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1. COVID-19 pandemic impact on people with diabetes: results from a large representative sample of Italian older adults

Author

Amerio, A., Amore, M., Bertuccio, P., Bonaccio, M., Bosetti, C., Cavalieri d’Oro, L., Ciampichini, R., De Sena, R., Gallus, S., Gianfagna, F., Ghislandi, S., Ghulam, A., Iacoviello, L., Jarach, CM., Lugo, A., Mosconi, G., Odone, A., Rognoni, M., Serafini, G., Scala, M., Signorelli, C., Stival, C., Stuckler, D., Vigezzi, GP., Wang, Y., Zucchi, A., Vigezzi, Giacomo Pietro, Bertuccio, Paola, Bossi, Camilla Bonfadini, Amerio, Andrea, d’Oro, Luca Cavalieri, Derosa, Giuseppe, Iacoviello, Licia, Stuckler, David, Zucchi, Alberto, Lugo, Alessandra, Gallus, Silvano, and Odone, Anna

Published
2022
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2. Global surveillance of trends in cancer survival 2000–14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries

Author

Bouzbid, S, Hamdi-Chérif, M, Zaidi, Z, Meguenni, K, Regagba, D, Bayo, S, Cheick Bougadari, T, Manraj, S S, Bendahhou, K, Fabowale, A, Bradshaw, D, Somdyala, N I M, Kumcher, I, Moreno, F, Calabrano, G H, Espinola, S B, Carballo Quintero, B, Fita, R, Diumenjo, M C, Laspada, W D, Ibañez, S G, Lima, C A, De Souza, P C F, Del Pino, K, Laporte, C, Curado, M P, de Oliveira, J C, Veneziano, C L A, Veneziano, D B, Latorre, M R D O, Tanaka, L F, Rebelo, M S, Santos, M O, Galaz, J C, Aparicio Aravena, M, Sanhueza Monsalve, J, Herrmann, D A, Vargas, S, Herrera, V M, Uribe, C J, Bravo, L E, Garcia, L S, Arias-Ortiz, N E, Morantes, D, Jurado, D M, Yépez Chamorro, M C, Delgado, S, Ramirez, M, Galán Alvarez, Y H, Torres, P, Martínez-Reyes, F, Jaramillo, L, Quinto, R, Castillo, J, Mendoza, M, Cueva, P, Yépez, J G, Bhakkan, B, Deloumeaux, J, Joachim, C, Macni, J, Carrillo, R, Shalkow Klincovstein, J, Rivera Gomez, R, Poquioma, E, Tortolero-Luna, G, Zavala, D, Alonso, R, Barrios, E, Eckstrand, A, Nikiforuk, C, Noonan, G, Turner, D, Kumar, E, Zhang, B, McCrate, F R, Ryan, S, MacIntyre, M, Saint-Jacques, N, Nishri, D E, McClure, C A, Vriends, K A, Kozie, S, Stuart-Panko, H, Freeman, T, George, J T, Brockhouse, J T, O'Brien, D K, Holt, A, Almon, L, Kwong, S, Morris, C, Rycroft, R, Mueller, L, Phillips, C E, Brown, H, Cromartie, B, Schwartz, A G, Vigneau, F, Levin, G M, Wohler, B, Bayakly, R, Ward, K C, Gomez, S L, McKinley, M, Cress, R, Green, M D, Miyagi, K, Ruppert, L P, Lynch, C F, Huang, B, Tucker, T C, Deapen, D, Liu, L, Hsieh, M C, Wu, X C, Schwenn, M, Gershman, S T, Knowlton, R C, Alverson, G, Copeland, G E, Bushhouse, S, Rogers, D B, Jackson-Thompson, J, Lemons, D, Zimmerman, H J, Hood, M, Roberts-Johnson, J, Rees, J R, Riddle, B, Pawlish, K S, Stroup, A, Key, C, Wiggins, C, Kahn, A R, Schymura, M J, Radhakrishnan, S, Rao, C, Giljahn, L K, Slocumb, R M, Espinoza, R E, Khan, F, Aird, K G, Beran, T, Rubertone, J J, Slack, S J, Garcia, L, Rousseau, D L, Janes, T A, Schwartz, S M, Bolick, S W, Hurley, D M, Whiteside, M A, Miller-Gianturco, P, Williams, M A, Herget, K, Sweeney, C, Johnson, A T, Keitheri Cheteri, M B, Migliore Santiago, P, Blankenship, S E, Farley, S, Borchers, R, Malicki, R, Espinoza, J R, Grandpre, J, Wilson, R, Edwards, B K, Mariotto, A, Lei, Y, Wang, N, Chen, J S, Zhou, Y, He, Y T, Song, G H, Gu, X P, Mei, D, Mu, H J, Ge, H M, Wu, T H, Li, Y Y, Zhao, D L, Jin, F, Zhang, J H, Zhu, F D, Junhua, Q, Yang, Y L, Jiang, C X, Biao, W, Wang, J, Li, Q L, Yi, H, Zhou, X, Dong, J, Li, W, Fu, F X, Liu, S Z, Chen, J G, Zhu, J, Li, Y H, Lu, Y Q, Fan, M, Huang, S Q, Guo, G P, Zhaolai, H, Wei, K, Zeng, H, Demetriou, A V, Mang, W K, Ngan, K C, Kataki, A C, Krishnatreya, M, Jayalekshmi, P A, Sebastian, P, Nandakumar, A, Malekzadeh, R, Roshandel, G, Keinan-Boker, L, Silverman, B G, Ito, H, Nakagawa, H, Sato, M, Tobori, F, Nakata, I, Teramoto, N, Hattori, M, Kaizaki, Y, Moki, F, Sugiyama, H, Utada, M, Nishimura, M, Yoshida, K, Kurosawa, K, Nemoto, Y, Narimatsu, H, Sakaguchi, M, Kanemura, S, Naito, M, Narisawa, R, Miyashiro, I, Nakata, K, Sato, S, Yoshii, M, Oki, I, Fukushima, N, Shibata, A, Iwasa, K, Ono, C, Nimri, O, Jung, K W, Won, Y J, Alawadhi, E, Elbasmi, A, Ab Manan, A, Adam, F, Sanjaajmats, E, Tudev, U, Ochir, C, Al Khater, A M, El Mistiri, M M, Teo, Y Y, Chiang, C J, Lee, W C, Buasom, R, Sangrajrang, S, Kamsa-ard, S, Wiangnon, S, Daoprasert, K, Pongnikorn, D, Leklob, A, Sangkitipaiboon, S, Geater, S L, Sriplung, H, Ceylan, O, Kög, I, Dirican, O, Köse, T, Gurbuz, T, Karaşahin, F E, Turhan, D, Aktaş, U, Halat, Y, Yakut, C I, Altinisik, M, Cavusoglu, Y, Türkköylü, A, Üçüncü, N, Hackl, M, Zborovskaya, A A, Aleinikova, O V, Henau, K, Van Eycken, L, Valerianova, Z, Yordanova, M R, Šekerija, M, Dušek, L, Zvolský, M, Storm, H, Innos, K, Mägi, M, Malila, N, Seppä, K, Jégu, J, Velten, M, Cornet, E, Troussard, X, Bouvier, A M, Guizard, A V, Bouvier, V, Launoy, G, Arveux, P, Maynadié, M, Mounier, M, Woronoff, A S, Daoulas, M, Robaszkiewicz, M, Clavel, J, Goujon, S, Lacour, B, Baldi, I, Pouchieu, C, Amadeo, B, Coureau, G, Orazio, S, Preux, P M, Rharbaoui, F, Marrer, E, Trétarre, B, Colonna, M, Delafosse, P, Ligier, K, Plouvier, S, Cowppli-Bony, A, Molinié, F, Bara, S, Ganry, O, Lapôtre-Ledoux, B, Grosclaude, P, Bossard, N, Uhry, Z, Bray, F, Piñeros, M, Stabenow, R, Wilsdorf-Köhler, H, Eberle, A, Luttmann, S, Löhden, I, Nennecke, A L, Kieschke, J, Sirri, E, Emrich, K, Zeissig, S R, Holleczek, B, Eisemann, N, Katalinic, A, Asquez, R A, Kumar, V, Petridou, E, Ólafsdóttir, E J, Tryggvadóttir, L, Clough-Gorr, K, Walsh, P M, Sundseth, H, Mazzoleni, G, Vittadello, F, Coviello, E, Cuccaro, F, Galasso, R, Sampietro, G, Giacomin, A, Magoni, M, Ardizzone, A, D'Argenzio, A, Castaing, M, Grosso, G, Lavecchia, A M, Sutera Sardo, A, Gola, G, Gatti, L, Ricci, P, Ferretti, S, Serraino, D, Zucchetto, A, Celesia, M V, Filiberti, R A, Pannozzo, F, Melcarne, A, Quarta, F, Russo, A G, Carrozzi, G, Cirilli, C, Cavalieri d'Oro, L, Rognoni, M, Fusco, M, Vitale, M F, Usala, M, Cusimano, R, Mazzucco, W, Michiara, M, Sgargi, P, Boschetti, L, Borciani, E, Seghini, P, Maule, M M, Merletti, F, Tumino, R, Mancuso, P, Vicentini, M, Cassetti, T, Sassatelli, R, Falcini, F, Giorgetti, S, Caiazzo, A L, Cavallo, R, Cesaraccio, R, Pirino, D R, Contrino, M L, Tisano, F, Fanetti, A C, Maspero, S, Carone, S, Mincuzzi, A, Candela, G, Scuderi, T, Gentilini, M A, Piffer, S, Rosso, S, Barchielli, A, Caldarella, A, Bianconi, F, Stracci, F, Contiero, P, Tagliabue, G, Rugge, M, Zorzi, M, Beggiato, S, Brustolin, A, Berrino, F, Gatta, G, Sant, M, Buzzoni, C, Mangone, L, Capocaccia, R, De Angelis, R, Zanetti, R, Maurina, A, Pildava, S, Lipunova, N, Vincerževskiené, I, Agius, D, Calleja, N, Siesling, S, Larønningen, S, Møller, B, Dyzmann-Sroka, A, Trojanowski, M, Góźdź, S, Mężyk, R, Mierzwa, T, Molong, L, Rachtan, J, Szewczyk, S, Błaszczyk, J, Kępska, K, Kościańska, B, Tarocińska, K, Zwierko, M, Drosik, K, Maksimowicz, K M, Purwin-Porowska, E, Reca, E, Wójcik-Tomaszewska, J, Tukiendorf, A, Grądalska-Lampart, M, Radziszewska, A U, Gos, A, Talerczyk, M, Wyborska, M, Didkowska, J A, Wojciechowska, U, Bielska-Lasota, M, Forjaz de Lacerda, G, Rego, R A, Bastos, J, Silva, M A, Antunes, L, Laranja Pontes, J, Mayer-da-Silva, A, Miranda, A, Blaga, L M, Coza, D, Gusenkova, L, Lazarevich, O, Prudnikova, O, Vjushkov, D M, Egorova, A G, Orlov, A E, Kudyakov, L A, Pikalova, L V, Adamcik, J, Safaei Diba, C, Primic-Žakelj, M, Zadnik, V, Larrañaga, N, Lopez de Munain, A, Herrera, A A, Redondas, R, Marcos-Gragera, R, Vilardell Gil, M L, Molina, E, Sánchez Perez, M J, Franch Sureda, P, Ramos Montserrat, M, Chirlaque, M D, Navarro, C, Ardanaz, E E, Guevara, M M, Fernández-Delgado, R, Peris-Bonet, R, Carulla, M, Galceran, J, Alberich, C, Vicente-Raneda, M, Khan, S, Pettersson, D, Dickman, P, Avelina, I, Staehelin, K, Camey, B, Bouchardy, C, Schaffar, R, Frick, H, Herrmann, C, Bulliard, J L, Maspoli-Conconi, M, Kuehni, C E, Redmond, S M, Bordoni, A, Ortelli, L, Chiolero, A, Konzelmann, I, Matthes, K L, Rohrmann, S, Broggio, J, Rashbass, J, Fitzpatrick, D, Gavin, A, Clark, D I, Deas, A J, Huws, D W, White, C, Montel, L, Rachet, B, Turculet, A D, Stephens, R, Chalker, E, Phung, H, Walton, R, You, H, Guthridge, S, Johnson, F, Gordon, P, D'Onise, K, Priest, K, Stokes, B C, Venn, A, Farrugia, H, Thursfield, V, Dowling, J, Currow, D, Hendrix, J, Lewis, C, Allemani, Claudia, Matsuda, Tomohiro, Di Carlo, Veronica, Harewood, Rhea, Matz, Melissa, Nikšić, Maja, Bonaventure, Audrey, Valkov, Mikhail, Johnson, Christopher J, Estève, Jacques, Ogunbiyi, Olufemi J, Azevedo e Silva, Gulnar, Chen, Wan-Qing, Eser, Sultan, Engholm, Gerda, Stiller, Charles A, Monnereau, Alain, Woods, Ryan R, Visser, Otto, Lim, Gek Hsiang, Aitken, Joanne, Weir, Hannah K, and Coleman, Michel P

