Joseph Thomas

ORCID: 0000-0003-0950-5235
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About
Contact & Profiles
Research Areas
  • Sarcoma Diagnosis and Treatment
  • Cutaneous Melanoma Detection and Management
  • Vascular Tumors and Angiosarcomas
  • Soft tissue tumor case studies
  • Cancer Immunotherapy and Biomarkers
  • Esophageal Cancer Research and Treatment
  • Nonmelanoma Skin Cancer Studies
  • Health Systems, Economic Evaluations, Quality of Life
  • Gastrointestinal Tumor Research and Treatment
  • Cardiac tumors and thrombi
  • Pharmaceutical Practices and Patient Outcomes
  • Bone Tumor Diagnosis and Treatments
  • Medication Adherence and Compliance
  • Soft tissue tumors and treatment
  • Pediatric Urology and Nephrology Studies
  • Healthcare Policy and Management
  • Geriatric Care and Nursing Homes
  • Gastric Cancer Management and Outcomes
  • Neurofibromatosis and Schwannoma Cases
  • Pharmaceutical Economics and Policy
  • Urological Disorders and Treatments
  • Global Health Care Issues
  • Health disparities and outcomes
  • Patient Satisfaction in Healthcare
  • Blood Pressure and Hypertension Studies

Royal Marsden Hospital
2011-2025

Kasturba Medical College, Manipal
2001-2024

Virginia Tech
2022-2024

Presbyterian Hospital
2024

Cornell University
2023-2024

New York Hospital Queens
2024

NewYork–Presbyterian Hospital
2024

Harbor–UCLA Medical Center
2017-2024

Manipal Academy of Higher Education
2019-2024

Purdue University West Lafayette
2012-2023

Controversy exists concerning the necessary margin of excision for cutaneous melanoma 2 mm or greater in thickness.

10.1056/nejmoa030681 article EN New England Journal of Medicine 2004-02-18

To investigate and describe the anatomic distribution, imaging features, pattern of metastatic spread malignant gastrointestinal stromal tumors (GISTs).The medical records all patients at our institution with a histologic diagnosis GIST were reviewed. Two radiologists knowledge reviewed radiologic findings by means consensus. Sixty-seven underwent computed tomography, scans primary tumor available in 38 patients.One hundred sixteen GISTs identified (76 men 40 women; mean age, 54.6 years +/-...

10.1148/radiol.2262011880 article EN Radiology 2003-02-01

PURPOSE: Synovial sarcoma (SS) is a common soft tissue (STS) with propensity for young adults and notable sensitivity to chemotherapy (CT). This study provides current clinicopathologic, staging, prognostic assessment SS. The problems the American Joint Committee Cancer (AJCC) Staging System in relation SS are discussed. METHODS: Review of prospective database supplemented by retrospective data. RESULTS: One hundred fifty patients were assessed; median age was 30 years follow-up 52 months....

10.1200/jco.2000.18.22.3794 article EN Journal of Clinical Oncology 2000-11-15

We present the MRI features with pathologic correlation of aggressive fibromatosis, incorporating 203 cases over a 5-year period from Royal Marsden Hospital Sarcoma Unit database.Sixty patients had imaging available for retrospective review which 29 preoperative and final histopathologic diagnosis fibromatosis.The average age at was 41.3 years female-to-male sex ratio 1.2:1. Twenty lesions were extraabdominal; six, intraabdominal; three, in abdominal wall (classic desmoid). The tumor size...

10.2214/ajr.04.1674 article EN American Journal of Roentgenology 2005-12-16

Abstract Background Local recurrence after surgical resection is the main cause of disease-related mortality in patients with primary retroperitoneal sarcoma (RPS). This study analysed predictors local and disease-specific survival. Methods A prospective database was reviewed to identify who underwent surgery for RPS between 1990 2009. Patient demographics, operative outcomes tumour variables were correlated Multivariable analysis performed evaluate disease-free Results Macroscopic clearance...

10.1002/bjs.6994 article EN British journal of surgery 2010-03-19

Background: Medication beliefs of patients with a specific medical condition have been associated nonadherence to drugs used treat that condition. However, associations between medication and individuals on chronic, multiple medications not studied. Objective: To investigate patients' chronic drug therapy. Methods: A cross-sectional, self-administered survey waiting see pharmacists at an outpatient pharmacy in primary care clinic was conducted. Participants' were assessed using the Beliefs...

