37 results on '"Sau, Antonella"'
Search Results
2. The prognostic value of biological markers in paediatric Hodgkin lymphoma
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Cesaro, Simone, Zaccaron, Ada, Bertolini, Patrizia, Consarino, Caterina, Iaria, Grazia, Pericoli, Roberta, Pierani, Paolo, Fedeli, Fausto, Cellini, Monica, De Santis, Raffaela, Porta, Fulvio, Caini, Mauro, Cosmi, Carlo, Mirra, Nadia, Civino, Adele, Sperlì, Domenico, Nespoli, Luigi, Caniglia, Maurizio, Perruccio, Katia, D'Angelo, Paolo, Passone, Eva, Caruso, Roberta, Scarzello, Giovanni, Rondelli, Roberto, Farruggia, Piero, Puccio, Giuseppe, Sala, Alessandra, Todesco, Alessandra, Buffardi, Salvatore, Garaventa, Alberto, Bottigliero, Gaetano, Bianchi, Maurizio, Zecca, Marco, Locatelli, Franco, Pession, Andrea, Pillon, Marta, Favre, Claudio, D'Amico, Salvatore, Provenzi, Massimo, Trizzino, Angela, Zanazzo, Giulio Andrea, Sau, Antonella, Santoro, Nicola, Murgia, Giulio, Casini, Tommaso, Mascarin, Maurizio, and Burnelli, Roberta
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- 2016
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3. High viral load VZV encephalitis complicated by super refractory status epilepticus in a vaccinated child with in Acute Lymphocytic Leukemia: Case report and review of the literature
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Frattari, Antonella, De Angelis, Maria Vittoria, Battilana, Mariangela, Polilli, Ennio, Ferrieri, Alessandro, Onofrillo, Daniela, Santoro, Nicole, Sau, Antonella, D'Andreagiovanni, Anna, Tocco, Pierluigi, Bosco, Donatella, and Parruti, Giustino
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- 2024
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4. Brentuximab vedotin in the treatment of paediatric patients with relapsed or refractory Hodgkin's lymphoma: Results of a real‐life study
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Massano, Davide, primary, Carraro, Elisa, additional, Mussolin, Lara, additional, Buffardi, Salvatore, additional, Barat, Veronica, additional, Zama, Daniele, additional, Muggeo, Paola, additional, Vendemini, Francesca, additional, Sau, Antonella, additional, Moleti, Maria Luisa, additional, Verzegnassi, Federico, additional, D'Amico, Salvatore, additional, Casini, Tommaso, additional, Garaventa, Alberto, additional, Schiavello, Elisabetta, additional, Cellini, Monica, additional, Vinti, Luciana, additional, Farruggia, Piero, additional, Perruccio, Katia, additional, Cesaro, Simone, additional, De Santis, Raffaela, additional, Marinoni, Maddalena, additional, D'Alba, Irene, additional, Mura, Rosa Maria, additional, Burnelli, Roberta, additional, Mascarin, Maurizio, additional, and Pillon, Marta, additional
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- 2022
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5. Transfusional Approach in Multi-Ethnic Sickle Cell Patients: Real-World Practice Data From a Multicenter Survey in Italy
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Graziadei, Giovanna, primary, De Franceschi, Lucia, additional, Sainati, Laura, additional, Venturelli, Donatella, additional, Masera, Nicoletta, additional, Bonomo, Piero, additional, Vassanelli, Aurora, additional, Casale, Maddalena, additional, Lodi, Gianluca, additional, Voi, Vincenzo, additional, Rigano, Paolo, additional, Pinto, Valeria Maria, additional, Quota, Alessandra, additional, Notarangelo, Lucia D., additional, Russo, Giovanna, additional, Allò, Massimo, additional, Rosso, Rosamaria, additional, D'Ascola, Domenico, additional, Facchini, Elena, additional, Macchi, Silvia, additional, Arcioni, Francesco, additional, Bonetti, Federico, additional, Rossi, Enza, additional, Sau, Antonella, additional, Campisi, Saveria, additional, Colarusso, Gloria, additional, Giona, Fiorina, additional, Lisi, Roberto, additional, Giordano, Paola, additional, Boscarol, Gianluca, additional, Filosa, Aldo, additional, Marktel, Sarah, additional, Maroni, Paola, additional, Murgia, Mauro, additional, Origa, Raffaella, additional, Longo, Filomena, additional, Bortolotti, Marta, additional, Colombatti, Raffaella, additional, Di Maggio, Rosario, additional, Mariani, Raffaella, additional, Piperno, Alberto, additional, Corti, Paola, additional, Fidone, Carmelo, additional, Palazzi, Giovanni, additional, Badalamenti, Luca, additional, Gianesin, Barbara, additional, Piel, Frédéric B., additional, and Forni, Gian Luca, additional
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- 2022
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6. Outcome of Children and Adolescents with Recurrent Classical Hodgkin Lymphoma: The Italian Experience
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Garaventa, Alberto, primary, Parodi, Stefano, additional, Guerrini, Giulia, additional, Farruggia, Piero, additional, Sala, Alessandra, additional, Pillon, Marta, additional, Buffardi, Salvatore, additional, Rossi, Francesca, additional, Bianchi, Maurizio, additional, Zecca, Marco, additional, Vinti, Luciana, additional, Facchini, Elena, additional, Casini, Tommaso, additional, Bernasconi, Sayla, additional, Amoroso, Loredana, additional, D’Amico, Salvatore, additional, Provenzi, Massimo, additional, De Santis, Raffaela, additional, Sau, Antonella, additional, Muggeo, Paola, additional, Mura, Rosa Maria, additional, Haupt, Riccardo, additional, Mascarin, Maurizio, additional, and Burnelli, Roberta, additional
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- 2022
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7. Risk factors for endocrine complications in transfusion-dependent thalassemia patients on chelation therapy with deferasirox: a risk assessment study from a multicentre nation-wide cohort
