Chemotherapy of advanced small-cell anaplastic carcinoma. Superiority of a four-drug combination to a three-drug combination.

Abstract:

:A controlled clinical trial compared three-drug and four-drug combination chemotherapy in 109 patients with advanced small-cell anaplastic carcinoma of the lung. The combination of vincristine, 1-(2-chloroethyl)-3-cyclohexyl-1-nitrosourea (CCNU), cyclophosphamide, and methotrexate was significantly superior to the combination of the last three drugs alone with regard to median survival (230 versus 176 days) (P less than 0.01) and to duration of response (186 versus 112 days) (P less than 0.01). Objective response occurred in 78% and 75%, respectively. No significant difference in these values was observed in the comparison of the three subtypes of small-cell anaplastic carcinoma using the World Health Organization classification.

journal_name

Ann Intern Med

authors

Hansen HH,Dombernowsky P,Hansen M,Hirsch F

doi

10.7326/0003-4819-89-2-177

subject

Has Abstract

pub_date

1978-08-01 00:00:00

pages

177-81

issue

2

eissn

0003-4819

issn

1539-3704

journal_volume

89

pub_type

临床试验,杂志文章,随机对照试验
  • Perceptions by family members of the dying experience of older and seriously ill patients. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments.

    abstract:BACKGROUND:Alleviating the problems faced by dying persons and their families has drawn substantial public attention, but little is known about the experience of dying. OBJECTIVE:To characterize the experience of dying from the perspective of surrogate decision makers, usually close family members (89%). DESIGN:Prosp...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.7326/0003-4819-126-2-199701150-00001

    authors: Lynn J,Teno JM,Phillips RS,Wu AW,Desbiens N,Harrold J,Claessens MT,Wenger N,Kreling B,Connors AF Jr

    更新日期:1997-01-15 00:00:00

  • Newly acquired left bundle-branch block: the Framingham study.

    abstract::The clinical implications of newly acquired left bundle-branch block (LBBB) were examined prospectively in the Framingham Study population. During 18 years of observation 55 people developed LBBB. The mean age at the onset of LBBB was 62; LBBB occurred largely in people with antecedent hypertension, cardiac enlargemen...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章

    doi:10.7326/0003-4819-90-3-303

    authors: Schneider JF,Thomas HE Jr,Kreger BE,McNamara PM,Kannel WB

    更新日期:1979-03-01 00:00:00

  • Automated external defibrillators: technical considerations and clinical promise.

    abstract::Early defibrillation is the most important determinant of survival for victims of cardiac arrest due to ventricular fibrillation. The automated external defibrillator (AED) was developed as the result of the American Heart Association's Public Access Defibrillation initiative. The goal of this initiative is to place A...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-135-11-200112040-00011

    authors: Takata TS,Page RL,Joglar JA

    更新日期:2001-12-04 00:00:00

  • Extracranial Carotid Disease and Effect of Intra-arterial Treatment in Patients With Proximal Anterior Circulation Stroke in MR CLEAN.

    abstract:Background:The presence of extracranial carotid disease (ECD) is associated with less favorable clinical outcomes in patients with acute ischemic stroke caused by intracranial proximal occlusion. Acute intra-arterial treatment (IAT) in the setting of extracranial and intracranial lesions is considered challenging, and ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.7326/M16-1536

    authors: Berkhemer OA,Borst J,Kappelhof M,Yoo AJ,van den Berg LA,Fransen PSS,Beumer D,Schonewille WJ,Nederkoorn PJ,Wermer MJH,Marquering HA,Lingsma HF,Roos YBWEM,van Oostenbrugge RJ,Dippel DWJ,van Zwam WH,Majoie CBLM,Emmer BJ,

    更新日期:2017-06-20 00:00:00

  • Fecal Immunochemical Test Program Performance Over 4 Rounds of Annual Screening: A Retrospective Cohort Study.

    abstract:BACKGROUND:The fecal immunochemical test (FIT) is a common method for colorectal cancer (CRC) screening, yet its acceptability and performance over several rounds of annual testing are largely unknown. OBJECTIVE:To assess FIT performance characteristics over 4 rounds of annual screening. DESIGN:Retrospective cohort s...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M15-0983

    authors: Jensen CD,Corley DA,Quinn VP,Doubeni CA,Zauber AG,Lee JK,Zhao WK,Marks AR,Schottinger JE,Ghai NR,Lee AT,Contreras R,Klabunde CN,Quesenberry CP,Levin TR,Mysliwiec PA

    更新日期:2016-04-05 00:00:00

  • General internal medicine and general internists: recognizing a national need. Federated Council for Internal Medicine.

