4324. A WHO pandemic instrument: substantive provisions required to address global shortcomings.
作者: Roland Alexander Driece.;Precious Matsoso.;Tovar da Silva Nunes.;Ahmed Soliman.;Kazuho Taguchi.;Viroj Tangcharoensathien.
来源: Lancet. 2023年401卷10386期1407-1410页 4325. Thyroid cancer.
作者: Debbie W Chen.;Brian H H Lang.;Donald S A McLeod.;Kate Newbold.;Megan R Haymart.
来源: Lancet. 2023年401卷10387期1531-1544页
The past 5-10 years have brought in a new era in the care of patients with thyroid cancer, with the introduction of transformative diagnostic and management options. Several international ultrasound-based thyroid nodule risk stratification systems have been developed with the goal of reducing unnecessary biopsies. Less invasive alternatives to surgery for low-risk thyroid cancer, such as active surveillance and minimally invasive interventions, are being explored. New systemic therapies are now available for patients with advanced thyroid cancer. However, in the setting of these advances, disparities exist in the diagnosis and management of thyroid cancer. As new management options are becoming available for thyroid cancer, it is essential to support population-based studies and randomised clinical trials that will inform evidence-based clinical practice guidelines on the management of thyroid cancer, and to include diverse patient populations in research to better understand and subsequently address existing barriers to equitable thyroid cancer care.
4327. Sparsentan in patients with IgA nephropathy: a prespecified interim analysis from a randomised, double-blind, active-controlled clinical trial.
作者: Hiddo J L Heerspink.;Jai Radhakrishnan.;Charles E Alpers.;Jonathan Barratt.;Stewart Bieler.;Ulysses Diva.;Jula Inrig.;Radko Komers.;Alex Mercer.;Irene L Noronha.;Michelle N Rheault.;William Rote.;Brad Rovin.;Howard Trachtman.;Hernán Trimarchi.;Muh Geot Wong.;Vlado Perkovic.; .
来源: Lancet. 2023年401卷10388期1584-1594页
Sparsentan is a novel, non-immunosuppressive, single-molecule, dual endothelin and angiotensin receptor antagonist being examined in an ongoing phase 3 trial in adults with IgA nephropathy. We report the prespecified interim analysis of the primary proteinuria efficacy endpoint, and safety.
4331. Racism, xenophobia, and discrimination: data disaggregation is a complex but crucial step to improving child health.
作者: Delan Devakumar.;Srivatsan Rajagopalan.;Kathleen L Strong.;Jennifer Requejo.;Theresa Diaz.;Lu Gram.;Robert Aldridge.;Sarah L Dalglish.
来源: Lancet. 2023年401卷10385期1321-1323页 4332. Clinical outcomes of uninterrupted embryo culture with or without time-lapse-based embryo selection versus interrupted standard culture (SelecTIMO): a three-armed, multicentre, double-blind, randomised controlled trial.
作者: D C Kieslinger.;C G Vergouw.;L Ramos.;B Arends.;M H J M Curfs.;E Slappendel.;E H Kostelijk.;M H E C Pieters.;D Consten.;M O Verhoeven.;D E Besselink.;F Broekmans.;B J Cohlen.;J M J Smeenk.;S Mastenbroek.;C H de Koning.;Y M van Kasteren.;E Moll.;J van Disseldorp.;E A Brinkhuis.;E A M Kuijper.;W M van Baal.;H G I van Weering.;P J Q van der Linden.;M H Gerards.;P M Bossuyt.;M van Wely.;C B Lambalk.
来源: Lancet. 2023年401卷10386期1438-1446页
Time-lapse monitoring is increasingly used in fertility laboratories to culture and select embryos for transfer. This method is offered to couples with the promise of improving pregnancy chances, even though there is currently insufficient evidence for superior clinical results. We aimed to evaluate whether a potential improvement by time-lapse monitoring is caused by the time-lapse-based embryo selection method itself or the uninterrupted culture environment that is part of the system.
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