Journal articles on the topic 'Asians – Surgery'

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1

Chen, Yu-Ray, and Léonard Bergeron. "Aesthetic Surgery in Asians." Seminars in Plastic Surgery 23, no. 01 (February 2009): 003. http://dx.doi.org/10.1055/s-0028-1110095.

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2

Wong, Joseph K. "Aesthetic surgery in Asians." Current Opinion in Otolaryngology & Head and Neck Surgery 17, no. 4 (August 2009): 279–86. http://dx.doi.org/10.1097/moo.0b013e32832cbd04.

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3

Jang, Yong Ju, and Hyun Moon. "Special Consideration in the Management of Hump Noses in Asians." Facial Plastic Surgery 36, no. 05 (October 2020): 554–62. http://dx.doi.org/10.1055/s-0040-1717144.

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AbstractAlthough not as prevalent as in Caucasian rhinoplasty, correction of a hump nose also poses a significant problem for East Asian rhinoplasty. The hump noses in East Asians can be classified as generalized humps, isolated humps, and relative humps with a low tip. Appropriate management of the Asian hump nose demands a good understanding of the anatomical characteristics unique to East Asians. As the East Asians generally prefer to have a nose with a prominent tip and well-augmented nasal dorsum, the concept of redistribution is significant in managing convex dorsum of the East Asians. Hump reduction should be done in a conservative and incremental manner, including careful removal of the bony cap and cartilaginous hump. Tip augmentation using a septal extension graft is an essential maneuver to achieve an aesthetically pleasing tip height, which has a tremendous impact on the overall aesthetic outcome. Midvault reconstruction, dorsal augmentation, and camouflage are additional key elements for the success of the operation. Complications such as undercorrection and dorsal irregularities are not uncommon, requiring surgeons to take utmost care to address them.
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4

Kim, Yong-Ha, Byung-Chae Cho, and Lun-Jou Lo. "Facial Contouring Surgery for Asians." Seminars in Plastic Surgery 23, no. 01 (February 2009): 022–31. http://dx.doi.org/10.1055/s-0028-1110098.

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5

Won, Tae-Bin, Hong-Ryul Jin, and Hyeon-Jong Lee. "Nasal Tip Surgery in Asians." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (August 2008): P31. http://dx.doi.org/10.1016/j.otohns.2008.05.102.

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Objective The authors intended to review our surgical techniques used in Asian tip surgery and to suggest effective techniques, according to the types of the nasal tip that are addressed. Methods 107 patients who had nasal tip surgery from Jan. 2005 to Dec. 2006 in a tertiary hospital were enrolled in the study. Medical records, graphic operation records, and standardized patient photographs were retrospectively reviewed. Initial diagnosis, types of nasal tip surgery, associated operative techniques, surgical results and complications were analyzed. Results Initial diagnosis included deviated nose, hump nose, combine deviated and saddle nose, low profile nose, short nose, and cleft nose deformity, in order of frequency. Nasal tip surgery included augmentation of projection, control of rotation, restoration of symmetry and volume reduction, among which augmentation was used in all cases. External approach was used in 74% and intranasal approach in 26%. For augmentation of the tip projection, onlay grafts (39%), septal extension grafts (25%), and tip modifying suture with onlay grafts (20%) were the most commonly used methods. Infection or extrusion of the grafts was not found. Complications included tip deviation due to the deviation of the septal extension graft in 1 case, visible tip graft in 1 case, and slight upward rotation of the tip in 1 case. Conclusions In Asians, augmentation of the tip projection is the main issue in tip surgery and is best performed with cartilage onlay grafts or septal extension graft rather than suture modification.
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6

Kueberuwa Yates, Essie, and David H. Song. "Aesthetic Plastic Surgery in Asians." Plastic and Reconstructive Surgery 138, no. 2 (August 2016): 534. http://dx.doi.org/10.1097/prs.0000000000002420.

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7

Hu, Adriana, Yi-Kong Keung, Ryan A. Lau, Lap-Woon Keung, and Eddie Hu. "Retrospective analysis of breast cancer patients in an Asian-majority community clinic." Journal of Clinical Oncology 31, no. 15_suppl (May 20, 2013): e12502-e12502. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.e12502.

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e12502 Background: Incidence of breast cancer in Asian countries is about one third to one half of that of the US. Asian immigrants have a higher risk of developing breast cancer in the US presumably by adopting more westernized lifestyles. We conduct a retrospective analysis of breast cancer patients (pts) in an Asian-majority community in Southern California. Methods: Unselected consecutive female breast cancer pts were studied. Clinical data were review and statistical analysis was conducted by SPSS 16.0. Results: 501 pts, 334 Asians (incl. Chinese 84%) and 167 non-Asians (incl. Caucasian 47% and Hispanic 45%) were studied. Conclusions: This study raised several intriguing findings: 1. Asian pts are significantly younger and have lower BMI than non-Asians. 2. Asian pts are more likely to undergo mastectomy than breast conserving surgery. 3. Asian pts tend to have denser breasts which may potentially limit the sensitivity of mammogram. Since the ratio of DCIS to invasive cancer is comparable between Asian and non-Asian pts in this study, mammogram is probably effective in detecting early cancer in Asians. 4. Significantly fewer Asian pts are diagnosed by screening mammogram. It is probably due to lower utilization of mammogram in the Asian population. 5. BRCA1/2 mutation is not significantly different between Asians and non-Asians. Due to inherent limitations of retrospective study, these findings need to be confirmed in a larger prospective study. [Table: see text]
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8

Gill, Sharlene, Amil Shah, Nhu Le, E. Francis Cook, and Eric M. Yoshida. "Asian Ethnicity–Related Differences in Gastric Cancer Presentation and Outcome Among Patients Treated at a Canadian Cancer Center." Journal of Clinical Oncology 21, no. 11 (June 1, 2003): 2070–76. http://dx.doi.org/10.1200/jco.2003.11.054.

