47 results on '"Lonardi, C"'
Search Results
2. P46 SEER-MEDICARE DATABASE: REAL-WORLD TREATMENTS AND OUTCOMES IN PATIENTS WITH LENALIDOMIDE-REFRACTORY RELAPSED MULTIPLE MYELOMA TREATED WITH 1–3 PRIOR LINES OF THERAPY, INCLUDING A PI AND IMID
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Einsele, H., primary, Dhakal, B., additional, Potluri, R., additional, Schecter, J., additional, Deraedt, W., additional, Lendvai, N., additional, Slaughter, A., additional, Lonardi, C., additional, Nair, S., additional, He, J., additional, Voelker, J., additional, Cost, P., additional, Valluri, S., additional, Yalniz, F., additional, Pacaud, L., additional, and Yong, K., additional
- Published
- 2023
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3. Experimental study of the stress state and strain rate dependent mechanical behaviour of TRIP-assisted steels
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Pontillo A., Lonardi C., Chandran S., Vercruysse F., Corallo L., and Verleysen P.
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Physics ,QC1-999 - Abstract
This paper presents an investigation into the effect of different stress states and strain rates on the austenite-to-martensite transformation during plastic straining of a Q&P steel. Different stress states are imposed to the steel using purposed-designed samples. The sample geometries, including in-plane shear, dogbone and plane strain samples, are optimised by finite element modelling. Tensile tests are performed at different strain rates of 0.001 s-1, 10 s-1 and 500 s-1. Digital image correlation is used to capture the strain fields during the entire deformation process. The mechanical results indicate a positive strain rate sensitivity for both the shear and plane strain specimens and a negative strain rate sensitivity for the dogbone sample. In addition, the influence of the strain rate on the strain level is more pronounced for the shear than for the plane strain specimens and for the dogbone samples.
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- 2021
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- View/download PDF
4. Short-term effects of bowel function on global health quality of life after radical cystectomy
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Siracusano, S., primary, Zaka, A., additional, Bassi, P., additional, Gontero, P., additional, Mearini, E., additional, Imbimbo, C., additional, Simonato, A., additional, Dal Moro, F., additional, Giannarini, G., additional, Valotto, C., additional, Montorsi, F., additional, Colombo, R., additional, Porpiglia, F., additional, Bartoletti, R., additional, Vella, M., additional, Minervini, A., additional, Rossanese, M., additional, Porcaro, B.A., additional, Romantini, F., additional, Vicentini, C., additional, Talamini, R., additional, Ficarra, V., additional, Racioppi, M., additional, and Lonardi, C., additional
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- 2022
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5. P899: REAL-WORLD ASSESSMENT OF TREATMENT PATTERNS AND OUTCOMES IN PATIENTS WITH LENALIDOMIDE-REFRACTORY RELAPSED/REFRACTORY MULTIPLE MYELOMA FROM THE OPTUM DATABASE
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Dhakal, B., primary, Einsele, H., additional, Potluri, R., additional, Schecter, J., additional, Deraedt, W., additional, Lendvai, N., additional, Slaughter, A., additional, Lonardi, C., additional, Nair, S., additional, He, J., additional, Joseph, N., additional, Cost, P., additional, Valluri, S., additional, Yalniz, F., additional, Pacaud, L., additional, and Yong, K., additional
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- 2022
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6. Stakeholders and experts’ opinion for developing a web-application for children and adolescents during pandemics
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Raccanello, D., Vicentini, G., Lonardi, C., Carradore, M., Rocca, E., and Burro, R.
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semi-structured interviews ,Pandemics, web-application, semi-structured interviews, stakeholders ,web-application ,Pandemics ,stakeholders - Published
- 2022
7. Preliminary data on PandHEMOT: An evidence-based web-application to promote children and adolescents’ resilience during pandemics
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Raccanello, D., Vicentini, G., Rocca, E., Lonardi, C., Carradore, M., Hall, R., amp, and Burro, R.
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Pandemics, Emotions, Coping Strategies, Web-Application, Resilience ,Resilience ,Emotions ,Coping Strategies ,Web-Application ,Pandemics - Published
- 2022
8. La malattia tra esperienza, narrazione e struttura sociale
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Mori, L. and Lonardi, C.
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Salute ,Narrazione ,Malattia ,Struttura sociale ,Esperienza - Published
- 2020
9. Experimental study of the stress state and strain rate dependent mechanical behaviour of TRIP-assisted steels.
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Gálvez Díaz-Rubio, F., Cendón Franco, D. A., Pontillo, A., Lonardi, C., Chandran, S., Vercruysse, F., Corallo, L., and Verleysen, P.
