Remission (medicine)

Remission ( Latin remissio from remittere "to subside", "to send back") means in medicine the temporary or permanent decrease of symptoms of illness of a physical or psychological nature, such as fever or pain, but without achieving recovery. The term is also used for chronic diseases such as epilepsy , rheumatism or for a favorable treatment outcome for cancer diseases .

The criteria for assessing the degree of remission are disease-dependent and variable. Work is still being carried out on standardization in many areas.

Application of the term

• In the clinical area, the degree of remission in chronic diseases is generally used as a success parameter for treatment.
• In oncology , one speaks of tumor remission or reduction.
• In scientific studies it represents the so-called endpoints (objectively ascertainable treatment result). These are determined depending on the study.

Classification

• As spontaneous remission is not regularly called expected healings that take place without medical exposure. This can lead to a relapse (relapse).
• As a complete response is called the status, neither in the clinical (eg after therapy), radiological or any other signs of the disease over a certain period (eg. As 6 months) are present.

oncology

Typical endpoints (see above) in oncological studies are:

• Complete remission (see above)
• Partial remission (definition e.g .: "tumor volume reduced by more than 50%")
• Minimal remission ("tumor volume reduced by 25–50%")
• Stable disease ("change in volume by less than 25%")
• Progression ("growth of the tumor by at least 25%")
• The patient's death

Individual evidence

1. ↑ Remission of seizures and relapse in patients with epilepsy. Annegers JF, Hauser WA, Elveback LR. Epilepsia. 1979 Dec; 20 (6): 729-37.
2. ^ Lecture by HE Langer
3. ↑ New remission criteria for multiple myeloma
4. ↑ Oncological Work Aids - ICD-10 - Oncology ( Memento of the original from November 9, 2013 in the Internet Archive ) Info: The archive link has been inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. 
5. ^ Section Molecular Gastroenterology Head: J.-Matthias Löhr ( Memento from June 10, 2007 in the Internet Archive )
6. ↑ Assessment of the therapy success ( memento of the original from November 9, 2013 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice.