"PUFAs",
".",
"Common",
"toxicities",
"included",
"grade",
"1",
"flatulence",
"(",
"55",
"%",
"of",
"both",
"groups",
")",
"and",
"belching",
"(",
"45",
"%",
"of",
"n",
"-",
"3",
"group",
")",
".",
"Mean",
"pain",
"severity",
"scores",
"(",
"BPI",
"-",
"SF",
")",
"did",
"not",
"change",
"significantly",
"by",
"time",
"or",
"treatment",
"arm",
".",
"Quality",
"of",
"life",
",",
"based",
"on",
"FACT",
"-",
"ES",
"scores",
",",
"significantly",
"decreased",
"within",
"placebo",
"(",
"p",
"=",
"0.04",
")",
",",
"but",
"not",
"the",
"n",
"-",
"3",
"group",
"(",
"p",
"=",
"0.58",
")",
",",
"with",
"a",
"trend",
"toward",
"between",
"-",
"group",
"differences",
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"p",
"=",
"0.06",
")",
"at",
"12",
"weeks",
",",
"but",
"no",
"significant",
"differences",
"at",
"24",
"weeks",
".",
"RBC",
"n",
"-",
"3",
"levels",
"were",
"strongly",
"positively",
"correlated",
"with",
"FACT",
"-",
"ES",
"at",
"12",
"weeks",
",",
"but",
"attenuated",
"at",
"24",
"weeks",
".",
"High",
"-",
"dose",
"n",
"-",
"3",
"PUFA",
"supplementation",
"is",
"feasible",
"and",
"well",
"tolerated",
"when",
"administered",
"with",
"AIs",
".",
"Additional",
"studies",
"are",
"needed",
"to",
"evaluate",
"efficacy",
"in",
"prevention",
"of",
"joint",
"symptoms",
"."
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743 | [
"Eleven",
"-",
"year",
"follow",
"-",
"up",
"of",
"a",
"randomized",
"study",
"of",
"pectoral",
"fascia",
"preservation",
"after",
"mastectomy",
"for",
"early",
"breast",
"cancer",
".",
"The",
"present",
"study",
"reports",
"results",
"of",
"a",
"randomized",
"trial",
"in",
"which",
"breast",
"cancer",
"patients",
"operated",
"with",
"preserved",
"pectoral",
"fascia",
"compared",
"to",
"removal",
"of",
"the",
"pectoral",
"fascia",
"showed",
"a",
"trend",
"toward",
"an",
"increased",
"risk",
"for",
"chest",
"wall",
"recurrence",
"The",
"aim",
"of",
"the",
"study",
"was",
"to",
"assess",
"whether",
"the",
"different",
"procedural",
"modes",
"had",
"any",
"impact",
"on",
"survival",
"or",
"local",
"control",
"in",
"breast",
"cancer",
"patients",
"followed",
"in",
"the",
"long",
"term",
".",
"The",
"trial",
"included",
"247",
"patients",
"with",
"breast",
"cancer",
"who",
"underwent",
"modified",
"radical",
"mastectomy",
"in",
"five",
"Swedish",
"hospitals",
"between",
"1993",
"and",
"1997",
".",
"The",
"median",
"follow",
"-",
"up",
"time",
"was",
"11",
"years",
".",
"The",
"patients",
"were",
"randomized",
"between",
"removal",
"(",
"n",
"=",
"122",
")",
"versus",
"preservation",
"(",
"n",
"=",
"125",
")",
"of",
"the",
"pectoral",
"fascia",
".",
"The",
"breast",
"-",
"cancer",
"-",
"specific",
"survival",
"at",
"10",
"years",
"was",
"73",
"%",
".",
"Removal",
"or",
"preservation",
"of",
"the",
"pectoral",
"fascia",
"had",
"no",
"significant",
"impact",
"on",
"chest",
"-",
"wall",
"recurrence",
"rate",
"or",
"breast",
"-",
"cancer",
"-",
"specific",
"survival",
".",
"A",
"total",
"of",
"18",
"patients",
"with",
"chest",
"-",
"wall",
"recurrence",
"were",
"seen",
"in",
"the",
"group",
"allocated",
"to",
"pectoral",
"fascia",
"preservation",
"versus",
"a",
"total",
"of",
"10",
"in",
"patients",
"allocated",
"to",
"pectoral",
"fascia",
"removal",
"(",
"hazard",
"ratio",
"=",
"1.8",
",",
"95",
"%",
"confidence",
"interval",
"=",
"0.8",
"-",
"4.0",
")",
".",
"The",
"majority",
"of",
"the",
"chest",
"-",
"wall",
"recurrences",
"were",
"detected",
"0",
"-",
"5",
"years",
"postoperatively",
".",
"The",
"cumulative",
"chest",
"-",
"wall",
"recurrence",
"rates",
"at",
"5",
"and",
"at",
"10",
"years",
"were",
"13",
"and",
"15",
"%",
",",
"respectively",
",",
"in",
"patients",
"allocated",
"to",
"pectoral",
"fascia",
"preservation",
"and",
"8",
"and",
"9",
"%",
"in",
"patients",
"allocated",
"to",
"pectoral",
"fascia",
"removal",
".",
"With",
"long",
"-",
"term",
"follow",
"-",
"up",
"neither",
"the",
"chest",
"wall",
"recurrence",
"rate",
"nor",
"the",
"breast",
"-",
"cancer",
"-",
"specific",
"survival",
"was",
"significantly",
"influenced",
"by",
"the",
"preservation",
"of",
"the",
"pectoral",
"fascia",
".",
"A",
"trend",
"toward",
"an",
"increased",
"risk",
"for",
"chest",
"wall",
"recurrence",
"was",
"observed",
"in",
"patients",
"with",
"preserved",
"pectoral",
"fascia",
".",
"A",
"hazard",
"ratio",
"of",
"1.8",
"for",
"a",
"chest",
"-",
"wall",
"recurrence",
"in",
"patients",
"with",
"preserved",
"fascia",
"indicates",
"that",
"fascia",
"-",
"sparing",
"mastectomy",
"may",
"negatively",
"affect",
"prognosis",
"."
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744 | [
"Effect",
"of",
"Metformin",
"on",
"Breast",
"Ductal",
"Carcinoma",
"In",
"Situ",
"Proliferation",
"in",
"a",
"Randomized",
"Presurgical",
"Trial",
".",
"Metformin",
"is",
"associated",
"with",
"lower",
"breast",
"cancer",
"risk",
"in",
"epidemiologic",
"studies",
"and",
"showed",
"decreased",
"proliferation",
"in",
"HER",
"2",
"-",
"positive",
"breast",
"cancer",
"in",
"a",
"presurgical",
"trial",
".",
"To",
"provide",
"insight",
"into",
"its",
"preventive",
"potential",
",",
"we",
"measured",
"proliferation",
"by",
"Ki-",
"67",
"labeling",
"index",
"(",
"LI",
")",
"of",
"intraepithelial",
"lesions",
"surrounding",
"breast",
"cancer",
".",
"We",
"randomly",
"assigned",
"200",
"nondiabetic",
"patients",
"diagnosed",
"with",
"invasive",
"breast",
"cancer",
"in",
"core",
"biopsies",
"to",
"metformin",
",",
"1",
",",
"700",
"mg",
"or",
"placebo",
"once",
"daily",
"for",
"28",
"days",
"before",
"surgery",
".",
"Upon",
"surgery",
",",
"five",
"to",
"seven",
"specimens",
"of",
"cancer",
"adjacent",
"(",
"≤",
"1",
"cm",
")",
"and",
"distant",
"(",
">",
"1",
"cm",
")",
"tissue",
"were",
"screened",
"for",
"LCIS",
",",
"ductal",
"carcinoma",
"in",
"situ",
"(",
"DCIS",
")",
",",
"and",
"ductal",
"hyperplasia",
"(",
"DH",
")",
".",
"The",
"prevalence",
"of",
"LCIS",
",",
"DCIS",
",",
"and",
"DH",
"was",
"4.5",
"%",
"(",
"9",
"/",
"200",
")",
",",
"67",
"%",
"(",
"133",
"/",
"200",
")",
",",
"and",
"35",
"%",
"(",
"69",
"/",
"200",
")",
",",
"respectively",
".",
"Overall",
",",
"metformin",
"did",
"not",
"affect",
"Ki-",
"67",
"LI",
"in",
"premalignant",
"disorders",
".",
"The",
"median",
"posttreatment",
"Ki-",
"67",
"LI",
"(",
"IQR",
")",
"in",
"the",
"metformin",
"and",
"placebo",
"arm",
"was",
",",
"respectively",
",",
"15",
"%",
"(",
"5",
"-",
"15",
")",
"versus",
"5",
"%",
"(",
"4",
"-",
"6",
")",
"in",
"LCIS",
"(",
"P",
"=",
"0.1",
")",
",",
"12",
"%",
"(",
"8",
"-",
"20",
")",
"versus",
"10",
"%",
"(",
"7",
"-",
"24",
")",
"in",
"DCIS",
"(",
"P",
"=",
"0.9",
")",
",",
"and",
"3",
"%",
"(",
"1",
"-",
"4",
")",
"versus",
"3",
"%",
"(",
"1",
"-",
"4",
")",
"in",
"DH",
"(",
"P",
"=",
"0.5",
")",
".",
"However",
",",
"posttreatment",
"Ki-",
"67",
"in",
"HER",
"2",
"-",
"positive",
"DCIS",
"lesions",
"was",
"significantly",
"lower",
"in",
"women",
"randomized",
"to",
"metformin",
"especially",
"when",
"ER",
"was",
"coexpressed",
":",
"22",
"%",
"(",
"11",
"-",
"32",
")",
"versus",
"35",
"%",
"(",
"30",
"-",
"40",
")",
"in",
"HER",
"2",
"-",
"positive",
"DCIS",
"(",
"n",
"=",
"22",
",",
"P",
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745 | [
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":",
"A",
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".",
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747 | [
"Acupuncture",
"relieves",
"menopausal",
"discomfort",
"in",
"breast",
"cancer",
"patients",
":",
"a",
"prospective",
",",
"double",
"blinded",
",",
"randomized",
"study",
".",
"This",
"study",
"evaluates",
"the",
"effect",
"of",
"acupuncture",
"on",
"hot",
"flashes",
"and",
"disturbed",
"night",
"sleep",
"in",
"patients",
"treated",
"for",
"breast",
"cancer",
".",
"The",
"effect",
"of",
"acupuncture",
"was",
"tested",
"against",
"a",
"sham",
"-",
"acupuncture",
"group",
"and",
"a",
"no",
"-",
"treatment",
"control",
"group",
".",
"Plasma",
"estradiol",
"was",
"measured",
"to",
"rule",
"out",
"this",
"as",
"cause",
"of",
"effect",
".",
"Side",
"effects",
"of",
"the",
"treatment",
"were",
"registered",
".",
"We",
"randomized",
"94",
"women",
"into",
"the",
"study",
":",
"31",
"had",
"acupuncture",
",",
"29",
"had",
"sham",
"acupuncture",
"and",
"34",
"had",
"no",
"treatment",
".",
"In",
"the",
"acupuncture",
"group",
",",
"16",
"patients",
"(",
"52",
"%",
")",
"experienced",
"a",
"significant",
"effect",
"on",
"hot",
"flashes",
"compared",
"with",
"seven",
"patients",
"(",
"24",
"%",
")",
"in",
"the",
"sham",
"group",
"(",
"p",
"<",
"0.05",
")",
".",
"The",
"effect",
"came",
"after",
"the",
"second",
"acupuncture",
"session",
"and",
"lasted",
"for",
"at",
"least",
"12",
"weeks",
"after",
"last",
"treatment",
".",
"A",
"statistically",
"significant",
"positive",
"effect",
"was",
"seen",
"on",
"sleep",
"in",
"the",
"acupuncture",
"group",
"compared",
"with",
"the",
"sham",
"-",
"acupuncture",
"and",
"no",
"-",
"treatment",
"groups",
".",
"The",
"effect",
"was",
"not",
"correlated",
"with",
"increased",
"levels",
"of",
"plasma",
"estradiol",
".",
"No",
"side",
"effects",
"of",
"acupuncture",
"were",
"registered",
".",
"We",
"find",
"that",
"acupuncture",
"significantly",
"relieves",
"hot",
"flashes",
"and",
"sleep",
"disturbances",
"and",
"is",
"a",
"good",
"and",
"safe",
"treatment",
"in",
"women",
"treated",
"for",
"breast",
"cancer",
"."