- Subjects
MECHANICAL behavior of materials ,FINITE element method ,DIGITAL image processing ,STRAINS & stresses (Mechanics) ,BALLISTICS - Abstract
This paper presents an investigation into the effect of different stress states and strain rates on the austenite-to-martensite transformation during plastic straining of a Q&P steel. Different stress states are imposed to the steel using purposed-designed samples. The sample geometries, including in-plane shear, dogbone and plane strain samples, are optimised by finite element modelling. Tensile tests are performed at different strain rates of 0.001 s
-1 , 10 s-1 and 500 s-1 . Digital image correlation is used to capture the strain fields during the entire deformation process. The mechanical results indicate a positive strain rate sensitivity for both the shear and plane strain specimens and a negative strain rate sensitivity for the dogbone sample. In addition, the influence of the strain rate on the strain level is more pronounced for the shear than for the plane strain specimens and for the dogbone samples. [ABSTRACT FROM AUTHOR]- Published
- 2021
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10. Predicting global quality of life outcome in patients undergoing radical cystectomy with orthotopic neobladder or ileal conduit urinary diversion: nomogram development and internal validation
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Siracusano, S., primary, Zaka, A., additional, Zaffuto, E., additional, Porcaro, A.B., additional, Talamini, R., additional, Colombo, R., additional, and Lonardi, C., additional
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- 2020
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11. SC120 - Short-term effects of bowel function on global health quality of life after radical cystectomy
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Siracusano, S., Zaka, A., Bassi, P., Gontero, P., Mearini, E., Imbimbo, C., Simonato, A., Dal Moro, F., Giannarini, G., Valotto, C., Montorsi, F., Colombo, R., Porpiglia, F., Bartoletti, R., Vella, M., Minervini, A., Rossanese, M., Porcaro, B.A., Romantini, F., Vicentini, C., Talamini, R., Ficarra, V., Racioppi, M., and Lonardi, C.
- Published
- 2022
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12. HEALTH RELATED QUALITY OF LIFE AFTER RADICAL CYSTECTOMY IN ELDERLY PATIENTS WITH ILEAL ORTHOTOPIC NEOBLADDER OR ILEAL CONDUIT: RESULTS FROM A MULTICENTRE CROSS-SECTIONAL STUDY
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Saleh, O, Tasso, G, Tafuri, A, Siracusano, S, D'Elia, C, Porcaro, Ab, Bassi, S, De Marchi, D, Cacciamani, G, Balzarro, M, Rubilotta, E, Lonardi, C, Gacci, M, Serni, S, Carini, M, Bassi, P, Iafrate, M, Imbimbo, C, Racioppi, M, Ciciliato, S, Verze, P, Niero, M, Artibani, W, and Cerruto, Ma
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HR-QOL, radical cystectomy, ileal conduit, ileal orthotopic neobladder, elderly ,ileal conduit ,ileal orthotopic neobladder ,HR-QOL ,radical cystectomy ,elderly - Published
- 2018
13. SC297 - Predicting global quality of life outcome in patients undergoing radical cystectomy with orthotopic neobladder or ileal conduit urinary diversion: nomogram development and internal validation
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Siracusano, S., Zaka, A., Zaffuto, E., Porcaro, A.B., Talamini, R., Colombo, R., and Lonardi, C.
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- 2020
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14. Systematic review and meta-analysis of non RCT's on health related quality of life after radical cystectomy using validated questionnaires: Better results with orthotopic neobladder versus ileal conduit
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Cerruto, M.A., primary, D'Elia, C., additional, Siracusano, S., additional, Gedeshi, X., additional, Mariotto, A., additional, Iafrate, M., additional, Niero, M., additional, Lonardi, C., additional, Bassi, P., additional, Belgrano, E., additional, Imbimbo, C., additional, Racioppi, M., additional, Talamini, R., additional, Ciciliato, S., additional, Toffoli, L., additional, Rizzo, M., additional, Visalli, F., additional, Verze, P., additional, and Artibani, W., additional
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- 2016
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15. 1017 Quality of life in 73 women with bladder cancer undergoing ileal orthotopic neobladder and ileal conduit: A multicentre study among long-term survivors
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Siracusano, S., primary, Cerruto, M.A., additional, Ciciliato, S., additional, Gacci, M., additional, Simonato, A., additional, D'Elia, C., additional, Porcaro, A.B., additional, De Marco, V., additional, Talamini, R., additional, Toffoli, L., additional, Saleh, O., additional, Visalli, F., additional, Belgrano, E., additional, Niero, M., additional, Lonardi, C., additional, Imbimbo, C., additional, Verze, P., additional, Racioppi, M., additional, Iafrate, M., additional, Cacciamani, G., additional, De Marchi, D., additional, Bassi, P., additional, and Artibani, W., additional
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- 2016
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16. A New Patient-reported Outcome (pro) Questionnaire Specific For Ileal Orthotopic Neobladder (iob) Recipients: the Iob-pro
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Siracusano, S., Lonardi, C., Niero, M., Benedetto, G., Curti, P., Cerruto, M. A., Moro, F. D., Ficarra, V., Signorello, D., Simeone, C., Brausis, M., Ciciliato, S., Lampropoulou, N., Visalli, F., Siracusano, Salvatore, C., Lonardi, M., Niero, G., Benedetto, P., Curti, M. A., Cerruto, F. D., Moro, V., Ficarra, D., Signorello, C., Simeone, M., Brausi, Ciciliato, Stefano, N., Lampropoulou, and F., Visalli
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Questionnaire Specific ,Ileal Orthotopic Neobladder ,cystectomy ,quality of life ,Orthotopic neobladder ,questionnaire ,bladder cancer - Published
- 2011
17. 474 Quality of life in 112 men and 33 women with bladder cancer undergoing ileal conduit: A multicentre study among long-term survivors
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Siracusano, S., primary, Ciciliato, S., additional, Talamini, R., additional, Toffoli, L., additional, Visalli, F., additional, Silvestri, T., additional, Belgrano, E., additional, Niero, M., additional, Lonardi, C., additional, Cerruto, M.A., additional, Imbimbo, C., additional, Racioppi, M., additional, Iafrate, M., additional, D'Elia, C., additional, Cacciamani, G., additional, De Marchi, D., additional, Verze, P., additional, Bassi, P., additional, and Artibani, W., additional
- Published
- 2015
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18. Can novel methods be useful for pain assessment of castrated piglets?