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Purpose: Differences in stage-stratified survival have been reported between Asian and Western populations with gastric cancer. This study examines differences in presentation and outcomes among Asian and non-Asian patients evaluated and treated at a Canadian institution. Patients and Methods: We reviewed 2,043 patients (159 Asians and 1,884 non-Asians) with gastric adenocarcinoma treated between 1978 and 1997. Overall survival was examined by the Kaplan-Meier method, and multivariable analysis by Cox proportional hazards was used to identify whether Asian ethnicity had independent prognostic significance for survival. Results: Median survival was 13.1 months for Asians and 11.1 months for non-Asians (P = .0016). Asian patients were younger and had a greater proportion of signet ring cell histology but were less likely to have proximal disease. Signet ring cell histology did not adversely affect survival. By multivariable analysis, proximal location, poor differentiation, and extent of disease were independently associated with worse survival. Survival was improved with curative resection, palliative resection, and palliative chemotherapy. Asian ethnicity was not independently associated with survival (hazard ratio, 0.89; 95% confidence interval, 0.74 to 1.08). Although a similar proportion of patients underwent curative resection, an interaction was observed between Asian ethnicity and efficacy of resection, with Asians achieving a greater benefit as compared with non-Asians even when adjusted for age and location. Conclusion: The disparity between Eastern and Western gastric cancer survival is not explained by the hypothesis of ethnicity-related differences in tumor biology. Although it is not an independent predictor of survival, Asian ethnicity is associated with distinct characteristics at presentation and more favorable outcomes after curative surgery.
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9

Park, Sanghoon. "Cosmetic Bone-Contouring Surgery for Asians." Facial Plastic Surgery Clinics of North America 29, no. 4 (November 2021): 533–48. http://dx.doi.org/10.1016/j.fsc.2021.07.001.

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10

Bae, Kyoung Hwa, Ji Sun Baek, and Jae Woo Jang. "Nonincisional Blepharoplasty for Asians." Facial Plastic Surgery Clinics of North America 29, no. 4 (November 2021): 523–32. http://dx.doi.org/10.1016/j.fsc.2021.06.005.

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11

Kim, In-Sang, and Hak-Soo Kim. "Forehead Lift for Asians." Facial Plastic Surgery Clinics of North America 29, no. 4 (November 2021): 487–95. http://dx.doi.org/10.1016/j.fsc.2021.06.002.

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12

Kang, Dong Hee, Jeong Ho Choi, Sang Hwan Koo, and Seung Ha Park. "Laser Blepharoplasty in Asians." Annals of Plastic Surgery 48, no. 3 (March 2002): 246–51. http://dx.doi.org/10.1097/00000637-200203000-00003.

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13

Won, Tae-Bin, and Hong-Ryul Jin. "Revision Rhinoplasty in Asians." Annals of Plastic Surgery 65, no. 4 (October 2010): 379. http://dx.doi.org/10.1097/sap.0b013e3181d9ab0e.

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Lin, Yun-Nan, Yi-Chia Wu, Shu-Hung Huang, Chih-Kang Chou, Hidenobu Takahashi, and Tsai-Ming Lin. "Periorbital Rejuvenation for Asians." Clinics in Plastic Surgery 50, no. 1 (January 2023): 91–100. http://dx.doi.org/10.1016/j.cps.2022.07.009.

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15

Wei, Jiao, Chuanchang Dai, and Shengli Li. "Revision Rhinoplasty in Asians." Clinics in Plastic Surgery 50, no. 1 (January 2023): 141–49. http://dx.doi.org/10.1016/j.cps.2022.08.004.

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16

Rhome, Ryan, Erin Moshier, and Michael Buckstein. "Patients of Asian descent with gastric cancer treated in the United States: Comparative characteristics and survival outcomes." Journal of Clinical Oncology 35, no. 4_suppl (February 1, 2017): 10. http://dx.doi.org/10.1200/jco.2017.35.4_suppl.10.

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10 Background: Asian gastric cancer trials often show better outcomes than similar Western trials suggesting a possible difference in disease characteristics or biology. Large databases can be used to assess whether ethnic differences persist in the United States. Methods: The National Cancer Database was queried to examine disease characteristics, treatment utilization, and outcomes for gastric cancer from 2004-2013 for Asian vs. non-Asian patients. Patients were excluded with inadequate follow-up, unknown staging or race. Cox proportional hazards model was used to assess hazard ratio (HR) of death. Results: 101,426 patients were analyzed (6,994 Asians, 94,432 non-Asians). Asian patients were more likely to be female, younger, treated at academic centers, early stage, lower co-morbidity score, and high grade vs. non-Asian (Chi-square, all p<0.001). Asian patients were less likely to receive chemotherapy or radiation or have a positive margin. HRs of death (adjusted for age, sex, facility, histology, insurance, co-morbidity score, margin, grade, surgery, radiation, and chemotherapy) for Asian patients are shown in the table. Further dividing by most represented Asian sub-groups showed differences between countries of origin. Conclusions: Imbalances exist in clinical features and treatment utilization in Asian patients compared to non-Asians. After adjustment, Asian race is associated with higher overall survival. Adjusted sub-group analyses show survival differences by country of origin, suggesting biological variability. [Table: see text]
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17

Rao, A., Beng Hea Tey, Ganesh Ramalingam, and Aaron GH Poh. "Obstructive Sleep Apnoea (OSA) Patterns in Bariatric Surgical Practice and Response of OSA to Weight Loss after Laparoscopic Adjustable Gastric Banding (LAGB)." Annals of the Academy of Medicine, Singapore 38, no. 7 (July 15, 2009): 587–93. http://dx.doi.org/10.47102/annals-acadmedsg.v38n7p587.