Published
2018
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3. Late Mortality, Subsequent Malignant Neoplasms and Hospitalisations in Long-Term Survivors of Adolescent and Young Adult Hematological Cancers

Author

Trama, A, Vener, C, Lasalvia, P, Bernasconi, A, Zorzi, M, Andreano, A, Contiero, P, Manneschi, G, Falcini, F, Castaing, M, Filiberti, R, Gasparotti, C, Cirilli, C, Amodio, R, Bisceglia, I, Iacovacci, S, Vitale, M, Stracci, F, Gentilini, M, Tumino, R, Carone, S, Sampietro, G, Melcarne, A, Gatti, L, Boschetti, L, Corti, M, Rognoni, M, Coviello, E, Pesce, M, D'Orsi, G, Fanetti, A, De Lorenzis, L, Candela, G, Savoia, F, Pascucci, C, Castelli, M, Storchi, C, Trama A., Vener C., Lasalvia P., Bernasconi A., Zorzi M., Andreano A., Contiero P., Manneschi G., Falcini F., Castaing M., Filiberti R. A., Gasparotti C., Cirilli C., Amodio R., Bisceglia I., Iacovacci S., Vitale M. F., Stracci F., Gentilini M. A., Tumino R., Carone S., Sampietro G., Melcarne A., Gatti L., Boschetti L., Corti M., Rognoni M., Coviello E., Pesce M. T., D'Orsi G., Fanetti A. C., De Lorenzis L., Candela G., Savoia F., Pascucci C., Castelli M., Storchi C., Trama, A, Vener, C, Lasalvia, P, Bernasconi, A, Zorzi, M, Andreano, A, Contiero, P, Manneschi, G, Falcini, F, Castaing, M, Filiberti, R, Gasparotti, C, Cirilli, C, Amodio, R, Bisceglia, I, Iacovacci, S, Vitale, M, Stracci, F, Gentilini, M, Tumino, R, Carone, S, Sampietro, G, Melcarne, A, Gatti, L, Boschetti, L, Corti, M, Rognoni, M, Coviello, E, Pesce, M, D'Orsi, G, Fanetti, A, De Lorenzis, L, Candela, G, Savoia, F, Pascucci, C, Castelli, M, Storchi, C, Trama A., Vener C., Lasalvia P., Bernasconi A., Zorzi M., Andreano A., Contiero P., Manneschi G., Falcini F., Castaing M., Filiberti R. A., Gasparotti C., Cirilli C., Amodio R., Bisceglia I., Iacovacci S., Vitale M. F., Stracci F., Gentilini M. A., Tumino R., Carone S., Sampietro G., Melcarne A., Gatti L., Boschetti L., Corti M., Rognoni M., Coviello E., Pesce M. T., D'Orsi G., Fanetti A. C., De Lorenzis L., Candela G., Savoia F., Pascucci C., Castelli M., and Storchi C.

Abstract

Background: Increased success in the treatment of hematological cancers contributed to the increase of 5-year survival for most adolescent and young adults (AYAs) with these tumours. However, as 5-year survival increased, it became clear that AYA long-term survivors were at increased risk for severe late effects. Moreover, limited information on long-term cancer impact is available for AYAs, since most studies focused on children and adolescents. We aimed to assess various long-term outcomes on AYA survivors of hematological cancers. Methods: We selected patients diagnosed with a first primary hematological cancer between 1997 and 2006, in the Italian nationwide population-based cohort of AYA cancer survivors (i.e. alive at least 5 years after cancer diagnosis). Long-term outcomes of interest were: second malignant neoplasms (SMNs), hospitalizations and overall mortality. We calculated standardized incidence ratios (SIRs), standardized hospitalization rate ratios (SHRs) and standardized mortality rate ratios (SMRs). To study morbidity patterns over time, we modeled observed incidence rates by fitting flexible parametric models for nonlinear patterns and we used linear regression for linear patterns. Results: The study cohort included 5,042 AYA hematological cancer survivors of which 1,237 and 3,805 had a leukaemia and lymphoma diagnosis, respectively. AYA survivors were at substantially increased risk for SMN (SIR=2.1; 95%CI=1.7; 2.6), hospitalisation (SHR=1.5; 95%CI=1.5; 1.6), and mortality (SMR=1.4; 95%CI=1.2; 1.6) with differences between leukaemia and lymphoma survivors. The highest excess risks of hospitalisations were for infectious diseases, respiratory diseases, and diseases of blood and blood-forming organs. The morbidity pattern differs over time by morbidity type. Conclusions: Our results support the need for strict follow-up plans for survivors, and call for further study to better personalised follow-up plans for AYA cancer survivors.

Published
2022

5. Late Mortality, Subsequent Malignant Neoplasms and Hospitalisations in Long-Term Survivors of Adolescent and Young Adult Hematological Cancers

Author

Trama, A., Vener, C., Lasalvia, P., Bernasconi, A., Zorzi, M., Andreano, A., Contiero, P., Manneschi, G., Falcini, F., Castaing, M., Filiberti, R. A., Gasparotti, C., Cirilli, C., Amodio, R., Bisceglia, I., Iacovacci, S., Vitale, M. F., Stracci, F., Gentilini, M. A., Tumino, R., Carone, S., Sampietro, G., Melcarne, A., Gatti, L., Boschetti, L., Corti, M., Rognoni, M., Coviello, E., Pesce, M. T., D'Orsi, G., Fanetti, A. C., De Lorenzis, L., Candela, G., Savoia, F., Pascucci, C., Castelli, M., Storchi, C., Trama, A, Vener, C, Lasalvia, P, Bernasconi, A, Zorzi, M, Andreano, A, Contiero, P, Manneschi, G, Falcini, F, Castaing, M, Filiberti, R, Gasparotti, C, Cirilli, C, Amodio, R, Bisceglia, I, Iacovacci, S, Vitale, M, Stracci, F, Gentilini, M, Tumino, R, Carone, S, Sampietro, G, Melcarne, A, Gatti, L, Boschetti, L, Corti, M, Rognoni, M, Coviello, E, Pesce, M, D'Orsi, G, Fanetti, A, De Lorenzis, L, Candela, G, Savoia, F, Pascucci, C, Castelli, M, and Storchi, C

Subjects
adolescents and young adults (AYAs), long-term outcome, Cancer Research, Oncology, cancer survivor, hematological cancers, cancer survivors, hematological cancer, population-based cohort, long-term outcomes
Abstract

BackgroundIncreased success in the treatment of hematological cancers contributed to the increase of 5-year survival for most adolescent and young adults (AYAs) with these tumours. However, as 5-year survival increased, it became clear that AYA long-term survivors were at increased risk for severe late effects. Moreover, limited information on long-term cancer impact is available for AYAs, since most studies focused on children and adolescents. We aimed to assess various long-term outcomes on AYA survivors of hematological cancers.MethodsWe selected patients diagnosed with a first primary hematological cancer between 1997 and 2006, in the Italian nationwide population-based cohort of AYA cancer survivors (i.e. alive at least 5 years after cancer diagnosis). Long-term outcomes of interest were: second malignant neoplasms (SMNs), hospitalizations and overall mortality. We calculated standardized incidence ratios (SIRs), standardized hospitalization rate ratios (SHRs) and standardized mortality rate ratios (SMRs). To study morbidity patterns over time, we modeled observed incidence rates by fitting flexible parametric models for nonlinear patterns and we used linear regression for linear patterns.ResultsThe study cohort included 5,042 AYA hematological cancer survivors of which 1,237 and 3,805 had a leukaemia and lymphoma diagnosis, respectively. AYA survivors were at substantially increased risk for SMN (SIR=2.1; 95%CI=1.7; 2.6), hospitalisation (SHR=1.5; 95%CI=1.5; 1.6), and mortality (SMR=1.4; 95%CI=1.2; 1.6) with differences between leukaemia and lymphoma survivors. The highest excess risks of hospitalisations were for infectious diseases, respiratory diseases, and diseases of blood and blood-forming organs. The morbidity pattern differs over time by morbidity type.ConclusionsOur results support the need for strict follow-up plans for survivors, and call for further study to better personalised follow-up plans for AYA cancer survivors.