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Lonardi, C., primary, Scollo, A., additional, Normando, S., additional, Brscic, M., additional, and Gottardo, F., additional
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- 2015
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19. Synthetic rubber surface as an alternative to concrete to improve welfare and performance of finishing beef cattle reared on fully slatted flooring
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Brscic, M., primary, Ricci, R., additional, Prevedello, P., additional, Lonardi, C., additional, De Nardi, R., additional, Contiero, B., additional, Gottardo, F., additional, and Cozzi, G., additional
- Published
- 2015
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20. Item Generation of A Quality of Life Questionnaire Specific For Ileal Orthotopic Neobladder
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Siracusano, S., Lonardi, C., Niero, M., Benedetto, G., Curti, P., Cerruto, M., Moro, F. D., Ficarra, V., Signorello, D., Simeone, C., Brausi, M., Ciciliato, S., Lampropoulou, N., Visalli, F., Siracusano, Salvatore, C., Lonardi, M., Niero, G., Benedetto, P., Curti, M., Cerruto, F. D., Moro, V., Ficarra, D., Signorello, C., Simeone, M., Brausi, Ciciliato, Stefano, N., Lampropoulou, and F., Visalli
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Ileal Orthotopic Neobladder ,Quality of Life ,Questionnaire Specific - Published
- 2010
21. IDENTIFICAZIONE DEGLI ITEMS NELLO SVILUPPO DEL QUESTIONARIO DI VALUTAZIONE DELLA QUALITÀ DELLA VITA NEI PAZIENTI PORTATORI DI NEOVESCICA URINARIA ORTOTOPICA
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Lonardi, C., Siracusano, S., Ciciliato, S., Lampropoulou, N., Visalli, F., Niero, M., Benedetto, G., Curti, P., Cerruto, M. A., Dal Moro, F., Ficarra, V., Signorello, D., Simeone, Claudio, and Brausi, M.
- Published
- 2010
22. Tra scelte e opportunità: intervista biografica ai neospecialisti di Igiene e Sanità Pubblica
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Pasqualetto, C., Pucci, D., Brambilla, R., Bulegato, L., Cantù, A. P., Caputo, D., Chiesa, M., Coppo, C., Di Nola, A., Esposto, E., Farneti, F., Gianfagna, Francesco, Luciano, M., Matricoti, F., Mazzini, E., Sacchi, C., Schieppati, S., Tantucci, L., Veronese, S., Vigiani, N., and Lonardi, C.
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Metodologia epidemiologica ,Public Health - Published
- 2007
23. 224 Quality of life of 171 patients with bladder cancer undergoing ileal orthotopic neobladder: A multicentre study among long-term survivors
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Siracusano, S., primary, Ciciliato, S., additional, Talamini, R., additional, Toffoli, L., additional, Rizzo, M., additional, Visalli, F., additional, Belgrano, E., additional, Niero, M., additional, Lonardi, C., additional, Cerruto, M.A., additional, Imbimbo, C., additional, Racioppi, M., additional, lafrate, M., additional, D'Elia, C., additional, Cacciamani, G., additional, De Marchi, D., additional, Bassi, P.F., additional, Artibani, W., additional, and Verze, P., additional
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- 2014
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24. Linear low density polyethylene/cycloolefin copolymer blends
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Dorigato, A., primary, Pegoretti, A., additional, Fambri, L., additional, Lonardi, C., additional, Slouf, M., additional, and Kolarik, J., additional
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- 2011
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25. Physiological and behavioural responses in piglets submitted to castration: Preliminary study
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Lonardi, C., Brscic, M., Normando, S., Annalisa SCOLLO, Stefani, A., and Gottardo, F.