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Introduction: This study aims to evaluate the incidence of Obstructive Sleep Apnoea (OSA) in severely obese Asians and to study the impact of weight loss on OSA. Materials and Methods: We report the results of routine preoperative Polysomnograms in 350 Asian patients undergoing bariatric surgery in our institute. Polysomnograms were repeated in 75 randomly selected patients with moderate to severe OSA after target weight loss with the laparoscopically placed adjustable gastric band (LAGB). Results: The prevalence of OSA in obese Asians is high. Moderate OSA was found in 46% of patients and severe OSA was found in 33%. Severe OSA was significantly more in the Chinese (46%) compared to the Malays (29%) or Indians (21%) (P = 0.035). We identified other risk factors for severe OSA (male sex, higher body mass index and the presence of hypertension) but were unable to select identifying parameters for very low (<5%) likelihood of severe OSA such that routine sleep studies prior to bariatric surgery could be omitted. Apnoea Hypoapnoea Index (AHI) showed improvement of 50% at 20 kg excess weight loss with the cure of OSA in preoperatively severe cases (P <0.005). Mild to moderate cases reported similar improvements although a direct correlation could not be established. Desaturation events, apnoea episodes, work of breathing and subjective assessment of sleepiness scores and quality of life (QOL) showed improving trends, albeit not statistically significant. Similar improvements were seen in sleep architecture with increased rapid eye movement (REM) and stage 3 sleep. Conclusions: The incidence of OSA in Asians undergoing bariatric surgery is high. Routine sleep studies in Asian patients are justified. Weight loss brought about a significant improvement in AHI and continuous positive airway pressure requirements. LAGB placement should be considered a broadly effective therapy for sleep apnoea in the severely obese patient. Introduction: This study aims to evaluate the incidence of Obstructive Sleep Apnoea (OSA) in severely obese Asians and to study the impact of weight loss on OSA. Materials and Methods: We report the results of routine preoperative Polysomnograms in 350 Asian patients undergoing bariatric surgery in our institute. Polysomnograms were repeated in 75 randomly selected patients with moderate to severe OSA after target weight loss with the laparoscopically placed adjustable gastric band (LAGB). Results: The prevalence of OSA in obese Asians is high. Moderate OSA was found in 46% of patients and severe OSA was found in 33%. Severe OSA was significantly more in the Chinese (46%) compared to the Malays (29%) or Indians (21%) (P = 0.035). We identified other risk factors for severe OSA (male sex, higher body mass index and the presence of hypertension) but were unable to select identifying parameters for very low (<5%) likelihood of severe OSA such that routine sleep studies prior to bariatric surgery could be omitted. Apnoea Hypoapnoea Index (AHI) showed improvement of 50% at 20 kg excess weight loss with the cure of OSA in preoperatively severe cases (P <0.005). Mild to moderate cases reported similar improvements although a direct correlation could not be established. Desaturation events, apnoea episodes, work of breathing and subjective assessment of sleepiness scores and quality of life (QOL) showed improving trends, albeit not statistically significant. Similar improvements were seen in sleep architecture with increased rapid eye movement (REM) and stage 3 sleep. Conclusions: The incidence of OSA in Asians undergoing bariatric surgery is high. Routine sleep studies in Asian patients are justified. Weight loss brought about a significant improvement in AHI and continuous positive airway pressure requirements. LAGB placement should be considered a broadly effective therapy for sleep apnoea in the severely obese patient.
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Koh, In Suk, and Hook Sun. "A practical approach to nasal reconstruction in Asian patients." Archives of Craniofacial Surgery 22, no. 5 (October 20, 2021): 268–75. http://dx.doi.org/10.7181/acfs.2021.00465.

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Background: The study aimed to evaluate nasal reconstruction techniques customized for Asians. The currently available nasal reconstruction guidelines are based on Caucasian patients, and their applicability is limited in Asian patients due to differences in anatomical and structural features.Methods: A retrospective analysis was performed of the medical records of 76 patients who underwent nasal reconstruction at a single center between January 2010 and June 2020. A comprehensive evaluation was conducted of patients’ baseline demographics and clinical characteristics, including age, sex, medical history, defect size and location, reconstructive procedure, pathological diagnosis, postoperative complications, and recurrence.Results: In 59 cases (77%), nasal defects resulted from tumor ablation, and the remaining 17 cases involved post-traumatic (20%) and infection-induced (3%) tissue damage. The most common defect location was the alae, followed by the sidewalls, tip, and dorsum. Forehead flaps were the most commonly used reconstructive technique, followed by nasolabial advancement flaps, rotation flaps, and skin grafts. Each procedure was applied considering aspects of structural anatomy and healing physiology specific to Asians. Complications included nasal deformity, hypertrophic scarring, secondary infection, and partial flap necrosis, but no cases required additional surgical procedures. Tumors recurred in two cases, but tumor recurrence did not significantly affect flap integrity.Conclusion: Nasal reconstruction techniques applied considering Asians’ facial features resulted in fewer postoperative complications and higher patient satisfaction than the approaches that are currently in widespread use. Therefore, this study is expected to serve as an essential reference for establishing treatment guidelines for nasal reconstruction in Asians.
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Dobke, Marek, Christopher Chung, and Kazuaki Takabe. "Facial Aesthetic Preferences Among Asian Women: Are All Oriental Asians the Same?" Aesthetic Plastic Surgery 30, no. 3 (June 2006): 342–47. http://dx.doi.org/10.1007/s00266-005-0091-3.

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20

Lim, Stephanie Hui-Su, Emilia Ip, Weng Ng, Wei Chua, Ray Asghari, Aflah Roohullah, Joseph Descallar, et al. "Health-Related Quality of Life during Chemoradiation in Locally Advanced Rectal Cancer: Impacts and Ethnic Disparities." Cancers 11, no. 9 (August 28, 2019): 1263. http://dx.doi.org/10.3390/cancers11091263.

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Aims: There is limited data on health-related quality of life (HRQoL) in locally advanced rectal cancer. We assessed HRQoL before, during and after neoadjuvant chemoradiation, correlated this to corresponding clinician-reported adverse events (CR-AEs) and explored disparities between patients of Asian ethnicity versus Caucasians. Correlation between HRQoL and treatment response was also assessed. Methods: A consecutive sample of patients was recruited. HRQoL was assessed with the EORTC QLQ-C30 before chemoradiation, week three of chemoradiation and one-week pre-surgery. Clinical variables including CR-AEs were recorded at these time-points. Patients self-reported socio-demographic variables. Treatment response was assessed by the tumour regression grade. HRQoL data were analysed with multilevel models. Results: Fifty-one patients were recruited. HRQoL completion rates were ≥86%. Cognitive and role functioning worsened significantly during treatment. Emotional, role and social functioning improved significantly at pre-surgery. Fatigue and nausea/vomiting worsened during treatment while fatigue, appetite loss, diarrhoea and financial difficulties improved from treatment to pre-surgery. Almost 30% of the cohort were Asian ethnicity. Differences were found in multiple HRQoL domains between Asians and Caucasians, with Asians faring worse. Significant differences were evident in physical, role and cognitive functioning, and in seven out of the 8 symptom scales. The correlation between patient-reported outcomes and clinician-reported outcomes was weak, with diarrhoea having the strongest correlation (r = 0.58). Vomiting during treatment correlated with poor response, whilst baseline constipation correlated with good response. Conclusion: Chemoradiation for locally advanced rectal cancer affects multiple HRQoL domains. Our findings highlight the importance of psychological aspects of treatment. Significant differences were identified between the Asian and Caucasian populations, with Asians consistently performing worse. Poor correlations between patient and clinician reporting strongly support the inclusion of patient-reported outcomes in clinical studies. HRQoL domains of vomiting and constipation are potential biomarkers of treatment response.
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Chua, Jocelyn, Chai Teck Choo, Lay Leng Seah, Kee Siew Fong, Soon Phaik Chee, Chin Tek Chuah, and Audrey Looi. "A 5-year Retrospective Review of Asian Ectropion: How Does It Compare to Ectropion Amongst Non-Asians?" Annals of the Academy of Medicine, Singapore 40, no. 2 (February 15, 2011): 84–89. http://dx.doi.org/10.47102/annals-acadmedsg.v40n2p84.