    abstract::The Federated Council for Internal Medicine (FCIM) comprises the American Board of Internal Medicine, American College of Physicians, American Society of Internal Medicine, Association of Professors of Medicine, Association of Program Directors in Internal Medicine, and the Society of General Internal Medicine. The Co...

    journal_title:Annals of internal medicine

    pub_type: 指南,杂志文章

    doi:10.7326/0003-4819-117-9-778

    authors:

    更新日期:1992-11-01 00:00:00

  • Screening for gonorrhea and Chlamydia: a systematic review for the U.S. Preventive Services Task Force.

    abstract:BACKGROUND:Previous research has supported screening for gonorrhea and chlamydia in asymptomatic, sexually active women (including pregnant women) who are younger than 25 years or at increased risk but not in other patient populations. PURPOSE:To update the 2005 and 2007 systematic reviews for the U.S. Preventive Serv...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/M14-1022

    authors: Zakher B,Cantor AG,Pappas M,Daeges M,Nelson HD

    更新日期:2014-12-16 00:00:00

  • A nosocomial outbreak of multidrug-resistant tuberculosis.

    abstract:BACKGROUND:An outbreak of seven cases (in six patients and one health care worker, all of whom had AIDS) of multidrug-resistant tuberculosis occurred in a hospital in Chicago. The hospital had a respirator-fit testing program but no acid-fast bacilli isolation rooms. OBJECTIVE:To identify risk factors for transmission...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-127-1-199707010-00006

    authors: Kenyon TA,Ridzon R,Luskin-Hawk R,Schultz C,Paul WS,Valway SE,Onorato IM,Castro K

    更新日期:1997-07-01 00:00:00

  • Role of aluminum in dialysis dementia.

    abstract::Between September 1972 and January 1976 an outbreak of dialysis dementia affected 20 patients maintained by long-term hemodialysis. The clinical picture was characterized by an insidious onset of altered behaviour, dementia, speech disturbance, myoclonus, and convulsions. Nineteen patients died, but one patient has su...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-88-4-502

    authors: Dunea G,Mahurkar SD,Mamdani B,Smith EC

    更新日期:1978-04-01 00:00:00

  • Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline.

    abstract:BACKGROUND:Many nonpharmacologic therapies are available for treatment of low back pain. PURPOSE:To assess benefits and harms of acupuncture, back schools, psychological therapies, exercise therapy, functional restoration, interdisciplinary therapy, massage, physical therapies (interferential therapy, low-level laser ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.7326/0003-4819-147-7-200710020-00007

    authors: Chou R,Huffman LH,American Pain Society.,American College of Physicians.

    更新日期:2007-10-02 00:00:00

  • Myocardial ischemia during cocaine withdrawal.

    abstract:STUDY OBJECTIVE:To determine the prevalence of myocardial ischemia in patients with cocaine addiction. DESIGN:Myocardial ischemia in chronic cocaine users was detected by serial 24-hour electrocardiographic ambulatory (Holter) monitoring and exercise treadmill testing in chronic cocaine users. The Holter tapes were co...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-111-11-876

    authors: Nademanee K,Gorelick DA,Josephson MA,Ryan MA,Wilkins JN,Robertson HA,Mody FV,Intarachot V

    更新日期:1989-12-01 00:00:00

  • Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial.

    abstract:BACKGROUND:Bed alarm systems intended to prevent hospital falls have not been formally evaluated. OBJECTIVE:To investigate whether an intervention aimed at increasing bed alarm use decreases hospital falls and related events. DESIGN:Pair-matched, cluster randomized trial over 18 months. Nursing units were allocated b...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.7326/0003-4819-157-10-201211200-00005

    authors: Shorr RI,Chandler AM,Mion LC,Waters TM,Liu M,Daniels MJ,Kessler LA,Miller ST

    更新日期:2012-11-20 00:00:00

  • Flecainide-induced ventricular tachycardia and fibrillation in patients treated for atrial fibrillation.

    abstract::Flecainide acetate has a recognized proarrhythmic effect in patients treated for ventricular tachycardia. Three patients developed severe ventricular arrhythmias while taking flecainide for atrial fibrillation. Patient 1 had normal ventricular function and idiopathic atrial fibrillation. Treadmill exercise tests durin...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-111-2-107

    authors: Falk RH

    更新日期:1989-07-15 00:00:00

  • Cost-effectiveness of dabigatran compared with warfarin for stroke prevention in atrial fibrillation.