Published
2022

6. COVID-19 pandemic impact on people with diabetes: results from a large representative sample of Italian older adults

Author

Vigezzi, Giacomo Pietro, primary, Bertuccio, Paola, additional, Bossi, Camilla Bonfadini, additional, Amerio, Andrea, additional, d’Oro, Luca Cavalieri, additional, Derosa, Giuseppe, additional, Iacoviello, Licia, additional, Stuckler, David, additional, Zucchi, Alberto, additional, Lugo, Alessandra, additional, Gallus, Silvano, additional, Odone, Anna, additional, Amerio, A., additional, Amore, M., additional, Bertuccio, P., additional, Bonaccio, M., additional, Bosetti, C., additional, Cavalieri d’Oro, L., additional, Ciampichini, R., additional, De Sena, R., additional, Gallus, S., additional, Gianfagna, F., additional, Ghislandi, S., additional, Ghulam, A., additional, Iacoviello, L., additional, Jarach, CM., additional, Lugo, A., additional, Mosconi, G., additional, Odone, A., additional, Rognoni, M., additional, Serafini, G., additional, Scala, M., additional, Signorelli, C., additional, Stival, C., additional, Stuckler, D., additional, Vigezzi, GP., additional, Wang, Y., additional, and Zucchi, A., additional

Published
2022
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12. Global surveillance of trends in cancer survival 2000–14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries

Author

Allemani, Claudia, primary, Matsuda, Tomohiro, additional, Di Carlo, Veronica, additional, Harewood, Rhea, additional, Matz, Melissa, additional, Nikšić, Maja, additional, Bonaventure, Audrey, additional, Valkov, Mikhail, additional, Johnson, Christopher J, additional, Estève, Jacques, additional, Ogunbiyi, Olufemi J, additional, Azevedo e Silva, Gulnar, additional, Chen, Wan-Qing, additional, Eser, Sultan, additional, Engholm, Gerda, additional, Stiller, Charles A, additional, Monnereau, Alain, additional, Woods, Ryan R, additional, Visser, Otto, additional, Lim, Gek Hsiang, additional, Aitken, Joanne, additional, Weir, Hannah K, additional, Coleman, Michel P, additional, Bouzbid, S, additional, Hamdi-Chérif, M, additional, Zaidi, Z, additional, Meguenni, K, additional, Regagba, D, additional, Bayo, S, additional, Cheick Bougadari, T, additional, Manraj, S S, additional, Bendahhou, K, additional, Fabowale, A, additional, Bradshaw, D, additional, Somdyala, N I M, additional, Kumcher, I, additional, Moreno, F, additional, Calabrano, G H, additional, Espinola, S B, additional, Carballo Quintero, B, additional, Fita, R, additional, Diumenjo, M C, additional, Laspada, W D, additional, Ibañez, S G, additional, Lima, C A, additional, De Souza, P C F, additional, Del Pino, K, additional, Laporte, C, additional, Curado, M P, additional, de Oliveira, J C, additional, Veneziano, C L A, additional, Veneziano, D B, additional, Latorre, M R D O, additional, Tanaka, L F, additional, Rebelo, M S, additional, Santos, M O, additional, Galaz, J C, additional, Aparicio Aravena, M, additional, Sanhueza Monsalve, J, additional, Herrmann, D A, additional, Vargas, S, additional, Herrera, V M, additional, Uribe, C J, additional, Bravo, L E, additional, Garcia, L S, additional, Arias-Ortiz, N E, additional, Morantes, D, additional, Jurado, D M, additional, Yépez Chamorro, M C, additional, Delgado, S, additional, Ramirez, M, additional, Galán Alvarez, Y H, additional, Torres, P, additional, Martínez-Reyes, F, additional, Jaramillo, L, additional, Quinto, R, additional, Castillo, J, additional, Mendoza, M, additional, Cueva, P, additional, Yépez, J G, additional, Bhakkan, B, additional, Deloumeaux, J, additional, Joachim, C, additional, Macni, J, additional, Carrillo, R, additional, Shalkow Klincovstein, J, additional, Rivera Gomez, R, additional, Poquioma, E, additional, Tortolero-Luna, G, additional, Zavala, D, additional, Alonso, R, additional, Barrios, E, additional, Eckstrand, A, additional, Nikiforuk, C, additional, Noonan, G, additional, Turner, D, additional, Kumar, E, additional, Zhang, B, additional, McCrate, F R, additional, Ryan, S, additional, MacIntyre, M, additional, Saint-Jacques, N, additional, Nishri, D E, additional, McClure, C A, additional, Vriends, K A, additional, Kozie, S, additional, Stuart-Panko, H, additional, Freeman, T, additional, George, J T, additional, Brockhouse, J T, additional, O'Brien, D K, additional, Holt, A, additional, Almon, L, additional, Kwong, S, additional, Morris, C, additional, Rycroft, R, additional, Mueller, L, additional, Phillips, C E, additional, Brown, H, additional, Cromartie, B, additional, Schwartz, A G, additional, Vigneau, F, additional, Levin, G M, additional, Wohler, B, additional, Bayakly, R, additional, Ward, K C, additional, Gomez, S L, additional, McKinley, M, additional, Cress, R, additional, Green, M D, additional, Miyagi, K, additional, Ruppert, L P, additional, Lynch, C F, additional, Huang, B, additional, Tucker, T C, additional, Deapen, D, additional, Liu, L, additional, Hsieh, M C, additional, Wu, X C, additional, Schwenn, M, additional, Gershman, S T, additional, Knowlton, R C, additional, Alverson, G, additional, Copeland, G E, additional, Bushhouse, S, additional, Rogers, D B, additional, Jackson-Thompson, J, additional, Lemons, D, additional, Zimmerman, H J, additional, Hood, M, additional, Roberts-Johnson, J, additional, Rees, J R, additional, Riddle, B, additional, Pawlish, 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2018
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13. Italian cancer figures, report 2014: Prevalence and cure of cancer in Italy