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Casale, M, Forni, G, Cassinerio, E, Pasquali, D, Origa, R, Serra, M, Campisi, S, Peluso, A, Renni, R, Cattoni, A, De Michele, E, Allò, M, Poggi, M, Ferrara, F, Di Concilio, R, Sportelli, F, Quarta, A, Putti, M, Notarangelo, L, Sau, A, Ladogana, S, Tartaglione, I, Picariello, S, Marcon, A, Sturiale, P, Roberti, D, Lazzarino, A, Perrotta, S, Casale, Maddalena, Forni, Gian Luca, Cassinerio, Elena, Pasquali, Daniela, Origa, Raffaella, Serra, Marilena, Campisi, Saveria, Peluso, Angelo, Renni, Roberta, Cattoni, Alessandro, De Michele, Elisa, Allò, Massimo, Poggi, Maurizio, Ferrara, Francesca, Di Concilio, Rosanna, Sportelli, Filomena, Quarta, Antonella, Putti, Maria Caterina, Notarangelo, Lucia Dora, Sau, Antonella, Ladogana, Saverio, Tartaglione, Immacolata, Picariello, Stefania, Marcon, Alessia, Sturiale, Patrizia, Roberti, Domenico, Lazzarino, Antonio Ivan, Perrotta, Silverio, Casale, M, Forni, G, Cassinerio, E, Pasquali, D, Origa, R, Serra, M, Campisi, S, Peluso, A, Renni, R, Cattoni, A, De Michele, E, Allò, M, Poggi, M, Ferrara, F, Di Concilio, R, Sportelli, F, Quarta, A, Putti, M, Notarangelo, L, Sau, A, Ladogana, S, Tartaglione, I, Picariello, S, Marcon, A, Sturiale, P, Roberti, D, Lazzarino, A, Perrotta, S, Casale, Maddalena, Forni, Gian Luca, Cassinerio, Elena, Pasquali, Daniela, Origa, Raffaella, Serra, Marilena, Campisi, Saveria, Peluso, Angelo, Renni, Roberta, Cattoni, Alessandro, De Michele, Elisa, Allò, Massimo, Poggi, Maurizio, Ferrara, Francesca, Di Concilio, Rosanna, Sportelli, Filomena, Quarta, Antonella, Putti, Maria Caterina, Notarangelo, Lucia Dora, Sau, Antonella, Ladogana, Saverio, Tartaglione, Immacolata, Picariello, Stefania, Marcon, Alessia, Sturiale, Patrizia, Roberti, Domenico, Lazzarino, Antonio Ivan, and Perrotta, Silverio
- Abstract
Transfusion-dependent patients typically develop iron-induced cardiomyopathy, liver disease, and endocrine complications. We aimed to estimate the incidence of endocrine disorders in transfusiondependent thalassemia (TDT) patients during long-term iron-chelation therapy with deferasirox (DFX). We developed a multi-center follow-up study of 426 TDT patients treated with once-daily DFX for a median duration of 8 years, up to 18.5 years. At baseline, 118, 121, and 187 patients had 0, 1, or ≥2 endocrine diseases respectively. 104 additional endocrine diseases were developed during the follow-up. The overall risk of developing a new endocrine complication within 5 years was 9.7% (95% Confidence Interval [CI]: 6.3.13.1). Multiple Cox regression analysis identified three key predictors: Age showed a positive log-linear effect (adjusted hazard ratio [HR] for 50% increase 1.2, 95% CI: 1.1.1.3, P=0.005), the serum concentration of thyrotropin showed a positive linear effect (adjusted HR for 1 mIU/L increase 1.3, 95% CI: 1.1.1.4, P<0.001) regardless the kind of disease incident, while the number of previous endocrine diseases showed a negative linear effect: The higher the number of diseases at baseline the lower the chance of developing further diseasess (adjusted HR for unit increase 0.5, 95% CI: 0.4-0.7, P<0.001). Age and thyrotropin had similar effect sizes across the categories of baseline diseases. The administration of levothyroxine as a covariate did not change the estimates. Although in DFX-treated TDT patients the risk of developing an endocrine complication is generally lower than the previously reported risk, there is considerable risk variation and the burden of these complications remains high. We developed a simple risk score chart enabling clinicians to estimate their patients' risk. Future research will look at increasing the amount of variation explained from our model and testing further clinical and laboratory predictors, including the assessment of d
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- 2021
8. Determinants of platelet activation in Alzheimer's disease
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Ciabattoni, Giovanni, Porreca, Ettore, Di Febbo, Concetta, Di Iorio, Angelo, Paganelli, Roberto, Bucciarelli, Tonino, Pescara, Lea, Del Re, Letizia, Giusti, Cinzia, Falco, Angela, Sau, Antonella, Patrono, Carlo, and Davì, Giovanni
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- 2007
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9. Risk factors for endocrine complications in transfusion-dependent thalassemia patients on chelation therapy with deferasirox: a risk assessment study from a multi-center nation-wide cohort
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Casale, Maddalena, primary, Forni, Gian Luca, additional, Cassinerio, Elena, additional, Pasquali, Daniela, additional, Origa, Raffaella, additional, Serra, Marilena, additional, Campisi, Saveria, additional, Peluso, Angelo, additional, Renni, Roberta, additional, Cattoni, Alessandro, additional, De Michele, Elisa, additional, Allò, Massimo, additional, Poggi, Maurizio, additional, Ferrara, Francesca, additional, Di Concilio, Rosanna, additional, Sportelli, Filomena, additional, Quarta, Antonella, additional, Putti, Maria Caterina, additional, Notarangelo, Lucia Dora, additional, Sau, Antonella, additional, Ladogana, Saverio, additional, Tartaglione, Immacolata, additional, Picariello, Stefania, additional, Marcon, Alessia, additional, Sturiale, Patrizia, additional, Roberti, Domenico, additional, Lazzarino, Antonio Ivan, additional, and Perrotta, Silverio, additional
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- 2021
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10. Influenza Vaccination in Asplenia: Improving Quality of Care in Time of Coronavirus
