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Introduction. Approximately a third of cancer-related deaths are attributable to modifiable factors. Methods. As a pilot experience, a cross-sectional survey was conducted in 8000 citizens residing in four different municipalities of the Salerno province (Sarno, Pagani, San Valentino Torio and San Marzano sul Sarno) to investigate key lifestyle and dietary habits. Results. A total of 703 of participants (8.7%) reported a history of malignancy. Alarmingly,30.5% declared to be a current smoker, while 78.8%did not report any kind of physical activity. Encouragingly,64.5% declared to be abstemious and 83.0% declared to consume fruit and vegetables every day, while 4.7%and 31.9% declared not to consume meat and fried food, respectively, at any time. Never consumers of fruit and vegetables had higher odds of having a history of colo-rectal cancer (OR= 5.01; 95%CI= 1.46 to 17.15; p= 0.01). Conclusions. The PREVES study has served to prove the validity of an operational model allowing to integrate hospital and territorial healthcare services, which we expect to be applied at a larger scale. Key information regarding dietary and lifestyle habits of the investigated population was obtained. Larger studies conducted using more accurate approaches to investigate diet, such as 24-hour recalls and food frequency questionnaires, are warranted.

BackgroundMultiple sclerosis (MS) requires multidisciplinary management. We evaluated differences in healthcare resource utilization and costs between Federico II and Vanvitelli MS Centres of Naples (Italy), representative of centralised (i.e., MS Care Unit) and local service-based models of multidisciplinary care, respectively.MethodsWe included MS patients continuously seen at the same local healthcare services and MS Centre (Federico II = 187; Vanvitelli = 90) from 2015 to 2017. Healthcare resources for MS treatment and management were collected and costs were calculated. Adherence was estimated as the rate of medication possession ratio (MPR) during 3-years of follow-up. Mixed-effect linear regression models were used to estimate differences in all outcomes between Federico II and Vanvitelli.ResultsPatients at Federico II had more consultations within the MS centre (pDiscussionHealthcare services were more complete (and expensive) at the Federico II centralised MS Care Unit, compared with the Vanvitelli local service-based organizational model. Future research should evaluate whether better integration between MS Centres and local services can lead to improved MS management and lower costs.