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piglets ,castration ,cortisol ,lactate ,pain assessment - Abstract
With the perspective to test drugs that may reduce pain due to surgical castration, this preliminary study tries to find out a robust and valid method for pain assessment in piglets. In the present study three treatments were applied: handling (H), tail docking (TD) and surgical castration + tail docking (CTD). To evaluate pain response to the treatments different variables were analyzed: movement latency (time from placing back the piglet inside the farrowing crate after treatments and its first movement towards the nest or the sow), rectal temperature and plasma cortisol and lactate levels. Movement latency was measured for all treatments. Rectal temperature was measured before treatments H and CTD, and 1, 3, 5, 24 hours later. Blood samples for cortisol and lactate determination were collected 1 hour before treatments H and CTD, right after and 3, 5, 24 hours later. The significant increase of movement latency for CTD compared to H showed that pain can be assessed by this type of measure. Rectal temperature was significantly affected by time (P < 0.01) but not by treatment likely due to several factors that might have confounded the studied effect. Cortisol was significantly affected by interaction time*treatment (P < 0.01) particularly due to the high peak for CTD right after the surgical procedure. Lactate was modified only by time (P < 0.01). This preliminary study suggests that a non invasive and easy measure such as movement latency is a promising method to assess pain in piglets after surgical castration and tail docking.
26. Quality of life following urinary diversion: Orthotopic ileal neobladder versus ileal conduit. A multicentre study among long-term, female bladder cancer survivors
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Mauro Niero, Marco Racioppi, Carolina D'Elia, Paolo Verze, Sergio Serni, Giovanni Cacciamani, Davide De Marchi, Walter Artibani, Omar Saleh, Cristina Lonardi, Alchiede Simonato, Vincenzo Mirone, Renato Talamini, Stefano Ciciliato, Laura Toffoli, Ciro Imbimbo, Maria Angela Cerruto, Francesco Visalli, Mauro Gacci, Salvatore Siracusano, Antonio Benito Porcaro, Vincenzo De Marco, Massimo Iafrate, Pierfrancesco Bassi, Siracusano, S., D'Elia, C., Cerruto, M. A., Gacci, M., Ciciliato, S., Simonato, A., Porcaro, A., De Marco, V., Talamini, R., Toffoli, L., Saleh, O., Serni, S., Visalli, F., Niero, M., Lonardi, C., Imbimbo, C., Verze, P., Mirone, V., Racioppi, M., Iafrate, M., Cacciamani, G., De Marchi, D., Bassi, P., Artibani, W., Siracusano, Salvatore, D'Elia, Carolina, Cerruto, Maria Angela, Gacci, Mauro, Ciciliato, Stefano, Simonato, Alchiede, Porcaro, Antonio, De Marco, Vincenzo, Talamini, Renato, Toffoli, Laura, Saleh, Omar, Serni, Sergio, Visalli, Francesco, Niero, Mauro, Lonardi, Cristina, Imbimbo, Ciro, Verze, Paolo, Mirone, Vincenzo, Racioppi, Marco, Iafrate, Massimo, Cacciamani, Giovanni, De Marchi, Davide, Bassi, Pierfrancesco, and Artibani, Walter
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Bladder cancer ,Ileal conduit ,Orthotopic neobladder ,Quality of life ,Radical cystectomy ,Women ,Time Factors ,medicine.medical_treatment ,030232 urology & nephrology ,Urinary Diversion ,Adult ,Aged ,Aged, 80 and over ,Cancer Survivors ,Cross-Sectional Studies ,Female ,Follow-Up Studies ,Humans ,Ileum ,Italy ,Middle Aged ,Surveys and Questionnaires ,Survival Rate ,Urinary Bladder Neoplasms ,Quality of Life ,Urinary Reservoirs, Continent ,Surgery ,Oncology ,0302 clinical medicine ,80 and over ,Surveys and Questionnaire ,Stage (cooking) ,Settore MED/24 - UROLOGIA ,General Medicine ,humanities ,030220 oncology & carcinogenesis ,Urinary Bladder Neoplasm ,Cancer Survivor ,Urinary Reservoirs ,Human ,medicine.medical_specialty ,Time Factor ,Follow-Up Studie ,Cystectomy ,03 medical and health sciences ,Internal medicine ,medicine ,Pathological ,Cross-Sectional Studie ,business.industry ,Urinary diversion ,Cancer ,medicine.disease ,Radiation therapy ,Continent ,business - Abstract
Introduction Women undergoing radical cystectomy (RC) followed by urinary diversion (UD) for bladder cancer experience a substantial reduction in health-related quality of life (HRQOL). At present, studies comparing long-term QOL outcomes for different UD methods, needed to inform evidence-based choices of bladder reconstruction for female patients, are sparse. Our objective was to compare two common UD methods in terms of their HRQOL outcomes in women. Materials and methods We retrospectively analysed HRQOL in 73 consecutive female bladder cancer patients having undergone orthotopic ileal neobladder (IONB, N = 24) or ileal conduit (IC, N = 49) following RC between 2007 and 2013 in six Italian academic urological centres. Patients had no evidence of tumour recurrence and were actively followed up. Validated Italian versions of the European Organisation for Research and Treatment of Cancer (EORTC) generic (QLQ-C30) and bladder-cancer-specific (QLQ-BLM30) questionnaires were used to evaluate HRQOL. Results Patients in the IONB group were significantly younger than those in the IC group (median age: 67 and 73 years, respectively, p = 0.02). Barring that, the two groups did not present statistically significant differences in median length of follow-up (43 vs 54 months), pathological stage, grading of the neoplasm, or adjuvant chemo - or radiotherapy. No significant differences in QOL were found between the groups, with the exception of financial difficulties, affecting IONB patients significantly more than IC patients (mean score on a scale of 0–100: 33.3 ± 29.5 vs 18.4 ± 19.3, respectively; p = 0.05). Conclusion Financial difficulties was the only HRQOL item to differ between the two UD groups.