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Introduction: This study reviews the differences in demographics and surgical outcomes between ectropion in Asian and non-Asian eyes. Materials and Methods: Medical records of surgically corrected ectropion cases from January 2002 to December 2006 were reviewed. Pre- and postoperative lid-globe apposition was graded: grade 0 with normal lid-globe apposition, grade 1 with punctal ectropion, grade 2 with partial lid eversion and scleral show, grade 3 with conjunctival hyperemia and thickening and grade 4 as for grade 3 with exposure keratitis. Results: Sixty-nine eyes in 50 patients underwent surgical correction of lower lid ectropion, making up 3.3% of all lid procedures performed. Eighty-four percent of patients were above 50 years of age, 72% were males and 88% were Chinese. Involutional change was the commonest aetiology, accounting for the majority of bilateral cases. The mean duration to surgery was 10.0 ± 16.0 months. The most frequent preoperative severity grade was 2. Lateral tarsal strip (LTS) was the commonest procedure performed, comprising 91.3% of eyes. The mean duration of postoperative review was 19.4 ± 19.2 months (range, 1 to 74 months). Postoperative improvement of at least one grade was observed in 98% while normal lid-globe apposition was achieved in 76% of eyes. Conclusions: Involutional change is the most common cause of ectropion amongst both Asians and non-Asians. Ectropion is less prevalent amongst Asians as a result of anatomical differences and possibly reduced sun exposure. The LTS procedure is the most commonly performed surgical procedure for the successful correction of ectropion in both Asians and non-Asians. Keywords: Asian eyes, Lateral tarsal strip
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22

Won, Tae-Bin. "Hump Nose Correction in Asians." Facial Plastic Surgery Clinics of North America 26, no. 3 (August 2018): 357–66. http://dx.doi.org/10.1016/j.fsc.2018.03.009.

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23

Phoenix, GK, N. Penney, DM Cocker, A. Davies, J. Smellie, G. Bonanomi, J. Thompson, and E. Efthimiou. "Comparison of weight loss achieved after laparoscopic adjustable gastric banding between Afro-Caribbean, Caucasian and South Asian adult female patients in a London bariatric centre." Annals of The Royal College of Surgeons of England 95, no. 5 (July 2013): 335–40. http://dx.doi.org/10.1308/003588413x13629960045995.

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Introduction It has been shown that following laparoscopic adjustable gastric banding (LAGB) procedures, Afro-Caribbeans achieve poorer weight loss compared with Caucasians. The reasons for this are multifactorial. However, studies have been based on mainly female patients from the US and none to date have been from the UK. Furthermore, South Asians have not previously been compared. The aim of this study was to compare excess weight loss percentage (%EWL) outcomes up to five years following LAGB in Afro-Caribbean, Caucasian and South Asian females in a London-based teaching hospital. Methods An analysis was carried out of prospectively collected data of female patients aged ≥16 years of Afro-Caribbean, Caucasian or South Asian origin who underwent LAGB between October 2000 and December 2011. Data included demographics, co-morbidities and anthropometrics. Results Overall, 596 females underwent LAGB; 316 Caucasians (53.0%), 64 Afro-Caribbeans (10.8%) and 27 South Asians (4.5%) formed the majority of those who disclosed ethnicities. Age and initial body mass index (BMI) were comparable between Afro-Caribbeans and Caucasians (mean BMI: 47.3kg/m2 [standard deviation [SD]: 7.5kg/m2, range: 37.0–78.3kg/m2] vs 45.8kg/m2 [SD: 7.1kg/m2, range: 24.7–79.8kg/m2], p=0.225). A non-significant trend suggested less %EWL in Afro-Caribbeans than in Caucasians at 6 months, and at 1, 2, 3, 4 and 5 years (21.4% vs 24.4%, p=0.26; 27.4% vs 31.3%, p=0.27; 33.0% vs 36.8%, p=0.15; 39.0% vs 45.8%, p=0.14; 34.2% vs 45.3%, p=0.16; 37.1% vs 47.6%, p=0.67). South Asians and Caucasians had a similar age and preoperative BMI (mean BMI: 43.6kg/m2 [range: 32.5–59.1kg/m2] vs 45.8kg/m2 [range: 24.7–79.8kg/m2], p=0.08). The %EWL was greatest at three and four years among South Asians although numbers were small (n=4 and n=3 respectively). Conclusions A non-significant trend suggests poorer weight loss outcomes in Afro-Caribbeans compared with Caucasians in our cohort. Discussion of realistic weight loss outcomes as well as enhanced follow-up and dietary modifications are required for Afro-Caribbean patients. Low numbers prevent definitive conclusions regarding South Asians. Multicentre studies across England are required to better define any differences between ethnicities.
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Ishii, Clyde H. "Aesthetic Plastic Surgery in Asians: Principles and Techniques." Aesthetic Surgery Journal 36, no. 8 (March 29, 2016): NP269—NP270. http://dx.doi.org/10.1093/asj/sjv249.

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Sakamoto, Yoshiaki, Junpei Miyamoto, Ikkei Tamada, and Kazuo Kishi. "Nasal Tip Surgery for Cleft Nose in Asians." Journal of Craniofacial Surgery 25, no. 5 (September 2014): 1671–73. http://dx.doi.org/10.1097/scs.0000000000001112.

