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17 results on '"Frammartino, B."'

1. Screening for colorectal cancer in Italy: 2011-2012 survey

Author

Zorzi, Manuel, Da Re, Filippo, Mantellini, Paola, Naldoni, Carlo, De Bianchi, Priscilla Sassoli, Senore, Carlo, Turrin, Anna, Visioli, Carmen Beatriz, Zappa, Marco, Crotta, S., Senore, C., Polizzi, S., Sartori, M., Alibrandi, M. P., Germinetti, F., Bestagini, P., Orione, L., Miroglio, T., Faragli, G., Cereda, D., Coppola, L., Zerbi, L., Gramegna, M., Tessandri, L., Imbrogno, P., Rocca, G., Pesenti, B., Schivardi, M., Crisetig, M., Grassi, E., Speziani, F., Gola, G., Gotti, S., Dal Soldà, M., Boldori, L., Moretti, G., Ilardo, A., Ieni, A, Belloni, A., Rossetti, E., Marazza, G., Anghinoni, E., Silvestri, A., Tidone, E., Frammartino, B., Leonardo, N., Deandrea, S., Ceresa, P., Beghi, G., Lucchini, R., Acerbi, L., Lo Buono, F., Cavalieri D'Oro, L., Magenes, G., Camana, L., Cioccarelli, A. M., Fanetti, A. C., Cecconami, L., Bardelli, R., Violini, M., Sambo, F., Domenighini, S., Pieracci, G., Pertile, R., Piffer, S., Fedato, C., Franzo, A., Fabro, J., Gobbato, M., Zanier, L., Bonelli, L., Orlando, M., Vaccari, D., Franxo, A., Scotto, M., Valle, I., Ferrari Bravo, M., Sticchi, C., Maddalo, F., Pensa, F., Naldoni, C., Sassoli De Bianchi, P., Landi, P., Borciani, E., Fornari, F., Gatti, G., Zurlini, C., Zatelli, M., Maradini, F., Paterlini, L., Campari, C., Sassatelli, R., Corradini, R., Goldoni, C., Pasquini, A., Manfredi, M., Baldazzi, P., Nannini, R., Caprara, L., Carpanelli, M. C., Zoli, G., Matarese, V., Triossi, O., Serafini, M., Vitali, B., Falcini, F., Colamartini, A., Giuliani, O., Vattiato, R., Palazzi, M., Imolesi, C., Pazzi, P., Canuti, D., Casale, C., Giovanardi, M., Monticelli, G., Nicolai, C., Vivani, P., Giorgi, D., Finucci, G., Rapanà, M., Epifani, C., Abdelghani, L., Allegrini, G., Maffei, C., Turillazzi, R., Mirri, F., Ceccatelli, P., Rosati, R., Piacentini, P., Visioli, C. B., Falini, P., Amico, P., Ciabattoni, C., Giaimo, M., Prandini, S., Vinti, G., Di Marco, A., Malaspina, M., Corvetti, R., Di Furia, L., Barca, A., Baiocchi, D., Quadrino, F., Di Giacomo, M., Lattanzio, F. M., Minna, M., Di Credico, A., Pizzuti, R., Sigillito, A., Montesi, M. P., Landro, T., Giorno, A., Santino, M., Magrì, G., Ferrara, G., and Masala, R.

Subjects
Flexible sigmoidoscopy, National survey, Faecal immunochemical test, Italy, Colorectal cancer, Screening, Epidemiology, Public Health, Environmental and Occupational Health, Environmental and Occupational Health, Public Health
Published
2015

2. Characteristics of the colorectal cancers diagnosed in the early 2000s in Italy. Figures from the IMPATTO study on colorectal cancer screening [Caratteristiche dei tumori del colon retto diagnosticati in Italia nei primi anni Duemila. Dati dello studio IMPATTO sdelo screening colorettale]

Author

Zorzi, Manuel, Mangone, Lucia, Anghinoni, Emanuela, Baracco, Susanna, Borciani, Elisabetta, Caldarella, Adele, Falcini, Fabio, Fanetti, Anna Clara, Ferretti, Stefano, Rossi, Paolo Giorgi, Michiara, Maria, Randi, Giorgia, Stracci, Fabrizio, Vicentini, Massimo, Zucchetto, Antonella, Zappa, Marco, Giacomin, A., Azzoni, A., Baldazzi, P., Collina, N., Pandolfi, P., Biavati, P., Gualandi, G., Sciacca, S., Pesce, P., Torrisi, A., Sciacchitano, C., Fidelbo, M., Finarelli, A. C., Naldoni, C., De'Bianchi, P. Sassoli, Landi, P., Matarese, V., De Togni, A., Palmonari, C., Crocetti, E., Grazzini, G., Manneschi, G., Mantellini, P., Serraino, D., Bidoli, E., Taborelli, M., Gini, A., Virdone, S., Puppo, A., Casella, C., Celesia, M., Cogno, R., Marani, E., Bugliarello, E., Fattoruso, S., Tamburo, L., Tamburrino, S., Bellardini, P., Autelitano, M., Frammartino, B., Bisanti, L., Ghilardi, S., Leone, R., Corradini, R., De Girolamo, F., Valla, K., Palombino, R., Gigli, L., Spena, S. Russo, Vitale, M. F., Cascio, M. A., Mannino, R., Mazzucco, W., Mistretta, A., Ravazzolo, B., Sgarzi, P., Bozzani, F., Zatelli, M., Zurlini, C., Caruana, P., Seghini, P., Gatti, G., Prazzoli, R., Campari, C., Paterlini, L., Cassetti, T., Sassatelli, R., Imolesi, C., Casale, C., Serafini, M., Vattiato, R., Giuliani, O., Cesaraccio, R., Sechi, O., Budroni, M., Madeddu, A., Contrino, M. L., Ziino, A. Colanino, Russo, M., Tisano, F., Fanetti, A. C., Maspero, S., Moroni, E., Cometti, I., Gentilini, M., Piffer, S., De Pretis, G., Caciagli, P., Pertile, R., Bianconi, F., Bucchi, D., Galeotti, M. E., Malaspina, M., Greco, A., Fiore, A. R., Stocco, C. F., and Fedato, C.