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Di Maio, Nicoletta, primary, Russo, Giovanna, additional, Barella, Susanna, additional, Forni, Gian Luca, additional, Colombatti, Raffaella, additional, Notarangelo, Lucia, additional, Graziadei, Giovanna, additional, Sau, Antonella, additional, Rigoli, Luciana, additional, Farruggia, Piero, additional, Campisi, Saveria, additional, Casini, Tommaso, additional, Balocco, Manuela, additional, Boscarol, Gianluca, additional, Capolsini, Ilaria, additional, Grotto, Paolo, additional, Giona, Fiorina, additional, Lazzareschi, Ilaria, additional, Pugliese, Pellegrina, additional, Fioredda, Francesca, additional, Fasoli, Silvia, additional, Putti, Maria Caterina, additional, Migliavacca, Maddalena, additional, Paola, Corti, additional, Tripodi, Serena, additional, Saracco, Paola, additional, Ferrero, Simone, additional, Tornesello, Assunta, additional, Serra, Marilena, additional, Ladogana, Saverio, additional, Palazzi, Giovanni, additional, Verzegnassi, Federico, additional, Baronci, Carlo, additional, Palumbo, Giuseppe, additional, Cesaro, Simone, additional, Sainati, Laura, additional, Rivellini, Flavia, additional, Di Concilio, Rosanna, additional, Munaretto, Vania, additional, Facchini, Elena, additional, Giordano, Paola, additional, Sanna, Maria Grazia, additional, Perrotta, Silverio, additional, and Casale, Maddalena, additional
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- 2020
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11. Comparison of Hodgkin’s Lymphoma in Children and Adolescents. A Twenty Year Experience with MH’96 and LH2004 AIEOP (Italian Association of Pediatric Hematology and Oncology) Protocols
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Burnelli, Roberta, primary, Fiumana, Giulia, additional, Rondelli, Roberto, additional, Pillon, Marta, additional, Sala, Alessandra, additional, Garaventa, Alberto, additional, D’Amore, Emanuele S.G., additional, Sabattini, Elena, additional, Buffardi, Salvatore, additional, Bianchi, Maurizio, additional, Vinti, Luciana, additional, Zecca, Marco, additional, Muggeo, Paola, additional, Provenzi, Massimo, additional, Farruggia, Piero, additional, Rossi, Francesca, additional, D’Amico, Salvatore, additional, Facchini, Elena, additional, Bernasconi, Sayla, additional, De Santis, Raffaela, additional, Casini, Tommaso, additional, Porta, Fulvio, additional, D’Alba, Irene, additional, Mura, Rosamaria, additional, Verzegnassi, Federico, additional, Sau, Antonella, additional, Cesaro, Simone, additional, Perruccio, Katia, additional, Cellini, Monica, additional, Bertolini, Patrizia, additional, Sperlì, Domenico, additional, Pericoli, Roberta, additional, Galimberti, Daniela, additional, Civino, Adele, additional, and Mascarin, Maurizio, additional
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- 2020
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12. Vaccinazione Antinfluenzale in soggetti con Asplenia: warning in tempo di Coronavirus
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Di Maio Nicoletta, Barella, Susanna, Graziadei, Giovanna, Forni, Gianluca, Perrotta, Silverio, Allò, Massimo, Sau, Antonella, Balocco, Manuela, Di Concilio Rosanna, Rivellini, Flavia, Facchini, Elena, Peluso, Angelo, Russo, Giovanna, Rigoli, Luciana, Farruggia, Piero, Campisi, Saveria, Casini, Tommaso, Boscarol, Gianluca, Capolsini, Ilaria, Colombatti, Raffaella, Grotto, Paolo, Giona, Fiorina, Lazzareschi, Ilaria, Pugliese, Pellegrina, Fioredda, Francesca, Notarangelo Lucia Dora, Fasoli, Silvia, Putti Maria Caterina, Casciana Maria Luisa, Migliavacca, Maddalena, Corti, Paola, Tripodi, Serena, Saracco, Paola, Ferrero, Simone, Tornesello, Assunta, Serra, Marilena, Ladogana, Saverio, Palazzi, Giovanni, Verzegnassi, Federico, Baronci, Carlo, Palumbo, Giuseppe, Cesaro, Simone, and Casale, Maddalena
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- 2020
13. Acute events in children with sickle cell disease in Italy during the COVID‐19 pandemic: useful lessons learned.
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Munaretto, Vania, Voi, Vincenzo, Palazzi, Giovanni, Notarangelo, Lucia Dora, Corti, Paola, Baretta, Valentina, Casale, Maddalena, Barone, Angelica, Cuzzubbo, Daniela, Samperi, Piera, Tripodi, Serena, Giona, Fiorina, Miano, Maurizio, Nocerino, Agostino, Del Vecchio, Gian Carlo, Piccolo, Chiara, Sau, Antonella, Filippini, Beatrice, Casciana, Maria Luisa, and Arcioni, Francesco
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COVID-19 pandemic ,SICKLE cell anemia ,COVID-19 ,SYMPTOMS ,INTRA-abdominal hypertension ,INFECTION prevention - Abstract
Acute events in children with sickle cell disease in Italy during the COVID-19 pandemic: useful lessons learned Acute chest, children, COVID-19, Italy, sickle cell disease, Vaso-occlusive crisis Keywords: acute chest; children; COVID-19; Italy; sickle cell disease; Vaso-occlusive crisis EN acute chest children COVID-19 Italy sickle cell disease Vaso-occlusive crisis 851 854 4 09/02/21 20210901 NES 210901 On March 12th 2021 the Italian Government decided to implement a national lockdown in almost all the regions of the country. [Extracted from the article]
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- 2021
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14. Retrospective and Prospective Study of Childhood Autoimmune Hemolytic Anemia. a Preliminary Report from the Red Cell Working Group of the Paediatric Hemato-Oncology Italian Associations (AIEOP)
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Ladogana, Saverio, primary, Colombatti, Raffaella, primary, Perrotta, Silverio, primary, Maggio, Angela, primary, Maruzzi, Matteo, primary, Ciliberti, Andrea, primary, Samperi, Piera, primary, Casale, Maddalena, primary, Giordano, Paola, primary, Del Vecchio, Giovanni Carlo, primary, Perillo, Teresa, primary, Boscarol, Gianluca, primary, Notarangelo, Lucia Dora, primary, Casini, Tommaso, primary, Miano, Maurizio, primary, Fasoli, Silvia, primary, Paola, Corti, primary, Guarina, Angela, primary, Arcioni, Francesco, primary, Sau, Antonella, primary, Giona, Fiorina, primary, Palumbo, Giuseppe, primary, Saracco, Paola, primary, Petrone, Angela, primary, Verzegnassi, Federico, primary, Piccolo, Chiara, primary, Cesaro, Simone, primary, and Russo, Giovanna, primary
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- 2019
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15. Transfusion Therapy in a Multi-Ethnic Sickle Cell Population Real-World Practice. a Preliminary Data Analysis of Multicentre Survey