    abstract:BACKGROUND:Warfarin reduces the risk for ischemic stroke in patients with atrial fibrillation (AF) but increases the risk for hemorrhage. Dabigatran is a fixed-dose, oral direct thrombin inhibitor with similar or reduced rates of ischemic stroke and intracranial hemorrhage in patients with AF compared with those of war...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-154-1-201101040-00289

    authors: Freeman JV,Zhu RP,Owens DK,Garber AM,Hutton DW,Go AS,Wang PJ,Turakhia MP

    更新日期:2011-01-04 00:00:00

  • Monitoring therapy in patients taking levothyroxine.

    abstract:PURPOSE:To evaluate the use of thyroid function tests to monitor therapy in patients taking levothyroxine. DATA IDENTIFICATION:Studies published between 1966 and January 1990 were identified through computer searches and references of identified studies. STUDY SELECTION:Studies that included a careful description of ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,meta分析

    doi:10.7326/0003-4819-113-6-450

    authors: Helfand M,Crapo LM

    更新日期:1990-09-15 00:00:00

  • Obesity and knee osteoarthritis. The Framingham Study.

    abstract:STUDY OBJECTIVE:To determine whether obesity preceded knee osteoarthritis and was thus a possible cause. DESIGN:Cohort study with weight and other important variables measured in 1948 to 1951 (mean age of subjects, 37 years) and knee arthritis evaluated in 1983 to 1985 (mean age of subjects, 73 years). SETTING:Popula...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-109-1-18

    authors: Felson DT,Anderson JJ,Naimark A,Walker AM,Meenan RF

    更新日期:1988-07-01 00:00:00

  • Aging-related cataract: laboratory investigation and clinical management.

    abstract::Cataract disrupts the crystalline lens, a transparent, elastic, avascular, biconvex structure composed of a capsule, lens epithelium, and lens fiber cells. Many factors contribute to the progression of lens opacity, but aging is most frequently associated with cataract. As aging-related cataract develops, many biochem...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-102-1-82

    authors: Straatsma BR,Foos RY,Horwitz J,Gardner KM,Pettit TH

    更新日期:1985-01-01 00:00:00

  • Acute postoperative confusion and hallucinations in Parkinson disease.

    abstract:STUDY OBJECTIVE:To determine whether patients with Parkinson disease are at an increased risk for postoperative confusion. DESIGN:Retrospective chart review of patients with Parkinson disease who remained in the hospital at least 48 hours after their surgery. Current data were compared with published historical contro...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-111-3-218

    authors: Golden WE,Lavender RC,Metzer WS

    更新日期:1989-08-01 00:00:00

  • Hidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments in Becoming and Being a Physician: A Position Paper of the American College of Physicians.

    abstract::Much of what is formally taught in medicine is about the knowledge, skills, and behaviors required of a physician, including how to express compassion and respect for patients at the bedside. What is learned, however, includes not only admirable qualities but also behaviors and qualities that are inconsistent with eth...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M17-2058

    authors: Lehmann LS,Sulmasy LS,Desai S,ACP Ethics, Professionalism and Human Rights Committee.

    更新日期:2018-04-03 00:00:00

  • Chronology of the sodium hypothesis and hypertension.

    abstract::The observations that have provided the foundation of the sodium hypothesis of human hypertension are reviewed. Clinical observations made over 125 years ago initiated an investigative effort that has encompassed epidemiologic data, development of salt-related experimental models, and elucidation of theoretical mechan...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-98-5-720

    authors: Porter GA

    更新日期:1983-05-01 00:00:00

  • Hypomagnesemic hypocalcemia secondary to renal magnesium wasting.

    abstract::Two patients developed severe hypomagnesemia, hypocalcemia, and hypokalemia as a result of renal wasting of magnesium and potassium shortly after being treated with large doses of gentamicin. When therapy with gentamicin was discontinued renal loss of magnesium and potassium ceased, and serum calcium, magnesium, and p...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-82-5-646

    authors: Bar RS,Wilson HE,Mazzaferri EL

    更新日期:1975-05-01 00:00:00

  • All-trans retinoic acid for acute promyelocytic leukemia. Results of the New York Study.

    abstract:OBJECTIVE:To evaluate the safety and efficacy of all-trans retinoic acid to induce complete remission and to examine its effects on duration of remission and survival in patients with acute promyelocytic leukemia. DESIGN:Phase II evaluation and comparison with historical control patients. SETTING:Tertiary care cancer...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章

    doi:10.7326/0003-4819-120-4-199402150-00004

    authors: Frankel SR,Eardley A,Heller G,Berman E,Miller WH Jr,Dmitrovsky E,Warrell RP Jr