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Cooley, Denton A. "Coronary Artery Bypass in Asian Patients." Asian Cardiovascular and Thoracic Annals 1, no. 3 (September 1993): 113–15. http://dx.doi.org/10.1177/021849239300100302.

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Coronary artery disease in Asians deserves far more attention than it has received in the literature to date. Most of the available reports focus on immigrants from the Indian subcontinent. These immigrants have a significantly higher risk of coronary artery disease than either their compatriots who do not emigrate or the indigenous population of their adopted countries. This finding cannot be explained on the basis of standard coronary risk factors. There is a general clinical impression that Asians of all nationalities have smaller coronary arteries and more diffuse coronary disease than other ethnic groups; therefore, they are less suitable candidates for conventional bypass grafting. This impression remains a source of controversy. Our experience at the Texas Heart Institute indicates that, after coronary bypass surgery, early and long-term results in Asians are as satisfactory as in other ethnic groups. However, much more research is needed to explain the many paradoxical aspects of coronary disease in Asian patients.
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Wang, Michael Y., and Michael Thambuswamy. "Ossification of the posterior longitudinal ligament in non-Asians: demographic, clinical, and radiographic findings in 43 patients." Neurosurgical Focus 30, no. 3 (March 2011): E4. http://dx.doi.org/10.3171/2010.12.focus10277.

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Object Ossification of the posterior longitudinal ligament (OPLL) is a disorder afflicting as many as 2% of East Asians. However, reports of OPLL in non-Asians have been sporadic in the medical literature. This study describes clinical and radiographic findings with OPLL in non-Asians at a tertiary care center treating a diverse multiethnic population. Methods Over a 6-year period, 43 patients not of East Asian descent presented to an urban tertiary medical center with OPLL. Patient data, including ethnicity, spinal cord function, Nurick grade, radiographic findings, OPLL subtype, and degree of cervical stenosis, were recorded. Results The average patient age was 59 years (range 32–92 years) with 18 women and 25 men. There were 22 Caucasian patients, 17 Hispanic patients, and 4 Black patients. With respect to the radiographic findings, OPLL morphology was continuous in 19, segmental in 17, mixed in 6, and other in 1. Average canal diameter was 7.6 mm (range 4.2–9.0 mm) at the most stenotic points. The mean Nurick grade was 2.95 at presentation, but 7 of the patients had OPLL identified incidentally and with early or minimal symptoms and signs of myelopathy. Conclusions Ossification of the posterior longitudinal ligament in non-Asians demonstrates similar demographic and radiographic characteristics as in East Asians. The representation of different ethnic groups mirrors the demographics of the medical center population in general, showing no specific predilection for particular ethnic groups. Surgical decompression in appropriately selected patients results in similar rates of improvement when compared with the Japanese literature.
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28

Feghali, James, Risheng Xu, Wuyang Yang, Jason Liew, Rafael J. Tamargo, Elisabeth B. Marsh, and Judy Huang. "Racial phenotypes in moyamoya disease: a comparative analysis of clinical presentation and natural history in a single multiethnic cohort of 250 hemispheres." Journal of Neurosurgery 133, no. 6 (December 2020): 1766–72. http://dx.doi.org/10.3171/2019.7.jns191507.

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OBJECTIVEThe authors aimed to determine whether differences exist in presentation and natural history when comparing Asian patients with moyamoya disease (MMD) to those of other ethnicities in North America.METHODSA database of 137 patients with MMD presenting to their institution between 1994 and 2015 was reviewed. Baseline characteristics and outcome variables, including stroke and functional outcome, were compared between Asian and non-Asian patients. Unadjusted Kaplan-Meier survival analysis and adjusted Cox regression models were used to compare stroke-free survival and stroke hazard after diagnosis among hemispheres of both racial groups. The analysis was stratified by age group, and censoring was performed until last follow-up or at the time of surgery. Because the relative rate of stroke changed between Asian and non-Asian adults after 1.5 years of follow-up, a time-segmented analysis focusing on the period 1.5 years after diagnosis was performed.RESULTSThe cohort comprised 23% (31/137) Asian and 77% (106/137) non-Asian patients with MMD with a bimodal age distribution. Non-Asian patients had a higher prevalence of increased BMI (p = 0.02) and smoking (p = 0.04). Among patients who presented with stroke (n = 90), hemorrhage was significantly more common among Asians (p = 0.02). The natural history analysis included 250 hemispheres: 67 pediatric and 183 adult hemispheres. The overall mean follow-up duration since diagnosis was 3.3 years. Among adults, Asian patients had a higher incidence of stroke (8.0 per 100 person-years vs 3.0 per 100 person-years) over a mean follow-up of 3.3 years, but results were not statistically significant (p = 0.45). In the period beginning 1.5 years after diagnosis, Asian adults had a significantly higher hazard of stroke over a mean follow-up of 7.7 years, while controlling for sex, hypertension, and stroke before diagnosis (hazard ratio 8.8, p = 0.02). Among pediatric patients, Asians also had a higher stroke incidence (10.0 per 100 person-years vs 3.5 per 100 person-years) over a mean follow-up of 3.2 years; however, results did not reach statistical significance (p = 0.40). Functional outcome was similar between both ethnic groups at last follow-up (p = 0.57).CONCLUSIONSThis study suggests a comparatively more progressive course of MMD in Asians. Further studies are required to fully characterize the phenotypic distinctions between different races and underlying pathophysiological mechanisms.
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29

SUH, Man-Koon. "Cosmetic Augmentation Rhinoplasty for East Asians." Facial Plastic Surgery Clinics of North America 29, no. 4 (November 2021): 589–609. http://dx.doi.org/10.1016/j.fsc.2021.06.010.

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30

Chan, Karen Kar-Wun, Richie Chiu-Lung Chan, Ronnie Siu-Lun Ho, and Jimmy Yu-Wai Chan. "Clinical Patterns of Melanoma in Asians." Annals of Plastic Surgery 77 (August 2016): S6—S11. http://dx.doi.org/10.1097/sap.0000000000000731.

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31

Yoon, Eul Sik, and Duck Sun Ahn. "Report of Phenol Peel for Asians." Plastic and Reconstructive Surgery 103, no. 1 (January 1999): 207–14. http://dx.doi.org/10.1097/00006534-199901000-00034.