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Graziadei, Giovanna, primary, Sainati, Laura, additional, Bonomo, Pietro, additional, Venturelli, Donatella, additional, Masera, Nicoletta, additional, Casale, Maddalena, additional, Vassanelli, Aurora, additional, Lodi, Gianluca, additional, Piel, Frédéric B, additional, Voi, Vincenzo, additional, De Franceschi, Lucia, additional, Rigano, Paolo, additional, Quota, Alessandra, additional, Notarangelo, Lucia Dora, additional, Russo, Giovanna, additional, Rosso, Rosamaria, additional, Allò, Massimo, additional, D'Ascola, Domenico, additional, Facchini, Elena, additional, Macchi, Silvia, additional, Arcioni, Francesco, additional, Piperno, Alberto, additional, Bonetti, Federico, additional, Palazzi, Giovanni, additional, Bisconte, Maria Grazia, additional, Sau, Antonella, additional, Lisi, Roberto, additional, Giona, Fiorina, additional, Campisi, Saveria, additional, Colarusso, Gloria, additional, Giordano, Paola, additional, Boscariol, Gianluca, additional, Marktel, Sarah, additional, Filosa, Aldo, additional, Origa, Raffaella, additional, Murgia, Mauro, additional, Maroni, Paola, additional, Gianesin, Barbara, additional, Badalamenti, Luca, additional, and Forni, Gian Luca, additional
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- 2018
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16. Classical pediatric Hodgkin lymphoma in very young patients: the Italian experience
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Farruggia, Piero, primary, Puccio, Giuseppe, additional, Locatelli, Francesco, additional, Vetro, Mariarita, additional, Pillon, Marta, additional, Trizzino, Angela, additional, Sala, Alessandra, additional, Buffardi, Salvatore, additional, Garaventa, Alberto, additional, Rossi, Francesca, additional, Bianchi, Maurizio, additional, Zecca, Marco, additional, Pession, Andrea, additional, Favre, Claudio, additional, D’Amico, Salvatore, additional, Provenzi, Massimo, additional, Zanazzo, Giulio Andrea, additional, Sau, Antonella, additional, Santoro, Nicola, additional, Mura, Rosamaria, additional, Elia, Caterina, additional, Casini, Tommaso, additional, Mascarin, Maurizio, additional, and Burnelli, Roberta, additional
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- 2018
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17. Real-Life Management of Children and Adolescents with Chronic Myeloid Leukemia: The Italian Experience
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Giona, F, Santopietro, M, Menna, G, Putti, M, Micalizzi, C, Santoro, N, Ziino, O, Mura, R, Ladogana, S, Iaria, G, Sau, A, Burnelli, R, Vacca, N, Bernasconi, S, Consarino, C, Petruzziello, F, Moleti, M, Biondi, A, Locatelli, F, Foà, R, Giona, Fiorina, Santopietro, Michelina, Menna, Giuseppe, Putti, Maria Caterina, Micalizzi, Concetta, Santoro, Nicola, Ziino, Ottavio, Mura, Rosamaria, Ladogana, Saverio, Iaria, Grazia, Sau, Antonella, Burnelli, Roberta, Vacca, Nadia, Bernasconi, Sayla, Consarino, Caterina, Petruzziello, Fara, Moleti, Maria Luisa, Biondi, Andrea, Locatelli, Franco, Foà, Robin, Giona, F, Santopietro, M, Menna, G, Putti, M, Micalizzi, C, Santoro, N, Ziino, O, Mura, R, Ladogana, S, Iaria, G, Sau, A, Burnelli, R, Vacca, N, Bernasconi, S, Consarino, C, Petruzziello, F, Moleti, M, Biondi, A, Locatelli, F, Foà, R, Giona, Fiorina, Santopietro, Michelina, Menna, Giuseppe, Putti, Maria Caterina, Micalizzi, Concetta, Santoro, Nicola, Ziino, Ottavio, Mura, Rosamaria, Ladogana, Saverio, Iaria, Grazia, Sau, Antonella, Burnelli, Roberta, Vacca, Nadia, Bernasconi, Sayla, Consarino, Caterina, Petruzziello, Fara, Moleti, Maria Luisa, Biondi, Andrea, Locatelli, Franco, and Foà, Robin
- Abstract
Background: To date, no data on the adherence to specific guidelines for children with chronic myeloid leukemia (CML) in chronic phase (CP) have been reported. Methods: Since 2001, guidelines for treatment with imatinib mesylate (IM) and monitoring in patients younger than 18 years with CP-CML have been shared with 9 pediatric referral centers (P centers) and 4 reference centers for adults and children/adolescents (AP centers) in Italy. In this study, the adherence to these guidelines was analyzed. Results: Thirty-four patients with a median age of 11.4 years and 23 patients with a median age of 11.0 years were managed at 9 P and at 4 AP centers, respectively. Evaluations of bone marrow (BM) and/or peripheral blood (PB) were available for more than 90% of evaluable patients. Cytogenetics and molecular monitoring of PB were more consistently performed in AP centers, whereas molecular analysis of BM was carried out more frequently in P centers. Before 2009, some patients who responded to IM underwent a transplantation, contrary to the guidelines' recommendations. Conclusions: Our experience shows that having specific guidelines is an important tool for an optimal management of childhood CP-CML, together with exchange of knowledge and proactive discussions within the network
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- 2018
18. Real-Life Management of Children and Adolescents with Chronic Myeloid Leukemia: The Italian Experience
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Giona, Fiorina, primary, Santopietro, Michelina, additional, Menna, Giuseppe, additional, Putti, Maria Caterina, additional, Micalizzi, Concetta, additional, Santoro, Nicola, additional, Ziino, Ottavio, additional, Mura, Rosamaria, additional, Ladogana, Saverio, additional, Iaria, Grazia, additional, Sau, Antonella, additional, Burnelli, Roberta, additional, Vacca, Nadia, additional, Bernasconi, Sayla, additional, Consarino, Caterina, additional, Petruzziello, Fara, additional, Moleti, Maria Luisa, additional, Biondi, Andrea, additional, Locatelli, Franco, additional, and Foà, Robin, additional
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- 2018
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19. Classical pediatric Hodgkin lymphoma in very young patients: the Italian experience.