10.1345/aph.1h153 article EN Annals of Pharmacotherapy 2006-09-20

Abstract Background Controversy surrounds the biopsy method of choice for histological diagnosis soft tissue sarcoma. The objective this study was to evaluate diagnostic accuracy core needle (CNB) in patients referred with suspicion a Methodology Previously undiagnosed (n = 530) suspected tumour (STT) who underwent CNB at initial presentation were identified. Specific end‐points ability differentiate benign from malignant tumours, non‐STT, and sarcomas define subtype grade. Results Of 530...

10.1002/jso.21600 article EN Journal of Surgical Oncology 2010-06-01

This study determined whether returning to the community from a recent hospitalization with unmet activities of daily living (ADL) need was associated probability readmission.A total 584 respondents 1994, 1999, and/or 2004 National Long-Term Care Surveys (NLTCS) who were hospitalized within 90 days prior interview and reported ADL disability at time considered for analysis. Medicare claims linked NLTCS provided information about hospital episodes, so those enrolled in Health Maintenance...

10.1093/geront/gns103 article EN The Gerontologist 2012-08-02

OBJECTIVES: To determine the cognitive and functional consequences of dual use cholinesterase inhibitors (ChIs) bladder anticholinergics oxybutynin or tolterodine. DESIGN: Prospective cohort study. SETTING: Nursing homes (NHs) in state Indiana. PARTICIPANTS: Three thousand five hundred thirty‐six Medicaid‐eligible NH residents aged 65 older taking a ChI between January 1, 2003, December 31, 2004. Residents were excluded if they an anticholinergic other than MEASUREMENTS: Indiana Medicaid...

10.1111/j.1532-5415.2008.01681.x article EN Journal of the American Geriatrics Society 2008-04-01

The necessary margin of excision for cutaneous melanomas greater than 2 mm in thickness is controversial. At a median follow-up 5 years, findings from our previously published randomised trial narrow (1 cm) versus wide (3 margins patients with thick showed that were associated an increased frequency locoregional relapse, but no significant difference overall survival was apparent. We now report long-term analysis trial.

10.1016/s1470-2045(15)00482-9 article EN cc-by The Lancet Oncology 2016-01-12

Background.Unmet need for assistance with activities of daily living (ADLs) disability is associated increased risk future hospitalization. To further explore the association between unmet ADL and health outcomes, we examined 1-year mortality.

10.1093/gerona/glv028 article EN The Journals of Gerontology Series A 2015-04-01

Abstract Background Melanoma disease patterns vary with patient age. Aim To evaluate sentinel lymph node biopsy (SLNB) in managing melanoma at differing ages. Methods Online prediction tools were applied to compare SLNB positivity (SLNB + ) and survival risk ages 20–80. Tübingen data used determine variations the hazard ratio of for mortality different Results Regardless tumour thickness, predicted rates markedly higher than 20‐year‐old patients. For 80‐year‐old patients, it is opposite....

10.1111/jdv.19772 article EN Journal of the European Academy of Dermatology and Venereology 2024-01-03

Abstract Background Surgery plays a dominant role in the initial and subsequent treatment of retroperitoneal liposarcoma (RPLS). This study was review outcomes patients treated at Royal Marsden Hospital. Methods Records all who had surgery for RPLS since 1990 were reviewed, with particular attention to local recurrence disease-specific survival. Patients primary those recurrent RPLS, palliative after variable number operations performed elsewhere, considered separately. Results Seventy-two...

10.1002/bjs.4802 article EN British journal of surgery 2004-11-12

A retrospective analysis was undertaken of 120 patients with retroperitoneal sarcoma referred to the Royal Marsden Hospital over a period 20 years. The actuarial 5-year survival rate all cases following referral 29 per cent. On univariate and multivariate principal factors associated an unfavourable prognosis were presence metastases, poor performance status at presentation, high tumour grade incomplete excision primary tumour. single most important factor affecting ability remove completely...

10.1002/bjs.1800780806 article EN British journal of surgery 1991-08-01

It is very important for the treating doctor to properly document management of a patient under his care. Medical record keeping has evolved into science itself. This will be only way prove that treatment was carried out properly. Moreover, it also immense help in scientific evaluation and review issues. records form an part patient. doctors medical establishments maintain patients two reasons. The first one them their profile, helping analyzing results, plan protocols. helps planning...

10.4103/0970-1591.56208 article EN cc-by-nc-sa Indian Journal of Urology 2009-01-01
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