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Adamo, M., Alessi, D., Aletta, P., Amodio, R., Andreone, S., Angelin, T., Anghinoni, E., Annulli, M., Arciprete, C., Artioli, M., Autelitano, M., Baili, P., Balducci, C., Baracco, M., Baracco, S., Battisti, W., Bella, F., Bellatalla, C., Bellini, A., Belluardo, C., Benatti, P., Benedetto, G., Benfatto, L., Bernazza, E., Bianconi, F., Biavati, P., Bidoli, E., Birri, S., Bizzoco, S., Bonelli, L., Bonini, A., Borciani, E., Bordini, M., Bovo, E., Bozzani, F., Braghiroli, B., Brucculeri, M., Brunori, V., Bucalo, G., Bucchi, L., Bugliarello, E., Bulatko, A., Busco, S., Busso, P., Buzzoni, C., Calabrese, A., Calabretta, L., Caldarella, A., Candela, G., Cannone, G., Canu, L., Caparelli, M., Capocaccia, R., Cappelletti, M., Caprara, L., Carboni, D., Carletti, N., Caroli, S., Cascio, M., Cascone, G., Casella, C., Castaing, M., Cavalieri, D., L, Cecconami, L., Celesia, M., Cena, T., Cercato, M., Cesaraccio, R., Chiesa, R., Cirilli, C., Cocchioni, M., Codazzi, T., Cogno, R., Colamartini, A., Colanino, Z., A, Cometti, I., Contiero, P., Contrino, M., Corbinelli, A., Cordaro, C., Corti, M., Costa, A., Costarelli, D., Coviello, V., Crapanzano, G., Cremone, L., Crocetti, E., Cuccaro, F., Curatella, S., Cusimano, R., D Alò, D., Dal, C., Dal, T., Cin, A., Dal, M., Davini, C., Dottori, D., De, M., Angelis, R., Santis, D., De, E., Valiere, E., Dei, T., Demurtas, G., Devigili, E., Felice, D., Di, E., Grazia, L., Gregorio, D., Di, C., Norcia, R., Prima, D., Dinaro, Y., Distefano, R., Doa, N., Domati, F., Fabiano, S., Facchinelli, G., Falcini, F., Falk, M., Fanetti, A., Fattoruso, S., Federico, M., Ferrari, F., Ferrari, L., Ferretti, S., Fidelbo, M., Filipazzi, L., Fiore, A., Fiori, G., Foca, F., Forgiarini, O., Foschi, R., Francisci, S., Frasca, G., Frassoldi, E., Fusco, M., Gada, D., Garrone, E., Gasparotti, C., Gatta, G., Gatti, L., Gaudiano, C., Gennaro, V., Gentilini, M., Gerevini, C., Ghilardi, S., Ghisleni, S., Giacomin, A., Giavazzi, L., Gigli, A., Gilardi, F., Giorgetti, S., Giorgi, R., P, Giubelli, C., Giuliani, O., Giurdanella, M., Gola, G., Goldoni, C., Golizia, M., Greco, A., Guarda, L., Guttadauro, A., Guzzinati, S., Iachetta, F., Iannelli, A., Ieni, A., Intrieri, T., Kaleci, S., Rosa, L., F, Lando, C., Lavecchia, A., Lazzarato, F., Rose, L., Leone, A., Leone, R., Lonati, F., Lucchi, S., Luminari, S., Macci, L., Macerata, V., Madeddu, A., Maffei, S., Maghini, A., Magnani, C., Magnani, G., Magoni, M., Mallone, S., Mameli, G., Mancini, S., Mancuso, P., Mangone, L., Manneschi, G., Mannino, R., Mannino, S., Marani, E., Marchesi, C., Mariani, F., Martorana, C., Marzola, L., Maspero, S., Maule, M., Mazzei, A., Mazzoleni, G., Mazzucco, G., Melcarne, A., Merletti, F., Merlo, E., Michiara, M., Migliari, E., Minerba, S., Minicuzzi, A., Mizzi, M., Monetti, D., Morana, G., Moroni, E., Mosso, M., Muni, A., Mura, F., Natali, M., Negrino, L., Nemcova, L., Nicita, C., Ocello, C., Pala, F., Palumbo, M., Panciroli, E., Panico, M., Pannozzo, F., Pascucci, C., Pasolini, A., Pastore, G., Patriarca, S., Pedroni, M., Perrotta, C., Pesce, P., Petrinelli, A., Petrucci, C., Pezzarossi, A., Pezzuto, L., Piffer, S., Pinon, M., Antonio Pinto, Pintori, N., Pirani, M., Pirino, D., Pironi, V., Ponz, D., Leon, M., Prandi, R., Prazzoli, R., Puleio, M., Puppo, A., Quarta, F., Quattrocchi, M., Ramazzotti, V., Rashid, I., Ravaioli, A., Ravazzolo, B., Ravegnani, M., Reggiani Bonetti, L., Ricci, P., Rinaldi, E., Rizzello, R., Rognoni, M., Rollo, P., Roncaglia, F., Roncucci, L., Rosano, A., Rossi, F., Rossi, G., Rossi, M., Rossi, S., Rossini, S., Rosso, S., Rudisi, G., Ruggeri, M., Russo, A., Russo, M., Sacchettini, C., Sacchetto, L., Sacco, G., Sacerdote, C., Salvatore, S., Salvi, O., Sampietro, G., Santucci, C., Scheibel, M., Sciacca, S., Sciacchitano, C., Sciacchitano, S., Scuderi, T., Sechi, O., Seghini, P., Senatore, G., Serafini, G., Serraino, D., Sgargi, P., Sini, G., Sobrato, I., Soddu, M., Solimene, C., Spano, F., Spata, E., Sperduti, I., Spinosa, S., Staiti, R., Stocco, C., Stracci, F., Sunseri, R., Sutera, S., Tagliabue, G., Tamburo, L., Tamburrino, S., Taranto, V., Terracini, B., Tisano, F., Tittarelli, A., Tognazzo, S., Torrisi, A., Traina, A., Trama, A., Trapani, C., Tschugguel, B., Tumino, R., Usala, M., Vacirca, S., Valerio, O., Valla, K., Varvarà, M., Vasquez, E., Vassante, B., Vattiato, R., Vercelli, M., Vercellino, P., Vicentini, M., Villa, M., Virdone, S., Francesco Vitale, Vitale, M., Vitali, B., Vitali, M., Vitarelli, S., Zanchi, A., Zanetti, R., Zani, G., Zanier, L., Zappa, M., Zarcone, M., Zevola, A., Zorzi, M., Zucchetto, A., Zucchi, A., Adamo, MS, Alessi, D, Aletta, P, Amodio, R, Andreone, S, Angelin, T, Anghinoni, E, Annulli, ML, Arciprete, C, Artioli, ME, Autelitano, M, Baili, P, Balducci, C, Baracco, M, Baracco, S, Battisti, W, Bella, F, Bellatalla, C, Bellini, A, Belluardo, C, Benatti, P, Benedetto, G, Benfatto, L, Bernazza, E, Bianconi, F, Biavati, P, Bidoli, E, Birri, S, Bizzoco, S, Bonelli, L, Bonini, A, Borciani, E, 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Dinaro, Y, Distefano, R, Doa, N, Domati, F, Fabiano, S, Facchinelli, G, Falcini, F, Falk, M, Fanetti, AC, Fattoruso, S, Federico, M, Ferrari, F, Ferrari, L, Ferretti, S, Fidelbo, M, Filipazzi, L, Fiore, AR, Fiori, G, Foca, F, Forgiarini, O, Foschi, R, Francisci, S, Frasca, G, Frassoldi, E, Fusco, M, Gada, D, Garrone, E, Gasparotti, C, Gatta, G, Gatti, L, Gaudiano, C, Gennaro, V, Gentilini, MA, Gerevini, C, Ghilardi, S, Ghisleni, S, Giacomin, A, Giavazzi, L, Gigli, A, Gilardi, F, Giorgetti, S, Giorgi, Rossi, P, Giubelli, C, Giuliani, O, Giurdanella, MC, Gola, G, Goldoni, CA, Golizia, MG, Greco, A, Guarda, L, Guttadauro, A, Guzzinati, S, Iachetta, F, Iannelli, A, Ieni, A, Intrieri, T, Kaleci, S, La, Rosa, F, Lando, C, Lavecchia, AM, Lazzarato, F, Le, Rose, L, Leone, A, Leone, R, Lonati, F, Lucchi, S, Luminari, S, Macci, L, Macerata, V, Madeddu, A, Maffei, S, Maghini, A, Magnani, C, Magnani, G, Magoni, M, Mallone, S, Mameli, G, Mancini, S, Mancuso, P, Mangone, L, Manneschi, G, Mannino, R, Mannino, S, Marani, E, Marchesi, C, Mariani, F, Martorana, C, Marzola, L, Maspero, S, Maule, M, Mazzei, A, Mazzoleni, G, Mazzucco, G, Melcarne, A, Merletti, F, Merlo, E, Michiara, M, Migliari, E, Minerba, S, Minicuzzi, A, Mizzi, M, Monetti, D, Morana, G, Moroni, E, Mosso, ML, Muni, A, Mura, F, Natali, M, Negrino, L, Nemcova, L, Nicita, C, Ocello, C, Pala, F, Palumbo, M, Panciroli, E, Panico, M, Pannozzo, F, Pascucci, C, Pasolini, A, Pastore, G, Patriarca, S, Pedroni, M, Perrotta, C, Pesce, P, Petrinelli, AM, Petrucci, C, Pezzarossi, A, Pezzuto, L, Piffer, S, Pinon, M, Pinto, A, Pintori, N, Pirani, M, Pirino, D, Pironi, V, Ponz, de, Leon, M, Prandi, R, Prazzoli, R, Puleio, M, Puppo, A, Quarta, F, Quattrocchi, M, Ramazzotti, V, Rashid, I, Ravaioli, A, Ravazzolo, B, Ravegnani, M, Reggiani-Bonetti, L, Ricci, P, Rinaldi, E, Rizzello, R, Rognoni, M, Rollo, PC, Roncaglia, F, Roncucci, L, Rosano, A, Rossi, F, Rossi, G, Rossi, M, Rossi, S, Rossini, S, Rosso, S, Rudisi, G, Ruggeri, MG, Russo, AG, Russo, M, Sacchettini, C, Sacchetto, L, Sacco, G, Sacerdote, C, Salvatore, S, Salvi, O, Sampietro, G, Santucci, C, Scheibel, M, Sciacca, S, Sciacchitano, C, Sciacchitano, S, Scuderi, T, Sechi, O, Seghini, P, Senatore, G, Serafini, G, Serraino, D, Sgargi, P, Sini, GM, Sobrato, I, Soddu, M, Solimene, C, Spano, F, Spata, E, Sperduti, I, Spinosa, S, Staiti, R, Stocco, C, Stracci, F, Sunseri, R, Sutera, Sardo, A, Tagliabue, G, Tamburo, L, Tamburrino, S, Taranto, V, Terracini, B, Tisano, F, Tittarelli, A, Tognazzo, S, Torrisi, A, Traina, A, Trama, A, Trapani, C, Tschugguel, B, Tumino, R, Usala, M, Vacirca, S, Valerio, O, Valla, K, Varvarà, M, Vasquez, E, Vassante, B, Vattiato, R, Vercelli, M, Vercellino, PC, Vicentini, M, Villa, M, Virdone, S, Vitale, F, Vitale, MF, Vitali, B, Vitali, ME, Vitarelli, S, Zanchi, A, Zanetti, R, Zani, G, Zanier, L, Zappa, M, Zarcone, M, Zevola, A, Zorzi, M, Zucchetto, A, and Zucchi, A

Subjects
Aged, 80 and over, Male, Medicine (all), Aged, Female, Humans, Italy, Middle Aged, Neoplasms, Prevalence, Registries, Survival Rate, Socio-culturale, Settore MED/42 - Igiene Generale E Applicata, 80 and over, cancer prevalence, cancer incidence, cancer in Italy
Abstract