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32

Yoon, Eul Sik, Duck Sun Ahn, Thomas J. Baker, James M. Stuzin, and Tracy M. Baker. "Report of Phenol Peel for Asians." Plastic and Reconstructive Surgery 103, no. 1 (January 1999): 215–17. http://dx.doi.org/10.1097/00006534-199901000-00035.

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33

Kim, June-Kyu, Jun-Young Jang, Yoon Gi Hong, Hyung Bo Sim, and Sang Hoon Sun. "Deep-Plane Lipoabdominoplasty in East Asians." Archives of Plastic Surgery 43, no. 4 (July 15, 2016): 352–59. http://dx.doi.org/10.5999/aps.2016.43.4.352.

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34

Kim, Jin Wang, and Joung Ok Lee. "Skin Resurfacing with Laser in Asians." Aesthetic Plastic Surgery 21, no. 2 (March 1, 1997): 115–17. http://dx.doi.org/10.1007/s002669900095.

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35

Park, Joo Hyun, Dennis Cristobal S. Mangoba, Sue Jean Mun, Dae Woo Kim, and Hong-Ryul Jin. "Lengthening the Short Nose in Asians." JAMA Facial Plastic Surgery 15, no. 6 (November 2013): 439–47. http://dx.doi.org/10.1001/jamafacial.2013.95.

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36

Laorwong, Kongkiat, Damkerng Pathomvanich, and Kristine Bunagan. "Eyebrow Transplantation in Asians." Dermatologic Surgery 35, no. 3 (March 2009): 496–504. http://dx.doi.org/10.1111/j.1524-4725.2009.01073.x.

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37

Bodiwala, Vimal, Timothy Marshall, Kiron M. Das, Steven R. Brant, and Darren N. Seril. "Comparison of Disease Phenotypes and Clinical Characteristics Among South Asian and White Patients with Inflammatory Bowel Disease at a Tertiary Referral Center." Inflammatory Bowel Diseases 26, no. 12 (March 7, 2020): 1869–77. http://dx.doi.org/10.1093/ibd/izaa019.

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Abstract Background The prevalence and clinical features of inflammatory bowel disease (IBD) vary among different racial and ethnic groups. The aim of this study was to compare the clinical and phenotypic features of Crohn’s disease (CD) and ulcerative colitis (UC) in South Asian patients living in the United States with those of a white cohort. Methods The demographic, clinical, and phenotypic characteristics of 73 South Asian patients (31 CD and 42 UC) who presented initially to our tertiary referral center from 2012 to 2016 and had subsequent follow-up were retrospectively compared with those of 408 consecutive white patients (245 CD and 163 UC). Results South Asian IBD patients were significantly more likely to have UC (58.0% vs 40.0%; P = 0.005) than white patients. South Asians with CD were less likely to have a family history of IBD (9.7% vs 26.9%; P = 0.037) and required fewer CD-related surgeries (22.5% vs 46.1; P = 0.012). South Asians were also less likely to be active or former smokers in both the CD (P = 0.004) and UC (P = 0.020) groups. South Asians with UC had a higher incidence of Clostridium difficile infection compared with white patients (19.0% vs 8.6%; P = 0.050). Conclusions A cohort of South Asian patients with IBD were more likely to have UC and had differing family and tobacco risk factors, requirements for surgery, and Clostridium difficile infection rates as compared with white patients.
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38

Swami, Viren, Angela Nogueira Campana, and Rebecca Coles. "Acceptance of Cosmetic Surgery Among British Female University Students." European Psychologist 17, no. 1 (January 1, 2012): 55–62. http://dx.doi.org/10.1027/1016-9040/a000049.

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Although patients of cosmetic surgery are increasingly ethnically diverse, previous studies have not examined ethnic differences in attitudinal dispositions toward cosmetic surgery. In the present study, 751 British female university students from three ethnic groups (Caucasians, South Asians, and African Caribbeans) completed measures of acceptance of cosmetic surgery, body appreciation, self-esteem, and demographic variables. Initial between-group analyses showed that Caucasians had lower body appreciation and self-esteem than Asian and African Caribbean participants. Importantly, Caucasians had higher acceptance of cosmetic surgery than their ethnic minority counterparts, even after controlling for body appreciation, self-esteem, age, and body mass index. Further analyses showed that ethnicity accounted for a small proportion of the variance in acceptance of cosmetic surgery, with body appreciation and self-esteem emerging as stronger predictors. Possible reasons for ethnic differences in acceptance of cosmetic surgery are discussed in Conclusion.
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39

Zhang, Gang, Xing Zhao, Jie Li, Yu Yuan, Ming Wen, Xin Hao, Ping Li, and Aimin Zhang. "Racial disparities in stage-specific gastric cancer: analysis of results from the Surveillance Epidemiology and End Results (SEER) program database." Journal of Investigative Medicine 65, no. 6 (April 25, 2017): 991–98. http://dx.doi.org/10.1136/jim-2017-000413.

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The incidence of gastric cancer is declining in western countries but continues to represent a serious health problem worldwide, especially in Asia and among Asian Americans. This study aimed to investigate ethnic disparities in stage-specific gastric cancer, including differences in incidence, treatment and survival. The cohort study was analyzed using the data set of patients with gastric cancer registered in the Surveillance, Epidemiology, and End Results (SEER) program from 2004 to 2013. Among 54,165 patients with gastric cancer, 38,308 were whites (70.7%), 7546 were blacks (13.9%), 494 were American Indian/Alaskan Natives (0.9%) and 7817 were Asians/Pacific Islanders (14.4%). Variables were patient demographics, disease characteristics, surgery/radiation treatment, overall survival (OS) and cause specific survival (CSS). Asians/Pacific Islanders demonstrated the highest incidence rates for gastric cancer compared with other groups and had the greatest decline in incidence during the study period (13.03 to 9.28 per 100,000/year), as well as the highest percentage of patients with American Joint Committee on Cancer (AJCC) early stage gastric cancer. There were significant differences between groups in treatment across stages I–IV (all p<0.001); Asians/Pacific Islanders had the highest rate of surgery plus radiation (45.1%). Significant differences were found in OS and CSS between groups (p<0.001); OS was highest among Asians/Pacific Islanders. Multivariate analysis revealed that age, race, grade, stage, location, and second primary cancer were valid prognostic factors for survival. Marked ethnic disparities exist in age-adjusted incidence of primary gastric cancer, with significant differences between races in age, gender, histological type, grade, AJCC stage, location, second cancer, treatment and survival.
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40

Zhang, Jing, Min Chu, ZiChen Tian, KeXin Xie, Yue Cui, Li Liu, JiaLi Meng, et al. "Clinical profile of fatal familial insomnia: phenotypic variation in 129 polymorphisms and geographical regions." Journal of Neurology, Neurosurgery & Psychiatry 93, no. 3 (October 19, 2021): 291–97. http://dx.doi.org/10.1136/jnnp-2021-327247.