Subjects
Colorectal cancer, Colorectal cancer screening, Italy, Epidemiology, Public Health, Environmental and Occupational Health, Environmental and Occupational Health, Socio-culturale, Public Health
Published
2015

3. Prognostic evaluation of athletes affected by complex and frequent ventricular arrhythmias

Author

Poletti G, Cellini M, Vitolo A, Frammartino B, DALLOLIO, LAURA, Piolanti S., POGGIOPOLLINI, GUIDO, Poletti G, Cellini M, Vitolo A, Frammartino B, Dallolio L, Poggiopollini G, and Piolanti S

Subjects
SUDDEN DEATH, ATHLETE’S HEART, ATHLETES, cardiovascular diseases, VENTRICULAR ARRHYTHMIAS
Abstract

SUMMARY The aim of this study was to clarify the prognostic value of ventricular arrhythmias (VA) in athletes. Methods. Three hundred and twenty competitive athletes with VA at baseline ECG (n = 307) or palpitations (n = 13), from a cohort of 19 367 subjects evaluated at our Center in the period 1984-2005, underwent clinical-instrumental screening including echocardiography and 24-h Holter ECG. The athletes were divided into three groups: group A (n = 166) with frequent (=2000/24 h) and/or complex ventricular premature beats (VPB) (couplets and/or triplets and/or non-sustained ventricular tachycardia); group B (n = 65) with VPB = 100 and = 2000/24 h; group C (n = 89) with VPB = 100/24 h. Follow-up for a mean of 8.5 ± 4.5 years was accomplished in all subjects and Holter ECG was performed in 157 of them. Results. At baseline examination, heart disease was absent in 260 athletes (81%) whereas it was detected in 18.1% of group A, 7.7% of group B and 28.1% of group C. During follow-up, one sudden death and one aborted sudden death occurred in group A. In the 157 athletes who underwent Holter ECG at follow-up, VA were found to be absent or less frequent in 54.6% of group A, 61.5% of group B and 69.5% of group C. Conclusions. Our study demonstrates that VA in athletes are usually not associated with heart disease and have a benign prognostic value.

Published
2006

4. [Audit system on quality of breast cancer diagnosis and treatment: results of quality indicators on screen-detected lesions in Italy, 2010]

Author

Ponti, A, Mano, Maria Piera, Tomatis, M, Baiocchi, D, Barca, A, Berti, R, Bisanti, L, Casella, D, Deandrea, S, Delrio, D, Donati, G, Falcini, F, Frammartino, B, Frigerio, A, Mantellini, P, Naldoni, C, Orzalesi, L, Pagano, G, Pietribiasi, F, Ravaioli, A, Sedda, Ml, Taffurelli, M, Cataliotti, L, and Segnan, N.

Subjects
Medical Audit, Sentinel Lymph Node Biopsy, Carcinoma, Ductal, Breast, Breast Neoplasms, Middle Aged, Carcinoma, Intraductal, Noninfiltrating, Italy, Humans, Mass Screening, Female, Neoplasm Grading, Early Detection of Cancer, Aged, Mammography, Neoplasm Staging, Quality Indicators, Health Care
Abstract

This survey, conducted by the Italian breast screening network (GISMa), collects yearly individual data on diagnosis and treatment on about 50% of all screen-detected, operated lesions in Italy. The 2010 results show good overall quality and an improving trend over time. Critical issues were identified, including waiting times and compliance with the recommendations on not performing frozen section examination on small lesions. Preoperative diagnosis improved constantly over the years, but there is still a large variation between regions and programmes. For almost 90% of screen-detected invasive cancers the sentinel lymph node technique (SLN) was performed on the axilla, avoiding a large number of potentially harmful dissections. On the other hand, potential overuse of SLN for ductal carcinoma in situ deserves further investigation. The detailed results have been distributed, also by means of a web data warehouse, to regional and local screening programmes in order to allow multidisciplinary discussion and identification of the appropriate solutions to any issues documented by the data. It should be assigned priority to the problem of waiting times. Specialist Breast Units with adequate case volume and enough resources would provide the best setting for making monitoring effective in producing quality improvements with shorter waiting times.

Published
2013

5. Characteristics of the colorectal cancers diagnosed in the early 2000s in Italy. Figures from the IMPATTO study on colorectal cancer screening