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Farruggia, Piero, Puccio, Giuseppe, Locatelli, Francesco, Vetro, Mariarita, Pillon, Marta, Trizzino, Angela, Sala, Alessandra, Buffardi, Salvatore, Garaventa, Alberto, Rossi, Francesca, Bianchi, Maurizio, Zecca, Marco, Pession, Andrea, Favre, Claudio, D'Amico, Salvatore, Provenzi, Massimo, Zanazzo, Giulio Andrea, Sau, Antonella, Santoro, Nicola, and Mura, Rosamaria
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HODGKIN'S disease ,NATURAL history ,FACTOR analysis ,MULTIVARIATE analysis - Abstract
Many studies have reported a more favorable outcome in younger patients with Hodgkin lymphoma (HL). The aims of this study were to find an appropriate age cutoff able to identify low-risk children and to describe the natural history of 135 very young patients affected by classic HL (cHL). The best age cutoff was identified at 7 years of age. EFS (p =.0451) and PFS (p =.00921) were significantly better in the group of younger patients. The OS rate at 10 years was 97.0% in the younger group and 92.5% in the older one (p =.0448). However, age was not found to be an independent prognostic factor in multivariate analysis and the better prognosis in younger patients seems to be related to more favorable disease characteristics at presentation. [ABSTRACT FROM AUTHOR]
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- 2019
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20. Management of Chronic Myeloid Leukemia in Children and Adolescents According to Local Guidelines.the Italian Experience
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Giona, Fiorina, primary, Santopietro, Michelina, additional, Menna, Giuseppe, additional, Putti, Maria Caterina, additional, Micalizzi, Concetta, additional, Santoro, Nicola, additional, Ziino, Ottavio, additional, Mura, Rosamaria, additional, Ladogana, Saverio, additional, Iaria, Grazia, additional, Sau, Antonella, additional, Burnelli, Roberta, additional, Vacca, Nadia, additional, Nardi, Margherita, additional, Consarino, Caterina, additional, Moleti, Maria Luisa, additional, Nanni, Mauro, additional, Diverio, Daniela, additional, Leszl, Anna, additional, Biondi, Andrea, additional, Locatelli, Franco, additional, Saglio, Giuseppe, additional, and Foà, Robin, additional
- Published
- 2016
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21. Il principio di proporzionalità nel governo 'amministrativo' del territorio
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Sau, Antonella
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- 2011
22. The prognostic value of biological markers in paediatric Hodgkin lymphoma
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Farruggia, Piero, primary, Puccio, Giuseppe, additional, Sala, Alessandra, additional, Todesco, Alessandra, additional, Buffardi, Salvatore, additional, Garaventa, Alberto, additional, Bottigliero, Gaetano, additional, Bianchi, Maurizio, additional, Zecca, Marco, additional, Locatelli, Franco, additional, Pession, Andrea, additional, Pillon, Marta, additional, Favre, Claudio, additional, D'Amico, Salvatore, additional, Provenzi, Massimo, additional, Trizzino, Angela, additional, Zanazzo, Giulio Andrea, additional, Sau, Antonella, additional, Santoro, Nicola, additional, Murgia, Giulio, additional, Casini, Tommaso, additional, Mascarin, Maurizio, additional, Burnelli, Roberta, additional, Cesaro, Simone, additional, Zaccaron, Ada, additional, Bertolini, Patrizia, additional, Consarino, Caterina, additional, Iaria, Grazia, additional, Pericoli, Roberta, additional, Pierani, Paolo, additional, Fedeli, Fausto, additional, Cellini, Monica, additional, De Santis, Raffaela, additional, Porta, Fulvio, additional, Caini, Mauro, additional, Cosmi, Carlo, additional, Mirra, Nadia, additional, Civino, Adele, additional, Sperlì, Domenico, additional, Nespoli, Luigi, additional, Caniglia, Maurizio, additional, Perruccio, Katia, additional, D'Angelo, Paolo, additional, Passone, Eva, additional, Caruso, Roberta, additional, Scarzello, Giovanni, additional, and Rondelli, Roberto, additional
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- 2016
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23. Long-Term Outcome in Children and Adolescents with Chronic Myeloid Leukemia in Chronic Phase Treated with High-Dose Imatinib— the Italian Experience
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Giona, Fiorina, Santopietro, Michelina, Menna, Giuseppe, Micalizzi, Concetta, Putti, Maria Caterina, Santoro, Nicola, Ziino, Ottavio, Mura, Rosamaria, Ladogana, Saverio, Iaria, Grazia, Sau, Antonella, Burnelli, Roberta, Vacca, Nadia, Nardi, Margherita, Consarino, Caterina, Miulli, Eleonora, Moleti, Maria Luisa, Petruzziello, Fara, Orlando, Sonia Maria, Biondi, Andrea, Locatelli, Franco, Saglio, Giuseppe, and Foa, Robin
- Published
- 2017
- Full Text
- View/download PDF
24. A prototipal system for monitoring data availability and information demand
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Borga, Giovanni, Castelli, Silvia, DALLA COSTA, Silvia, Picchio, Stefano, and Sau, Antonella
- Subjects
Decision Support Systems ,Data analysis ,sistemi informativi ,GIS - Published
- 2007
25. Rapporto tra pianificazione attuativa e generale
- Author
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Vitale, Carmen, Bonetti, Tommaso, Sau, Antonella, Scarale, Paola, Sabbioni, Paolo, Boscolo, Emanuele, Matassoglio, Francesca, Piperata, Giuseppe, Cabiddu, Maria Agostina, Boschetti, Barbara, Boschetti, B (ORCID:0000-0001-9344-2163), Vitale, Carmen, Bonetti, Tommaso, Sau, Antonella, Scarale, Paola, Sabbioni, Paolo, Boscolo, Emanuele, Matassoglio, Francesca, Piperata, Giuseppe, Cabiddu, Maria Agostina, Boschetti, Barbara, and Boschetti, B (ORCID:0000-0001-9344-2163)
- Abstract
Il contributo mira a analizzare il rapport tra pianificazione generale e pianificazione attuativa
- Published
- 2014
26. La pianificazione attuativa
- Author
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Cabiddu, Maria Agostina, Boscolo, Emanuele, Sau, Antonella e altri, Cabiddu, M.A., Boschetti, Barbara, Boschetti, Barbara (ORCID:0000-0001-9344-2163), Cabiddu, Maria Agostina, Boscolo, Emanuele, Sau, Antonella e altri, Cabiddu, M.A., Boschetti, Barbara, and Boschetti, Barbara (ORCID:0000-0001-9344-2163)
- Abstract
Analisi delle tipologie di strumenti di pianificazione attuativa
- Published
- 2010
27. Heterogeneity and Peculiarities Of a Small Series Of Patients Affected By Paroxysmal Nocturnal Hemoglobinuria Treated With Eculizumab
- Author
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Pulini, Stefano, primary, Ricciuti, Giuseppina, additional, Sestili, Simona, additional, La Barba, Gaetano, additional, Sau, Antonella, additional, Fioritoni, Giuseppe, additional, and Di Bartolomeo, Paolo, additional
- Published
- 2013
- Full Text
- View/download PDF
28. Molecular Analysis of the SEC23B Gene In Patients Affected by Congenital Dyserythropoietic Anemia Type II (CDAII)
- Author
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Bianchi, Paola, primary, Schwarz, Klaus, additional, Fermo, Elisa, additional, Heinrich, Katja, additional, Vercellati, Cristina, additional, Marcello, Anna Paola Maria Luisa, additional, van Wijk, Richard, additional, Zwieten, Rob van, additional, Banov, Laura, additional, Sau, Antonella, additional, Wuillemin, Walter A., additional, Opat, Stephen, additional, Barcellini, Wilma, additional, Heimpel, Hermann, additional, and Zanella, Alberto, additional
- Published
- 2010
- Full Text
- View/download PDF
29. How to Manage Refractory T-Cell Leukemia-Lymphomas in Children? A Question to Be Answered, Yet!
- Author
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Sau, Antonella, primary, Onofrillo, Daniela, additional, Poli, Amelia, additional, La Barba, Gaetano, additional, and Nigro, Luca Lo, additional
- Published
- 2009
- Full Text
- View/download PDF
30. Long-term remission in BCR/ABL-positive AML-M6 patient treated with Imatinib Mesylate
- Author
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Pompetti, Franca, Spadano, Antonio, Sau, Antonella, Mennucci, Antonio, Russo, Rosa, Catinella, Virginia, Franchi, Paolo Guanciali, Calabrese, Giuseppe, Palka, Giandomenico, Fioritoni, Giuseppe, and Iacone, Antonio