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ObjectiveElucidate the core clinical and genetic characteristics and identify the phenotypic variation between different regions and genotypes of fatal familial insomnia (FFI).MethodsA worldwide large sample of FFI patients from our case series and literature review diagnosed by genetic testing were collected. The prevalence of clinical symptoms and genetic profile were obtained, and then the phenotypic comparison between Asians versus non-Asians and 129Met/Met versus 129Met/Val were conducted.ResultsIn total, 131 cases were identified. The age of onset was 47.51±12.53 (range 17–76) years, 106 patients died and disease duration was 13.20±9.04 (range 2–48) months. Insomnia (87.0%) and rapidly progressive dementia (RPD; 83.2%) occurred with the highest frequency. Hypertension (33.6%) was considered to be an objective indicator of autonomic dysfunction. Genotype frequency at codon 129 was Met/Met (84.7%) and Met/Val (15.3%), and allele frequency was Met (92.4%) and Val (7.6%).129 Met was a risk factor (OR: 3.728, 95% CI: 2.194 to 6.333, p=0.000) for FFI in the non-Asian population. Comparison of Asians and non-Asians revealed clinical symptoms and genetic background to show some differences (p<0.05). In the comparison of 129 polymorphisms, a longer disease duration was found in the 129 MV group, with alleviation of some clinical symptoms (p<0.05). After considering survival probability, significant differences in survival time between genotypes remained (p<0.0001).ConclusionsInsomnia, RPD and hypertension are representative key clinical presentations of FFI. Phenotypic variations in genotypes and geographic regions were documented. Prion protein gene 129 Met was considered to be a risk factor for FFI in the non-Asian population, and 129 polymorphisms could modify survival duration.
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41

Huang, Andy Z., Yiqing Xu, Yiwu Huang, Vimbai Nyemba, Than Than Aye, Na Liu, Ashrei Y. Bayewitz, and Peter Homel. "The influence of tumor location, histology, and patient ethnicity on the accuracy of EUS in staging gastric and gastroesophageal junction (GEJ) cancers." Journal of Clinical Oncology 34, no. 4_suppl (February 1, 2016): 39. http://dx.doi.org/10.1200/jco.2016.34.4_suppl.39.

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39 Background: Endoscopic ultrasound (EUS) is a routine staging test performed in patients with gastric and GEJ cancers and is highly valuable in treatment planning. The reported accuracy varies from 40% to 90%. We aim to investigate the staging performance of EUS at our institution and hypothesize that EUS accuracy can be influenced by tumor location, histology, and patient ethnicity. Methods: We performed a retrospective analysis of patients diagnosed with gastric and GEJ cancer between January 2006 and June 2015 who had EUS proceeded directly by surgery. T and N staging by EUS were analyzed for their sensitivity, specificity, and positive (PPV) and negative predictive values using surgery as the gold standard. The following variables were evaluated: tumor histology (intestinal or diffuse type), location (GEJ, cardia, body, or antrum), and patient ethnicity (Asian versus non-Asian). Results: Over 46 patients who met the inclusion criteria, EUS had T and N accuracy of 47.8% and 58.7%, respectively (p <.05). EUS had high specificity (88%) but low sensitivity (38%) for N staging. In predicting T staging, EUS was most accurate when the tumor was located in the body (72%, n = 7) and least accurate in the cardia (33%, n = 6) with 46% (n = 13) in the GEJ and 45% (n = 20) in the antrum. EUS tended to upstage the T value when a tumor is located in the body or GEJ, and downstage it in the cardia or antrum. The PPV using EUS for T1, T2, T3, and T4 were 89%, 22%, 45%, and 57%, respectively. The PPV using EUS for N staging was 73%. EUS was more accurate for T in Asians (55%, n = 33) than in non-Asians (31%, n = 13), and in intestinal type (56%) than diffuse (36%). For N staging, it was most accurate in the body (86%) and least accurate in the GEJ (50%). It was also more accurate in diffuse tumors (79%) than intestinal (52%) and more accurate in non-Asians (77%) than in Asians (53%). Conclusions: EUS as a common tool in preoperative staging may be inaccurate when performed in community hospitals. The predictive rate appears to vary in Asian vs non-Asian patients and in intestinal vs diffuse tumors. It is most predictive when the tumor is T1 and located in the gastric body. A prospective study is needed to confirm these findings.
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42

Yeo, Danson, Charleen Yeo, Tze Yi Low, Saleem Ahmed, Sheena Phua, Aung Myint Oo, Jaideepraj Rao, Aaryan Koura, Kavita Venkataraman, and Sanghvi Kaushal. "Outcomes After Metabolic Surgery in Asians—a Meta-analysis." Obesity Surgery 29, no. 1 (September 8, 2018): 114–26. http://dx.doi.org/10.1007/s11695-018-3484-5.

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43

Fanous, Nabil, Carolyne Tawile, and Amanda Fanous. "Nipple reduction – An adjunct to augmentation mammaplasty." Canadian Journal of Plastic Surgery 17, no. 3 (August 2009): 81–88. http://dx.doi.org/10.1177/229255030901700308.