- Published
- 2019
27. Is Health-Related Quality of Life after Radical Cystectomy Using Validated Questionnaires Really Better in Patients with Ileal Orthotopic Neobladder Compared to Ileal Conduit: A Meta-Analysis of Retrospective Comparative Studies
- Author
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Michele Rizzo, Cristina Lonardi, Walter Artibani, Ciro Imbimbo, Mauro Niero, Davide De Marchi, Emanuele Belgrano, Marco Racioppi, Antonio Benito Porcaro, Maria Angela Cerruto, Renato Talamini, Giovanni Cacciamani, Paolo Verze, Pierfrancesco Bassi, Stefano Ciciliato, Laura Toffoli, Salvatore Siracusano, Massimo Iafrate, Carolina D'Elia, Francesco Visalli, Cerruto, M. A., D'Elia, C., Siracusano, S., Porcaro, A. B., Cacciamani, G., De Marchi, D., Niero, M., Lonardi, C., Iafrate, M., Bassi, P., Belgrano, E., Imbimbo, C., Racioppi, M., Talamini, R., Ciciliato, S., Toffoli, L., Rizzo, M., Visalli, F., Verze, P., and Artibani, W.
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Urology ,030232 urology & nephrology ,Health related quality of life ,Ileal conduit ,Neobladder ,Radical cystectomy ,Urinary diversion ,Reproductive Medicine ,Oncology ,Review ,Cystectomy ,03 medical and health sciences ,0302 clinical medicine ,medicine ,In patient ,business.industry ,Settore MED/24 - UROLOGIA ,Health related ,030220 oncology & carcinogenesis ,Meta-analysis ,business - Abstract
Introduction: From the most recent systematic revision of the literature, an orthotopic neobladder would seem to show marginally better health related quality of life (HR-QoL) scores compared with an ileal conduit. The aim of this study was to review all relevant published studies about the comparison between ileal orthotopic neobladder (IONB) and ileal conduit using validated HR-QoL questionnaires. Materials and Methods: Studies were identified by searching multiple literature databases. Data were synthesized using meta-analytic methods conformed to the PRISMA statement. Results: The literature search identified 10 papers; pooled effect sizes of combined quality of life outcomes for ileal conduit versus IONB showed a significantly better HR-QoL in patients with IONB (Hedges' g = 0.278; p = 0.000);. The present study has an important limitation due to the type of the analyzed comparative studies, all retrospective and not randomized. Conclusion: This meta-analysis of not-randomized, retrospective comparative studies on the impact of ileal conduit versus IONB on HR-QoL showed a significant advantage of IONB subgroups.
- Published
- 2017
28. Development of a questionnaire specifically for patients with Ileal Orthotopic Neobladder (IONB)
- Author
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Carolina D'Elia, Davide De Marchi, Tommaso Silvestri, Walter Artibani, Giovanni Cacciamani, Francesco Visalli, Emanuele Belgrano, Ciro Imbimbo, Salvatore Siracusano, Maria Angela Cerruto, Massimo Iafrate, Renato Talamini, Stefano Ciciliato, Marco Racioppi, Laura Toffoli, Paolo Verze, Cristina Lonardi, Davide Massidda, Mauro Niero, Pierfrancesco Bassi, Siracusano, S, Niero, M, Lonardi, C, Cerruto, M, Ciciliato, S, Toffoli, L, Visalli, F, Massidda, D, Iafrate, M, Artibani, W, Bassi, P, Imbimbo, Ciro, Racioppi, M, Talamini, R, D., Elia C, Cacciamani, G, De Marchi, D, Silvestri, T, Verze, Paolo, Belgrano, E., Siracusano, Salvatore, Niero, Mauro, Lonardi, Cristina, Cerruto, Maria A., Ciciliato, Stefano, Toffoli, Laura, Visalli, Francesco, Massidda, Davide, Iafrate, Massimo, Artibani, Walter, Bassi, Pierfrancesco, Racioppi, Marco, Talamini, Renato, D'Elia, Carolina, Cacciamani, Giovanni, De Marchi, Davide, Silvestri, Tommaso, and Belgrano, Emanuele
- Subjects
Male ,Psychometrics ,Radical cystectomy ,Ileal orthotopic neobladder ,Quality of life ,Specific questionnaire ,medicine.medical_treatment ,Urinary Diversion ,Surveys and Questionnaires ,Surveys and Questionnaire ,Health Status Indicators ,Health Status Indicator ,Settore MED/24 - UROLOGIA ,Medicine (all) ,General Medicine ,Middle Aged ,humanities ,Female ,Public Health ,Psychometric ,Human ,Adult ,medicine.medical_specialty ,Reproducibility of Result ,Cystectomy ,Follow-Up Studie ,Interviews as Topic ,Ileum ,medicine ,Humans ,In patient ,Aged ,Follow-Up Studies ,Reproducibility of Results ,Quality of Life ,Psychometric testing ,Face validity ,Rasch model ,business.industry ,questionnaire ,Research ,Urinary diversion ,Environmental and Occupational Health ,Public Health, Environmental and Occupational Health ,Surgery ,Physical therapy ,business - Abstract