This Report intends to estimate the total number of people still alive in 2010 after cancer diagnosis in Italy, regardless of the time since diagnosis, and to project these estimates to 2015. This study is also aimed to estimate the number of already cured cancer patients, whose mortality rates have become undistinguishable from that of the general population of the same age and sex.The study took advantage of the information from the AIRTUM database, which included 29 Cancer Registries (covering 21 million people, 35% of the Italian population). A total of 1,624,533 cancer cases diagnosed between 1976 and 2009 contributed to the study. For each registry, the observed prevalence was calculated. Prevalence for lengths of time exceeding the maximum duration of the registration and of the complete prevalence were derived by applying an estimated correction factor, the completeness index. This index was estimated by means of statistical regression models using cancer incidence and survival data available in registries with 18 years of observation or more. For 50 types or combinations of neoplasms, complete prevalence was estimated at 1.1.2010 as an absolute number and as a proportion per 100,000 inhabitants by sex, age group, area of residence, and years since diagnosis. Projections of complete prevalence for 1.1.2015 were computed under the assumption of a linear trend of the complete prevalence observed until 2010. Validated mixture cure models were used to estimate: the cure fraction, that is the proportion of patients who, starting from the time of diagnosis, are expected to reach the same mortality rate of the general population; the conditional relative survival (CRS), that is the cumulative probability of surviving some additional years, given that patients already survived a certain number of years; the time to cure, that is the number of years necessary so that conditional survival in the following five years (5-year CRS) exceeds the conventional threshold of 95% (i.e., mortality rates in cancer patients become undistinguishable compared to those of the general population); the proportion of patients already cured, i.e., people alive since a number of years exceeding time to cure.As of 1.1.2010, it was estimated that 2,587,347 people were alive after a cancer diagnosis, corresponding to 4.4% of the Italian population. A relevant geographical heterogeneity emerged, with a prevalence above 5% in northern registries and below 4% in southern areas. Men were 45% of the total (1,154,289) and women 55% (1,433,058). In the population aged 75 years or more, the proportions of prevalent cases were 20% in males and 13% in females, 11% between 60 and 74 years of age in both sexes. Nearly 600,000 Italian women were alive after a breast cancer diagnosis (41% of all women with this neoplasm), followed by women with cancers of the colon rectum (12%), corpus uteri (7%), and thyroid (6%). In men, 26% of prevalent cases (295,624) were patients with prostate cancer, 16% with either bladder or colon rectum cancer. The projections for 1.1.2015 are of three million (3,036,741) people alive after a cancer diagnosis, 4.9% of the Italian population; with a 20% increase for males and 15% for females, compared to 2010. The cure fractions were heterogeneous according to cancer type and age. Estimates obtained as the sum of cure fractions for all cancer types showed that more than 60% of patients diagnosed below the age of 45 years will reach the same mortality rate of the general population. This proportion decreased with increasing age and it was30% for cancer diagnosed after the age of 74 years. It was observed that 60% of all prevalent cases (1,543,531 people or 2.6% of overall Italian population) had been diagnosed5 years earlier (long-term survivors). Time to cure (5-year CRS95%) was reached in10 years by patients with cancers of the stomach, colon rectum, pancreas, corpus and cervix uteri, brain, and Hodgkin lymphoma. Mortality rates similar to the ones reported by the general population were reached after approximately 20 years for breast and prostate cancer patients. Five-year CRS remained95% for25 years after cancer diagnosis in patients with liver and larynx cancers, non-Hodgkin lymphoma, myeloma, and leukaemia. Time to cure was reached by 27% (20% in men and 33% in women) of all people living after a cancer diagnosis, defined as already cured.The study showed a steady increase over time (nearly +3% per year) of prevalent cases in Italy. A quarter of Italian cancer patients alive in 2010 can be considered as already cured. The AIRTUM Report 2014 describes characteristics of cancer patients and former-patients for 50 cancer types or combinations by sex and age. This detailed information promotes the conduction of studies aimed at expanding the current knowledge on the quality of life of these patients during and after the active phase of treatments (prevalence according to health status), on the long-term effects of treatments (in particular for paediatric patients), on the cost profile of cancer patients, and on rare tumours. All these observations have a high potential impact on health planning, clinical practice, and, most of all, patients' perspective.

Published
2014

14. ITALIAN CANCER FIGURES - REPORT 2015: The burden of rare cancers in Italy = I TUMORI IN ITALIA - RAPPORTO 2015: I tumori rari in Italia

Author

Busco, Susanna, Buzzoni, Carlotta, Mallone, Sandra, Trama, Annalisa, Castaing, Marine, Bella, Francesca, Amodio, Rosalba, Bizzoco, Sabrina, Cassetti, Tiziana, Cirilli, Claudia, Cusimano, Rosanna, De Angelis, Roberta, Fusco, Mario, Gatta, Gemma, Gennaro, Valerio, Giacomin, Adriano, Giorgi Rossi, Paolo, Mangone, Lucia, Mannino, Salvatore, Rossi, Silvia, Pierannunzio, Daniela, Tavilla, Andrea, Tognazzo, Sandro, Tumino, Rosario, Vicentini, Massimo, Vitale, Maria Francesca, Crocetti, Emanuele, Dal Maso, Luigino, Mazzoleni, G, Bulatko, A, Devigili, E, Tschugguel, B, De Valiere, E, Facchinelli, G, Falk, M, Vittadello, F, Coviello, V, Cuccaro, F, Calabrese, A, Pinto, A, Cannone, G, Vitali, Me, Sampietro, G, Ghisleni, S, Giavazzi, L, Zanchi, A, Zucchi, A, Giacomin, A, Vercellino, Pc, Andreone, S, Fedele, M, Barale, A, Germinetti, F, Magoni, M, Zani, G, Salvi, O, Puleio, M, Gerevini, C, Adorni, A, Chiesa, R, Lonati, F, Tumino, R, Cascone, G, Frasca, G, Giurdanella, Mc, Martorana, C, Morana, G, Nicita, C, Rollo, Pc, Ruggeri, Mg, Spata, E, Vacirca, S, Sciacca, S, Sciacchitano, C, Fidelbo, M, Paderni, F, Benedetto, G, Vasquez, E, Bella, F, Calabretta, L, Castaing, M, Di Prima, A, Ieni, A, Leone, A, Pesce, P, Sciacchitano, S, Torrisi, A, Varvarà, M, Sutera Sardo, A, Mazzei, A, Lavecchia, Am, Mancuso, P, Nocera, V, Gola, G, Corti, M, Grandi, L, Caparelli, M, Mannino, S, Belluardo, C, Bizzoco, S, Davini, C, Lucchi, S, Villa, M, Anghinoni, E, Di Norcia, R, Ferretti, S, Biavati, P, Marzola, L, Migliari, E, Carletti, N, Petrucci, C, Brosio, F, Piccinni, L, Valente, N, Barchielli, A, Buzzoni, C, Caldarella, A, Corbinelli, A, Di Dia PP, Intrieri, T, Manneschi, G, Nemcova, L, Susini, N, Visoli, C, Zappa, M, Serraino, D, Angelin, T, Bidoli, E, Birri, S, Dal Maso, L, De Dottori, M, De Santis, E, Forgiarini, O, Zucchetto, A, Zanier, L, Filiberti, Ra, Casella, C, Marani, E, Puppo, A, Celesia, Mv, Cogno, R, Garrone, E, Pannozzo, F, Busco, S, Rashid, I, Ramazzotti, V, Cercato, Mc, Natali, M, Battisti, W, Sperduti, I, Macci, L, Bugliarello, E, Bernazza, E, Tamburo, L, Rossi, M, Curatella, S, Tamburrino, S, Fattoruso, S, Valerio, O, Melcarne, A, Quarta, F, Golizia, Mg, Raho, Am, De Maria, V, Vitarelli, S, Ricci, P, Guarda, L, Gatti, L, Pironi, V, Pasolini, A, Bordini, M, Autelitano, M, Ghilardi, S, Leone, R, Filipazzi, L, Bonini, A, Giubelli, C, Russo, Ag, Quattrocchi, M, Distefano, R, Panciroli, E, Bellini, A, Pinon, M, Spinosa, S, Spagnoli, G, Goldoni, Ca, Valla, K, Braghiroli, B, Cirilli, C, Donini, M, Amendola, V, Cavalieri d'Oro, L, Rognoni, M, Le Rose, L, Merlo, E, Negrino, L, Pezzuto, L, Fusco, M, Bellatalla, C, Panico, M, Perrotta, C, Vassante, B, Vitale, Mf, Usala, M, Pala, F, Sini, Gm, Pintori, N, Canu, L, Demurtas, G, Doa, N, Vitale, F, Cusimano, R, Traina, A, Guttadauro, A, Cascio, Ma, Mannino, R, Ravazzolo, B, Brucculeri, Ma, Rudisi, G, Adamo, Ms, Amodio, R, Costa, A, Zarcone, M, Sunseri, R, Bucalo, G, Trapani, C, Staiti, R, Michiara, M, Bozzani, F, Sgargi, P, Borciani, E, Seghini, P, Faccini, F, Prazzoli, R, Mangone, L, Di Felice, E, Pezzarossi, A, Caroli, S, Sacchettini, C, Ferrari, F, Roncaglia, F, Vicentini, M, Falcini, F, Colamartini, A, Bucchi, L, Balducci, C, Ravegnani, M, Vitali, B, Cordaro, C, Caprara, L, Giuliani, O, Giorgetti, S, Palumbo, M, Vattiato, R, Ravaioli, A, Mancini, S, Caiazzo, Al, Cavallo, R, Colavolpe, Af, D'Alessandro, A, Iannelli, A, Lombardo, C, Senatore, G, Sensi, F, Cesaraccio, R, Sechi, O, Pirino, D, Mura, F, Contrino, Ml, Madeddu, A, Tisano, F, Muni, A, Dinaro, Y, Mizzi, M, Sacco, G, Aletta, P, Ziino, Ac, Maspero, S, Fanetti, Ac, Moroni, E, Cometti, I, Annulli, Ml, Cecconami, L, Minerba, S, Minicuzzi, A, Zanetti, R, Rosso, S, Patriarca, S, Prandi, R, Sobrato, I, Gilardi, F, Busso, P, Sacchetto, L, Candela, G, Scuderi, T, Crapanzano, G, Taranto, V, Piffer, S, Gentilini, Ma, Rizzello, R, Cappelletti, M, Stracci, F, D'Alò, D, Scheibel, M, Costarelli, D, Spano, F, Rossini, S, Santucci, C, Petrinelli, Am, Solimene, C, Bianconi, F, Brunori, V, Tagliabue, G, Contiero, P, Tittarelli, A, Fabiano, S, Maghini, A, Codazzi, T, Frassoldi, E, Gada, D, di Grazia, L, Ruzza, Mr, Dei Tos AP, Baracco, M, Baracco, S, Bovo, E, Dal Cin, A, Fiore, Ar, Greco, A, Guzzinati, S, Monetti, D, Rosano, A, Stocco, C, Tognazzo, S, Zorzi, M, Merletti, F, Magnani, C, Pastore, G, Terracini, B, Alessi, D, Cena, T, Lazzarato, F, Macerata, V, Maule, M, Mosso, Ml, Sacerdote, C, Cocchioni, M, Pascucci, C, Ponz de Leon, M, Domati, F, Rossi, G, Kaleci, S, Rossi, F, Benatti, P, Roncucci, L, Di Gregorio, C, Magnani, G, Pedroni, M, Maffei, S, Mariani, F, Reggiani-Bonetti, L, Gennaro, V, Benfatto, L, Lando, C, Mazzucco, G, Romanelli, A, Storchi, C, Sala, O, Gabbi, C, and Buzzoni, C.