Author

Zorzi, M., Lucia Mangone, Anghinoni, E., Baracco, S., Borciani, E., Caldarella, A., Falcini, F., Fanetti, A. C., Ferretti, S., Rossi, P. G., Michiara, M., Randi, G., Stracci, F., Vicentini, M., Zucchetto, A., Zappa, M., Giacomin, A., Azzoni, A., Baldazzi, P., Collina, N., Pandolfi, P., Biavati, P., Gualandi, G., Sciacca, S., Pesce, P., Torrisi, A., Sciacchitano, C., Fidelbo, M., Finarelli, A. C., Naldoni, C., Bianchi, P. S., Landi, P., Matarese, V., Togni, A., Palmonari, C., Crocetti, E., Grazzini, G., Manneschi, G., Mantellini, P., Serraino, D., Bidoli, E., Taborelli, M., Gini, A., Virdone, S., Puppo, A., Casella, C., Celesia, M., Cogno, R., Marani, E., Bugliarello, E., Fattoruso, S., Tamburo, L., Tamburrino, S., Bellardini, P., Autelitano, M., Frammartino, B., Bisanti, L., Ghilardi, S., Leone, R., Corradini, R., Girolamo, F., Valla, K., Palombino, R., Gigli, L., Spena, S. R., Vitale, M. F., Cascio, M. A., Mannino, R., Mazzucco, W., Mistretta, A., Ravazzolo, B., Sgarzi, P., Bozzani, F., Zatelli, M., Zurlini, C., Caruana, P., Seghini, P., Gatti, G., Prazzoli, R., Campari, C., Paterlini, L., Cassetti, T., Sassatelli, R., Imolesi, C., Casale, C., Serafini, M., Vattiato, R., Giuliani, O., Cesaraccio, R., Sechi, O., Budroni, M., Madeddu, A., Contrino, M. L., Ziino, A. C., Russo, M., Tisano, F., Maspero, S., Moroni, E., Cometti, I., Gentilini, M., Piffer, S., Pretis, G., Caciagli, P., Pertile, R., Bianconi, F., Bucchi, D., Galeotti, M. E., Malaspina, M., Greco, A., Fiore, A. R., Stocco, C. F., Fedato, C., Zorzi, M., Mangone, L., Anghinoni, E., Baracco, S., Borciani, E., Caldarella, A., Falcini, F., Fanetti, A., Ferretti, S., Rossi, P., Michiara, M., Randi, G., Stracci, F., Vicentini, M., Zucchetto, A., Zappa, M., Giacomin, A., Azzoni, A., Baldazzi, P., Collina, N., Pandolfi, P., Biavati, P., Gualandi, G., Sciacca, S., Pesce, P., Torrisi, A., Sciacchitano, C., Fidelbo, M., Finarelli, A., Naldoni, C., De'Bianchi, P., Landi, P., Matarese, V., De Togni, A., Palmonari, C., Crocetti, E., Grazzini, G., Manneschi, G., Mantellini, P., Serraino, D., Bidoli, E., Taborelli, M., Gini, A., Virdone, S., Puppo, A., Casella, C., Celesia, M., Cogno, R., Marani, E., Bugliarello, E., Fattoruso, S., Tamburo, L., Tamburrino, S., Bellardini, P., Autelitano, M., Frammartino, B., Bisanti, L., Ghilardi, S., Leone, R., Corradini, R., De Girolamo, F., Valla, K., Palombino, R., Gigli, L., Spena, S., Vitale, M., Cascio, M., Mannino, R., Mazzucco, W., Mistretta, A., Ravazzolo, B., Sgarzi, P., Bozzani, F., Zatelli, M., Zurlini, C., Caruana, P., Seghini, P., Gatti, G., Prazzoli, R., Campari, C., Paterlini, L., Cassetti, T., Sassatelli, R., Imolesi, C., Casale, C., Serafini, M., Vattiato, R., Giuliani, O., Cesaraccio, R., Sechi, O., Budroni, M., Madeddu, A., Contrino, M., Ziino, A., Russo, M., Tisano, F., Maspero, S., Moroni, E., Cometti, I., Gentilini, M., Piffer, S., De Pretis, G., Caciagli, P., Pertile, R., Bianconi, F., Bucchi, D., Galeotti, M., Malaspina, M., Greco, A., Fiore, A., Stocco, C., and Fedato, C.

Subjects
Colorectal cancer, Colorectal cancer screening, Italy, Epidemiology, Public Health, Environmental and Occupational Health, Settore MED/42 - Igiene Generale E Applicata
Abstract

The impact of organized screening programmes on colorectal cancer (CRC) can be observed at a population level only several years after the implementation of screening. We compared CRC characteristics by diagnostic modality (screen-detected, non-screen-detected) as an early outcome to monitor screening programme effectiveness. Data on CRCs diagnosed in Italy from 2000 to 2008 were collected by several cancer registries. Linkage with screening datasets made it possible to divide the cases by geographic area, implementation of screening, and modality of diagnosis (screen-detected, non-screen-detected).We compared the main characteristics of the different subgroups of CRCs through multivariate logistic regression models. The study included 23,668 CRCs diagnosed in subjects aged 50-69 years, of which 11.9%were screendetected (N=2,806), all from the North-Centre of Italy. Among screen-detected CRCs, we observed a higher proportion of males, of cases in the distal colon, and a higher mean age of the patients. Compared with pre-screening cases, screen-detected CRCs showed a better distribution by stage at diagnosis (OR for stage III or IV: 0.40, 95%CI: 0.36-0.44) and grading (OR for poorly differentiated CRCs was 0.86, 95%CI: 0.75-1.00). Screen-detected CRCs have more favourable prognostic characteristics than non-screen-detected cases. A renewed effort to implement screening programmes throughout the entire country is recommended.

6. Incidence trends of colorectal cancer in the early 2000s in Italy. Figures from the IMPATTO study on colorectal cancer screening