    更新日期:1994-02-15 00:00:00

  • A randomized clinical trial of acupuncture compared with sham acupuncture in fibromyalgia.

    abstract:BACKGROUND:Fibromyalgia is a common chronic pain condition for which patients frequently use acupuncture. OBJECTIVE:To determine whether acupuncture relieves pain in fibromyalgia. DESIGN:Randomized, sham-controlled trial in which participants, data collection staff, and data analysts were blinded to treatment group. ...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.7326/0003-4819-143-1-200507050-00005

    authors: Assefi NP,Sherman KJ,Jacobsen C,Goldberg J,Smith WR,Buchwald D

    更新日期:2005-07-05 00:00:00

  • Bullets, lead poisoning and thyrotoxicosis.

    abstract::A patient with a retained bullet developed lead poisoning in association with thyrotoxicosis. The clinical and laboratory data suggest that lead was mobilized from an increased mobile bone pool during the hypermetabolic period with resultant poisoning. The findings give factual support to earlier concepts that lead po...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-89-4-509

    authors: Cagin CR,Diloy-Puray M,Westerman MP

    更新日期:1978-10-01 00:00:00

  • Pneumococcal vaccine: clinical efficacy and effectiveness.

    abstract::Streptococcus pneumoniae causes substantial morbidity and mortality. Incidence and severity are increased among populations with some chronic diseases. The currently available polyvalent polysaccharide vaccine induces antibody production among immunologically competent recipients against the 14 serotypes responsible f...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,评审

    doi:10.7326/0003-4819-96-2-208

    authors: Schwartz JS

    更新日期:1982-02-01 00:00:00

  • Low-dose aspirin for prevention of morbidity and mortality from preeclampsia: a systematic evidence review for the U.S. Preventive Services Task Force.

    abstract:BACKGROUND:Preeclampsia is a leading cause of maternal and perinatal morbidity and mortality. PURPOSE:To systematically review benefits and harms of low-dose aspirin for preventing morbidity and mortality from preeclampsia. DATA SOURCES:MEDLINE, Database of Abstracts of Reviews of Effects, PubMed, and Cochrane Centra...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/M13-2844

    authors: Henderson JT,Whitlock EP,O'Connor E,Senger CA,Thompson JH,Rowland MG

    更新日期:2014-05-20 00:00:00

  • Cost-effective care of end-stage renal disease: a billion dollar question.

    abstract::We examined the survival time and costs of therapy for patients with end-stage renal disease. A computer simulation model of the current system was constructed to estimate the cost-effectiveness of home and center hemodialysis and live related as well as cadaver donor renal transplantation. Analysis of the simulation ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-92-2-243

    authors: Roberts SD,Maxwell DR,Gross TL

    更新日期:1980-02-01 00:00:00

  • Immunopathologic studies of pneumonitis in systemic lupus erythematosus.

    abstract::We performed immunohistopathologic studies on biopsied lung tissue obtained from two patients with lupus pneumonitis using immunofluorescence, immunoperoxidase, electron microscopy, and acid-microelution. In both patients, immunofluorescence showed granular deposits of IgG, the third component of complement (C3), and ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-91-1-30

    authors: Inoue T,Kanayama Y,Ohe A,Kato N,Horiguchi T,Ishii M,Shiota K

    更新日期:1979-07-01 00:00:00

  • Survival and functional independence after implantation of a permanent pacemaker in octogenarians and nonagenarians. A population-based study.

    abstract:BACKGROUND:The number of very elderly persons who are candidates for implantation of a permanent pacemaker is increasing, but the effect of cardiac pacing on long-term survival and functional variables has not been determined. OBJECTIVE:To determine long-term survival after implantation of a permanent pacemaker in oct...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-125-6-199609150-00008

    authors: Shen WK,Hayes DL,Hammill SC,Bailey KR,Ballard DJ,Gersh BJ

    更新日期:1996-09-15 00:00:00

  • 45-year follow-up of hepatitis C virus infection in healthy young adults.

    abstract:BACKGROUND:The sequelae during the first two decades after acute hepatitis C virus (HCV) infection have been well studied, but the outcome thereafter is unknown. OBJECTIVE:To conduct an extended study of the natural history of HCV infection by using archived serum specimens originally collected between 1948 and 1954. ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-132-2-200001180-00003

    authors: Seeff LB,Miller RN,Rabkin CS,Buskell-Bales Z,Straley-Eason KD,Smoak BL,Johnson LD,Lee SR,Kaplan EL

    更新日期:2000-01-18 00:00:00