Background The ileal orthotopic neobladder (IONB) is often used in patients undergoing radical cystectomy. The IONB allows to void avoiding the disadvantages of the external urinary diversion. In IONB patients the quality of life (QoL) appears compromised by the need to urinate voluntarily. The patients need to wake up at night interrupting the sleep-wake rhythm with consequences on social and emotional life. At present the QoL in IONB patients is evaluated by generic questionnaires. These are useful when IONB patients are compared with patients with different urinary diversions but they are less effective when only IONB patients are evaluated. To address this problem a specific questionnaire—the IONB-PRO—was developed. Methods A) Based on a conceptual framework, narrative-based interviews were conducted on 35 IONB patients. A basic pool of 43 items was produced and organized throughout two clinical and four QoL dimensions. An additional 15 IONB patients were interviewed for face validity testing. B) Psychometric testing was conducted on 145 IONB patients. Both classic test strategy and Rasch analysis were applied. Psychometric properties of the resulting scales were comparatively tested against other QoL-validated scales. Results The IONB-PRO questionnaire includes two sections: one on the QoL and a second section on the capability of the patient to manage the IONB. For evaluation of the QoL, three versions were delivered: 1) a basic 23-item QoL version (3 domains 23-items; alpha 0.86÷ 9.69), 2) a short-form 12-item QoL scale (alpha = 0.947), and 3) a short-form 15-item Rasch QoL scale (alpha = 0.967). Correlations of the long version scales with the corresponding dimensions of the EORTC-QLQ C30 and the EORTC-BLM30 were significant. The short forms exhibited significant correlations with the global health dimension of the EORTC-QLQ and with the urinary subscales of the EORTC-BLM30. The effect size was approximately 1.00 between patients at the 1-year follow-up period and those with 3, 5, and > 5-year follow-up periods for all scales. No relevant differences were observed between the 12-item short-form and the Rasch scale. Conclusions The IONB-PRO long and short-forms demonstrated a high level of internal consistency and reliability with an excellent discriminanting validity.
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29. Real-world treatment patterns and outcomes in relapsed/refractory multiple myeloma (1-3 prior lines): Flatiron database.
- Author
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Dhakal B, Einsele H, Schecter JM, Deraedt W, Lendvai N, Slaughter A, Lonardi C, Nair S, He J, Kharat A, Cost P, Valluri S, and Yong KL
- Abstract
In multiple myeloma (MM), early use of the immunomodulatory drug lenalidomide has led to an increased population of patients with lenalidomide-refractory MM in early-line settings, but their outcomes are not well characterized. Here, we report treatment patterns, survival outcomes, prognostic variables, and attrition rates for patients with proteasome inhibitor-exposed, lenalidomide-refractory MM, treated with 1-3 prior lines of therapy (LOT). From 12 767 patients with MM in the Flatiron Health database between January 2016 and April 2022, 1455 met the inclusion criteria. The most common subsequent treatments were triplet combinations (41.6% of patients); daratumumab/pomalidomide/dexamethasone was the most common treatment regimen (13.2%). Median real-world progression-free survival (RW-PFS) and overall survival (OS) were 6.5 months and 44.4 months, respectively. RW-PFS was similar in patients with 1, 2, or 3 prior LOT. International Staging System stage III, Eastern Cooperative Oncology Group performance status of 1, hemoglobin <12 g/dL, high-risk cytogenetics, and refractoriness to anti-CD38 antibody at baseline were associated with worse RW-PFS and OS. Outcomes remained similar for patients who received National Comprehensive Cancer Network-preferred treatments and those who received treatments after 2020. In 561 patients with 1 prior LOT at inclusion, cumulative attrition rate from LOT 2-5 was 85%, which included 25% patients who died and 60% with no further treatment. Patients with lenalidomide-refractory MM who have received 1-3 prior LOT have poor outcomes and progress rapidly through available therapies, highlighting the need for more effective treatments early in the disease course, before patients are lost to attrition., (Copyright © 2024 American Society of Hematology.)
