18 results
23/Jul/2025
DOI: 10.31744/einstein_journal/2025GS0679
Highlights ■ Using the Time-Driven Activity-Based Costing method in healthcare services enables resource maximization with better control of processes and financing. ■ The estimated cost of treating a patient per antineoplastic session is R$ 470,35. ■ Such analyses can help establish pricing strategies and identify necessary adjustments to the financing model in oncology. ABSTRACT Objective: To identify the costs pertaining to the preparation and administration process of each chemotherapy treatment session in a public oncology hospital belonging to the Brazilian […]
Keywords: Antineoplastic agents; Costs and cost analysis; Drug therapy; Health care costs; Health Services; Medical oncology; Micro-costing; Technology assessment, biomedical; Unified Health System
28/Apr/2025
DOI: 10.31744/einstein_journal/2025AO1124
Highlights ■ Evaluation of a corticosteroid-free antiemetic regimen. ■ Primary endpoint: 46% nausea control. ■ Secondary endpoint: 68% emesis control. ■ Comparable to standard four-drug protocols. ABSTRACT Objective: Chemotherapy-induced nausea and vomiting are highly prevalent adverse events that can lead to poor treatment adherence and a decreased quality of life. To the best of our knowledge, the complete omission of dexamethasone from any regimen for preventing nausea and vomiting has not yet been evaluated. This study aimed to evaluate the […]
Keywords: Antineoplastic agents; Breast neoplasms; Dexamethasone; Drug therapy; Drug-related side effects and adverse reactions; Nausea; Olanzapine; Vomiting
25/Jun/2024
DOI: 10.31744/einstein_journal/2024ABS_BTS_STO010
Category: Thoracic Oncology Introduction: Bronchogenic tumors, predominantly non-small cell type (NSCLC), are a global health concern, with adenocarcinomas, their most common subtype, being most often diagnosed at advanced stages, making it essential to develop effective therapeutic strategies, especially for patients with NSCLC who do not express the PD-L1 (Programmed Death-Ligand 1) protein. Two pivotal studies, Keynote-189() and Keynote-407,() presented their combined results in 2023, after a 5-year follow-up,() concluding that the combination of Pembrolizumab and chemotherapy demonstrated substantial improvements in […]
Keywords: Drug therapy; Immunotherapy; Lung neoplasms; Non-small-cell-lung; PD-L1 protein
05/Jul/2022
05/Jul/2022
DOI: 10.31744/einstein_journal/2022MD8044
ABSTRACT Skin biopsy with investigation of small-diameter nerve fibers in human epidermis and dermis has been proven to be a useful method for confirming small-fiber neuropathy. In medical practice, small-fiber neuropathy is increasingly recognized as a leading cause of neuropathic pain. It is a prevalent complaint in medical offices, brought by patients often as a “painful burning sensation”. The prevalence of neuropathic pain is high in small-fiber neuropathies of different etiologies, especially in the elderly; 7% of population in this […]
Keywords: Biopsy; Diabetes mellitus; Diabetic neuropathies; Drug therapy; Fabry disease; HIV; Nerve fibers; Neuralgia, postherpetic; Rheumatic diseases; Skin; Small fiber neuropathy
05/Jul/2022
05/Jul/2022
DOI: 10.31744/einstein_journal/2022AO8031
ABSTRACT Objective To analyze interstitial glucose behavior during glucocorticoid use in non-diabetic patients receiving chemotherapy for hematologic malignancies. Methods Prospective pilot study carried out to assess interstitial glucose levels in 15 non-diabetic individuals with hematologic malignancies who received glucocorticoids in combination with chemotherapy. The FreeStyle Libre flash monitoring system (Abbott Diabetes Care) was used for up to 14 days to measure interstitial glucose. Results Median age and body mass index were 53 (42-61) years and 25 (23-28) kg/m2 respectively. Interstitial […]
Keywords: Blood glucose; Diabetes mellitus; Drug therapy; Glucocorticoids; Glucose; Hematologic neoplasms; Hyperglycemia; Lymphoma
03/Jul/2020
DOI: 10.31744/einstein_journal/2020AO5175
ABSTRACT Objective To evaluate the positivity of challenge tests of patients suspected of chronic inducible urticaria and the response to treatment. Methods A retrospective study of electronic medical records of patients suspected of chronic inducible urticaria. All patients were submitted to challenge tests with triggering stimuli, according to the clinical history and, subsequently, the response to drug treatment was evaluated. Results A total of 191 patients with suspected chronic inducible urticaria were included. It was confirmed in 118 patients and […]
Keywords: Diagnosis; Dose-response relationship, drug; Drug therapy
06/Dec/2019
DOI: 10.31744/einstein_journal/2020AO4723
ABSTRACT Objective To identify interventions aimed to improve adherence to medical and non-medical antihypertensive and antidiabetic therapy. Methods Scientometric study conducted in February and March 2018, based on data collected on PubMed® and SciELO databases, using the following search terms: “interventions to improve adherence to diabetes therapy”, “interventions to improve adherence to hypertension therapy” and “interventions to improve adherence to therapy for hypertension and diabetes”. Results A total of 95 articles were selected. Scientific production increased as of 2009, with […]
Keywords: Ambulatory care; Bibliometrics; Biomedical technology; Community health nursing; Diabetes mellitus; Drug therapy; Health Promotion; Hypertension; Patient care team
23/Oct/2019
DOI: 10.31744/einstein_journal/2020AO4877
ABSTRACT Objective To analyze the frequency of use of potentially inappropriate medication prescribed to elderly at hospital discharge from a public hospital, considering the Brazilian Consensus on Potentially Inappropriate Medication for Elderly, and to identify the associated factors. Methods Patients aged ≥60 years, admitted in clinical and geriatric units of a public hospital were invited to participate in the study. The information about the use of medicines was collected from the patient’s electronic record and through telephone contact. The Brazilian […]
Keywords: Age; Drug therapy; Inappropriate prescribing; Patient discharge; Potentially inappropriate medication list
18/Oct/2019
DOI: 10.31744/einstein_journal/2020AO4871
ABSTRACT Objective To analyze, from the pharmacotherapy perspective, the factors associated to visits of older adults to the emergency department within 30 days after discharge. Methods A cross-sectional study carried out in a general public hospital with older adults. Emergency department visit was defined as the stay of the older adult in this service for up to 24 hours. The complexity of drug therapy was determined using the Medication Regimen Complexity Index. Potentially inappropriate drugs for use in older adults […]
Keywords: Aged; Drug therapy; Emergency service, hospital
22/May/2019
DOI: 10.31744/einstein_journal/2019AO4521
ABSTRACT Objective: To characterize severe potential drug interactions in maternal intensive care, and to determine their frequency, risk factors and potential risk medications. Methods: An observational and longitudinal study conducted between December 2014 and December 2015 in a maternal intensive care unit. Clinical data were collected and severe potential drug interactions were identified on pregnant inpatients. The drug interactions were classified by type, prevalence and exposure rate. A multivariate logistic regression model was used to identify the severe potential drug […]
Keywords: Drug interactions; Drug therapy; Intensive care units; Maternal health; Pregnancy