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748 | [
"Amisulpride",
"prevents",
"nausea",
"and",
"vomiting",
"associated",
"with",
"highly",
"emetogenic",
"chemotherapy",
":",
"a",
"randomised",
",",
"double",
"-",
"blind",
",",
"placebo",
"-",
"controlled",
",",
"dose",
"-",
"ranging",
"trial",
".",
"Chemotherapy",
"-",
"induced",
"nausea",
"and",
"vomiting",
"(",
"CINV",
")",
"remain",
"significant",
"clinical",
"problems",
",",
"especially",
"in",
"the",
"delayed",
"phase",
"(",
"24",
"-",
"120",
"h",
"after",
"chemotherapy",
")",
".",
"Amisulpride",
"is",
"a",
"dopamine",
"D",
"2",
"/",
"D",
"3",
"-",
"receptor",
"antagonist",
"previously",
"shown",
"to",
"be",
"an",
"effective",
"intravenous",
"antiemetic",
".",
"We",
"conducted",
"a",
"randomised",
",",
"double",
"-",
"blind",
"study",
"to",
"characterise",
"the",
"dose",
"response",
"of",
"oral",
"amisulpride",
"in",
"delayed",
"phase",
"CINV",
".",
"Chemotherapy",
"-",
"naïve",
"patients",
"receiving",
"cisplatin",
"≥",
"70",
"mg",
"/",
"m",
"2",
"or",
"an",
"anthracycline",
"-",
"cyclophosphamide",
"regimen",
"for",
"breast",
"cancer",
"received",
",",
"on",
"day",
"1",
",",
"20",
"mg",
"amisulpride",
"and",
"8",
"-",
"16",
"mg",
"ondansetron",
"intravenously",
"followed",
",",
"once",
"daily",
"on",
"days",
"2",
"-",
"4",
",",
"by",
"10",
",",
"20",
"or",
"40",
"mg",
"oral",
"amisulpride",
"or",
"placebo",
".",
"A",
"control",
"group",
"receiving",
"standard",
"three",
"-",
"drug",
"prophylaxis",
"was",
"enrolled",
"for",
"assay",
"sensitivity",
"purposes",
".",
"The",
"primary",
"endpoint",
"was",
"complete",
"response",
"(",
"CR",
")",
",",
"defined",
"as",
"no",
"emesis",
"or",
"rescue",
"medication",
"use",
",",
"in",
"the",
"delayed",
"phase",
".",
"Three",
"hundred",
"eighteen",
"subjects",
"were",
"evaluable",
"per",
"protocol",
".",
"CR",
"rate",
"(",
"24",
"-",
"120",
"h",
")",
"was",
"20",
"%",
"with",
"placebo",
"and",
"46",
"%",
"with",
"10",
"mg",
"amisulpride",
"(",
"p",
"=",
"0.006",
"after",
"multiplicity",
"adjustment",
")",
";",
"in",
"the",
"three",
"-",
"drug",
"control",
"group",
",",
"it",
"was",
"59",
"%",
".",
"Emesis",
",",
"nausea",
"and",
"0",
"-",
"120",
"-",
"h",
"CR",
"rate",
"were",
"significantly",
"improved",
"with",
"10",
"mg",
"amisulpride",
"compared",
"to",
"placebo",
".",
"Higher",
"doses",
"of",
"amisulpride",
"were",
"not",
"more",
"effective",
"than",
"10",
"mg",
".",
"In",
"patients",
"with",
"acute",
"phase",
"CR",
",",
"delayed",
"phase",
"CR",
"rate",
"was",
"44",
"%",
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",",
"75",
"%",
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"mg",
"amisulpride",
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"=",
"0.022",
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"and",
"70",
"%",
"for",
"the",
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"-drug",
"control",
".",
"No",
"significant",
"differences",
"were",
"seen",
"between",
"groups",
"in",
"safety",
"parameters",
".",
"Amisulpride",
"10",
"mg",
"orally",
"is",
"safe",
"and",
"superior",
"to",
"placebo",
"at",
"preventing",
"delayed",
"CINV",
"caused",
"by",
"highly",
"emetogenic",
"chemotherapy",
".",
"NCT",
"01857232",
"."
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749 | [
"Augmentation",
"of",
"venlafaxine",
"and",
"selective",
"serotonin",
"reuptake",
"inhibitors",
"with",
"zolpidem",
"improves",
"sleep",
"and",
"quality",
"of",
"life",
"in",
"breast",
"cancer",
"patients",
"with",
"hot",
"flashes",
":",
"a",
"randomized",
",",
"double",
"-",
"blind",
",",
"placebo",
"-",
"controlled",
"trial",
".",
"Hot",
"flashes",
"are",
"a",
"major",
"quality",
"-",
"of",
"-",
"life",
"issue",
"for",
"breast",
"cancer",
"survivors",
",",
"interrupting",
"sleep",
",",
"reducing",
"quality",
"of",
"life",
",",
"and",
"diminishing",
"treatment",
"adherence",
"to",
"adjuvant",
"endocrine",
"therapies",
".",
"Serotonin",
"-",
"norepinephrine",
"reuptake",
"inhibitors",
"(",
"SNRIs",
")",
"and",
"selective",
"serotonin",
"reuptake",
"inhibitors",
"(",
"SSRIs",
")",
"are",
"used",
"widely",
"but",
"are",
"only",
"partially",
"effective",
"for",
"hot",
"flashes",
".",
"Alternative",
"strategies",
"are",
"needed",
".",
"We",
"hypothesized",
"that",
"augmentation",
"of",
"SSRI",
"/",
"SNRI",
"therapy",
"with",
"hypnotic",
"agents",
"would",
"optimize",
"hot",
"flash",
"therapy",
"by",
"improving",
"sleep",
"and",
"quality",
"of",
"life",
".",
"Women",
"with",
"breast",
"cancer",
"or",
"at",
"high",
"risk",
"for",
"developing",
"the",
"disease",
"who",
"had",
"hot",
"flashes",
"in",
"association",
"with",
"nocturnal",
"awakenings",
"were",
"randomized",
"to",
"double",
"-",
"blinded",
"treatment",
"with",
"zolpidem",
"10",
"mg",
"or",
"placebo",
"for",
"5",
"weeks",
".",
"SSRI",
"/",
"SNRI",
"nonusers",
"(",
"81",
"%",
")",
"started",
"venlafaxine",
"XR",
"75",
"mg",
"/",
"day",
"concurrently",
",",
"whereas",
"SSRI",
"/",
"SNRI",
"users",
"continued",
"that",
"therapy",
".",
"We",
"compared",
"the",
"proportion",
"of",
"responders",
",",
"defined",
"as",
"study",
"completers",
"with",
"improved",
"subjective",
"sleep",
"quality",
"(",
"Pittsburgh",
"Sleep",
"Quality",
"Index",
")",
"and/or",
"objectively",
"assessed",
"wake",
"time",
"after",
"sleep",
"onset",
"on",
"actigraphy",
",",
"between",
"groups",
".",
"Of",
"53",
"women",
"(",
"aged",
"51",
"±",
"8",
"y",
")",
"randomized",
"to",
"zolpidem",
"augmentation",
"(",
"n",
"=",
"25",
")",
"or",
"placebo",
"augmentation",
"(",
"n",
"=",
"28",
")",
",",
"38",
"completed",
"the",
"protocol",
"(",
"57",
"%",
"on",
"placebo",
",",
"88",
"%",
"on",
"zolpidem",
")",
".",
"More",
"women",
"augmented",
"with",
"zolpidem",
"than",
"placebo",
"were",
"responders",
"on",
"the",
"sleep",
"outcome",
"(",
"40",
"%",
"vs",
"14",
"%",
";",
"P",
"=",
"0.035",
")",
".",
"Quality",
"of",
"life",
"improved",
"more",
"with",
"zolpidem",
"than",
"with",
"placebo",
"(",
"P",
"=",
"0.01",
")",
".",
"Treatment",
"effects",
"on",
"hot",
"flashes",
"and",
"mood",
"did",
"not",
"differ",
"between",
"groups",
".",
"Augmentation",
"of",
"SSRI",
"/",
"SNRI",
"with",
"zolpidem",
"improves",
"sleep",
"and",
"quality",
"of",
"life",
"in",
"breast",
"cancer",
"survivors",
"with",
"hot",
"flashes",
"and",
"associated",
"sleep",
"disturbance",
".",
"Adding",
"a",
"hypnotic",
"agent",
"to",
"an",
"SSRI",
"/",
"SNRI",
"helps",
"women",
"to",
"sleep",
"through",
"nighttime",
"hot",
"flashes",
".",
"Treatments",
"targeting",
"sleep",
"may",
"be",
"an",
"important",
"supplemental",
"strategy",
"to",
"optimize",
"well",
"-",
"being",
"."
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750 | [
"Denosumab",
"compared",
"with",
"zoledronic",
"acid",
"for",
"the",
"treatment",
"of",
"bone",
"metastases",
"in",
"patients",
"with",
"advanced",
"breast",
"cancer",
":",
"a",
"randomized",
",",
"double",
"-",
"blind",
"study",
".",
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"randomized",
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"denosumab",
",",
"a",
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"(",
"RANK",
")",
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",",
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"-",
"related",
"events",
"(",
"SREs",
")",
"in",
"patients",
"with",
"breast",
"cancer",
"with",
"bone",
"metastases",
".",
"Patients",
"were",
"randomly",
"assigned",
"to",
"receive",
"either",
"subcutaneous",
"denosumab",
"120",
"mg",
"and",
"intravenous",
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"(",
"n",
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",",
"026",
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"(",
"n",
"=",
"1",
",",
"020",
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"every",
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".",
"All",
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"recommended",
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"calcium",
"and",
"vitamin",
"D",
"supplements",
".",
"The",
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"-",
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"(",
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"radiation",
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"surgery",
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",",
"or",
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"Denosumab",
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"hazard",
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"0.82",
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"0.71",
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"-",
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",",
"0.77",
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",",
"0.66",
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"0.89",
";",
"P",
"=",
".",
"001",
")",
".",
"Reduction",
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".",
"Overall",
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",",
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",",
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"(",
"AEs",
")",
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"serious",
"AEs",
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"similar",
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".",
"An",
"excess",
"of",
"renal",
"AEs",
"and",
"acute",
"-",
"phase",
"reactions",
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"acid",
";",
"hypocalcemia",
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"more",
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".",
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"(",
"2.0",
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",",
"denosumab",
";",
"1.4",
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",",
"zoledronic",
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";",
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"denosumab",
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751 | [
"Venlafaxine",
"is",
"superior",
"to",
"clonidine",
"as",
"treatment",
"of",
"hot",
"flashes",
"in",
"breast",
"cancer",
"patients",
"--",
"a",
"double",
"-",
"blind",
",",
"randomized",
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".",
"Classical",
"hormone",
"replacement",
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"hot",
"flashes",
"is",
"contraindicated",
"in",
"breast",
"cancer",
"especially",
"in",
"endocrine",
"responsive",
"disease",
".",
"In",
"a",
"double",
"-",
"blind",
",",
"randomized",
"phase",
"III",
"study",
",",
"breast",
"cancer",
"patients",
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"hot",
"flashes",
"at",
"least",
"twice",
"a",
"day",
",",
"who",
"were",
"not",
"taking",
"any",
"medication",
"against",
"hypertension",
"and",
"depression",
"received",
"either",
"clonidine",
"0.075",
"mg",
"twice",
"a",
"day",
"or",
"venlafaxine",
"37.5",
"mg",
"twice",
"a",
"day",
"for",
"4",
"weeks",
".",
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"primary",
"end",
"point",
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"defined",
"as",
"the",
"frequency",
"of",
"hot",
"flashes",
"after",
"4",
"weeks",
"of",
"treatment",
".",
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"self",
"-",
"reported",
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"flash",
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"end",
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".",
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"2002",
"to",
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"80",
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"whom",
"64",
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"three",
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"31",
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",",
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"4",
",",
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"4.85",
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"flashes",
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"=",
"0.025",
")",
".",
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"hot",
"flashes",
"in",
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"cancer",
"patients",
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"."
