Lenox Hill Hospital

About: Lenox Hill Hospital is a healthcare organization based out in New York, New York, United States. It is known for research contribution in the topics: Population & Medicine. The organization has 2569 authors who have published 3561 publications receiving 114326 citations.

Responses to drug therapy in ulcerative colitis. Evaluation by rectal biopsy and mucosal cell counts.

Abstract: Rectal biopsies of active untreated ulcerative colitis and treated cases with positive or negative sigmoidoscopic findings were analyzed to evaluate responses to medical therapy. Effects of the administration of salicylazosulfapyridine, prednisone, and 6-mercaptopurine, singly and in combinations, were investigated by mucosal cell counts, comparing ulcerative colitis and noncolitis control groups statistically. Active disease was associated with decreased epithelial goblet cells and increased fragmented nuclei. Lamina propria eosinophils decreased with successful responses to therapy. Prednisone was associated with significantly diminished acute inflammation as reflected by decreased neutrophils; salicylazosulfapyridine was correlated with reduced chronic inflammation as indicated by fewer plasma cells; and 6-mercaptopurine therapy was followed by a reduction in both acute and chronic inflammation and an increase in mast cells. Macrophages, indicators of resolving inflammation, were most significantly increased after drug combinations that included 6-mercaptopurine.

The impact of maternal age, body mass index and maternal weight gain on the glucose challenge test in pregnancy.

Abstract: Objective. The aim of this study was to determine whether maternal age, prepregnancy and mid-trimester body mass index (BMI), or excessive mid-pregnancy weight gain predict abnormal glucose challenge test (GCT) results.Methods. A retrospective chart review of 75 consecutive singleton pregnancies was performed. Patients were screened at 24–28 weeks of gestation with a 50-g oral GCT. Prepregnancy BMI and pregnancy weight gain up to the time of GCT testing, as well as other demographic data, were recorded. Statistical analysis included regression analysis and Student's t-test, receiver–operator characteristic curve and multivariate logistic regression.Results. Maternal age and prepregnancy and mid-trimester BMI were significantly higher in women with an abnormal GCT (p < 0.05). A direct correlation was found between these parameters and GCT results (R2 = 0.08, R2 = 0.102 and R2 = 0.116, respectively; p < 0.05). Mid-trimester maternal BMI of ≥30 kg/m2 and maternal age ≥32 years are the optimal predictors of a...

Decisional regret after robotic-assisted laparoscopic prostatectomy is higher in African American men

Abstract: Objectives Longitudinal studies report racial disparities in prostate cancer (PCa) including greater incidence, more aggressive tumor biology, and increased cancer-specific mortality in African American (AA) men. Regret concerning primary treatment selection is underevaluated in patients with PCa. We investigated the relationships between clinicopathologic variables across racial and socioeconomic lines following robotic-assisted laparoscopic prostatectomy. Materials and methods We assessed treatment decisional regret using a validated questionnaire in a total of 484 white and 72 AA patients with PCa who were followed up for a median of 16.6 months post–robotic-assisted laparoscopic prostatectomy. Socioeconomic status (SES) information was aggregated from 2010 US census zip code data. Perioperative clinicopathologic characteristics and functional outcomes were compared between groups. Univariate and multivariate regression analyses were used to evaluate the influence of race, aggregate SES, and other clinical and demographic characteristics on decisional regret. Results The majority (87.7%) of the population was not regretful of their decision to undergo treatment. However, a greater proportion of AA vs. white patients were regretful (20.6% vs. 11.2%, respectively; P = 0.03). AA and white men were similar on all functional, clinical, and pathologic features with the exception of younger age among AA men (56 vs. 60 y, respectively; P P P = 0.15). Race, postoperative sexual dysfunction, pad usage, and length of hospital stay, however, were significantly associated with decisional regret. Conclusions AA men were more regretful than white men, after adjusting for clinicopathologic characteristics and postoperative functional outcomes.