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Nipple hypertrophy is an occasional deformity in Asians and a rare one in Caucasians. Lately, it has been showing up more often in plastic surgeons' offices across North America and elsewhere, owing to the influx of Asian immigration worldwide, as well as to the rising interest in esthetic surgery among Asian communities. A simplified technique for nipple reduction is described herein. It is very easy to execute, delivers accurate results and is extremely safe. It tackles both the excessive ‘projection’ and the less frequent excessive ‘width’ of the nipple. It may be used separately or incorporated as an adjunct to mammary augmentation or mastopexy. Excellent esthetic results are obtained, while both the nipple innervation and its lactiferous ducts are preserved. The patient's and surgeon's satisfaction is high.
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44

Didwaniya, N., R. J. Edmonds, P. T. Silberstein, and S. Subbiah. "Survival outcomes based on race in gastric carcinoma: A SEER database analysis." Journal of Clinical Oncology 29, no. 4_suppl (February 1, 2011): 5. http://dx.doi.org/10.1200/jco.2011.29.4_suppl.5.

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5 Background: Gastric cancer is one of the leading causes of cancer related deaths worldwide with the incidence declining in the United States. However the prognosis remains poor with variable survivals being reported among different races. We analyzed the effect of race on patterns of disease presentation and survival rates using the Surveillance, Epidemiology, and End Results (SEER) database. Methods: A total of 9,851 patients were diagnosed with gastric cancer from year 2004 to 2007 were identified from SEER database. Age, race, TNM staging, grade, treatment modalities utilized and cancer specific survival was collected. Results: Out of 9,851 patients, 64.63% were white, 12.17% were black, and 13.04% were Asian-Pacific islanders. Median age was 73 years for whites, 70 years in blacks, and 71 years in Asians. Sex distribution amongst races was more or less similar with 58.83% of whites, 59.47% of blacks, and 54.24% of Asians being men. 23.62% of whites had T1 lesions, 28.10% had T2, 19.58% were T3 and 28.70% had T4 lesions. 26.76% of blacks presented with T1 lesions, 26.63% with T2, 16.08% with T3 and 30.53% with T4. 18.69% of Asians had T1 lesions, 26.84% with T2, 23.44% had T3 and 31.03% had T4 lesions. 37.80% of whites, 36.70% of blacks, and 44.44% of Asians had lymph node involvement. Tumor grade was similar among all races. Surgery was performed in 31.49% of whites, 33.13% of blacks, and 40.48% of Asians. 14.68% of whites, 14.10% of blacks, and 19.43 % of all Asians underwent radiation therapy. Median overall survival in localized disease was 44 months, 43 months and 98 months (p < 0.0001) while in regional disease it was 16 months, 15 months and 23 months in whites, blacks and Asians respectively (p < 0.0001). Median survival in distant disease was 4 months in both whites and blacks; it was 5 months in Asians (p < 0.0001). Conclusions: Cancer-specific survival in gastric carcinoma is significantly better in localized, regional and metastatic disease in Asians when compared to whites and blacks independent of T stage, grade, nodal involvement and treatment modalities utilized. The reason for this observation is unclear, exposure and genetic factors are potential causes and this needs to be investigated. No significant financial relationships to disclose.
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45

Park, Seung. "CO2Laser Resurfacing and Skin Care for Asians." Seminars in Plastic Surgery 13, no. 03 (1999): 37–48. http://dx.doi.org/10.1055/s-2008-1080222.

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46

Wong, Joseph K. "Laser Treatment of Pigmented Lesions for Asians." Facial Plastic Surgery Clinics of North America 19, no. 2 (May 2011): 417–22. http://dx.doi.org/10.1016/j.fsc.2011.05.008.

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47

Dhong, Eun-Sang, Seung-Kyu Han, Chi-Ho Lee, Eul-Sik Yoon, and Woo-Kyung Kim. "Anthropometric Study of Alar Cartilage in Asians." Annals of Plastic Surgery 48, no. 4 (April 2002): 386–91. http://dx.doi.org/10.1097/00000637-200204000-00009.

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48

Lee, Tae Eun, Jong Mi Lee, Hwa Lee, Minsoo Park, Kyun-Hyung Kim, and Sehyun Baek. "Lash Ptosis and Associated Factors in Asians." Annals of Plastic Surgery 65, no. 4 (October 2010): 407–10. http://dx.doi.org/10.1097/sap.0b013e3181d3f006.

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49

Yang, Zhibin, Ming Li, Shengyang Jin, Xinyu Zhang, Xuefeng Han, and Facheng Li. "Fat Grafting for Facial Rejuvenation in Asians." Clinics in Plastic Surgery 47, no. 1 (January 2020): 43–51. http://dx.doi.org/10.1016/j.cps.2019.08.003.

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50

Ponzo, Marisa Grace, Monica Miliszewski, Mark G. Kirchhof, Paul A. Keown, and Jan P. Dutz. "HLA-B*58:01 Genotyping to Prevent Cases of DRESS and SJS/TEN in East Asians Treated with Allopurinol—A Canadian Missed Opportunity." Journal of Cutaneous Medicine and Surgery 23, no. 6 (August 5, 2019): 595–601. http://dx.doi.org/10.1177/1203475419867599.

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Background and objective East Asians exposed to the urate-lowering drug allopurinol have a predilection for severe cutaneous drug reactions such as drug-induced hypersensitivity syndrome or drug reaction with eosinophilia and systemic symptoms (DRESS) and Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN). Screening is recommended in patients of East Asian descent for the presence of HLA-B*58:01 prior to allopurinol initiation to avoid these complications. Utilization rates of the HLA-B*58:01 predictive screening test within the Greater Vancouver area, which has a population composed of 40.1% people of East Asian descent, are unknown. Measures We identified cases of DRESS or SJS/TEN due to allopurinol using the Vancouver General Hospital dermatology consult service database. We next compared the frequency in which the HLA-B*58:01 screening test was ordered since 2012 to the estimated frequency of new prescriptions for allopurinol prescribed for the management of gout among the East Asians. Results We report 5 cases of East Asian patients exposed to allopurinol for management of gout between 2012 and 2016, who developed DRESS (4 patients) or SJS/TEN (1 patient). All were of HLA-B*58:01 genotype, representing preventable cases. The HLA-B*58:01 test was ordered 6 times in 2012, whereas the estimated number of new cases of allopurinol-prescribed gout among patients of East Asian descent during that time period was 13. For 2012, testing was ordered for only 46% of at-risk patients. Conclusion We continue to observe cases of severe cutaneous drug reactions among high-risk individuals due to allopurinol exposure. The HLA-B*58:01 screening test for allopurinol hypersensitivity is underutilized in our geographic area.
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