Author

Zorzi, M., Mangone, L., Sassatelli, R., Baracco, S., Budroni, M., Castaing, M., Cirilli, C., Cusimano, R., Fusco, M., Giacomin, A., Rossi, P. G., Naldoni, C., Pannozzo, F., Piffer, S., Puppo, A., Tisano, F., Zappa, M., Azzoni, A., Baldazzi, P., Collina, N., Pandolfi, P., Petrucci, C., Gualandi, G., Sciacchitano, S., Ieni, A., Bella, F., Torrisi, A., Varvarà, M., Finarelli, A. C., Bianchi, P. S., Landi, P., Ferretti, S., Matarese, V., Togni, A., Palmonari, C., Caldarella, A., Crocetti, E., Grazzini, G., Manneschi, G., Mantellini, P., Serraino, D., Bidoli, E., Taborelli, M., Gini, A., Virdone, S., Casella, C., Celesia, M., Cogno, R., Marani, E., Busco, S., Bernazza, E., Curatella, S., Macci, L., Rossi, M., Randi, G., Frammartino, B., Bonini, A., Filippazzi, L., Giubelli, C., Corradini, R., Girolamo, F., Valla, K., Palombino, R., D Orsi, M., Isernia, M., Vitale, F. M., Adamo, M. S., Amodio, R., Brucculeri, A., Guttadauro, A., WALTER MAZZUCCO, Sgarzi, P., Bozzani, F., Zatelli, M., Zurlini, C., Caruana, P., Borciani, E., Gatti, G., Prazzoli, R., Seghini, P., Campari, C., Di Felice, E., Sacchettini, C., Cassetti, T., Falcini, F., Mancini, S., Vattiato, R., Giuliani, O., Caprara, L., Cesaraccio, R., Sechi, O., Madeddu, A., Contrino, M. L., Colanino Ziino, A., Russo, M., Fanetti, A. C., Maspero, S., Moroni, E., Cometti, I., Gentilini, M., Pretis, G., Caciagli, P., Pertile, R., Bianconi, F., Masanotti, G. M., Lio, M. C., Leite, S., Passamonti, B. U., Dei Tos, A. P., Rosano, A., Monetti, D., Guzzinati, S., Tognazzo, S., Zorzi, M., Mangone, L., Sassatelli, R., Baracco, S., Budroni, M., Castaing, M., Cirilli, C., Cusimano, R., Fusco, M., Giacomin, A., Rossi, P., Naldoni, C., Pannozzo, F., Piffer, S., Puppo, A., Tisano, F., Zappa, M., Azzoni, A., Baldazzi, P., Collina, N., Pandolfi, P., Petrucci, C., Gualandi, G., Sciacchitano, S., Ieni, A., Bella, F., Torrisi, A., Varvarã , M., Finarelli, A., De Bianchi, P., Landi, P., Ferretti, S., Matarese, V., De Togni, A., Palmonari, C., Caldarella, A., Crocetti, E., Grazzini, G., Manneschi, G., Mantellini, P., Serraino, D., Bidoli, E., Taborelli, M., Gini, A., Virdone, S., Casella, C., Celesia, M., Cogno, R., Marani, E., Busco, S., Bernazza, E., Curatella, S., Macci, L., Rossi, M., Randi, G., Frammartino, B., Bonini, A., Filippazzi, L., Giubelli, C., Corradini, R., De Girolamo, F., Valla, K., Palombino, R., D'Orsi, M., Isernia, M., Fusco, E., Vitale, F., Adamo, M., Amodio, R., Brucculeri, A., Guttadauro, A., Mazzucco, W., Sgarzi, P., Bozzani, F., Zatelli, M., Zurlini, C., Caruana, P., Borciani, E., Gatti, G., Prazzoli, R., Seghini, P., Campari, C., Di Felice, E., Sacchettini, C., Cassetti, T., Falcini, F., Mancini, S., Vattiato, R., Giuliani, O., Caprara, L., Cesaraccio, R., Sechi, O., Madeddu, A., Contrino, M., Colanino Ziino, A., Russo, M., Fanetti, A., Maspero, S., Moroni, E., Cometti, I., Gentilini, M., De Pretis, G., Caciagli, P., Pertile, R., Bianconi, F., Masanotti, G., De Lio, M., Leite, S., Passamonti, B., Dei Tos, A., Rosano, A., Monetti, D., Guzzinati, S., and Tognazzo, S.

Subjects
Colorectal cancer, Fecal immunochemical test, Incidence rates, Italy, Screening, Epidemiology, Public Health, Environmental and Occupational Health, Environmental and Occupational Health, Socio-culturale, Public Health, Incidence rate, Settore MED/42 - Igiene Generale E Applicata
Abstract

We utilised the IMPATTO study's archives to describe the 2000-2008 colorectal cancer (CRC) incidence rate trends in Italy, once screening programmes based on the faecal immunochemical test were implemented in different areas. Data on CRCs diagnosed in Italy from 2000 to 2008 in subjects aged 40-79 years were collected by 23 cancer registries. Incidence rate trends were evaluated as a whole and by macro-area (North-Centre and South-Islands), presence of a screening programme, sex, ten-year age class, anatomic site, stage at diagnosis, and pattern of diagnosis (screen-detected, non-screen-detected). The annual percent change (APC) of incidence rate trends, with 95% confidence intervals (95%CI), were computed. The study included 46,857 CRCs diagnosed in subjects aged 40-79 years, of which 2,806 were screendetected. The incidence rates in the North-Centre were higher than in the South and on the Islands. During the study period, screening programmes had been implemented only in the North-Centre and had a significant effect on incidence rates, with an initial sharp increase in incidence, followed by a decrease that started in the 3rd-4th years of screening. These incidence rate trends were exclusively due to modifications in the rates of stage I cases. After screening programmes started, incidence increased in all anatomic sites, particularly in the distal colon. The differential figures introduced by the implementation of screening programmes warrant a continuous surveillance of CRC incidence and mortality trends to monitor the impact of screening at a national level.

7. Audit system on Quality of breast cancer diagnosis and Treatment (QT): Results of quality indicators on screen-detected lesions in Italy, 2011-2012

Author

Ponti, A., Mano, M. P., Tomatis, M., Baiocchi, D., Barca, A., Berti, R., Casella, D., D Ambrosio, E., Delos, E., Donati, G., Falcini, F., Frammartino, B., Frigerio, A., FABIOLA GIUDICI, Mantellini, P., Naldoni, C., Atzeni, C. O., Orzalesi, L., Pagano, G., Pietribiasi, F., Pitarella, S., Ravaioli, A., Silvestri, A., Taffurelli, M., Tidone, E., Zanconati, F., Segnan, N., Ponti, A, Mano, Mp, Tomatis, M, Baiocchi, D, Barca, A, Berti, R, Casella, D, D'Ambrosio, E, Delos, E, Donati, G, Falcini, F, Frammartino, B, Frigerio, A, Giudici, F, Mantellini, P, Naldoni, C, Olla Atzeni, C, Orzalesi, L, Pagano, G, Pietribiasi, F, Pitarella, S, Ravaioli, A, Silvestri, A, Taffurelli, M, Tidone, E, Zanconati, F, Segnan, N., Ponti, Antonio, Mano, Maria Piera, Tomatis, Mariano, Baiocchi, Diego, Barca, Alessandra, Berti, Rosa, Casella, Denise, D'Ambrosio, Enrico, Delos, Erika, Donati, Giovanni, Falcini, Fabio, Frammartino, Brunella, Frigerio, Alfonso, Giudici, Fabiola, Mantellini, Paola, Naldoni, Carlo, Olla Atzeni, Carlo, Orzalesi, Lorenzo, Pagano, Giovanni, Pietribiasi, Francesca, Pitarella, Sabina, Ravaioli, Alessandra, Silvestri, Anna, Taffurelli, Mario, Tidone, Enrica, Zanconati, Fabrizio, and Segnan, Nereo