Published
2016

15. [Air pollution and mortality in ten Italian cities. Results of the EpiAir Project]

Author

Stafoggia M, Faustini A, Rognoni M, Tessari R, Cadum E, Pacelli B, Pandolfi P, Miglio R, Mallone S, Ma, Vigotti, Serinelli M, Gabriele Accetta, Mp, Dessì, Cernigliaro A, Galassi C, Berti G, Forastiere F, Gruppo collaborativo EpiAir, Stafoggia M, Faustini A, Rognoni M, Tessari R, Cadum E, Pacelli B, Pandolfi P, Miglio R, Mallone S, Vigotti MA, Serinelli M, Accetta G, Dessì MP, Cernigliaro A, Galassi C, Berti G, Forastiere F, and Gruppo collaborativo EpiAir

Subjects
Adult, Aged, 80 and over, Male, Epidemiology, Urban Health, Middle Aged, SHORT TERM EFFECTS, Italy, TIME SERIES, Air Pollution, Population Surveillance, Humans, Female, Mortality, Aged
Abstract

OBJECTIVE: the relationship between air pollution and mortality has been well established in national and international scientific literature. This study reports the results of the EpiAir Project relative to the effect of air pollution on mortality in 10 Italian cities during 2001-2005. The association between particulate matter (PM10) and gases (nitrogen dioxide, NO2, and ozone, O3), and all natural mortality, as well as cardiac, cerebrovascular and respiratory mortality, is presented. Specific issues have been investigated, such as the latency of the air pollution-mortality effects and the identification of individual demographic characteristics and clinical conditions that result in greater susceptibility to the effects of particulate matter. METHODS: the study population consisted of 276,205 subjects aged 35+ years old, resident in one of the 10 Italian cities studied, which died in the city between 2001-2005. For each subject, information was collected on cause of death, location of death, demographical variables and hospital discharge diagnoses in the previous 2-year period. The statistical analysis was adjusted for the relevant temporal and meteorological factors using the case-crossover approach. The results for ozone are limited to the warm semester (April through September). An analysis of the association between air pollution and mortality was conducted for each city, and the city-specific estimates were meta-analyzed on a second level to obtain a pooled result, and reported inter-city heterogeneity. RESULTS: a short-term effect of PM10 on mortality has been detected for all the groups of causes considered, with latencies ranging from lag 0 for cerebrovascular mortality to lag 0-3 for respiratory mortality. The association between NO2 and mortality displays strong and similar effects for all death causes, with prolonged effects (lag 0-5) for all groups of causes. The results for O3 are similar to those found for NO2, with prolonged latency (lag 0-5) for all causes of death with the exception of cerebrovascular mortality, for which a delayed effect (lag 3-5) was identified. Individual susceptibility factors of the PM10-natural mortality association include age, as elderly subjects are especially vulnerable to the effects of particles. CONCLUSIONS: the main results of the study suggest that the air pollution originated by vehicular traffic is the most relevant environmental problem in Italian cities from a public health viewpoint.

Published
2010

16. Indicators based on registers and administrative data for breast cancer: Routine evaluation of oncologic care pathway can be implemented

Author

Andreano, A, Anghinoni, E, Autelitano, M, Bellini, A, Bersani, M, Bizzoco, S, Cavalieri d'Oro, L, Decarli, A, Lucchi, S, Mannino, S, Panciroli, E, Rebora, P, Rognoni, M, Sampietro, G, Villa, M, Zocchetti, C, Zucchi, A, Valsecchi, M, Russo, A, ANDREANO, ANITA, REBORA, PAOLA, VALSECCHI, MARIA GRAZIA, Russo, A., Andreano, A, Anghinoni, E, Autelitano, M, Bellini, A, Bersani, M, Bizzoco, S, Cavalieri d'Oro, L, Decarli, A, Lucchi, S, Mannino, S, Panciroli, E, Rebora, P, Rognoni, M, Sampietro, G, Villa, M, Zocchetti, C, Zucchi, A, Valsecchi, M, Russo, A, ANDREANO, ANITA, REBORA, PAOLA, VALSECCHI, MARIA GRAZIA, and Russo, A.

Abstract

Rationale, aims and objectives Assuring the best standards of care - in a sustainable way - in chronic diseases as breast cancer is nowadays an important challenge for any health system. The aim of this study was to present the methodology used to define a set of quality indicators, computable from administrative data for the pathway of care of breast cancer, and its application at a population level. Method The cohort of 2007-2009 incident cases of breast cancer was identified through a network of six cancer registers in Northern Italy. Cases of sarcoma and lymphoma, patients with multiple primary cancers and those metastatic at diagnosis were excluded; 9614 women were retained for the analysis. For each indicator, the sub-cohort of women eligible for the diagnostic/therapeutic procedures was identified and calculations were performed through record linkage between the cohort and sources of health information. Data on potential available confounders or prognostic factors were also collected. Results For a few indicators, such as cyto-histological assessment before surgery (62%) and intensive follow-up (79%), deviation from recommendations was evident. Younger patients (≤50 years) more frequently needed a short term re-intervention, while older patients less frequently underwent reconstructive surgery and received palliative care. Several indicators had a great variability across hospitals. In some cases, this heterogeneity appeared to be related to the hospital size, with high-volume hospitals being more compliant to guidelines. Conclusion It is possible to evaluate the quality of cancer care delivered in clinical practice in recent years, in order to implement interventions aimed to improve adherence to international standards of care.

Published
2016

17. Inquinamento atmosferico e ricoveri ospedalieri urgenti per malattie cardiache in 9 città italiane – risultati del progetto EPIAIR

Author

il gruppo collaborativo EpiAir Accetta G, Colais P. e., Baccini, M, Baldacci, S., Barchielli, A, Berti, G, Biggeri, A., Bisanti, L, Cadum, E., Caranci, N, Cernigliaro, A, Chellini, E., Chiusolo, M, Colais, P, De’Donato, F, Dessì, P, Faustini, A, Forastiere, F, Galassi, C, Grechi, D, Grosa, M, Ivaldi, C, Mallone, S, Miglio, R., Nuvolone, D, Pace, G., Pacelli, B, Pandolfi, P, Pelosini, R, Perucci, Ca, Poncino, S, Primerano, R, Randi, G, Rognoni, M, Scarnato, C, Scondotto, S, Serinelli, M, Simonato, L, Stafoggia, M, Tessari, R, Viegi, G, Vigotti, MARIA ANGELA, and Zanini, G.

Subjects
hospital admissions, case crossover, air pollution, EPIAIR
Published
2009

18. Inquinamento atmosferico e salute: sorveglianza epidemiologica e interventi di prevenzione ovvero come orientarsi nella lettura e interpretazione di studi ambientali, tossicologici ed epidemiologici

Author

Baldacci, S, Maio, S, Viegi, G, Gruppo Collaborativo EpiAir: Forastiere, F, Bisanti, L, Randi, G, Rognoni, M, Simonato, L, Tessari, R, Berti, G, Cadum, E, Chiusolo, M, Grosa, Mm, Ivaldi, C, Pelosini, R, Poncino, S, Galassi, C, Pacelli, B, Pandolfi, P, Scarnato, C, Miglio, R, Caranci, N, Pace, G, Zanini, G, Grechi, D, Chellini, E, Mallone, S, Accetta, G, Barchielli, A, Nuvolone, D, Baccini, M, Biggeri, A, Vigotti, MARIA ANGELA, Colais, P, Faustini, A, Forastiere, F, Perucci, Ca, Stafoggia, M, Minerba, S, Serinelli, M, Dessì, Pm, Cernigliaro, A, and Scondotto, S.

Subjects
Atmospheric pollution, interpretation of studies, review, human health
Published
2009

19. Ricoveri per cause respiratorie e inquinamento atmosferico in 9 città italiane. i risultati del progetto EPIAIR

Author

Gruppo collaborativo EpiAir Accetta G, Serinelli M. e., Baccini, M, Baldacci, S., Barchielli, A, Berti, G, Biggeri, A., Bisanti, L, Cadum, E., Caranci, N, Cernigliaro, A, Chellini, E., Chiusolo, M, Colais, P, De’Donato, F, Dessì, P, Faustini, A, Forastiere, F, Galassi, C, Grechi, D, Grosa, M, Ivaldi, C, Mallone, S, Miglio, R., Nuvolone, D, Pace, G., Pacelli, B, Pandolfi, P, Pelosini, R, Perucci, Ca, Poncino, S, Primerano, R, Randi, G, Rognoni, M, Scarnato, C, Scondotto, S, Serinelli, M, Simonato, L, Stafoggia, M, Tessari, R, Viegi, G, Vigotti, MARIA ANGELA, and Zanini, G.

Subjects
short term effect, air pollution, respiratory admissions, EPIAIR
Published
2009

20. Inquinamento atmosferico e mortalità in 10 città Italiane

Author

Stafoggia, M, Faustini, A, Rognoni, M, Tessari, R, Cadum, E, Pacelli, B, Pandolfi, P, Miglio, R, Mallone, S, Vigotti, MARIA ANGELA, Serinelli, M, Accetta, G, Dessi, Mp, Cernigliaro, A, Galassi, C, Berti, G, and Forastiere, F.

Subjects
case-crossover, air pollution, mortality, susceptibility
Published
2009

21. Does temperature modify the association between air pollution and mortality? A multicity case-crossover analysis in Italy

Author

Stafoggia, M, Schwartz, J, Forastiere, F, Perucci, Ca, SISTI GROUP AGOSTINI, D, DE LISIO, S, Miglio, R, Pandolfi, P, Scarnato, C, Simonato, L, Tessari, R, Bisanti, L, Rognoni, M, Russo, A, Cernigliaro, A, Scondotto, S, Vigotti, MARIA ANGELA, Belleudi, V, De'Donato, F, Michelozzi, P, Picciotto, S, Primerano, R, Serinelli, M, Berti, G, Cadum, E, Caranci, N, Chiusolo, M, and Demaria, M.