- Published
- 2007
- Full Text
- View/download PDF
31. Second Allogeneic Bone Marrow Transplantation for Patients with Either Graft Failure or Relapsed Leukemia.
- Author
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Santarone, Stella, primary, Di Bartolomeo, Erminia, additional, Bavaro, Pasqua, additional, Di Carlo, Paolo, additional, Olioso, Paola, additional, Papalinetti, Gabriele, additional, Sau, Antonella, additional, and Di Bartolomeo, Paolo, additional
- Published
- 2005
- Full Text
- View/download PDF
32. Molecular Analysis of the SEC23BGene In Patients Affected by Congenital Dyserythropoietic Anemia Type II (CDAII)
- Author
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Bianchi, Paola, Schwarz, Klaus, Fermo, Elisa, Heinrich, Katja, Vercellati, Cristina, Marcello, Anna Paola Maria Luisa, van Wijk, Richard, Zwieten, Rob van, Banov, Laura, Sau, Antonella, Wuillemin, Walter A., Opat, Stephen, Barcellini, Wilma, Heimpel, Hermann, and Zanella, Alberto
- Abstract
Abstract 4227
- Published
- 2010
- Full Text
- View/download PDF
33. Transfusional Approach in Multi-Ethnic Sickle Cell Patients: Real-World Practice Data From a Multicenter Survey in Italy
- Author
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Giovanna Graziadei, Lucia De Franceschi, Laura Sainati, Donatella Venturelli, Nicoletta Masera, Piero Bonomo, Aurora Vassanelli, Maddalena Casale, Gianluca Lodi, Vincenzo Voi, Paolo Rigano, Valeria Maria Pinto, Alessandra Quota, Lucia D. Notarangelo, Giovanna Russo, Massimo Allò, Rosamaria Rosso, Domenico D'Ascola, Elena Facchini, Silvia Macchi, Francesco Arcioni, Federico Bonetti, Enza Rossi, Antonella Sau, Saveria Campisi, Gloria Colarusso, Fiorina Giona, Roberto Lisi, Paola Giordano, Gianluca Boscarol, Aldo Filosa, Sarah Marktel, Paola Maroni, Mauro Murgia, Raffaella Origa, Filomena Longo, Marta Bortolotti, Raffaella Colombatti, Rosario Di Maggio, Raffaella Mariani, Alberto Piperno, Paola Corti, Carmelo Fidone, Giovanni Palazzi, Luca Badalamenti, Barbara Gianesin, Frédéric B. Piel, Gian Luca Forni, Graziadei, Giovanna, De Franceschi, Lucia, Sainati, Laura, Venturelli, Donatella, Masera, Nicoletta, Bonomo, Piero, Vassanelli, Aurora, Casale, Maddalena, Lodi, Gianluca, Voi, Vincenzo, Rigano, Paolo, Pinto, Valeria Maria, Quota, Alessandra, Notarangelo, Lucia D, Russo, Giovanna, Allò, Massimo, Rosso, Rosamaria, D'Ascola, Domenico, Facchini, Elena, Macchi, Silvia, Arcioni, Francesco, Bonetti, Federico, Rossi, Enza, Sau, Antonella, Campisi, Saveria, Colarusso, Gloria, Giona, Fiorina, Lisi, Roberto, Giordano, Paola, Boscarol, Gianluca, Filosa, Aldo, Marktel, Sarah, Maroni, Paola, Murgia, Mauro, Origa, Raffaella, Longo, Filomena, Bortolotti, Marta, Colombatti, Raffaella, Di Maggio, Rosario, Mariani, Raffaella, Piperno, Alberto, Corti, Paola, Fidone, Carmelo, Palazzi, Giovanni, Badalamenti, Luca, Gianesin, Barbara, Piel, Frédéric B, and Forni, Gian Luca
- Subjects
multi-ethnicity ,transfusion therapy ,alloimmunization ,hydroxycarbamide ,sickle cell disease ,General Medicine - Abstract
Sickle cell disease (SCD) is a worldwide distributed hereditary red cell disorder characterized by recurrent acute vaso-occlusive crises (VOCs and anemia). Gold standard treatments are hydroxycarbamide (HC) and/or different red blood cell (RBC) transfusion regimens to limit disease progression. Here, we report a retrospective study on 1,579 SCD patients (median age 23 years; 802 males/777 females), referring to 34 comprehensive Italian centers for hemoglobinopathies. Although we observed a similar proportion of Caucasian (47.9%) and African (48.7%) patients, Italian SCD patients clustered into two distinct overall groups: children of African descent and adults of Caucasian descent. We found a subset of SCD patients requiring more intensive therapy with a combination of HC plus chronic transfusion regimen, due to partial failure of HC treatment alone in preventing or reducing sickle cell-related acute manifestations. Notably, we observed a higher use of acute transfusion approaches for SCD patients of African descent when compared to Caucasian subjects. This might be related to (i) age of starting HC treatment; (ii) patients' low social status; (iii) patients' limited access to family practitioners; or (iv) discrimination. In our cohort, alloimmunization was documented in 135 patients (8.5%) and was more common in Caucasians (10.3%) than in Africans (6.6%). Alloimmunization was similar in male and female and more frequent in adults than in children. Our study reinforces the importance of donor-recipient exact matching for ABO, Rhesus, and Kell antigen systems for RBC compatibility as a winning strategy to avoid or limit alloimmunization events that negatively impact the clinical management of SCD-related severe complications.Clinical Trial RegistrationClinicalTrials.gov, identifier: NCT03397017.