Subjects
Medical Audit, Time Factors, breast cancer screening quality treatment survey, Italy, Sentinel Lymph Node Biopsy, screening, Breast Neoplasms, Middle Aged, Health Surveys, breast cancer, Breast Unit, Italy, Risk Factors, Breast cancer screening quality treatment survey, Axilla, Humans, Mass Screening, Female, screening, QT Breast, breast cancer, Breast Unit, QT Breast, Carcinoma in Situ, Early Detection of Cancer, Mammography
Abstract

This annual survey, conducted by the Italian group for mammography screening (GISMa), collects individual data on diagnosis and treatment of about 50% of screen-detected, operated lesions in Italy. The 2011-2012 results show good overall quality and an improving trend over time. A number of critical issues have been identified, including waiting times (which have had a worsening trend over the years) and compliance with the recommendation of not performing frozen section examination on small lesions. Pre-operative diagnosis improved constantly over time, but there is still a large variation between Regions and programmes. For almost 90% of screen-detected invasive cancers a sentinel lymph node (SLN) biopsy was performed on the axilla, avoiding a large number of potentially harmful dissections. On the other hand, potential overuse of SLN dissection for ductal carcinoma in situ, although apparently starting to decline, deserves further investigation. The detailed results have been distributed, among other ways by means of a web-based data-warehouse, to regional and local screening programmes, in order to allow multidisciplinary discussion and identification of the appropriate solutions to any issues documented by the data. The problem of waiting times should be assigned priority. Specialist Breast Units with adequate case volume and enough resources would provide the best setting for making monitoring effective in producing quality improvements with shorter waiting times.

8. [Audit system on quality of breast cancer diagnosis and treatment: results of quality indicators on screen-detected lesions in Italy, 2010].,Il 'progetto SQTM' sulla qualità di diagnosi e terapia entro i programmi di screening in Italia: risultati 2010

Author

Ponti, A., Mano, M. P., Tomatis, M., Baiocchi, D., Barca, A., Berti, R., Bisanti, L., Casella, D., Deandrea, S., Delrio, D., Donati, G., fabio falcini, Frammartino, B., Frigerio, A., Mantellini, P., Naldoni, C., Orzalesi, L., Pagano, G., Pietribiasi, F., Ravaioli, A., Sedda, M. L., Taffurelli, M., Cataliotti, L., and Segnan, N.

9. Screening for colorectal cancer in Italy: 2011-2012 survey

Author

Zorzi, M., Da Re, F., Mantellini, P., Naldoni, C., Bianchi, P. S., Senore, C., Turrin, A., Visioli, C. B., Zappa, M., Crotta, S., Polizzi, S., Sartori, M., Alibrandi, M. P., Germinetti, F., Bestagini, P., Orione, L., Miroglio, T., Faragli, G., Cereda, D., Coppola, L., Zerbi, L., Gramegna, M., Tessandri, L., Imbrogno, P., Rocca, G., Pesenti, B., Schivardi, M., Crisetig, M., Grassi, E., Speziani, F., Gola, G., Gotti, S., Dal Soldà, M., Boldori, L., Moretti, G., Ilardo, A., Belloni, A., Rossetti, E., Marazza, G., Anghinoni, E., Silvestri, A., Tidone, E., Frammartino, B., Leonardo, N., Deandrea, S., Ceresa, P., Beghi, G., Lucchini, R., Acerbi, L., Lo Buono, F., Cavalieri D Oro, L., Magenes, G., Camana, L., Cioccarelli, A. M., Fanetti, A. C., Cecconami, L., Bardelli, R., Violini, M., Sambo, F., Domenighini, S., Pieracci, G., Pertile, R., Piffer, S., Fedato, C., Franzo, A., Fabro, J., Gobbato, M., Zanier, L., Bonelli, L., Orlando, M., Vaccari, D., Franxo, A., Scotto, M., Valle, I., Ferrari Bravo, M., Sticchi, C., Maddalo, F., Pensa, F., Sassoli Bianchi, P., Landi, P., Borciani, E., Fornari, F., Gatti, G., Zurlini, C., Zatelli, M., Maradini, F., Paterlini, L., Cinzia Campari, Sassatelli, R., Corradini, R., Goldoni, C., Pasquini, A., Manfredi, M., Baldazzi, P., Nannini, R., Caprara, L., Carpanelli, M. C., Zoli, G., Matarese, V., Triossi, O., Serafini, M., Vitali, B., Falcini, F., Colamartini, A., Giuliani, O., Vattiato, R., Palazzi, M., Imolesi, C., Pazzi, P., Canuti, D., Casale, C., Giovanardi, M., Monticelli, G., Nicolai, C., Vivani, P., Giorgi, D., Finucci, G., Rapanà, M., Epifani, C., Abdelghani, L., Allegrini, G., Maffei, C., Turillazzi, R., Mirri, F., Ceccatelli, P., Rosati, R., Piacentini, P., Falini, P., Amico, P., Ciabattoni, C., Giaimo, M., Prandini, S., Vinti, G., Di Marco, A., Malaspina, M., Corvetti, R., Di Furia, L., Barca, A., Baiocchi, D., Quadrino, F., Di Giacomo, M., Lattanzio, F. M., Minna, M., Di Credico, A., Pizzuti, R., Sigillito, A., Montesi, M. P., Landro, T., Giorno, A., Santino, M., Magrì, G., Ferrara, G., and Masala, R.