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752 | [
"Effects",
"of",
"exercise",
"during",
"adjuvant",
"chemotherapy",
"on",
"breast",
"cancer",
"outcomes",
".",
"Observational",
"studies",
"suggest",
"that",
"physical",
"activity",
"after",
"a",
"breast",
"cancer",
"diagnosis",
"is",
"associated",
"with",
"improved",
"cancer",
"outcomes",
";",
"however",
",",
"no",
"randomized",
"data",
"are",
"available",
".",
"Here",
",",
"we",
"report",
"an",
"exploratory",
"follow",
"-",
"up",
"of",
"cancer",
"outcomes",
"from",
"the",
"Supervised",
"Trial",
"of",
"Aerobic",
"versus",
"Resistance",
"Training",
"(",
"START",
")",
".",
"The",
"START",
"was",
"a",
"Canadian",
"multicenter",
"trial",
"that",
"randomized",
"242",
"breast",
"cancer",
"patients",
"between",
"2003",
"and",
"2005",
"to",
"usual",
"care",
"(",
"n",
"=",
"82",
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",",
"supervised",
"aerobic",
"(",
"n",
"=",
"78",
")",
",",
"or",
"resistance",
"(",
"n",
"=",
"82",
")",
"exercise",
"during",
"chemotherapy",
".",
"The",
"primary",
"end",
"point",
"for",
"this",
"exploratory",
"analysis",
"was",
"disease",
"-",
"free",
"survival",
"(",
"DFS",
")",
".",
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"end",
"points",
"were",
"overall",
"survival",
",",
"distant",
"DFS",
",",
"and",
"recurrence",
"-",
"free",
"interval",
".",
"The",
"two",
"exercise",
"arms",
"were",
"combined",
"for",
"analysis",
"(",
"n",
"=",
"160",
")",
",",
"and",
"selected",
"subgroups",
"were",
"explored",
".",
"After",
"a",
"median",
"follow",
"-",
"up",
"of",
"89",
"months",
",",
"there",
"were",
"25",
"/",
"160",
"(",
"15.6",
"%",
")",
"DFS",
"events",
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"the",
"exercise",
"groups",
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"18",
"/",
"82",
"(",
"22.0",
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")",
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"control",
"group",
".",
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"-",
"year",
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"82.7",
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"for",
"the",
"exercise",
"groups",
"compared",
"with",
"75.6",
"%",
"for",
"the",
"control",
"group",
"(",
"HR",
",",
"0.68",
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"confidence",
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"(",
"CI",
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",",
"0.37",
"-",
"1.24",
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"rank",
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"=",
"0.21",
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"effects",
"were",
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"0.60",
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"CI",
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"0.27",
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"1.33",
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"0.32",
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"1.19",
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"0.15",
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"0.58",
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"0.30",
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"1.11",
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"=",
"0.095",
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"exercise",
"effects",
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",",
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"2010",
",",
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"-",
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",",
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"β",
"-",
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"removal",
"day",
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".",
"One",
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"and",
"thirty",
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"cancer",
"patients",
"of",
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"Oncology",
"Training",
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"(",
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".",
"β",
"-",
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"-",
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")",
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"age",
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"menopause",
"period",
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".",
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"-",
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"Acid",
"Dosing",
"Every",
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"vs",
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"Weeks",
"in",
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"With",
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"Metastatic",
"to",
"Bone",
":",
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"Randomized",
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".",
"Zoledronic",
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",",
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"metastases",
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"the",
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"-",
"related",
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".",
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"-",
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"acid",
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"12",
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"was",
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"zoledronic",
"acid",
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"weeks",
"in",
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"with",
"metastatic",
"breast",
"cancer",
"that",
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"bone",
"who",
"had",
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"regimen",
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"acid",
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"randomized",
",",
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"for",
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"infusions",
"for",
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".",
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"102",
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"States",
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"3",
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",",
"to",
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"25",
",",
"2013",
".",
"Data",
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"7",
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"2013",
",",
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"24",
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"416",
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"(",
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"18",
"years",
"old",
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"with",
"bone",
"metastases",
"from",
"breast",
"cancer",
"who",
"previously",
"received",
"9",
"or",
"more",
"doses",
"of",
"zoledronic",
"acid",
"and/or",
"pamidronate",
"during",
"the",
"first",
"10",
"to",
"15",
"months",
"of",
"therapy",
".",
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"primary",
"end",
"point",
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"proportion",
"of",
"patients",
"with",
"1",
"or",
"more",
"SRE",
"on",
"study",
"(",
"SRE",
"rate",
")",
".",
"The",
"key",
"secondary",
"end",
"points",
"included",
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"to",
"first",
"SRE",
"and",
"skeletal",
"morbidity",
"rate",
"(",
"SMR",
")",
".",
"A",
"total",
"of",
"416",
"women",
"were",
"randomized",
":",
"200",
"patients",
"received",
"zoledronic",
"acid",
"every",
"4",
"weeks",
"(",
"mean",
"[",
"SD",
"]",
"age",
",",
"59.2",
"[",
"11.1",
"]",
"years",
";",
"173",
"were",
"white",
"[",
"86.5",
"%",
"]",
")",
",",
"203",
"patients",
"received",
"zoledronic",
"acid",
"every",
"12",
"weeks",
"(",
"mean",
"[",
"SD",
"]",
"age",
",",
"58.6",
"[",
"11.2",
"]",
"years",
";",
"178",
"were",
"white",
"[",
"87.7",
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"]",
")",
",",
"and",
"13",
"patients",
"received",
"placebo",
"(",
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"[",
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"]",
"age",
",",
"60.8",
"[",
"12.2",
"]",
"years",
";",
"13",
"were",
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"[",
"100",
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"]",
")",
".",
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"characteristics",
"were",
"similar",
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"zoledronic",
"acid",
"treatment",
"arms",
".",
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"1",
"year",
"of",
"follow",
"-",
"up",
",",
"SREs",
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"in",
"44",
"patients",
"(",
"22.0",
"%",
")",
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"the",
"zoledronic",
"acid",
"every",
"4",
"weeks",
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"47",
"patients",
"(",
"23.2",
"%",
")",
"in",
"the",
"zoledronic",
"acid",
"every",
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"difference",
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"-",
"1.2",
"%",
";",
"1",
"-sided",
"97.5",
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"CI",
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"SRE",
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"arms",
",",
"-",
"9.8",
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";",
"noninferiority",
"P",
"=",
".",
"02",
")",
".",
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"to",
"first",
"SRE",
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"(",
"hazard",
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"[",
"HR",
"]",
",",
"1.06",
";",
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"CI",
",",
"0.70",
"-",
"1.60",
";",
"P",
"=",
".",
"79",
")",
".",
"The",
"mean",
"(",
"SD",
")",
"SMR",
"was",
"0.46",
"(",
"1.06",
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"vs",
"0.50",
"(",
"1.50",
")",
"events",
"per",
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"in",
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"every",
"4",
"weeks",
"vs",
"every",
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"weeks",
"groups",
"(",
"P",
"=",
".",
"85",
")",
".",
"The",
"safety",
"profiles",
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"the",
"every",
"4",
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"and",
"every",
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"groups",
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",",
"with",
"189",
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"(",
"95.5",
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")",
"in",
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"group",
"having",
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"(",
"93.5",
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".",
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":",
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759 | [
"Influence",
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"acid",
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"disseminated",
"tumor",
"cells",
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"breast",
"cancer",
"patients",
".",
"The",
"presence",
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"disseminated",
"tumor",
"cells",
"(",
"DTCs",
")",
"in",
"bone",
"marrow",
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"patients",
"with",
"early",
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"cancer",
"(",
"EBC",
")",
"has",
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"correlated",
"with",
"increased",
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"disease",
"or",
"locoregional",
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".",
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"ZOL",
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"treatment",
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"the",
"bone",
"marrow",
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"with",
"EBC",
"in",
"several",
"studies",
".",
"This",
"controlled",
"study",
"sought",
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"confirm",
"these",
"observations",
".",
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"with",
"EBC",
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"DTC",
"-",
"positive",
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"marrow",
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"(",
"N",
"=",
"96",
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"DTC",
"-",
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760 | [
"Propolis",
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"oral",
"mucositis",
"in",
"breast",
"cancer",
"patients",
"receiving",
"adjuvant",
"chemotherapy",
":",
"A",
"pilot",
"randomised",
"controlled",
"trial",
".",
"Chemo",
"-",
"induced",
"oral",
"mucositis",
"(",
"OM",
")",
"is",
"associated",
"with",
"significant",
"symptoms",
",",
"treatment",
"delays",
"and",
"increased",
"costs",
".",
"This",
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"controlled",
"trial",
"aimed",
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"the",
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",",
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"propolis",
"in",
"breast",
"cancer",
"patients",
"receiving",
"doxorubicin",
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"cyclophosphamide",
",",
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"clinical",
"efficacy",
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"of",
"OM",
",",
"and",
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"evaluating",
"the",
"incidence",
"of",
"OM",
".",
"Sixty",
"patients",
"were",
"randomised",
"to",
"receive",
"either",
"a",
"dry",
"extract",
"of",
"propolis",
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"12",
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",",
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".",
"OM",
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"CTCAE",
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"4.0",
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",",
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"6",
"months",
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"(",
"6.7",
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"arm",
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"1",
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761 | [
"Trastuzumab",
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":",
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762 | [
"Effect",
"of",
"second",
"timed",
"appointments",
"for",
"non",
"-",
"attenders",
"of",
"breast",
"cancer",
"screening",
"in",
"England",
":",
"a",
"randomised",
"controlled",
"trial",
".",
"In",
"England",
",",
"participation",
"in",
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"cancer",
"screening",
"has",
"been",
"decreasing",
"in",
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"10",
"years",
",",
"approaching",
"the",
"national",
"minimum",
"standard",
"of",
"70",
"%",
".",
"Interventions",
"aimed",
"at",
"improving",
"participation",
"need",
"to",
"be",
"investigated",
"and",
"put",
"into",
"practice",
"to",
"stop",
"this",
"downward",
"trend",
".",
"We",
"assessed",
"the",
"effect",
"on",
"participation",
"of",
"sending",
"invitations",
"for",
"breast",
"screening",
"with",
"a",
"timed",
"appointment",
"to",
"women",
"who",
"did",
"not",
"attend",
"their",
"first",
"offered",
"appointment",
"within",
"the",
"NHS",
"Breast",
"Screening",
"Programme",
"(",
"NHSBSP",
")",
".",
"In",
"this",
"open",
",",
"randomised",
"controlled",
"trial",
",",
"women",
"in",
"six",
"centres",
"in",
"the",
"NHSBSP",
"in",
"England",
"who",
"were",
"invited",
"for",
"routine",
"breast",
"cancer",
"screening",
"were",
"randomly",
"assigned",
"(",
"1",
":1",
")",
"to",
"receive",
"an",
"invitation",
"to",
"a",
"second",
"appointment",
"with",
"fixed",
"date",
"and",
"time",
"(",
"intervention",
")",
"or",
"an",
"invitation",
"letter",
"with",
"a",
"telephone",
"number",
"to",
"call",
"to",
"book",
"their",
"new",
"screening",
"appointment",
"(",
"control",
")",
"in",
"the",
"event",
"of",
"non",
"-",
"attendance",
"at",
"the",
"first",
"offered",
"appointment",
".",
"Randomisation",
"was",
"by",
"SX",
"number",
",",
"a",
"sequential",
"unique",
"identifier",
"of",
"each",
"woman",
"within",
"the",
"NHSBSP",
",",
"and",
"at",
"the",
"beginning",
"of",
"the",
"study",
"a",
"coin",
"toss",
"decided",
"whether",
"women",
"with",
"odd",
"or",
"even",
"SX",
"numbers",
"would",
"be",
"allocated",
"to",
"the",
"intervention",
"group",
".",
"Women",
"aged",
"50",
"-",
"70",
"years",
"who",
"did",
"not",
"attend",
"their",
"first",
"offered",
"appointment",
"were",
"eligible",
"for",
"the",
"analysis",
".",
"The",
"primary",
"endpoint",
"was",
"participation",
"(",
"ie",
",",
"attendance",
"at",
"breast",
"cancer",
"screening",
")",
"within",
"90",
"days",
"of",
"the",
"date",
"of",
"the",
"first",
"offered",
"appointment",
";",
"we",
"used",
"Poisson",
"regression",
"to",
"compare",
"the",
"proportion",
"of",
"women",
"who",
"participated",
"in",
"screening",
"in",
"the",
"study",
"groups",
".",
"All",
"analyses",
"were",
"by",
"intention",
"to",
"treat",
".",
"This",
"trial",
"is",
"registered",
"with",
"Barts",
"Health",
",",
"number",
"009304",
"QM",
".",
"We",
"obtained",
"33",
"146",
"records",
"of",
"women",
"invited",
"for",
"breast",
"cancer",
"screening",
"at",
"the",
"six",
"centres",
"between",
"June",
"2",
",",
"2014",
",",
"and",
"Sept",
"30",
",",
"2015",
",",
"who",
"did",
"not",
"attend",
"their",
"first",
"offered",
"appointment",
".",
"26",
"054",
"women",
"were",
"eligible",
"for",
"this",
"analysis",
"(",
"12",
"807",
"in",
"the",
"intervention",
"group",
"and",
"13",
"247",
"in",
"the",
"control",
"group",
")",
".",
"Participation",
"within",
"90",
"days",
"of",
"the",
"first",
"offered",
"appointment",
"was",
"significantly",
"higher",
"in",
"the",
"intervention",
"group",
"(",
"2861",
"[",
"22",
"%",
"]",
"of",
"12",
"807",
")",
"than",
"in",
"the",
"control",
"group",
"(",
"1632",
"[",
"12",
"%",
"]",
"of",
"13",
"247",
")",
";",
"relative",
"risk",
"of",
"participation",
"1",
"·",
"81",
"(",
"95",
"%",
"CI",
"1",
"·",
"70",
"-",
"1",
"·",
"93",
";",
"p",
"<",
"0",
"·",
"0001",
")",
".",
"These",
"findings",
"show",
"that",
"a",
"policy",
"of",
"second",
"appointments",
"with",
"fixed",
"date",
"and",
"time",
"for",
"non",
"-",
"attenders",
"of",
"breast",
"screening",
"is",
"effective",
"in",
"improving",
"participation",
".",
"This",
"strategy",
"can",
"be",
"easily",
"implemented",
"by",
"the",
"screening",
"sites",
"and",
",",
"if",
"combined",
"with",
"simple",
"interventions",
",",
"could",
"further",
"increase",
"participation",
"and",
"ensure",
"an",
"upward",
"shift",
"in",
"the",
"participation",
"trend",
"nationally",
".",
"Whether",
"the",
"policy",
"should",
"vary",
"by",
"time",
"since",
"last",
"attended",
"screen",
"will",
"have",
"to",
"be",
"considered",
".",
"National",
"Health",
"Service",
"Cancer",
"Screening",
"Programmes",
"and",
"Department",
"of",
"Health",
"Policy",
"Research",
"Programme",
"."