- Published
- 2022
- Full Text
- View/download PDF
34. Risk factors for endocrine complications in transfusion-dependent thalassemia patients on chelation therapy with deferasirox: a risk assessment study from a multi-center nation-wide cohort
- Author
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Raffaella Origa, Antonella Sau, Maria Caterina Putti, Maurizio Poggi, Gian Luca Forni, Antonella Quarta, Alessandro Cattoni, Marilena Serra, Immacolata Tartaglione, Domenico Roberti, Elena Cassinerio, Elisa De Michele, Patrizia Sturiale, Filomena Sportelli, Saveria Campisi, Antonio Ivan Lazzarino, Massimo Allò, Silverio Perrotta, Rosanna Di Concilio, Daniela Pasquali, Alessia Marcon, Angelo Peluso, Stefania Picariello, Maddalena Casale, Francesca Ferrara, Roberta Renni, Saverio Ladogana, Lucia Dora Notarangelo, Casale, Maddalena, Luca Forni, Gian, Cassinerio, Elena, Pasquali, Daniela, Origa, Raffaella, Serra, Marilena, Campisi, Saveria, Peluso, Angelo, Renni, Roberta, Cattoni, Alessandro, De Michele, Elisa, Allò, Massimo, Poggi, Maurizio, Ferrara, Francesca, Di Concilio, Rosanna, Sportelli, Filomena, Quarta, Antonella, Caterina Putti, Maria, Dora Notarangelo, Lucia, Sau, Antonella, Ladogana, Saverio, Tartaglione, Immacolata, Picariello, Stefania, Marcon, Alessia, Sturiale, Patrizia, Roberti, Domenico, Ivan Lazzarino, Antonio, Perrotta, Silverio, Casale, M, Forni, G, Cassinerio, E, Pasquali, D, Origa, R, Serra, M, Campisi, S, Peluso, A, Renni, R, Cattoni, A, De Michele, E, Allò, M, Poggi, M, Ferrara, F, Di Concilio, R, Sportelli, F, Quarta, A, Putti, M, Notarangelo, L, Sau, A, Ladogana, S, Tartaglione, I, Picariello, S, Marcon, A, Sturiale, P, Roberti, D, Lazzarino, A, and Perrotta, S
- Subjects
medicine.medical_specialty ,Iron Overload ,Thalassemia ,blood transfusion ,Iron Chelating Agents ,Benzoates ,Risk Assessment ,03 medical and health sciences ,Liver disease ,0302 clinical medicine ,Risk Factors ,Internal medicine ,Medicine ,Endocrine system ,Humans ,Chelation therapy ,iron chelation ,business.industry ,Incidence (epidemiology) ,Deferasirox ,beta-Thalassemia ,Hematology ,Triazoles ,medicine.disease ,Chelation Therapy ,030220 oncology & carcinogenesis ,Cohort ,business ,Complication ,Thalassemia, endocrine complications, iron chelation, deferasirox ,endocrine function ,030215 immunology ,medicine.drug ,Follow-Up Studies - Abstract
Transfusion-dependent patients typically develop iron-induced cardiomyopathy, liver disease, and endocrine complications. We aimed to estimate the incidence of endocrine disorders in transfusiondependent thalassemia (TDT) patients during long-term iron-chelation therapy with deferasirox (DFX). We developed a multi-center follow-up study of 426 TDT patients treated with once-daily DFX for a median duration of 8 years, up to 18.5 years. At baseline, 118, 121, and 187 patients had 0, 1, or ≥2 endocrine diseases respectively. 104 additional endocrine diseases were developed during the follow-up. The overall risk of developing a new endocrine complication within 5 years was 9.7% (95% Confidence Interval [CI]: 6.3–13.1). Multiple Cox regression analysis identified three key predictors: age showed a positive log-linear effect (adjusted hazard ratio [HR] for 50% increase 1.2, 95% CI: 1.1–1.3, P=0.005), the serum concentration of thyrotropin showed a positive linear effect (adjusted HR for 1 mIU/L increase 1.3, 95% CI: 1.1–1.4, P
- Published
- 2020
35. The prognostic value of biological markers in paediatric Hodgkin lymphoma
- Author
-
Gaetano Bottigliero, Maurizio Mascarin, Roberta Caruso, Simone Cesaro, Grazia Iaria, Marco Zecca, Ada Zaccaron, Paolo Pierani, Giuseppe Puccio, Claudio Favre, Giulio Murgia, Massimo Provenzi, Franco Locatelli, Fulvio Porta, Eva Passone, Carlo Cosmi, Nadia Mirra, Giulio Andrea Zanazzo, Monica Cellini, Roberta Pericoli, Roberta Burnelli, Raffaela De Santis, Antonella Sau, Fausto Fedeli, Marta Pillon, Alberto Garaventa, Salvatore D'Amico, Katia Perruccio, Alessandra Todesco, Maurizio Caniglia, Caterina Consarino, Domenico Sperlì, Luigi Nespoli, Piero Farruggia, Andrea Pession, Tommaso Casini, Nicola Santoro, Maurizio Bianchi, P Bertolini, Adele Civino, Alessandra Sala, Paolo D'Angelo, Mauro Caini, Giovanni Scarzello, Angela Trizzino, Salvatore Buffardi, Roberto Rondelli, Farruggia, Piero, Puccio, Giuseppe, Sala, Alessandra, Todesco, Alessandra, Buffardi, Salvatore, Garaventa, Alberto, Bottigliero, Gaetano, Bianchi, Maurizio, Zecca, Marco, Locatelli, Franco, Pession, Andrea, Pillon, Marta, Favre, Claudio, D'Amico, Salvatore, Provenzi, Massimo, Trizzino, Angela, Zanazzo, Giulio Andrea, Sau, Antonella, Santoro, Nicola, Murgia, Giulio, Casini, Tommaso, Mascarin, Maurizio, and Burnelli, Roberta
- Subjects
Male ,Oncology ,Cancer Research ,Pathology ,Time Factors ,Databases, Factual ,medicine.medical_treatment ,hodgkin lymphoma ,paediatric ,prognostic factor ,Hodgkin lymphoma ,Paediatric ,Prognostic factor ,Adolescent ,Age Factors ,Antineoplastic Combined Chemotherapy Protocols ,Biomarkers, Tumor ,Child ,Child, Preschool ,Disease Progression ,Disease-Free Survival ,Female ,Ferritins ,Hodgkin Disease ,Humans ,Infant ,Infant, Newborn ,Italy ,Kaplan-Meier Estimate ,Leukocyte Count ,Multivariate Analysis ,Neoplasm Staging ,Platelet Count ,Predictive Value of Tests ,Proportional Hazards Models ,Retrospective Studies ,Risk Factors ,Treatment Outcome ,Blood Platelets ,Eosinophils ,Procarbazine ,chemistry.chemical_compound ,0302 clinical medicine ,Prednisone ,Tumor ,Vinblastine ,Settore MED/38 - PEDIATRIA GENERALE E SPECIALISTICA ,030220 oncology & carcinogenesis ,medicine.drug ,medicine.medical_specialty ,Vincristine ,Dacarbazine ,Bleomycin ,Databases ,03 medical and health sciences ,Internal medicine ,medicine ,Preschool ,Factual ,Chemotherapy ,business.industry ,Newborn ,chemistry ,ABVD ,business ,Biomarkers ,030215 immunology - Abstract
Background Many biological and inflammatory markers have been proposed as having a prognostic value at diagnosis of Hodgkin lymphoma (HL), but very few have been validated in paediatric patients. We explored the significance of these markers in a large population of 769 affected children. Patients and methods By using the database of patients enrolled in A.I.E.O.P. (Associazione Italiana di Emato-Oncologia Pediatrica) trial LH2004 for paediatric HL, we identified 769 consecutive patients treated with curative intent from 1st June 2004 to 1st April 2014 with ABVD (doxorubicin, bleomycin, vinblastine, and dacarbazine), or hybrid COPP/ABV (cyclophosphamide, vincristine, prednisone, procarbazine, doxorubicin, bleomycin and vinblastine) regimens. Results On multivariate analysis with categorical forms, the 5-year freedom from progression survival was significantly lower in patients with stage IV or elevated value of platelets, eosinophils and ferritin at diagnosis. Furthermore, stage IV and eosinophils seem to maintain their predictive value independently of interim (after IV cycles of chemotherapy) positron emission tomography. Conclusion Using the combination of four simple markers such as stage IV and elevated levels of platelets, ferritin and eosinophils, it is possible to classify the patients into subgroups with very different outcomes.