10. [Audit system on quality of breast cancer diagnosis and treatment: results of quality indicators on screen-detected lesions in Italy, 2010]. | Il 'progetto SQTM' sulla qualità di diagnosi e terapia entro i programmi di screening in Italia: risultati 2010

Author

ANTONIO PONTI, Mano, M. P., Tomatis, M., Baiocchi, D., Barca, A., Berti, R., Bisanti, L., Casella, D., Deandrea, S., Delrio, D., Donati, G., Falcini, F., Frammartino, B., Frigerio, A., Mantellini, P., Naldoni, C., Orzalesi, L., Pagano, G., Pietribiasi, F., Ravaioli, A., Sedda, M. L., Taffurelli, M., Cataliotti, L., and Segnan, N.

11. Screening for colorectal cancer in Italy: 2011-2012 survey

Author

Zorzi, M., Da Re, F., Mantellini, P., Naldoni, C., Bianchi, P. S., Senore, C., Turrin, A., Visioli, C. B., Zappa, M., Crotta, S., Polizzi, S., Sartori, M., Alibrandi, M. P., Germinetti, F., Bestagini, P., Orione, L., Miroglio, T., Faragli, G., danilo Cereda, Coppola, L., Zerbi, L., Gramegna, M., Tessandri, L., Imbrogno, P., Rocca, G., Pesenti, B., Schivardi, M., Crisetig, M., Grassi, E., Speziani, F., Gola, G., Gotti, S., Dal Soldà, M., Boldori, L., Moretti, G., Ilardo, A., Belloni, A., Rossetti, E., Marazza, G., Anghinoni, E., Silvestri, A., Tidone, E., Frammartino, B., Leonardo, N., Deandrea, S., Ceresa, P., Beghi, G., Lucchini, R., Acerbi, L., Lo Buono, F., Cavalieri D Oro, L., Magenes, G., Camana, L., Cioccarelli, A. M., Fanetti, A. C., Cecconami, L., Bardelli, R., Violini, M., Sambo, F., Domenighini, S., Pieracci, G., Pertile, R., Piffer, S., Fedato, C., Franzo, A., Fabro, J., Gobbato, M., Zanier, L., Bonelli, L., Orlando, M., Vaccari, D., Franxo, A., Scotto, M., Valle, I., Ferrari Bravo, M., Sticchi, C., Maddalo, F., Pensa, F., Sassoli Bianchi, P., Landi, P., Borciani, E., Fornari, F., Gatti, G., Zurlini, C., Zatelli, M., Maradini, F., Paterlini, L., Campari, C., Sassatelli, R., Corradini, R., Goldoni, C., Pasquini, A., Manfredi, M., Baldazzi, P., Nannini, R., Caprara, L., Carpanelli, M. C., Zoli, G., Matarese, V., Triossi, O., Serafini, M., Vitali, B., Falcini, F., Colamartini, A., Giuliani, O., Vattiato, R., Palazzi, M., Imolesi, C., Pazzi, P., Canuti, D., Casale, C., Giovanardi, M., Monticelli, G., Nicolai, C., Vivani, P., Giorgi, D., Finucci, G., Rapanà, M., Epifani, C., Abdelghani, L., Allegrini, G., Maffei, C., Turillazzi, R., Mirri, F., Ceccatelli, P., Rosati, R., Piacentini, P., Falini, P., Amico, P., Ciabattoni, C., Giaimo, M., Prandini, S., Vinti, G., Di Marco, A., Malaspina, M., Corvetti, R., Di Furia, L., Barca, A., Baiocchi, D., Quadrino, F., Di Giacomo, M., Lattanzio, F. M., Minna, M., Di Credico, A., Pizzuti, R., Sigillito, A., Montesi, M. P., Landro, T., Giorno, A., Santino, M., Magrì, G., Ferrara, G., and Masala, R.

12. Audit system on Quality of breast cancer diagnosis and Treatment (QT): results of quality indicators on screen-detected lesions in Italy, 2011-2012.

Author

Ponti A, Mano MP, Tomatis M, Baiocchi D, Barca A, Berti R, Casella D, D'Ambrosio E, Delos E, Donati G, Falcini F, Frammartino B, Frigerio A, Giudici F, Mantellini P, Naldoni C, Olla Atzeni C, Orzalesi L, Pagano G, Pietribiasi F, Pitarella S, Ravaioli A, Silvestri A, Taffurelli M, Tidone E, Zanconati F, and Segnan N

Subjects
Axilla surgery, Early Detection of Cancer, Female, Health Surveys, Humans, Italy, Mass Screening, Middle Aged, Risk Factors, Sentinel Lymph Node Biopsy, Time Factors, Breast Neoplasms diagnosis, Breast Neoplasms therapy, Carcinoma in Situ diagnosis, Carcinoma in Situ therapy, Mammography, Medical Audit
Abstract

This annual survey, conducted by the Italian group for mammography screening (GISMa), collects individual data on diagnosis and treatment of about 50% of screen-detected, operated lesions in Italy. The 2011-2012 results show good overall quality and an improving trend over time. A number of critical issues have been identified, including waiting times (which have had a worsening trend over the years) and compliance with the recommendation of not performing frozen section examination on small lesions. Pre-operative diagnosis improved constantly over time, but there is still a large variation between Regions and programmes. For almost 90% of screen-detected invasive cancers a sentinel lymph node (SLN) biopsy was performed on the axilla, avoiding a large number of potentially harmful dissections. On the other hand, potential overuse of SLN dissection for ductal carcinoma in situ, although apparently starting to decline, deserves further investigation. The detailed results have been distributed, among other ways by means of a web-based data-warehouse, to regional and local screening programmes, in order to allow multidisciplinary discussion and identification of the appropriate solutions to any issues documented by the data. The problem of waiting times should be assigned priority. Specialist Breast Units with adequate case volume and enough resources would provide the best setting for making monitoring effective in producing quality improvements with shorter waiting times.