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763 | [
"A",
"randomized",
"study",
"of",
"olanzapine",
"-",
"containing",
"versus",
"standard",
"antiemetic",
"regimens",
"for",
"the",
"prevention",
"of",
"chemotherapy",
"-",
"induced",
"nausea",
"and",
"vomiting",
"in",
"Chinese",
"breast",
"cancer",
"patients",
".",
"Chemotherapy",
"-",
"induced",
"nausea",
"and",
"vomiting",
"(",
"CINV",
")",
"are",
"distressing",
"symptoms",
".",
"This",
"randomized",
"study",
"evaluated",
"the",
"antiemetic",
"efficacies",
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"standard",
"antiemetic",
"regimen",
"with",
"/",
"without",
"olanzapine",
".",
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"patients",
"were",
"chemotherapy",
"-",
"naive",
"Chinese",
"breast",
"cancer",
"patients",
"who",
"were",
"planned",
"for",
"(",
"neo",
")",
"adjuvant",
"doxorubicin",
"/",
"cyclophosphamide",
".",
"Antiemetic",
"regimen",
"for",
"all",
"studied",
"population",
"included",
"aprepitant",
",",
"ondansetron",
"and",
"dexamethasone",
";",
"patients",
"were",
"randomized",
"to",
"Olanzapine",
"(",
"with",
"olanzapine",
")",
"or",
"Standard",
"arms",
"(",
"without",
"olanzapine",
")",
".",
"Patients",
"filled",
"in",
"self",
"-",
"reported",
"diaries",
"and",
"completed",
"visual",
"analogue",
"scales",
"for",
"nausea",
",",
"as",
"well",
"as",
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"Living",
"Index",
"-",
"Emesis",
"questionnaires",
".",
"Blood",
"profiles",
"including",
"fasting",
"glucose",
"and",
"lipids",
"were",
"monitored",
".",
"120",
"patients",
"were",
"randomized",
".",
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"1",
"doxorubicin",
"/",
"cyclophosphamide",
",",
"the",
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"arm",
"had",
"significantly",
"higher",
"rates",
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"Complete",
"Response",
"\"",
"than",
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"arm",
":",
"65.0",
"%",
"vs",
"38.3",
"%",
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"overall",
"period",
"(",
"p",
"=",
"0.0035",
")",
",",
"70.0",
"%",
"vs",
"51.7",
"%",
"in",
"the",
"acute",
"period",
"(",
"p",
"=",
"0.0397",
")",
"and",
"92.9",
"%",
"vs",
"74.2",
"%",
"in",
"the",
"delayed",
"period",
"(",
"p",
"=",
"0.0254",
")",
".",
"Olanzapine",
"arm",
"also",
"had",
"significantly",
"higher",
"rates",
"of",
"\"",
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"significant",
"nausea",
"\"",
"and",
"\"",
"No",
"nausea",
"\"",
"during",
"all",
"3",
"time",
"-",
"frames",
"and",
"better",
"QOL",
".",
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"findings",
"were",
"also",
"revealed",
"throughout",
"multiple",
"cycles",
".",
"Pre",
"-",
"study",
"abnormalities",
"in",
"glucose",
"and",
"lipids",
"occurred",
"in",
"39.7",
"%",
"and",
"34.2",
"%",
"of",
"the",
"studied",
"population",
"respectively",
";",
"there",
"were",
"no",
"differences",
"in",
"these",
"parameters",
"between",
"the",
"two",
"arms",
"at",
"end",
"-",
"of",
"-",
"study",
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".",
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"to",
"standard",
"aprepitant",
"-",
"based",
"antiemetic",
"regimen",
"provides",
"clinically",
"meaningful",
"improvement",
"in",
"controlling",
"CINV",
".",
"This",
"was",
"associated",
"with",
"a",
"positive",
"impact",
"on",
"QOL",
"and",
"tolerable",
"toxicity",
"profiles",
"among",
"Chinese",
"breast",
"cancer",
"patients",
"receiving",
"doxorubicin",
"/",
"cyclophosphamide",
"chemotherapy",
".",
"Further",
"studies",
"on",
"metabolic",
"profiles",
"of",
"breast",
"cancer",
"patients",
"are",
"warranted",
"."
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764 | [
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"-",
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".",
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"-",
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"-",
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"(",
"AIA",
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",",
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".",
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"AIA",
",",
"there",
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"evidence",
"to",
"support",
"high",
"-",
"dose",
"vitamin",
"D",
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"a",
"treatment",
".",
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"randomized",
"post",
"-",
"menopausal",
"women",
"who",
"were",
"beginning",
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"AI",
"therapy",
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"-",
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",",
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")",
".",
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"patients",
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"-",
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"vitamin",
"D",
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",",
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"two",
"arms",
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"-",
"dose",
"arm",
",",
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"(",
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"(",
"57",
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"-",
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";",
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",",
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"-",
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",",
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",",
"implies",
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"vitamin",
"D",
"likely",
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765 | [
"Randomized",
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"-",
"Blind",
"Placebo",
"-",
"Controlled",
"Biomarker",
"Modulation",
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"of",
"Vitamin",
"D",
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"in",
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"Women",
"at",
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"Risk",
"for",
"Breast",
"Cancer",
"(",
"SWOG",
"S",
"0812",
")",
".",
"Observational",
"studies",
"have",
"reported",
"an",
"inverse",
"association",
"between",
"vitamin",
"D",
"intake",
"and",
"breast",
"cancer",
"risk",
".",
"We",
"examined",
"whether",
"vitamin",
"D",
"supplementation",
"in",
"high",
"-",
"risk",
"premenopausal",
"women",
"reduces",
"mammographic",
"density",
"(",
"MD",
")",
",",
"an",
"established",
"breast",
"cancer",
"risk",
"factor",
".",
"We",
"conducted",
"a",
"multicenter",
"randomized",
"double",
"-",
"blind",
"placebo",
"-",
"controlled",
"trial",
"in",
"premenopausal",
"women",
"at",
"high",
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"cancer",
"[",
"5",
"-year",
"risk",
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"1.67",
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"-II",
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"cancer",
",",
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",",
"or",
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"]",
",",
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"[",
"25",
"(",
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")",
"D",
"]",
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"/",
"mL",
".",
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"randomized",
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"vitamin",
"D",
"3",
"20",
",",
"000",
"IU",
"/",
"week",
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"matching",
"placebo",
".",
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"primary",
"endpoint",
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"change",
"in",
"MD",
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"12",
"months",
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"the",
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"blood",
"biomarkers",
"[",
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"1",
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"-",
"binding",
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"]",
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"MD",
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"randomized",
",",
"median",
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",",
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"D",
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"/",
"mL",
",",
"and",
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"placebo",
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"12",
"months",
",",
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"changes",
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"did",
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"changes",
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"+",
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".",
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"change",
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"(",
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")",
"D",
"of",
"+",
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"IGF-",
"1",
"/",
"IGFBP-",
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"the",
"use",
"of",
"vitamin",
"D",
"supplementation",
"for",
"breast",
"cancer",
"risk",
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766 | [
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"cancer",
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":",
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"confirmation",
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".",
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"at",
"the",
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"Institute",
"of",
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"(",
"Milan",
",",
"Italy",
")",
".",
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",",
"a",
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768 | [
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] |
770 | [
"Celecoxib",
"anti",
"-",
"aromatase",
"neoadjuvant",
"(",
"CAAN",
")",
"trial",
"for",
"locally",
"advanced",
"breast",
"cancer",
".",
"To",
"evaluate",
"the",
"efficacy",
"and",
"safety",
"of",
"combing",
"aromatase",
"inhibitor",
"(",
"AI",
")",
"and",
"cyclooxygenase-",
"2",
"(",
"COX-",
"2",
")",
"inhibitor",
"neoadjuvantly",
"in",
"postmenopausal",
"patients",
"with",
"invasive",
"hormone",
"-",
"sensitive",
"breast",
"cancer",
".",
"Eighty",
"-",
"two",
"patients",
"were",
"randomly",
"assigned",
"to",
"receive",
"exemestane",
"25",
"mg",
"daily",
"and",
"celecoxib",
"400",
"mg",
"twice",
"daily",
"(",
"group",
"A",
",",
"n=",
"30",
")",
",",
"exemestane",
"25",
"mg",
"daily",
"(",
"group",
"B",
",",
"n=",
"24",
")",
"and",
"letrozole",
"2.5",
"mg",
"daily",
"(",
"group",
"C",
",",
"n=",
"28",
")",
".",
"All",
"groups",
"showed",
"clinical",
"responses",
"(",
"58.6",
"%",
"for",
"group",
"A",
",",
"54.5",
"%",
"for",
"group",
"B",
"and",
"62.0",
"%",
"for",
"group",
"C",
")",
"and",
"decrease",
"in",
"tumor",
"area",
"(",
"61.8",
"%",
"for",
"group",
"A",
",",
"58.1",
"%",
"for",
"group",
"B",
"and",
"55.7",
"%",
"for",
"group",
"C",
")",
".",
"3",
"out",
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"5",
"patients",
"with",
"complete",
"clinical",
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"observed",
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"group",
"A",
"and",
"2",
"out",
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"69",
"patients",
"operated",
"with",
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"complete",
"response",
"were",
"observed",
"in",
"group",
"C",
".",
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"mean",
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"tumor",
"size",
"was",
"2.53",
"cm",
"for",
"group",
"A",
",",
"3.05",
"cm",
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"group",
"B",
"and",
"2.10",
"cm",
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"group",
"C",
".",
"The",
"differences",
"were",
"only",
"statistically",
"significant",
"when",
"group",
"C",
"was",
"compared",
"with",
"group",
"B",
"(",
"P=",
"0.025",
")",
".",
"The",
"toxicity",
"profiles",
"among",
"groups",
"were",
"satisfactory",
".",
"AI",
"is",
"effective",
"in",
"treating",
"breast",
"cancer",
"and",
"may",
"be",
"safely",
"used",
"preoperatively",
".",
"The",
"addition",
"of",
"COX-",
"2",
"inhibitor",
"may",
"provide",
"additional",
"benefit",
"."