Subjects
Adult, Male, Urban Population, Epidemiology, Air pollution, association, climate, effect modifiers (epidemiology), environmental exposure, mortality, particulate matter, seasons, temperature, environmental exposure, medicine.disease_cause, law.invention, Animal science, CASE CROSSOVER, Risk Factors, law, Air Pollution, Cause of Death, effect modifiers (epidemiology), medicine, Humans, climate, particulate matter, Cross-Over Studies, seasons, association, temperature, Environmental exposure, Particulates, Atmospheric temperature, mortality, Confidence interval, Italy, Ventilation (architecture), Environmental science, Female, Risk of death
Abstract

Adverse health effects of particulate matter

Published
2008

27. A set of indicators to monitor the adherence to the guidelines for the diagnosis and treatment of breast cancer

Author

Russo, A, Andreano, A, Anghinoni, E, Autelitano, M, Bellini, A, Bersani, M, Bizzoco, S, Cavalieri d'Oro, L, Decarli, A, Lucchi, S, Mannino, S, Panciroli, E, Rognoni, M, Sampietro, G, Valsecchi, M, Villa, M, Zocchetti, C, Zucchi, A, Zucchi, A., ANDREANO, ANITA, VALSECCHI, MARIA GRAZIA, Russo, A, Andreano, A, Anghinoni, E, Autelitano, M, Bellini, A, Bersani, M, Bizzoco, S, Cavalieri d'Oro, L, Decarli, A, Lucchi, S, Mannino, S, Panciroli, E, Rognoni, M, Sampietro, G, Valsecchi, M, Villa, M, Zocchetti, C, Zucchi, A, Zucchi, A., ANDREANO, ANITA, and VALSECCHI, MARIA GRAZIA

Abstract

OBJECTIVES: to present a set of indicators developed from six Local Health Authorities of the Lombardy Region to monitor the diagnostic and therapeutic pathway of breast cancer patients, applied to 2007-2009 incident cases. DESIGN: retrospective cohort study. SETTING AND PARTICIPANTS: all subjects with primary breast cancer, incident in the period 2007-2009, and collected by cancer registries of Milano 1, Bergamo, Cremona, Milano, Milano 2 and Monza-Brianza (5,320,272 inhabitants) were included. MAIN OUTCOME MEASURES: through the use of combined current health databases (health registry, hospitalizations, outpatient, pharmaceutical prescription and specific database for anticancer drugs), for each incident case 34 different indicators have been developed to measure the appropriateness of the procedures provided for diagnosis, treatment (surgical and medical) and follow-up. For each indicator, we analyzed the relationship with age, stage, deprivation index, type of treatment, volume of the specific procedure of the hospital where primary surgery was performed. Estimates were adjusted using multilevel regression models. RESULTS: 12,988 incident cases, without metastatic diseases and other cancers, were included in the cohort: 62% were localized to the breast, 33% to the axillary lymph-nodes, 3% metastatic ab initio, and 2% with unknown stage. Deviations from the expected value of different magnitude depending on the type of indicator were observed: the most important differences were detected for the follow-up indicators. There was, in fact, an excess of several procedures in the first year of follow-up: 75% of the cases performed a dosage of a tumor marker, 67% an ecography or a CT scan or an MR, and 37% a bone scan. On the other hand, the access to neoadjuvant and adjuvant treatments in older women was far below the expected values. CONCLUSIONS: the study presents data derived from a large cohort of population cases; the set of indicators was validated by a board of

Published
2014

29. Trends in Lung Cancer and Smoking Behavior in Italy: An Alarm Bell for Women

Author

Trama, Annalisa, Boffi, Roberto, Contiero, Paolo, Buzzoni, Carlotta, Pacifici, Roberta, Mangone, Lucia, Coviello, V, Buzzoni, C, Fusco, M, Barchielli, A, Cuccaro, F, De Angelis, R, Giacomin, A, Luminari, S, Randi, G, Mangone, L, Mazzoleni, G, Bulatko, A, Devigili, E, Tschugguel, B, De Valiere, E, Facchinelli, G, Falk, M, Vittadello, F, Coviello, V, Cuccaro, F, Calabrese, A, Pinto, A, Cannone, G, Vitali, ME, Galasso, R, Del Riccio, L, Napolitano, D, Sampietro, G, Ghisleni, S, Giavazzi, L, Zanchi, A, Zucchi, A, Giacomin, A, Vercellino, PC, Andreone, S, Fedele, M, Barale, A, Germinetti, F, Magoni, M, Salvi, O, Puleio, M, Gerevini, C, Chiesa, R, Lonati, F, Cavalieri d'Oro, L, Rognoni, M, Le Rose, L, Merlo, E, Bracchi, A, Negrino, L, Pezzuto, L, Ardizzone, A, Spagnolo, G, Cozzi, E, De Lorenzism, L, Lotti, F, Pagliara, MC, D'Argenzio, A, D'Abronzo, M, De Francesco, D, Pereira da Silva, MCM, Menditto, V, Perrotta, E, Pesce, MT, Sessa, A, Sciacca, S, Sciacchitano, S, Fidelbo, M, Benedetto, G, Benedetto, A, Calabretta, LMR, Caruso, AM, Castaing, M, Di Prima, AA, Dinaro, YM, Fidelbo, P, Grosso, G, Ippolito, A, Irato, E, Leone, A, Paderni, F, Pesce, PNR, Pollina Addario, S, Savasta, A, Sciacchitano, CG, Torrisi, AAM, Torrisi, A, Varvarà, M, Viscosi, C, Sutera Sardo, A, Sia, A, Scalzi, S, Lavecchia, AM, Mancuso, P, Nocera, V, Mancusi, F, Del Duca, S, Gola, G, Corti, M, Caparelli, M, Ferretti, S, Marzola, L, Migliari, E, Carletti, N, Biavati, P, Petrucci, C, Serraino, D, Angelin, T, Bidoli, E, Birri, S, Dal Maso, L, De Dottori, M, De Santis, E, Forgiarini, O, Zucchetto, A, Zanier, L, Pannozzo, F, Busco, S, Rossi, M, Curatella, S, Bugliarello, E, Macci, L, Bernazza, E, Calabretta, F, Tamburrino, S, Sperduti, I, Tamburo, L, Serafini, G, Quarta, F, Melcarne, A, Golizia, MG, Arciprete, C, De Maria, V, Filiberti, RA, Casella, C, Marani, E, Puppo, A, Celesia, MV, Cogno, R, Vitarelli, S, Ricci, P, Autelitano, M, Ghilardi, S, Leone, R, Filipazzi, L, Bonini, A, Giubelli, C, Russo, AG, Quattrocchi, M, Distefano, R, Panciroli, E, Bellini, A, Pinon, M, Spinosa, S, Spagnoli, G, Carrozzi, G, Cirilli, C, Valla, K, Amendola, V, Fusco, M, Bellatalla, C, Ciullo, V, Di Buono, M, Fusco, M, Panico, M, Perrotta, C, Vitale, MF, Usala, M, Pala, F, Sini, GM, Pintori, N, Canu, L, Demurtas, G, Doa, N, Vitale, F, Cusimano, R, Traina, A, Guttadauro, A, Cascio, MA, Mannino, R, Ravazzolo, B, Brucculeri, MA, Rudisi, G, Adamo, MS, Amodio, R, Costa, A, Zarcone, M, Sunseri, R, Bucalo, G, Trapani, C, Staiti, R, Michiara, M, Bozzani, F, Sgargi, P, Boschetti, L, Migliazza, S, Reggiani, E, Incardona, N, Borciani, E, Seghini, P, Prazzoli, R, Zanetti, R, Rosso, S, Patriarca, S, Prandi, R, Sobrato, I, Gilardi, F, Busso, P, Sacchetto, L, Tumino, R, Cascone, G, Frasca, G, Giurdanella, MC, Martorana, C, Morana, G, Nicita, C, Rollo, PC, Ruggeri, MG, Spata, E, Vacirca, S, Mangone, L, Vicentini, M, Di Felice, E, Pezzarossi, A, Ferrari, F, Roncaglia, F, Sacchettini, C, Caroli, S, Falcini, F, Colamartini, A, Bucchi, L, Balducci, C, Ravegnani, M, Vitali, B, Cordaro, C, Caprara, L, Giuliani, O, Giorgetti, S, Palumbo, M, Vattiato, R, Ravaioli, A, Mancini, S, Caiazzo, AL, Cavallo, R, Colavolpe, AFG, D'Alessandro, A, Iannelli, A, Lombardo, C, Senatore, G, Sensi, F, Cesaraccio, R, Pirino, D, Mura, F, Contrino, ML, Madeddu, A, Tisano, F, Dinaro, Y, Muni, A, Mizzi, M, Bella, F, Rossitto, L, Sacco, G, Aletta, P, Colanino Ziino, A, Maspero, S, Fanetti, AC, Cometti, I, Cecconami, L, Minerba, S, Mincuzzi, A, Carone, S, Tanzarella, M, Galluzzo, C, Barchielli, A, Buzzoni, C, Caldarella, A, Corbinelli, A, Intrieri, T, Di Dia, PP, Manneschi, G, Nemcova, L, Visioli, C, Zappa, M, Candela, G, Scuderi, T, Crapanzano, G, Taranto, V, Piffer, S, Gentilini, M, Rizzello, R, Bombarda, L, Pedron, M, Clivati, E, Stracci, F, D'Alò, D, Scheibel, M, Costarelli, D, Spano, F, Rossini, S, Santucci, C, Petrinelli, AM, Solimene, C, Bianconi, F, Brunori, V, Tagliabue, G, Contiero, P, Tittarelli, A, Fabiano, S, Maghini, A, Codazzi, T, Barigelletti, G, D'Agostino, A, Modonesi, C, Rugge, M, Baracco, M, Baracco, S, Bovo, E, Dal Cin, A, Fiore, AR, Greco, A, Guzzinati, S, Martin, G, Memo, L, Monetti, D, Rizzato, S, Rosano, A, Stocco, C, Tognazzo, S, Zorzi, M, Brustolin, A, Beggiato, S, Aniceti, S, Fiocchetti, L, Schirra, G, Galeotti, P, Capati, A, Nami, A, Montanaro, M, Verrico, G, Poleggi, F, Rashid, I, Grappasonni, I, Pascucci, C, Merletti, F, Magnani, C, Pastore, G, Terracini, B, Alessi, D, Cena, T, Lazzarato, F, Macerata, V, Maule, M, Mosso, ML, Sacerdote, C, Romanelli, A, Mangone, L, Storchi, C, Sala, O, Gabbi, C, Gennaro, V, Benfatto, L, Malacarne, D, Lando, C, Campi, MG, Mazzucco, G, Ponz de Leon, M, Domati, F, Rossi, G, Goldoni, CA, Kaleci, S, Rossi, F, Benatti, P, Roncucci, L, Di Gregorio, C, Magnani, G, Pedroni, M, Maffei, S, Mariani, F, Reggiani-Bonetti, L, Sassatelli, R, Cassetti, T, Giorgi Rossi, P, and Vicentini, M