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- 2024
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30. Short-term effects of bowel function on global health quality of life after radical cystectomy.
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Siracusano S, Gontero P, Mearini E, Imbimbo C, Simonato A, Dal Moro F, Giannarini G, Montorsi F, Colombo R, Porpiglia F, Bartoletti R, Minervini A, Rossanese M, Porcaro A, Romantini F, Magli IA, Pandolfo SD, Talamini R, Racioppi M, Ficarra V, and Lonardi C
- Subjects
- Humans, Male, Female, Aged, Middle Aged, Diarrhea etiology, Diarrhea epidemiology, Constipation epidemiology, Constipation etiology, Time Factors, Urinary Diversion adverse effects, Surveys and Questionnaires, Global Health, Prospective Studies, Cystectomy adverse effects, Quality of Life psychology, Urinary Bladder Neoplasms surgery, Urinary Bladder Neoplasms psychology
- Abstract
Background: Radical cystectomy (RC) shows an important impact on quality of life (QoL), for various clinical aspects. The aim of our study was to evaluate the short-term bowel function in patients that underwent RC., Methods: Two hundred and six patients with MIBC underwent RC with ONB or IC urinary diversion. QoL was measured using the EORTC QLQ C30 and the Short-Form SF-36 questionnaires before surgery and at 12 months postoperatively. Baseline characteristics, including demographic profile, BMI, Charlson Comorbidity Index (CCI), modified Frailty Index (m-FI), pathological tumor stage, Clavien-Dindo grade, and neo-adjuvant chemotherapy were recorded and compared., Results: The uni-variate and multivariate analysis (OR) were performed for constipation, diarrhea and m-FI of patients underwent RC for localized MIBC according to global health status score (poor/good vs. very good). Multivariate analysis showed that constipation medium/high was significant associated with global health status poor/good (OR=2.39; 95% CI: 1.22-4.71; P=0.01); Diarrhea medium/high was associated with global health status poor/good (OR=2.85; 95% CI:1.18-6.92; P=0.02), and m-FI ≥2 score (OR=2.13; 95% CI: 0.99-4.57; P=0.05)., Conclusions: Diarrhea and constipation are associated with a lower QoL in cystectomized patients, both with ONB or IC urinary diversion; such association is especially significant in more fragile patients (Frailty Index ≥2).
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- 2024
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31. Cilta-cel or Standard Care in Lenalidomide-Refractory Multiple Myeloma.
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San-Miguel J, Dhakal B, Yong K, Spencer A, Anguille S, Mateos MV, Fernández de Larrea C, Martínez-López J, Moreau P, Touzeau C, Leleu X, Avivi I, Cavo M, Ishida T, Kim SJ, Roeloffzen W, van de Donk NWCJ, Dytfeld D, Sidana S, Costa LJ, Oriol A, Popat R, Khan AM, Cohen YC, Ho PJ, Griffin J, Lendvai N, Lonardi C, Slaughter A, Schecter JM, Jackson CC, Connors K, Li K, Zudaire E, Chen D, Gilbert J, Yeh TM, Nagle S, Florendo E, Pacaud L, Patel N, Harrison SJ, and Einsele H
- Subjects
- Humans, Lenalidomide adverse effects, Neurotoxicity Syndromes, Progression-Free Survival, Drug Resistance, Neoplasm, Multiple Myeloma drug therapy, Multiple Myeloma mortality, B-Cell Maturation Antigen immunology, Immunotherapy, Adoptive methods, Antineoplastic Agents, Immunological therapeutic use
- Abstract
Background: Ciltacabtagene autoleucel (cilta-cel), a B-cell maturation antigen (BCMA)-directed CAR T-cell therapy, is effective in heavily pretreated patients with relapsed or refractory multiple myeloma. We investigated cilta-cel in earlier treatment lines in patients with lenalidomide-refractory disease., Methods: In this phase 3, randomized, open-label trial, we assigned patients with lenalidomide-refractory multiple myeloma to receive cilta-cel or the physician's choice of effective standard care. All the patients had received one to three previous lines of treatment. The primary outcome was progression-free survival., Results: A total of 419 patients underwent randomization (208 to receive cilta-cel and 211 to receive standard care). At a median follow-up of 15.9 months (range, 0.1 to 27.3), the median progression-free survival was not reached in the cilta-cel group and was 11.8 months in the standard-care group (hazard ratio, 0.26; 95% confidence interval [CI], 0.18 to 0.38; P<0.001). Progression-free survival at 12 months was 75.9% (95% CI, 69.4 to 81.1) in the cilta-cel group and 48.6% (95% CI, 41.5 to 55.3) in the standard-care group. More patients in the cilta-cel group than in the standard-care group had an overall response (84.6% vs. 67.3%), a complete response or better (73.1% vs. 21.8%), and an absence of minimal residual disease (60.6% vs. 15.6%). Death from any cause was reported in 39 patients and 46 patients, respectively (hazard ratio, 0.78; 95% CI, 0.5 to 1.2). Most patients reported grade 3 or 4 adverse events during treatment. Among the 176 patients who received cilta-cel in the as-treated population, 134 (76.1%) had cytokine release syndrome (grade 3 or 4, 1.1%; no grade 5), 8 (4.5%) had immune effector cell-associated neurotoxicity syndrome (all grade 1 or 2), 1 had movement and neurocognitive symptoms (grade 1), 16 (9.1%) had cranial nerve palsy (grade 2, 8.0%; grade 3, 1.1%), and 5 (2.8%) had CAR-T-related peripheral neuropathy (grade 1 or 2, 2.3%; grade 3, 0.6%)., Conclusions: A single cilta-cel infusion resulted in a lower risk of disease progression or death than standard care in lenalidomide-refractory patients with multiple myeloma who had received one to three previous therapies. (Funded by Janssen and Legend Biotech; CARTITUDE-4 ClinicalTrials.gov number, NCT04181827.)., (Copyright © 2023 Massachusetts Medical Society.)