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771 | [
"Regional",
"Nodal",
"Irradiation",
"in",
"Early",
"-",
"Stage",
"Breast",
"Cancer",
".",
"Most",
"women",
"with",
"breast",
"cancer",
"who",
"undergo",
"breast",
"-",
"conserving",
"surgery",
"receive",
"whole",
"-",
"breast",
"irradiation",
".",
"We",
"examined",
"whether",
"the",
"addition",
"of",
"regional",
"nodal",
"irradiation",
"to",
"whole",
"-",
"breast",
"irradiation",
"improved",
"outcomes",
".",
"We",
"randomly",
"assigned",
"women",
"with",
"node",
"-",
"positive",
"or",
"high",
"-",
"risk",
"node",
"-",
"negative",
"breast",
"cancer",
"who",
"were",
"treated",
"with",
"breast",
"-",
"conserving",
"surgery",
"and",
"adjuvant",
"systemic",
"therapy",
"to",
"undergo",
"either",
"whole",
"-",
"breast",
"irradiation",
"plus",
"regional",
"nodal",
"irradiation",
"(",
"including",
"internal",
"mammary",
",",
"supraclavicular",
",",
"and",
"axillary",
"lymph",
"nodes",
")",
"(",
"nodal",
"-",
"irradiation",
"group",
")",
"or",
"whole",
"-",
"breast",
"irradiation",
"alone",
"(",
"control",
"group",
")",
".",
"The",
"primary",
"outcome",
"was",
"overall",
"survival",
".",
"Secondary",
"outcomes",
"were",
"disease",
"-",
"free",
"survival",
",",
"isolated",
"locoregional",
"disease",
"-",
"free",
"survival",
",",
"and",
"distant",
"disease",
"-",
"free",
"survival",
".",
"Between",
"March",
"2000",
"and",
"February",
"2007",
",",
"a",
"total",
"of",
"1832",
"women",
"were",
"assigned",
"to",
"the",
"nodal",
"-",
"irradiation",
"group",
"or",
"the",
"control",
"group",
"(",
"916",
"women",
"in",
"each",
"group",
")",
".",
"The",
"median",
"follow",
"-",
"up",
"was",
"9.5",
"years",
".",
"At",
"the",
"10",
"-year",
"follow",
"-",
"up",
",",
"there",
"was",
"no",
"significant",
"between",
"-",
"group",
"difference",
"in",
"survival",
",",
"with",
"a",
"rate",
"of",
"82.8",
"%",
"in",
"the",
"nodal",
"-",
"irradiation",
"group",
"and",
"81.8",
"%",
"in",
"the",
"control",
"group",
"(",
"hazard",
"ratio",
",",
"0.91",
";",
"95",
"%",
"confidence",
"interval",
"[",
"CI",
"]",
",",
"0.72",
"to",
"1.13",
";",
"P=",
"0.38",
")",
".",
"The",
"rates",
"of",
"disease",
"-",
"free",
"survival",
"were",
"82.0",
"%",
"in",
"the",
"nodal",
"-",
"irradiation",
"group",
"and",
"77.0",
"%",
"in",
"the",
"control",
"group",
"(",
"hazard",
"ratio",
",",
"0.76",
";",
"95",
"%",
"CI",
",",
"0.61",
"to",
"0.94",
";",
"P=",
"0.01",
")",
".",
"Patients",
"in",
"the",
"nodal",
"-",
"irradiation",
"group",
"had",
"higher",
"rates",
"of",
"grade",
"2",
"or",
"greater",
"acute",
"pneumonitis",
"(",
"1.2",
"%",
"vs.",
"0.2",
"%",
",",
"P=",
"0.01",
")",
"and",
"lymphedema",
"(",
"8.4",
"%",
"vs.",
"4.5",
"%",
",",
"P=",
"0.001",
")",
".",
"Among",
"women",
"with",
"node",
"-",
"positive",
"or",
"high",
"-",
"risk",
"node",
"-",
"negative",
"breast",
"cancer",
",",
"the",
"addition",
"of",
"regional",
"nodal",
"irradiation",
"to",
"whole",
"-",
"breast",
"irradiation",
"did",
"not",
"improve",
"overall",
"survival",
"but",
"reduced",
"the",
"rate",
"of",
"breast",
"-",
"cancer",
"recurrence",
".",
"(",
"Funded",
"by",
"the",
"Canadian",
"Cancer",
"Society",
"Research",
"Institute",
"and",
"others",
";",
"MA",
".",
"20",
"ClinicalTrials.gov",
"number",
",",
"NCT",
"00005957",
".",
")",
"."
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772 | [
"[",
"Can",
"a",
"mobile",
"phone",
"short",
"message",
"increase",
"participation",
"in",
"breast",
"cancer",
"screening",
"programmes",
"?",
"]",
".",
"To",
"evaluate",
"the",
"impact",
"of",
"a",
"mobile",
"phone",
"short",
"message",
"on",
"women",
"'s",
"uptake",
"in",
"a",
"breast",
"cancer",
"screening",
"programme",
".",
"A",
"total",
"of",
"703",
"women",
"from",
"a",
"Basic",
"Health",
"Area",
"of",
"Barcelona",
",",
"and",
"with",
"a",
"mobile",
"phone",
"number",
"registered",
",",
"were",
"invited",
"to",
"participate",
"in",
"a",
"breast",
"cancer",
"screening",
"programme",
"between",
"25",
"January",
"2011",
"and",
"22",
"March",
"2011",
".",
"The",
"control",
"group",
"(",
"n=",
"470",
")",
"followed",
"the",
"usual",
"appointment",
"track",
",",
"and",
"the",
"intervention",
"group",
"(",
"n=",
"233",
")",
"received",
",",
"after",
"the",
"first",
"letter",
"of",
"invitation",
",",
"a",
"mobile",
"phone",
"short",
"message",
"reminder",
".",
"The",
"differences",
"between",
"the",
"two",
"groups",
"were",
"analysed",
",",
"comparing",
"the",
"uptake",
"rates",
"according",
"to",
"age",
",",
"educational",
"level",
",",
"and",
"participation",
"in",
"previous",
"round",
",",
"as",
"well",
"as",
"the",
"number",
"of",
"re",
"-",
"invitation",
"calls",
"to",
"non",
"-",
"attenders",
"according",
"to",
"uptake",
",",
"age",
"and",
"level",
"of",
"education;and",
"the",
"percentages",
"of",
"exclusions",
"of",
"both",
"groups",
".",
"The",
"intervention",
"group",
"had",
"a",
"greater",
"uptake",
"than",
"the",
"control",
"group",
"(",
"78.1",
"%",
"vs.",
"72.3",
"%",
")",
",",
"with",
"a",
"significant",
"trend",
"observed",
"in",
"the",
"55",
"-",
"59",
"years",
"age",
"group",
"(",
"P=",
".",
"036",
")",
"and",
"the",
"low",
"secondary",
"educational",
"level",
"(",
"P=",
".",
"014",
")",
".",
"The",
"intervention",
"group",
"mean",
"of",
"re",
"-",
"invitation",
"calls",
"of",
"non",
"-",
"attenders",
"lower",
"than",
"the",
"control",
"group",
"(",
".",
"41",
"vs.",
".",
"65",
",",
"P",
"<",
".",
"05",
")",
",",
"a",
"pattern",
"observed",
"in",
"all",
"the",
"categories",
"of",
"the",
"independent",
"variables",
",",
"and",
"among",
"younger",
"age",
"groups",
",",
"lower",
"and",
"middle",
"educational",
"levels",
",",
"and",
"previously",
"participating",
"women",
"(",
".",
"09",
"vs.",
".",
"19",
",",
"P=",
".",
"012",
")",
".",
"The",
"inclusion",
"of",
"a",
"mobile",
"phone",
"short",
"message",
"in",
"a",
"breast",
"cancer",
"screening",
"programme",
"may",
"increase",
"uptake",
"rates",
"and",
"lead",
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"a",
"management",
"improvement",
"."