Published
2015

13. [Audit system on quality of breast cancer diagnosis and treatment: results of quality indicators on screen-detected lesions in Italy, 2010].

Author

Ponti A, Mano MP, Tomatis M, Baiocchi D, Barca A, Berti R, Bisanti L, Casella D, Deandrea S, Delrio D, Donati G, Falcini F, Frammartino B, Frigerio A, Mantellini P, Naldoni C, Orzalesi L, Pagano G, Pietribiasi F, Ravaioli A, Sedda ML, Taffurelli M, Cataliotti L, and Segnan N

Subjects
Aged, Breast Neoplasms diagnostic imaging, Breast Neoplasms epidemiology, Breast Neoplasms pathology, Breast Neoplasms therapy, Carcinoma, Ductal, Breast diagnostic imaging, Carcinoma, Ductal, Breast epidemiology, Carcinoma, Ductal, Breast pathology, Carcinoma, Ductal, Breast therapy, Carcinoma, Intraductal, Noninfiltrating diagnostic imaging, Carcinoma, Intraductal, Noninfiltrating epidemiology, Carcinoma, Intraductal, Noninfiltrating pathology, Carcinoma, Intraductal, Noninfiltrating therapy, Female, Humans, Italy epidemiology, Middle Aged, Neoplasm Grading, Neoplasm Staging, Sentinel Lymph Node Biopsy, Breast Neoplasms diagnosis, Carcinoma, Ductal, Breast diagnosis, Carcinoma, Intraductal, Noninfiltrating diagnosis, Early Detection of Cancer standards, Mammography, Mass Screening standards, Medical Audit, Quality Indicators, Health Care
Abstract

This survey, conducted by the Italian breast screening network (GISMa), collects yearly individual data on diagnosis and treatment on about 50% of all screen-detected, operated lesions in Italy. The 2010 results show good overall quality and an improving trend over time. Critical issues were identified, including waiting times and compliance with the recommendations on not performing frozen section examination on small lesions. Preoperative diagnosis improved constantly over the years, but there is still a large variation between regions and programmes. For almost 90% of screen-detected invasive cancers the sentinel lymph node technique (SLN) was performed on the axilla, avoiding a large number of potentially harmful dissections. On the other hand, potential overuse of SLN for ductal carcinoma in situ deserves further investigation. The detailed results have been distributed, also by means of a web data warehouse, to regional and local screening programmes in order to allow multidisciplinary discussion and identification of the appropriate solutions to any issues documented by the data. It should be assigned priority to the problem of waiting times. Specialist Breast Units with adequate case volume and enough resources would provide the best setting for making monitoring effective in producing quality improvements with shorter waiting times.

Published
2012

14. Prevalence of acute respiratory symptoms in breath-hold divers.

Author

Cialoni D, Sponsiello N, Marabotti C, Marroni A, Pieri M, Maggiorelli F, Tonerini M, and Frammartino B

Subjects
Adult, Constriction, Pathologic epidemiology, Constriction, Pathologic etiology, Cough etiology, Diving physiology, Diving statistics & numerical data, Dyspnea etiology, Electrocardiography, Female, Hemoptysis etiology, Humans, Male, Prevalence, Retrospective Studies, Surveys and Questionnaires, Cough epidemiology, Diving adverse effects, Dyspnea epidemiology, Hemoptysis epidemiology, Respiration, Thorax
Abstract

Introduction: After repetitive deep dives, breath-hold divers are often affected by a syndrome characterized by typical symptoms such as cough, sensation of chest constriction, blood-striated expectorate (hemoptysis) and, rarely, an overt acute pulmonary edema syndrome, often together with various degrees of dyspnea. The aim of this work is an epidemiological investigation to evaluate the prevalence of acute respiratory symptoms (ARS) in breath-hold divers (BHDs) in practicing breath-hold diving., Materials and Methods: A retrospective investigation has been performed using specific questionnaires completed by a selected sample of free-divers (212 breath-hold diving instructors--194 male, 18 female; mean age 34 +/- 6.91 years); affiliated with Apnea Academy, (International School for Education and Research of Free-Diving). We also investigated possible risk factors for post-dive acute respiratory symptoms. Furthermore, the authors report that a severe case of acute pulmonary edema occurred to a healthy and experienced breath-hold diving instructor. We reported detailed CT scan and follow-up CT scans three days later, with another scan reported 10 days later as well., Result: A total of 56 subjects (26.4%) reported previous events such as cough, thoracic constraint, hemoptysis, associated with various degrees of dyspnea as confirmation of pulmonary involvement. Forty-five of them (82%) reported signs of true hemoptysis and a high degrees of dyspnea. A CT scan revealed the presence of patchy bilateral lung opacities at the level of superior and parahilar zones; follow-up CT scans three days later and 10 days later are also reported., Conclusion: Our data show that this is a common condition among experienced BHDs. In our opinion, this is particularly interesting for the free-diving community.