Abstract

Introduction The epidemiology of lung cancer is changing worldwide, with smoking being the key driver of lung cancer incidence and mortality. Our aim is to analyze the incidence, survival and mortality trends in Italy in the framework of the 2017 survey on smoking behavior in Italy.Methods AIRTUM 2017 reports on cancer survival and incidence; 2017 survey on smoking behavior in Italy.Results Men achieved progress in lung cancer control characterized by a decrease in incidence and mortality and an increase in survival. The decreasing use of tobacco in men (from 60% in the 1960s to 24% in 2017) was most likely responsible for the decreasing incidence and mortality. Women showed no progress: although survival improved slightly, the incidence and mortality were both on the rise. This was most likely due to the increasing smoking rates in women in the 1970s and 80s. Of major concern is the accelerated rise in the number of smoking women from 4.6 million in 2016 to 5.7 million in 2017 compared to the decrease observed in men (from 6.9 to 6 million).Conclusions The incidence and mortality trends in males clearly demonstrate that primary prevention is the most effective way to reduce lung cancer mortality. By contrast, a 24% increase in the prevalence of smoking among women in just 1 year is extremely worrying for the future, and calls for immediate action by targeted strategies to reduce tobacco consumption in women and avert the dreadful prospect of a lung cancer epidemic in Italy.

Published
2017
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35. Acute Medical Conditions Associated With PM10-Related Mortality: A Multi-City Case-Crossover Analysis

Author

Forastiere, F, primary, Stafoggia, M, additional, Berti, G, additional, Bisanti, L, additional, Cadum, E, additional, Chiusolo, M, additional, Delisio, S, additional, Miglio, R, additional, Pandolfi, P, additional, Picciotto, S, additional, Primerano, R, additional, Rognoni, M, additional, Russo, A, additional, Serinelli, M, additional, Simonato, L, additional, Tessari, R, additional, Vigotti, M, additional, and Perucci, C A., additional

Published
2006
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41. The value of cyst puncture in the differential diagnosis of benign ovarian tumours.

Author

Vercellini, Paolo, Oldani, Sabina, Felicetta, Irene, Bramante, Tiziana, Rognoni, Maria Teresa, Crosignani, Pier Giorgio, Vercellini, P, Oldani, S, Felicetta, I, Bramante, T, Rognoni, M T, and Crosignani, P G

Abstract

A prospective collection of serum samples and ovarian cyst fluid was used to assess the use of different tumour markers and cyst fluid cytology in combination with serum tumour markers for the differential diagnosis of benign ovarian cysts. A consecutive series of 108 women of median age 30 years (range 15–75) undergoing laparotomy or operative laparoscopy for presumedly benign ovarian cyst(s) were studied at a teaching hospital at the University of Milan, Italy. The main outcome measures were tumour markers CA 125, CA 19.9 and carcino-embryonic antigen (CEA) in serum and ovarian cyst fluid, oestradiol and progesterone concentrations in cyst fluid, and cytology of the sediment. The studied cysts were endometriotic (55 subjects), dermoid (16), mucinous (12), serous (10) or of miscellaneous histotype (15, including four follicular and one luteal). Serum CA 125 concentrations were significantly higher in the endometrioma patients than in the other groups. The sensitivity of CA 125 in the differentiation of endometriomas from other adnexal tumours was 61.8% and the specificity 94.3%; combining CA 125 and CA 19.9 assays yielded a sensitivity of 83.6% and specificity of 62.3%. Cyst fluid tumour markers values were extremely scattered with ample overlap between different cyst types. Oestradiol and progesterone concentrations were similar in the histological subgroups. Cyst fluid cytology was non-specific. We concluded that the aspiration of fluid from presumedly benign ovarian cysts appears to contribute little to the differential diagnosis of various tumours. The use of combining serum CA 125 and CA 19.9 assays in the diagnosis of endometriomas needs further confirmation. [ABSTRACT FROM PUBLISHER]

Published
1995

42. Antigens of the HLA system in women with vulvar lichen sclerosus. Association with HLA-B21

Author

Sideri, M., Rognoni, M., Rizzolo, L., Micheletti, L., Barbero, M., Massimo ORIGONI, Garsia, S., Sideri, M, Rognoni, M, Rizzolo, L, Micheletti, L, Barbero, M, Origoni, Massimo, and Garsia, S.

Subjects
HLA Antigens, HLA-B Antigens, Humans, Female, Vulvar Diseases, Autoimmune Diseases
Abstract

The cause of vulvar lichen sclerosus (VLS) is unknown. An autoimmune origin has been suggested. The HLA system is responsible for the synthesis of major histocompatibility antigens and is considered a genetic marker of the risk of or resistance to some diseases. Recently, the association between some antigens of the HLA system and diseases of proven autoimmune origin has been reported. A possible association between antigens of the HLA system and VLS has been investigated by others, with contradictory results. Here we report the results of HLA typing in 68 women with histologically proven VLS. The following antigens were tested: A1, A2, A3, A9-11, A28, A29, A32, B5, B7, B8, B12-B18, B21, B22, B27, B35, B40, Cw1-4, Dr1-5 and Dr7. The results were compared with the frequency of HLA antigens in about 2,000 controls. Patients affected by VLS showed an increased frequency of HLA-B21 (22.06% vs. 9.56%, P less than .001), HLA-Dr5 (55.38% vs. 40.92%, P less than .025) and HLA-Dr7 (38.46% vs. 25.19%, P less than .025). After correction for the number of antigens tested (44) the difference in HLA-B21 frequency was significant at the P less than .05 level. This finding gives further support to the suggestion that an immune system disorder is involved in the origin of VLS.

Published
1988

43. [A set of indicators to monitor the adherence to the guidelines for the diagnosis and treatment of breast cancer]

Author

Russo A, Anita Andreano, Anghinoni E, Autelitano M, Bellini A, Bersani M, Bizzoco S, Cavalieri d'Oro L, Decarli A, Lucchi S, Mannino S, Panciroli E, Rognoni M, Sampietro G, Mg, Valsecchi, Villa M, Zocchetti C, Zucchi A, Russo, A, Andreano, A, Anghinoni, E, Autelitano, M, Bellini, A, Bersani, M, Bizzoco, S, Cavalieri d'Oro, L, Decarli, A, Lucchi, S, Mannino, S, Panciroli, E, Rognoni, M, Sampietro, G, Valsecchi, M, Villa, M, Zocchetti, C, and Zucchi, A

Subjects
diagnosis, treatment, breast cancer
Abstract

OBJECTIVES: to present a set of indicators developed from six Local Health Authorities of the Lombardy Region to monitor the diagnostic and therapeutic pathway of breast cancer patients, applied to 2007-2009 incident cases. DESIGN: retrospective cohort study. SETTING AND PARTICIPANTS: all subjects with primary breast cancer, incident in the period 2007-2009, and collected by cancer registries of Milano 1, Bergamo, Cremona, Milano, Milano 2 and Monza-Brianza (5,320,272 inhabitants) were included. MAIN OUTCOME MEASURES: through the use of combined current health databases (health registry, hospitalizations, outpatient, pharmaceutical prescription and specific database for anticancer drugs), for each incident case 34 different indicators have been developed to measure the appropriateness of the procedures provided for diagnosis, treatment (surgical and medical) and follow-up. For each indicator, we analyzed the relationship with age, stage, deprivation index, type of treatment, volume of the specific procedure of the hospital where primary surgery was performed. Estimates were adjusted using multilevel regression models. RESULTS: 12,988 incident cases, without metastatic diseases and other cancers, were included in the cohort: 62% were localized to the breast, 33% to the axillary lymph-nodes, 3% metastatic ab initio, and 2% with unknown stage. Deviations from the expected value of different magnitude depending on the type of indicator were observed: the most important differences were detected for the follow-up indicators. There was, in fact, an excess of several procedures in the first year of follow-up: 75% of the cases performed a dosage of a tumor marker, 67% an ecography or a CT scan or an MR, and 37% a bone scan. On the other hand, the access to neoadjuvant and adjuvant treatments in older women was far below the expected values. CONCLUSIONS: the study presents data derived from a large cohort of population cases; the set of indicators was validated by a board of oncologists.The use of indicators calculated by linking the cancer registries (that provide staging) and administrative databases allows the assessment of compliance to the guidelines for diagnosis and treatment of tumours. This experience shows that it is possible to develop a methodology, shared with clinicians, to define indicators that measure the distance between guidelines and current clinical practice in order to decrease variability, to limit inappropriateness, and to reduce unnecessary diagnostic tests for patients (and, consequently, hospitals organizational overload). In order to be sustainable and equitable, a health care system must be able to ensure implementation of proto-cols/procedures based exclusively on the best available scientific evidences.

45. [Environmental indicators in ten Italian cities (2001-2005): the air quality data for epidemiological surveillance].,Indicatori ambientali in dieci città italiane (2001-2005): i dati di qualità dell'aria per la sorveglianza epidemiologica

Author

Berti, G., Chiusolo, M., Grechi, D., Grosa, M., Rognoni, M., Tessari, R., Pacelli, B., Scarnato, C., Mallone, S., Vigotti, M. A., Stafoggia, M., Primerano, R., Accetta, G., Dessì, M. P., Cernigliaro, A., Donato, F., Gabriele Zanini, Forastiere, F., and Gruppo collaborativo EpiAir

47. [Environmental indicators in ten Italian cities (2001-2005): the air quality data for epidemiological surveillance]. | Indicatori ambientali in dieci città italiane (2001-2005): i dati di qualità dell'aria per la sorveglianza epidemiologica

Author

Berti, G., Chiusolo, M., Grechi, D., Grosa, M., Rognoni, M., Tessari, R., Pacelli, B., Scarnato, C., Mallone, S., Vigotti, M. A., Massimo Stafoggia, Primerano, R., Accetta, G., Dessì, M. P., Cernigliaro, A., Donato, F., Zanini, G., Forastiere, F., and Gruppo collaborativo EpiAir

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