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777 | [
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".",
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"exposed",
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"exposed",
"patients",
".",
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"years",
",",
"the",
"risk",
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"a",
"leukemia",
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"confidence",
"interval",
"0.11",
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"0.57",
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"a",
"leukemia",
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"up",
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"based",
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":",
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"0.31",
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",",
"and",
"in",
"some",
"of",
"them",
",",
"treatment",
"causality",
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"debatable",
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778 | [
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"in",
"prevention",
"of",
"postoperative",
"nausea",
"and",
"vomiting",
"following",
"breast",
"surgery",
".",
"To",
"investigate",
"whether",
"betamethasone",
"decreases",
"the",
"incidence",
"of",
"postoperative",
"nausea",
"/",
"vomiting",
"(",
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")",
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"reduces",
"postoperative",
"pain",
"following",
"partial",
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".",
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",",
"double",
"-",
"blinded",
"study",
".",
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"room",
"and",
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"Unit",
"of",
"a",
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"hospital",
".",
"80",
"ASA",
"physical",
"status",
"1",
"and",
"2",
"women",
"scheduled",
"for",
"elective",
"breast",
"cancer",
"surgery",
".",
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"were",
"randomly",
"allocated",
"to",
"two",
"groups",
"in",
"double",
"-",
"blinded",
"fashion",
":",
"Group",
"B",
"(",
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";",
"37",
"pts",
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"and",
"Group",
"C",
"(",
"control",
";",
"38",
"pts",
")",
".",
"Group",
"B",
"received",
"8",
"mg",
"of",
"betamethasone",
"intravenously",
"before",
"the",
"start",
"of",
"surgery",
".",
"The",
"rate",
"of",
"PONV",
"and",
"pain",
"were",
"recorded",
"using",
"a",
"numeric",
"rating",
"scale",
"(",
"NRS",
";",
"0",
"-",
"10",
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",",
"as",
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"as",
"rescue",
"doses",
"of",
"antiemetics",
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"and",
"analgesics",
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"incidence",
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"scoring",
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".",
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"reduces",
"the",
"severity",
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"PONV",
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"pain",
"in",
"patients",
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779 | [
"Effectiveness",
"of",
"biosimilar",
"filgrastim",
"vs.",
"original",
"granulocyte",
"colony",
"-",
"stimulating",
"factors",
"in",
"febrile",
"neutropenia",
"prevention",
"in",
"breast",
"cancer",
"patients",
".",
"The",
"purpose",
"of",
"this",
"study",
"is",
"to",
"describe",
"the",
"effectiveness",
"of",
"biosimilar",
"filgrastim",
"and",
"original",
"granulocyte",
"colony",
"-",
"stimulating",
"factors",
"(",
"G",
"-",
"CSFs",
")",
",",
"lenograstim",
"and",
"pegfilgrastim",
",",
"in",
"febrile",
"neutropenia",
"(",
"FN",
")",
"prevention",
"in",
"breast",
"cancer",
"patients",
"receiving",
"docetaxel",
"/",
"doxorubicin",
"/",
"cyclophosphamide",
"(",
"TAC",
")",
"as",
"adjuvant",
"/",
"neoadjuvant",
"treatment",
"and",
"to",
"analyze",
"their",
"treatment",
"patterns",
".",
"A",
"pharmacoepidemiology",
"cohort",
"study",
"was",
"developed",
"in",
"a",
"university",
"hospital",
"(",
"with",
"23",
"healthcare",
"centers",
")",
"with",
"retrospective",
"data",
"collection",
"(",
"2012",
"-",
"2014",
")",
".",
"Effectiveness",
"of",
"G",
"-",
"CSFs",
"was",
"assessed",
"by",
"the",
"FN",
"incidence",
".",
"Other",
"parameters",
"analyzed",
"were",
"as",
"follows",
":",
"moderate",
"and",
"severe",
"neutropenia",
"incidence",
",",
"neutropenia",
"-",
"related",
"hospitalizations",
",",
"dosage",
",",
"and",
"duration",
".",
"Data",
"was",
"analyzed",
"using",
"each",
"cycle",
"as",
"a",
"unit",
"of",
"analysis",
".",
"We",
"identified",
"98",
"patients",
"representing",
"518",
"chemotherapy",
"cycles",
",",
"215",
"with",
"original",
"G",
"-",
"CSFs",
"(",
"35",
"lenograstim",
"and",
"180",
"pegfilgrastim",
")",
"and",
"303",
"with",
"biosimilar",
"filgrastim",
".",
"The",
"FN",
"incidence",
"was",
"similar",
"in",
"both",
"groups",
"(",
"3.7",
"%",
"original",
"vs.",
"3.3",
"%",
"biosimilar",
";",
"p",
"=",
"0.79",
")",
".",
"No",
"statistically",
"significant",
"differences",
"were",
"found",
"in",
"moderate",
"and",
"severe",
"neutropenia",
"incidence",
"(",
"4.7",
"vs.",
"6.3",
"%",
";",
"p",
"=",
"0.43",
")",
"or",
"neutropenia",
"-",
"related",
"hospitalizations",
"(",
"3.3",
"vs.",
"3.6",
"%",
";",
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"=",
"0.19",
")",
".",
"When",
"the",
"three",
"drugs",
"were",
"evaluated",
"separately",
",",
"a",
"higher",
"FN",
"incidence",
"was",
"observed",
"with",
"lenograstim",
"than",
"with",
"pegfilgratim",
"or",
"biosimilar",
"(",
"p",
"=",
"0.024",
")",
".",
"The",
"dosage",
"and",
"duration",
"of",
"biosimilar",
"were",
"lower",
"than",
"lenograstim",
"(",
"4.9",
"vs.",
"5.7",
"μg",
"/",
"kg",
"/",
"day",
";",
"5",
"vs.",
"7",
"days",
";",
"p",
"<",
"0.001",
")",
".",
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"abbreviated",
"5",
"-day",
"course",
"of",
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"filgrastim",
"provided",
"optimal",
"primary",
"prophylaxis",
"against",
"FN",
"post",
"-",
"chemotherapy",
"TAC",
"in",
"patients",
"with",
"breast",
"cancer",
".",
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"clinical",
"relevance",
"of",
"the",
"highest",
"FN",
"incidence",
"in",
"the",
"lenograstim",
"cohort",
"needs",
"further",
"attention",
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780 | [
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"biopsy",
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"breast",
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"blue",
"dye",
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"it",
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"isotope",
"marking",
"can",
"improve",
"the",
"success",
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".",
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"the",
"isotope",
"adds",
"extra",
"cost",
"and",
"there",
"are",
"potential",
"radiation",
"hazards",
".",
"The",
"two",
"techniques",
"were",
"compared",
"in",
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"randomized",
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".",
"Women",
"with",
"early",
"breast",
"cancer",
"(",
"less",
"than",
"3",
"cm",
")",
"and",
"no",
"palpable",
"axillary",
"nodes",
"were",
"recruited",
".",
"Women",
"older",
"than",
"70",
"years",
"with",
"multicentric",
"cancers",
"or",
"previous",
"surgery",
"to",
"the",
"breast",
"or",
"axilla",
"were",
"excluded",
".",
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"were",
"randomized",
"to",
"either",
"blue",
"dye",
"alone",
"or",
"combined",
"mapping",
"for",
"SLN",
"biopsy",
".",
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"women",
"had",
"a",
"level",
"I",
"and",
"II",
"axillary",
"dissection",
"after",
"the",
"SLN",
"biopsy",
".",
"A",
"total",
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"123",
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"were",
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",",
"of",
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"five",
"were",
"excluded",
"from",
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"was",
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"57",
"women",
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"61",
"had",
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"mapping",
".",
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"were",
"similar",
"in",
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".",
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".",
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"negative",
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781 | [
"Randomized",
",",
"self",
"-",
"controlled",
",",
"prospective",
"assessment",
"of",
"the",
"efficacy",
"of",
"mometasone",
"furoate",
"local",
"application",
"in",
"reducing",
"acute",
"radiation",
"dermatitis",
"in",
"patients",
"with",
"head",
"and",
"neck",
"squamous",
"cell",
"carcinomas",
".",
"Acute",
"radiation",
"dermatitis",
"(",
"ARD",
")",
"is",
"a",
"common",
"adverse",
"effect",
"in",
"patients",
"undergoing",
"radiotherapy",
".",
"Mometasone",
"furoate",
"cream",
"(",
"MMF",
")",
"was",
"reported",
"to",
"significantly",
"reduce",
"ARD",
",",
"especially",
"in",
"breast",
"cancer",
".",
"Clinically",
",",
"ARD",
"is",
"more",
"critical",
"and",
"more",
"difficult",
"to",
"prevent",
"in",
"patients",
"with",
"head",
"and",
"neck",
"squamous",
"cell",
"carcinoma",
"(",
"HNSCC",
")",
"than",
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"cancer",
",",
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"a",
"higher",
"dose",
"of",
"radiotherapy",
"is",
"required",
"in",
"HNSCC",
"cases",
".",
"The",
"aim",
"of",
"this",
"study",
"was",
"to",
"evaluate",
"the",
"effect",
"of",
"MMF",
"local",
"application",
"on",
"radiation",
"dermatitis",
"in",
"patients",
"with",
"HNSCC",
".",
"HNSCC",
"patients",
"scheduled",
"for",
"bilateral",
"radical",
"radiotherapy",
"to",
"the",
"neck",
"with",
"identical",
"radiation",
"doses",
"were",
"enrolled",
".",
"One",
"side",
"of",
"the",
"neck",
"skin",
"(",
"test",
"groups",
")",
"of",
"the",
"patients",
"were",
"randomized",
"to",
"apply",
"a",
"thin",
"layer",
"of",
"MMF",
"once",
"a",
"day",
"from",
"the",
"date",
"of",
"first",
"radiotherapy",
"until",
"either",
"2",
"weeks",
"after",
"end",
"of",
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"or",
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"test",
"side",
"skin",
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"lesions",
",",
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"the",
"other",
"side",
"of",
"neck",
"(",
"control",
"groups",
")",
"did",
"n't",
"apply",
"any",
"medication",
".",
"The",
"severity",
"of",
"ARD",
"was",
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"by",
"using",
"the",
"modified",
"radiation",
"therapy",
"oncology",
"group",
"score",
",",
"pain",
"intensity",
",",
"and",
"itch",
"stages",
".",
"Forty",
"-",
"one",
"patients",
"(",
"82",
"targets",
")",
"were",
"analyzed",
".",
"There",
"was",
"a",
"significant",
"difference",
"between",
"the",
"ARD",
"scores",
"on",
"the",
"test",
"side",
"and",
"the",
"control",
"side",
".",
"MMF",
"reduced",
"the",
"stages",
"of",
"ARD",
"when",
"the",
"radiotherapy",
"dose",
"was",
"<",
"6000",
"cGY",
"(",
"P",
"=",
".",
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")",
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"showed",
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"when",
"the",
"dose",
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"699",
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".",
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782 | [
"Evaluation",
"of",
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"Prevention",
"Protocol",
"on",
"Quality",
"of",
"Life",
"among",
"Breast",
"Cancer",
"Patients",
"with",
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".",
"Lymphedema",
"is",
"a",
"widespread",
"complication",
"after",
"surgery",
"or",
"radiation",
"therapy",
"due",
"to",
"the",
"damage",
"and",
"obstruction",
"of",
"the",
"lymphatic",
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".",
"A",
"study",
"was",
"conducted",
"to",
"assess",
"the",
"effectiveness",
"of",
"lymphedema",
"prevention",
"protocol",
"on",
"quality",
"of",
"life",
"among",
"breast",
"cancer",
"patients",
"with",
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"at",
"a",
"selected",
"hospital",
"in",
"Tamil",
"Nadu",
".",
"Objectives",
"of",
"the",
"study",
"were",
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"identify",
"the",
"effect",
"of",
"lymphedema",
"prevention",
"protocol",
"on",
"lymphedema",
"occurrence",
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".",
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"research",
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"experimental",
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"-",
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"group",
"before",
"-after",
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"(",
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")",
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".",
"The",
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"120",
"participants",
"by",
"using",
"purposive",
"sampling",
"technique",
"which",
"included",
"60",
"each",
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"study",
"and",
"comparison",
"group",
".",
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"was",
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"intervention",
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"lymphedema",
"prevention",
"protocol",
"to",
"both",
"comparison",
"and",
"study",
"group",
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".",
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"protocol",
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"group",
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"comparison",
"group",
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",",
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",",
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"30",
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"60",
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"Subjects",
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"and",
"statistically",
"analyzed",
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"descriptive",
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"inferential",
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".",
"The",
"comparison",
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"of",
"life",
"between",
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"comparison",
"group",
"over",
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"period",
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"<",
"0.001",
"whereas",
"lymphedema",
"occurrence",
"was",
"significant",
"at",
"p",
"<",
"0.01",
".",
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"early",
"execution",
"of",
"preventive",
"measures",
"of",
"lymphedema",
"prevents",
"the",
"lymphedema",
"occurrence",
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"promotes",
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0,
0
] |
783 | [
"Phase",
"III",
"double",
"-",
"blind",
",",
"placebo",
"-",
"controlled",
",",
"prospective",
"randomized",
"trial",
"of",
"adjuvant",
"tamoxifen",
"vs.",
"tamoxifen",
"and",
"fenretinide",
"in",
"postmenopausal",
"women",
"with",
"positive",
"receptors",
"(",
"EB",
"193",
")",
":",
"an",
"intergroup",
"trial",
"coordinated",
"by",
"the",
"Eastern",
"Cooperative",
"Oncology",
"Group",
".",
"Fenretinide",
"and",
"tamoxifen",
"have",
"additive",
"antitumor",
"effects",
"preclinically",
".",
"We",
"performed",
"a",
"randomized",
",",
"placebo",
"-",
"controlled",
",",
"double",
"-",
"blind",
"adjuvant",
"trial",
"in",
"breast",
"cancer",
"patients",
"treated",
"for",
"5",
"years",
"with",
"tamoxifen",
",",
"with",
"or",
"without",
"fenretinide",
".",
"Between",
"October",
"1995",
"and",
"October",
"1999",
",",
"426",
"postmenopausal",
"women",
"with",
"hormone",
"receptor",
"-",
"positive",
"breast",
"cancer",
"were",
"randomized",
".",
"Patients",
"were",
"monitored",
"for",
"efficacy",
"and",
"toxicity",
".",
"Four",
"hundred",
"and",
"nineteen",
"patients",
"were",
"evaluable",
".",
"The",
"study",
"was",
"terminated",
"early",
"due",
"to",
"slow",
"accrual",
".",
"There",
"were",
"no",
"significant",
"differences",
"between",
"treatment",
"groups",
"in",
"DFS",
",",
"TTR",
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"survival",
".",
"More",