Published
2012

15. Factors associated with self-reported mammography use for women with and women without a disability.

Author

Courtney-Long E, Armour B, Frammartino B, and Miller J

Subjects
Adult, Age Factors, Aged, Behavioral Risk Factor Surveillance System, Educational Status, Female, Health Status, Humans, Income, Insurance, Health, Logistic Models, Marital Status statistics & numerical data, Middle Aged, Prevalence, Racial Groups statistics & numerical data, Social Support, United States epidemiology, Women's Health, Disabled Persons statistics & numerical data, Mammography statistics & numerical data
Abstract

Background: Although their risk of breast cancer is similar to that of women without a disability, women with a disability might be less likely to obtain a mammogram within the recommended time frame. The purpose of this study was to expand our knowledge of the association between mammography use and having a disability by controlling for sociodemographic and health variables., Methods: Data from the 2008 Behavioral Risk Factor Surveillance System (BRFSS) were used to obtain prevalence of self-reported mammography use in the past 2 years among U.S. women ≥40 years of age (n=204,981) as well as women 50-74 years of age (n=122,374). Logistic regression was used to estimate associations between disability and obtaining a mammogram for each age cohort, controlling for sociodemographic factors., Results: Prevalence of self-reported mammography use is lower for women with a disability (72.2% for women ≥40 years of age and 78.1% for women 50-74 years of age) than women without a disability (77.8% and 82.6%, respectively). Women with a disability had lower odds of mammography use than women without a disability for both age cohorts (≥40, adjusted odds ratio [aOR] 0.92, p=0.01; 50-74 years, aOR 0.92, p=0.03)., Conclusions: Disparities in obtaining a mammogram at recommended screening intervals persist for women with disabilities. This demonstrates the need for continued health promotion and prevention activities directed toward women with a disability to improve their accessibility to obtaining a mammogram.

Published
2011
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16. Peripartum hysterectomy and cesarean delivery: a population-based study.

Author

Stivanello E, Knight M, Dallolio L, Frammartino B, Rizzo N, and Fantini MP

Subjects
Adult, Cesarean Section statistics & numerical data, Delivery, Obstetric adverse effects, Delivery, Obstetric statistics & numerical data, Female, Humans, Incidence, Italy epidemiology, Logistic Models, Pregnancy, Registries, Retrospective Studies, Risk Factors, Cesarean Section adverse effects, Hysterectomy statistics & numerical data
Abstract

Objective: To estimate the incidence of peripartum hysterectomy in an Italian Region (Emilia-Romagna) and investigate its association with cesarean delivery., Design: Population-based retrospective study using hospital discharge records., Setting: All public and private hospitals in Emilia-Romagna region, Italy., Population: A total of 151,494 women delivering between 2003 and 2006, 131 of whom had a peripartum hysterectomy., Methods: Peripartum hysterectomy was defined as a hysterectomy performed at the time of delivery or afterwards during the same hospitalization. Incidence rates were calculated by type of delivery. Odds ratios (ORs) with 95% confidence intervals (CIs) were estimated with logistic regression to evaluate the association between peripartum hysterectomy and delivery type., Main Outcome Measures: Incidence rates of peripartum hysterectomy by type of delivery; odds of peripartum hysterectomy after primary or repeat cesarean compared with vaginal delivery without previous cesarean., Results: A total of 131 peripartum hysterectomies were performed among 151,494 deliveries (0.86/1,000 deliveries; 95% CI 0.72-1.03) with 20.7% primary and 9.6% repeat cesarean deliveries. Women undergoing a primary caesarean delivery were more likely to have a peripartum hysterectomy than women having a vaginal delivery who had never had a cesarean delivery (OR 6.48; 95% CI 4.16-10.07). Women undergoing a repeat caesarean delivery were also at increased risk (OR 3.69; 95% CI 2.11-6.46)., Conclusions: In this population, primary and repeat cesarean deliveries are associated with an increased risk of peripartum hysterectomy. These results are of particular concern given the steady increase in the cesarean delivery rate in many countries. The pathological mechanism of this association requires further investigation.

Published
2010
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17. Risk adjustment for inter-hospital comparison of primary cesarean section rates: need, validity and parsimony.

Author

Fantini MP, Stivanello E, Frammartino B, Barone AP, Fusco D, Dallolio L, Cacciari P, and Perucci CA

Subjects
Adult, Birth Certificates, Confounding Factors, Epidemiologic, Data Collection, Female, Health Care Surveys, Humans, Italy epidemiology, Odds Ratio, Pregnancy, Risk Factors, Benchmarking methods, Cesarean Section statistics & numerical data, Hospitals, Maternity standards, Medical Audit methods, Obstetrics and Gynecology Department, Hospital standards, Practice Patterns, Physicians' statistics & numerical data, Quality Indicators, Health Care statistics & numerical data, Risk Adjustment
Abstract

Background: Cesarean section rates is often used as an indicator of quality of care in maternity hospitals. The assumption is that lower rates reflect in developed countries more appropriate clinical practice and general better performances. Hospitals are thus often ranked on the basis of caesarean section rates. The aim of this study is to assess whether the adjustment for clinical and sociodemographic variables of the mother and the fetus is necessary for inter-hospital comparisons of cesarean section (c-section) rates and to assess whether a risk adjustment model based on a limited number of variables could be identified and used., Methods: Discharge abstracts of labouring women without prior cesarean were linked with abstracts of newborns discharged from 29 hospitals of the Emilia-Romagna Region (Italy) from 2003 to 2004. Adjusted ORs of cesarean by hospital were estimated by using two logistic regression models: 1) a full model including the potential confounders selected by a backward procedure; 2) a parsimonious model including only actual confounders identified by the "change-in-estimate" procedure. Hospital rankings, based on ORs were examined., Results: 24 risk factors for c-section were included in the full model and 7 (marital status, maternal age, infant weight, fetopelvic disproportion, eclampsia or pre-eclampsia, placenta previa/abruptio placentae, malposition/malpresentation) in the parsimonious model. Hospital ranking using the adjusted ORs from both models was different from that obtained using the crude ORs. The correlation between the rankings of the two models was 0.92. The crude ORs were smaller than ORs adjusted by both models, with the parsimonious ones producing more precise estimates., Conclusion: Risk adjustment is necessary to compare hospital c-section rates, it shows differences in rankings and highlights inappropriateness of some hospitals. By adjusting for only actual confounders valid and more precise estimates could be obtained.

Published
2006
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