- Published
- 2016
- Full Text
- View/download PDF
36. Second-line therapy in paediatric warm autoimmune haemolytic anaemia. Guidelines from the Associazione Italiana Onco-Ematologia Pediatrica (AIEOP)
- Author
-
Ladogana S., Maruzzi M., Samperi P., Condorelli A., Casale M., Giordano P., Notarangelo L. D., Farruggia P., Giona F., Nocerino A., Fasoli S., Casciana M. L., Miano M., Tucci F., Casini T., Saracco P., Barcellini W., Zanella A., Perrotta S., Russo G., Baronci C., Casadei A. M., Cazzaniga G., Coluzzi S., Ciliberti A., Del Vecchio G. C., Facchini E., Girelli G., Lazzareschi I., Masera N., Perseghin P., Peruccio D., Petrone A., Sau A., Schiro R., Tumino M., Vasta I., Verzegnassi F., Ladogana, Saverio, Maruzzi, Matteo, Samperi, Piera, Condorelli, Annalisa, Casale, Maddalena, Giordano, Paola, Notarangelo, Lucia D., Farruggia, Piero, Giona, Fiorina, Nocerino, Agostino, Fasoli, Silvia, Casciana, Maria L., Miano, Maurizio, Tucci, Fabio, Casini, Tommaso, Saracco, Paola, Barcellini, Wilma, Zanella, Alberto, Perrotta, Silverio, Russo, Giovanna, Baronci, Carlo, Casadei, Anna Maria, Cazzaniga, Giovanni, Coluzzi, Serelina, Corti, Paola, Del Vecchio, Giovanni C., Facchini, Elena, Girelli, Gabriella, Lazzareschi, Ilaria, Masera, Nicoletta, Perseghin, Paolo, Peruccio, Daniela, Petrone, Angelamaria, Sau, Antonella, Schirò, Raffaella, Tumino, Manuela, Vasta, Isabella, Verzegnassi, Federico, Ladogana, S, Maruzzi, M, Samperi, P, Condorelli, A, Casale, M, Giordano, P, Notarangelo, L, Farruggia, P, Giona, F, Nocerino, A, Fasoli, S, Casciana, M, Miano, M, Tucci, F, Casini, T, Saracco, P, Barcellini, W, Zanella, A, Perrotta, S, Russo, G, Baronci, C, Casadei, A, Cazzaniga, G, Coluzzi, S, Ciliberti, A, Del Vecchio, G, Facchini, E, Girelli, G, Lazzareschi, I, Masera, N, Perseghin, P, Peruccio, D, Petrone, A, Sau, A, Schiro, R, Tumino, M, Vasta, I, and Verzegnassi, F
- Subjects
Male ,autoimmune haemolytic anaemia, child, therapy, rituximab, mycophenolate mofetil, splenectomy ,therapy ,Erythrocytes ,Adolescent ,Incidence ,mycophenolate mofetil ,Infant ,Hematology ,Guideline ,splenectomy ,rituximab ,Settore MED/38 - PEDIATRIA GENERALE E SPECIALISTICA ,Child, Preschool ,Humans ,Immunology and Allergy ,autoimmune haemolytic anaemia ,Female ,Anemia, Hemolytic, Autoimmune ,Child ,Autoantibodies - Published
- 2018
37. Risk factors for endocrine complications in transfusion-dependent thalassemia patients on chelation therapy with deferasirox: a risk assessment study from a multi-center nation-wide cohort.
- Author
-
Casale M, Forni GL, Cassinerio E, Pasquali D, Origa R, Serra M, Campisi S, Peluso A, Renni R, Cattoni A, De Michele E, Allò M, Poggi M, Ferrara F, Di Concilio R, Sportelli F, Quarta A, Putti MC, Notarangelo LD, Sau A, Ladogana S, Tartaglione I, Picariello S, Marcon A, Sturiale P, Roberti D, Lazzarino AI, and Perrotta S
- Subjects
- Benzoates adverse effects, Chelation Therapy adverse effects, Deferasirox adverse effects, Follow-Up Studies, Humans, Iron Chelating Agents adverse effects, Risk Assessment, Risk Factors, Triazoles adverse effects, Iron Overload drug therapy, Iron Overload epidemiology, Iron Overload etiology, Thalassemia complications, Thalassemia epidemiology, Thalassemia therapy, beta-Thalassemia complications
- Abstract
Transfusion-dependent patients typically develop iron-induced cardiomyopathy, liver disease, and endocrine complications. We aimed to estimate the incidence of endocrine disorders in transfusiondependent thalassemia (TDT) patients during long-term iron-chelation therapy with deferasirox (DFX). We developed a multi-center follow-up study of 426 TDT patients treated with once-daily DFX for a median duration of 8 years, up to 18.5 years. At baseline, 118, 121, and 187 patients had 0, 1, or ≥2 endocrine diseases respectively. 104 additional endocrine diseases were developed during the follow-up. The overall risk of developing a new endocrine complication within 5 years was 9.7% (95% Confidence Interval [CI]: 6.3-13.1). Multiple Cox regression analysis identified three key predictors: age showed a positive log-linear effect (adjusted hazard ratio [HR] for 50% increase 1.2, 95% CI: 1.1-1.3, P=0.005), the serum concentration of thyrotropin showed a positive linear effect (adjusted HR for 1 mIU/L increase 1.3, 95% CI: 1.1-1.4, P<0.001) regardless the kind of disease incident, while the number of previous endocrine diseases showed a negative linear effect: the higher the number of diseases at baseline the lower the chance of developing further diseasess (adjusted HR for unit increase 0.5, 95% CI: 0.4-0.7, P<0.001). Age and thyrotropin had similar effect sizes across the categories of baseline diseases. The administration of levothyroxine as a covariate did not change the estimates. Although in DFX-treated TDT patients the risk of developing an endocrine complication is generally lower than the previously reported risk, there is considerable risk variation and the burden of these complications remains high. We developed a simple risk score chart enabling clinicians to estimate their patients' risk. Future research will look at increasing the amount of variation explained from our model and testing further clinical and laboratory predictors, including the assessment of direct endocrine magnetic resonance imaging.
- Published
- 2022
- Full Text
- View/download PDF
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