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"arm",
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"(",
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"0.02",
")",
".",
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"/",
"4",
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",",
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"fenretinide",
"(",
"P",
"=",
"0.007",
")",
".",
"A",
"Night",
"Blindness",
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"nyctalopia",
",",
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",",
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"more",
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".",
"In",
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"underpowered",
"study",
",",
"no",
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".",
"This",
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"toxicity",
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"fenretinide",
",",
"a",
"retinoid",
"that",
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"used",
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"setting",
",",
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"-",
"controlled",
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"double",
"-",
"blind",
"randomized",
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784 | [
"Cisplatin",
"plus",
"oral",
"etoposide",
"(",
"EoP",
")",
"combination",
"is",
"more",
"effective",
"than",
"paclitaxel",
"in",
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"with",
"advanced",
"breast",
"cancer",
"pretreated",
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":",
"a",
"randomised",
"phase",
"III",
"trial",
"of",
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"Oncology",
"Group",
".",
"Our",
"objective",
"was",
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"whether",
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"and",
"cisplatin",
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"(",
"EoP",
")",
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"(",
"ABC",
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"patients",
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"with",
"anthracyclines",
".",
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"1997",
"to",
"August",
"2003",
",",
"201",
"patients",
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",",
"100",
"to",
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"101",
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"arms",
".",
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"patients",
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"arm",
"were",
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".",
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"doses",
"of",
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"and",
"cisplatin",
"were",
"50",
"mg",
"p.o",
".",
"twice",
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"7",
"days",
"and",
"70",
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"m",
"(",
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")",
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"(",
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")",
"on",
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",",
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",",
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"175",
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"m",
"(",
"-",
"2",
")",
"on",
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"1",
"for",
"paclitaxel",
".",
"Both",
"treatments",
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"repeated",
"every",
"3",
"weeks",
".",
"A",
"median",
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"cycles",
"of",
"study",
"treatment",
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"arms",
".",
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"response",
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"EoP",
"arm",
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"(",
"36.3",
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"22.2",
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";",
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"0.038",
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"(",
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"0.003",
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"arm",
"(",
"14",
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"employment",
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785 | [
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"based",
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",",
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",",
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"-",
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"practices",
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"20",
",",
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"to",
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"19",
",",
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".",
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"42",
"-",
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"years",
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"00462891",
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"Soy",
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"supplementation",
"for",
"breast",
"cancer",
"risk",
"reduction",
":",
"a",
"randomized",
"phase",
"II",
"trial",
".",
"Soy",
"isoflavone",
"consumption",
"may",
"protect",
"against",
"breast",
"cancer",
"development",
".",
"We",
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"a",
"phase",
"IIB",
"trial",
"of",
"soy",
"isoflavone",
"supplementation",
"to",
"examine",
"its",
"effect",
"on",
"breast",
"epithelial",
"proliferation",
"and",
"other",
"biomarkers",
"in",
"the",
"healthy",
"high",
"-",
"risk",
"breast",
".",
"One",
"hundred",
"and",
"twenty",
"-",
"six",
"consented",
"women",
"underwent",
"a",
"random",
"fine",
"-",
"needle",
"aspiration",
"(",
"rFNA",
")",
";",
"those",
"with",
"4",
",",
"000",
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"-",
"blind",
"6",
"-month",
"intervention",
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"mixed",
"soy",
"isoflavones",
"(",
"PTIG-",
"2535",
")",
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"placebo",
",",
"followed",
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".",
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"Ki-",
"67",
"labeling",
"index",
"and",
"atypia",
".",
"Expression",
"of",
"28",
"genes",
"related",
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",",
"apoptosis",
",",
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"estrogenic",
"effect",
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"measured",
"using",
"quantitative",
"reverse",
"transcriptase",
"PCR",
".",
"Hormone",
"and",
"protein",
"levels",
"were",
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"in",
"nipple",
"aspirate",
"fluid",
"(",
"NAF",
")",
".",
"All",
"statistical",
"tests",
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"two",
"-",
"sided",
".",
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"-",
"eight",
"women",
"were",
"evaluable",
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"Ki-",
"67",
"labeling",
"index",
".",
"In",
"49",
"treated",
"women",
",",
"the",
"median",
"Ki-",
"67",
"labeling",
"index",
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"1.18",
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"1.12",
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",",
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"49",
"placebo",
"subjects",
",",
"it",
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"0.97",
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"0.92",
"(",
"P",
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"-",
"group",
"change",
":",
"0.32",
")",
".",
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"similar",
"results",
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",",
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"soy",
"-",
"treated",
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",",
"Ki-",
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"1.71",
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"(",
"P",
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"0.04",
")",
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"no",
"treatment",
"effect",
"on",
"cytologic",
"atypia",
"or",
"NAF",
"parameters",
".",
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"the",
"expression",
"of",
"14",
"of",
"28",
"genes",
"within",
"the",
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"group",
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"group",
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"Plasma",
"genistein",
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"showed",
"excellent",
"compliance",
".",
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"a",
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"adverse",
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787 | [
"Breast",
"density",
"changes",
"in",
"a",
"randomized",
"controlled",
"trial",
"evaluating",
"bazedoxifene",
"/",
"conjugated",
"estrogens",
".",
"Breast",
"density",
"is",
"associated",
"with",
"an",
"increased",
"risk",
"of",
"breast",
"cancer",
".",
"This",
"study",
"assessed",
"changes",
"in",
"mammographic",
"breast",
"density",
"after",
"24",
"months",
"of",
"treatment",
"with",
"bazedoxifene",
"(",
"BZA",
")",
"/",
"conjugated",
"estrogens",
"(",
"CE",
")",
"in",
"postmenopausal",
"women",
".",
"This",
"was",
"an",
"ancillary",
"study",
"in",
"a",
"subset",
"of",
"nonhysterectomized",
"postmenopausal",
"women",
"enrolled",
"in",
"a",
"randomized",
",",
"double",
"-",
"blind",
",",
"placebo",
"-",
"controlled",
",",
"and",
"active",
"-",
"controlled",
"phase",
"3",
"study",
".",
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"BZA",
"20",
"mg",
"/",
"CE",
"0.45",
"mg",
",",
"BZA",
"20",
"mg",
"/",
"CE",
"0.625",
"mg",
",",
"raloxifene",
"60",
"mg",
",",
"and",
"placebo",
".",
"Women",
"who",
"were",
"eligible",
"for",
"participation",
"in",
"the",
"ancillary",
"study",
"must",
"have",
"completed",
"24",
"months",
"of",
"treatment",
"and",
"have",
"mammograms",
"at",
"baseline",
"and",
"24",
"months",
".",
"The",
"left",
"craniocaudal",
"views",
"from",
"each",
"mammogram",
"pair",
"were",
"digitized",
"and",
"analyzed",
"by",
"a",
"radiologist",
"who",
"was",
"blinded",
"to",
"treatment",
"arm",
"and",
"mammogram",
"date",
".",
"The",
"percent",
"breast",
"density",
"was",
"determined",
"using",
"validated",
"software",
".",
"Mammogram",
"pairs",
"were",
"obtained",
"from",
"507",
"evaluable",
"participants",
"(",
"mean",
"age",
"range",
",",
"55.2",
"-",
"56.3",
"y",
")",
".",
"The",
"mean",
"changes",
"(",
"95",
"%",
"CI",
")",
"in",
"mammographic",
"breast",
"density",
"from",
"baseline",
"to",
"24",
"months",
"were",
"comparable",
"among",
"groups",
"(",
"-",
"0.39",
"%",
"[",
"-",
"0.69",
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"-",
"0.08",
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",",
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",",
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",",
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",",
"raloxifene",
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",",
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",",
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")",
".",
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"were",
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"significant",
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"BZA",
"20",
"mg",
"/",
"CE",
"0.45",
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"placebo",
".",
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"effect",
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"both",
"BZA",
"/",
"CE",
"doses",
"on",
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"was",
"generally",
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"based",
"on",
"age",
",",
"body",
"mass",
"index",
",",
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"20",
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"/",
"CE",
"0.45",
"mg",
"or",
"BZA",
"20",
"mg",
"/",
"CE",
"0.625",
"mg",
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"months",
"did",
"not",
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"mammographic",
"breast",
"density",
"in",
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"women",
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788 | [
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"atorvastatin",
"1",
"%",
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"prevention",
"of",
"skin",
"toxicity",
"in",
"patients",
"receiving",
"radiation",
"therapy",
"for",
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"cancer",
":",
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",",
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"-",
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",",
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"-",
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",",
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",",
"double",
"-",
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"(",
"ATV",
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"-",
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"toxicity",
"in",
"patients",
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"cancer",
".",
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"breast",
"cancer",
"patients",
"were",
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"to",
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"topical",
"ATV",
"1",
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"placebo",
"gels",
"during",
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"-",
"induced",
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"group",
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"for",
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"cancer",
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",",
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790 | [
"A",
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"blind",
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",",
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",",
"dose",
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"22",
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"-",
"ranging",
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"A",
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",",
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",",
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".",
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791 | [
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792 | [
"Carvedilol",
"Administration",
"Can",
"Prevent",
"Doxorubicin",
"-",
"Induced",
"Cardiotoxicity",
":",
"A",
"Double",
"-",
"Blind",
"Randomized",
"Trial",
".",
"The",
"aim",
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"study",
"is",
"to",
"evaluate",
"the",
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"effects",
"of",
"carvedilol",
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"doxorubicin",
"-",
"induced",
"cardiotoxicity",
".",
"In",
"this",
"trial",
",",
"70",
"female",
"patients",
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"breast",
"cancer",
"who",
"were",
"candidates",
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"doxorubicin",
"were",
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",",
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"30",
"were",
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"carvedilol",
"6.25",
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",",
"with",
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"rest",
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"as",
"the",
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"group",
".",
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"1",
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"and",
"1",
"week",
"after",
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"by",
"measuring",
"the",
"left",
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"ejection",
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"strain",
"/",
"strain",
"rate",
".",
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"analysis",
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"the",
"case",
"group",
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"no",
"significant",
"reduction",
"in",
"strain",
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"strain",
"-",
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",",
"while",
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"reduction",
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"(",
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".",
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"0.037",
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".",
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"-",
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".",
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793 | [
"A",
"randomized",
",",
"prospective",
"study",
"of",
"endometrial",
"resection",
"to",
"prevent",
"recurrent",
"endometrial",
"polyps",
"in",
"women",
"with",
"breast",
"cancer",
"receiving",
"tamoxifen",
".",
"To",
"assess",
"the",
"role",
"of",
"endometrial",
"resection",
"in",
"preventing",
"recurrence",
"of",
"tamoxifen",
"-",
"associated",
"endometrial",
"polyps",
"in",
"women",
"with",
"breast",
"cancer",
".",
"Randomized",
",",
"prospective",
"study",
"(",
"Canadian",
"Task",
"Force",
"classification",
"I",
")",
".",
"Tertiary",
"university",
"-",
"affiliated",
"medical",
"center",
".",
"Twenty",
"consecutive",
"women",
"(",
"age",
"range",
"43",
"-",
"61",
"yrs",
")",
".",
"Hysteroscopic",
"removal",
"of",
"tamoxifen",
"-",
"associated",
"endometrial",
"polyps",
"with",
"or",
"without",
"simultaneous",
"resection",
"of",
"the",
"endometrium",
".",
"Patients",
"were",
"randomized",
"to",
"undergo",
"(",
"10",
"women",
")",
"or",
"not",
"undergo",
"(",
"10",
")",
"concomitant",
"endometrial",
"resection",
".",
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"were",
"followed",
"for",
"at",
"least",
"18",
"months",
"(",
"range",
"18",
"-",
"24",
"mo",
")",
",",
"including",
"transvaginal",
"ultrasonography",
"every",
"6",
"months",
"and",
"hysteroscopy",
"when",
"endometrial",
"irregularity",
"was",
"noted",
".",
"The",
"main",
"outcome",
"variable",
"was",
"recurrence",
"of",
"endometrial",
"polyps",
";",
"occurrence",
"of",
"uterine",
"bleeding",
"was",
"also",
"noted",
".",
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"women",
"who",
"underwent",
"endometrial",
"resection",
",",
"only",
"one",
"had",
"a",
"1",
"x",
"1",
"-cm",
"endometrial",
"polyp",
"diagnosed",
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"removed",
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"follow",
"-",
"up",
".",
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"women",
"remained",
"amenorrheic",
",",
"and",
"three",
"experienced",
"spotting",
"for",
"a",
"few",
"days",
"every",
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".",
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"control",
"group",
",",
"six",
"women",
"had",
"recurrent",
"endometrial",
"polyps",
"requiring",
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"(",
"two",
"-",
"tail",
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"p",
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".",
"Recurrence",
"of",
"endometrial",
"polyps",
",",
"one",
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"the",
"most",
"common",
"problems",
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"patients",
"with",
"breast",
"cancer",
"receiving",
"long",
"-",
"term",
"treatment",
"with",
"tamoxifen",
",",
"may",
"be",
"reduced",
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"performing",
"endometrial",
"resection",
"at",
"the",
"time",
"of",
"hysteroscopic",
"removal",
"of",
"polyps",
".",
"The",
"possible",
"risk",
"of",
"occult",
"endometrial",
"cancer",
"is",
"yet",
"to",
"be",
"determined",
".",
"(",
"J",
"Am",
"Assoc",
"Gynecol",
"Laparosc",
"6",
"(",
"3",
")",
":",
"285",
"-",
"288",
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794 | [
"Effect",
"of",
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"-",
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"Activity",
"and",
"Moderate-",
"to",
"High",
"-",
"Intensity",
"Physical",
"Exercise",
"During",
"Adjuvant",
"Chemotherapy",
"on",
"Physical",
"Fitness",
",",
"Fatigue",
",",
"and",
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"Completion",
"Rates",
":",
"Results",
"of",
"the",
"PACES",
"Randomized",
"Clinical",
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".",
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"evaluated",
"the",
"effectiveness",
"of",
"a",
"low",
"-",
"intensity",
",",
"home",
"-",
"based",
"physical",
"activity",
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"-",
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")",
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"a",
"moderate-",
"to",
"high",
"-",
"intensity",
",",
"combined",
"supervised",
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"aerobic",
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"(",
"OnTrack",
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"(",
"UC",
")",
"in",
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"enhancing",
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"fitness",
",",
"minimizing",
"fatigue",
",",
"enhancing",
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"-",
"related",
"quality",
"of",
"life",
",",
"and",
"optimizing",
"chemotherapy",
"completion",
"rates",
"in",
"patients",
"undergoing",
"adjuvant",
"chemotherapy",
"for",
"breast",
"cancer",
".",
"We",
"randomly",
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"patients",
"who",
"were",
"scheduled",
"to",
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"(",
"N",
"=",
"230",
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"-",
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",",
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",",
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".",
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",",
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",",
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"-month",
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"-",
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".",
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"estimating",
"equations",
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"compare",
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"groups",
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"time",
".",
"Onco",
"-",
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"resulted",
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"decline",
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"(",
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",",
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",",
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"011",
",",
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"compared",
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"strength",
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"up",
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"supervised",
",",
"moderate-",
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"-",
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",",
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"cancer",
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"home",
"-",
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796 | [
"Bisphosphonate",
"treatment",
"in",
"primary",
"breast",
"cancer",
":",
"results",
"from",
"a",
"randomised",
"comparison",
"of",
"oral",
"pamidronate",
"versus",
"no",
"pamidronate",
"in",
"patients",
"with",
"primary",
"breast",
"cancer",
".",
"During",
"the",
"period",
"from",
"January",
"1990",
"to",
"January",
"1996",
"a",
"total",
"of",
"953",
"patients",
"with",
"lymph",
"node",
"negative",
"primary",
"breast",
"cancer",
"were",
"randomised",
"to",
"oral",
"pamidronate",
"(",
"n=",
"460",
")",
"150",
"mg",
"twice",
"daily",
"for",
"4",
"years",
"or",
"no",
"adjuvant",
"pamidronate",
"(",
"n=",
"493",
")",
"in",
"order",
"to",
"investigate",
"whether",
"oral",
"pamidronate",
"can",
"prevent",
"the",
"occurrence",
"of",
"bone",
"metastases",
"and",
"fractures",
".",
"The",
"patients",
"received",
"adjuvant",
"chemotherapy",
",",
"loco",
"-",
"regional",
"radiation",
"therapy",
",",
"but",
"no",
"endocrine",
"treatment",
".",
"During",
"the",
"follow",
"-",
"up",
"period",
"the",
"number",
"of",
"patients",
"with",
"pure",
"bone",
"metastases",
"was",
"35",
"in",
"the",
"control",
"group",
"and",
"31",
"in",
"the",
"pamidronate",
"group",
".",
"The",
"number",
"of",
"patients",
"with",
"a",
"combination",
"of",
"bone",
"and",
"other",
"distant",
"metastases",
"were",
"22",
"in",
"the",
"control",
"group",
"and",
"20",
"in",
"the",
"pamidronate",
"group",
".",
"The",
"hazard",
"rate",
"ratio",
"for",
"recurrence",
"in",
"bone",
"in",
"the",
"pamidronate",
"group",
"compared",
"to",
"the",
"control",
"group",
"was",
"1.03",
"(",
"95",
"%",
"confidence",
"interval",
"0.75",
"-",
"1.40",
")",
"and",
"p=",
"0.86",
".",
"No",
"effect",
"was",
"observed",
"on",
"overall",
"survival",
".",
"In",
"a",
"small",
"subgroup",
"of",
"27",
"patients",
"from",
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"study",
",",
"12",
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"were",
"treated",
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"a",
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"was",
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"on",
"bone",
"mineral",
"density",
"in",
"the",
"lumbar",
"spine",
",",
"but",
"not",
"in",
"the",
"proximal",
"femur",
".",
"The",
"results",
"from",
"the",
"trial",
"do",
"not",
"support",
"a",
"beneficial",
"effect",
"of",
"oral",
"pamidronate",
"on",
"the",
"occurrence",
"of",
"bone",
"metastases",
"or",
"fractures",
"in",
"patients",
"with",
"primary",
"breast",
"cancer",
"receiving",
"adjuvant",
"chemotherapy",
"."
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797 | [
"Effects",
"of",
"Exercise",
"and",
"Cardiorespiratory",
"Fitness",
"on",
"Estrogen",
"Metabolism",
"in",
"Postmenopausal",
"Women",
".",
"Lowering",
"endogenous",
"estrogen",
"levels",
"is",
"one",
"mechanism",
"whereby",
"physical",
"activity",
"may",
"lower",
"postmenopausal",
"breast",
"cancer",
"risk",
".",
"Several",
"prospective",
"studies",
"have",
"suggested",
"that",
"increased",
"2",
"-hydroxylation",
"of",
"estrogens",
"may",
"also",
"reduce",
"postmenopausal",
"breast",
"cancer",
"risk",
",",
"but",
"whether",
"or",
"not",
"exercise",
"alters",
"estrogen",
"metabolism",
"through",
"this",
"mechanism",
"is",
"unclear",
".",
"We",
"measured",
"total",
"circulating",
"concentrations",
"of",
"parent",
"estrogens",
"(",
"estrone",
"and",
"estradiol",
")",
"and",
"13",
"estrogen",
"metabolites",
",",
"including",
"glucuronidated",
",",
"sulfated",
",",
"and",
"unconjugated",
"forms",
",",
"by",
"stable",
"isotope",
"dilution",
"LC",
"/",
"MS",
"-",
"MS",
"in",
"153",
"postmenopausal",
"women",
"randomized",
"to",
"12",
"months",
"of",
"moderate",
"-",
"to",
"-",
"vigorous",
"exercise",
"and",
"153",
"controls",
".",
"We",
"also",
"explored",
"associations",
"with",
"cardiorespiratory",
"fitness",
"measured",
"by",
"treadmill",
".",
"Although",
"women",
"randomized",
"to",
"exercise",
"averaged",
"178",
"minutes",
"/",
"week",
"of",
"exercise",
"over",
"12",
"months",
",",
"their",
"cardiorespiratory",
"fitness",
"was",
"13",
"%",
"greater",
"than",
"controls",
"at",
"12",
"months",
"(",
"P",
"=",
"0.0001",
")",
",",
"and",
"total",
"estradiol",
"was",
"reduced",
"by",
"10",
"%",
"(",
"P",
"=",
"0.04",
")",
";",
"there",
"were",
"no",
"statistically",
"significant",
"effects",
"of",
"exercise",
"on",
"circulating",
"concentrations",
"of",
"estrogen",
"metabolites",
"in",
"the",
"2",
"-",
",",
"4",
"-",
",",
"or",
"16",
"-pathways",
",",
"or",
"on",
"the",
"2",
"-pathway",
"/",
"parent",
"estrogens",
"ratio",
".",
"However",
",",
"we",
"observed",
"a",
"statistically",
"significant",
"association",
"between",
"increased",
"fitness",
"and",
"reduced",
"concentration",
"of",
"2",
"-pathway",
"metabolites",
"(",
"P",
"<",
"0.05",
")",
".",
"We",
"found",
"no",
"evidence",
"that",
"12",
"months",
"of",
"moderate",
"-",
"to",
"-",
"vigorous",
"exercise",
"or",
"increased",
"fitness",
"changed",
"estrogen",
"metabolism",
"in",
"a",
"way",
"that",
"might",
"reduce",
"breast",
"cancer",
"risk",
".",
"The",
"protective",
"effect",
"of",
"exercise",
"on",
"postmenopausal",
"breast",
"cancer",
"is",
"unlikely",
"to",
"be",
"mediated",
"by",
"changes",
"in",
"estrogen",
"metabolism",
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798 | [
"Phase",
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"randomized",
"study",
"of",
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"emtansine",
"versus",
"trastuzumab",
"plus",
"docetaxel",
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"patients",
"with",
"human",
"epidermal",
"growth",
"factor",
"receptor",
"2",
"-positive",
"metastatic",
"breast",
"cancer",
".",
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"emtansine",
"(",
"T",
"-",
"DM",
"1",
")",
",",
"an",
"antibody",
"-",
"drug",
"conjugate",
"composed",
"of",
"the",
"cytotoxic",
"agent",
"DM",
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"conjugated",
"to",
"trastuzumab",
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"stable",
"thioether",
"linker",
",",
"has",
"shown",
"clinical",
"activity",
"in",
"single",
"-",
"arm",
"studies",
"enrolling",
"patients",
"with",
"human",
"epidermal",
"growth",
"factor",
"receptor",
"2",
"(",
"HER",
"2",
")",
"-positive",
"metastatic",
"breast",
"cancer",
"(",
"MBC",
")",
"whose",
"disease",
"had",
"progressed",
"on",
"HER",
"2",
"-",
"targeted",
"therapy",
"in",
"the",
"metastatic",
"setting",
".",
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"(",
"N",
"=",
"137",
")",
"with",
"HER",
"2",
"-",
"positive",
"MBC",
"or",
"recurrent",
"locally",
"advanced",
"breast",
"cancer",
"were",
"randomly",
"assigned",
"to",
"trastuzumab",
"plus",
"docetaxel",
"(",
"HT",
";",
"n",
"=",
"70",
")",
"or",
"T",
"-",
"DM",
"1",
"(",
"n",
"=",
"67",
")",
"as",
"first",
"-",
"line",
"treatment",
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"disease",
"progression",
"or",
"unacceptable",
"toxicity",
".",
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"end",
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"were",
"investigator",
"-",
"assessed",
"progression",
"-",
"free",
"survival",
"(",
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"secondary",
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",",
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",",
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",",
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",",
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"months",
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"14.2",
"months",
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"-",
"DM",
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"0.59",
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"0.36",
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")",
";",
"median",
"follow",
"-",
"up",
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"approximately",
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"months",
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"both",
"arms",
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"ORR",
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"58.0",
"%",
"(",
"95",
"%",
"CI",
",",
"45.5",
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"69.2",
"%",
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"64.2",
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"(",
"95",
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",",
"51.8",
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"T",
"-",
"DM",
"1",
".",
"T",
"-",
"DM",
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"favorable",
"safety",
"profile",
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"adverse",
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",",
"AEs",
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"34.8",
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",",
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"]",
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"serious",
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"(",
"20.3",
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"v",
"25.8",
"%",
")",
".",
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"results",
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"arms",
";",
"median",
"follow",
"-",
"up",
"was",
"approximately",
"23",
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"arms",
".",
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"randomized",
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"study",
",",
"first",
"-",
"line",
"treatment",
"with",
"T",
"-",
"DM",
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"HER",
"2",
"-",
"positive",
"MBC",
"provided",
"a",
"significant",
"improvement",
"in",
"PFS",
",",
"with",
"a",
"favorable",
"safety",
"profile",
",",
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