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- 2023
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32. Interviews about pandemics and protective measures: studying key informants' representation to develop a web-application for fostering children and adolescents' resilience.
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Rocca E, Burro R, Carradore M, Lonardi C, Vicentini G, and Raccanello D
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COVID-19 pandemic can be defined as a biological disaster whose impact is particularly evident for children and adolescents, vulnerable populations because of their level of cognitive and affective development. For this reason, it is of paramount relevance to develop actions focused on disaster-related prevention and preparedness, including psycho-education. In this study, we aimed at exploring key informants' representation of the pandemic, also to identify the contents for the first two levels of a psycho-educational web-application for children and adolescents, i.e., PandHEMOT® (Pandemics - Helmet for EMOTions). We involved 25 experts with different professional roles through semi-structured interviews about a variety of aspects related to the pandemic. We coded each proposition according to four categories (i.e., Basic knowledge, Procedural knowledge, Safety behaviors, and Consequences). First, a generalized linear mixed model revealed that Safety behaviors was the most frequent category, followed by Consequences, and in turn by Procedural and Basic knowledge. Second, through a cluster analysis we identified three clusters corresponding to different response patterns and pandemic representations. Third, we conducted a thematic analysis to select the items to be inserted in the first and second level of PandHEMOT®, focused on the nature of pandemics and pandemic-related protective measures. Notwithstanding the limitations related to the small sample, this research permitted to explore the representation of different experts concerning the COVID-19 pandemic. Also, these findings enabled to identify the contents for the initial levels of a web-application designed for increasing children and adolescents' knowledge on pandemics, emotions, and coping strategies. This initiative can be an example of a psycho-educational tool to enhance young people's disaster-related resilience.
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- 2023
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33. Predicting global QoL after orthotopic neobladder or ileal conduit diversion: nomogram development.
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Siracusano S, Zaka A, Zaffuto E, Porcaro AB, Colombo R, Talamini R, Romantini F, Montorsi F, and Lonardi C
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Introduction: Quality of life (QoL) outcomes in patients undergoing radical cystectomy (RC) with orthotopic neobladder (ONB) or ileal conduit (IC) have been extensively investigated. However, a general lack of consensus on QoL's predictive factors exists. The aim of the study was to develop a nomogram using preoperative parameters to predict global QoL outcome in patients with localized muscle-invasive bladder cancer (MIBC) undergoing RC with ONB or IC urinary diversion (UD)., Methods: A cohort of 319 patients who underwent RC and ONB or IC were retrospectively enrolled. Multivariable linear regression analyses were used to predict the global QoL score of the European Organisation for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30), according to the patient characteristics and UD. A nomogram was developed and internally validated., Results: Patients' data in the two study groups significantly differed with regard to comorbidity profiles (chronic cardiac failure, p < 0.001; chronic kidney disease, p < 0.01; hypertension, p < 0.03; diabetic disease, p = 0.02; chronic arthritis, p = 0.02). A multivariable model that included patient age at surgery, UD, chronic cardiac disease, and peripheral vascular disease represented the basis for the nomogram. The calibration plot of the prediction model showed a systematic overestimation of the predicted global QoL score over the observed scores, with a slight underestimation for observed global QoL scores between 57 and 72. After performing leave-one-out cross-validation, the root mean square error (RMSE) emerged as 24.0., Discussion/conclusion: A novel nomogram based completely on known preoperative factors was developed for patients with MIBC undergoing RC to predict a mid-term QoL outcome., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Siracusano, Zaka, Zaffuto, Porcaro, Colombo, Talamini, Romantini, Montorsi and Lonardi.)
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- 2023
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34. Development and evaluation of psychoeducational resources for adult carers to emotionally support young people impacted by wars: A community case study.
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Vicentini G, Burro R, Rocca E, Lonardi C, Hall R, and Raccanello D
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Wars and armed conflicts have a devastating impact at the economic, social, and individual level. Millions of children and adolescents are forced to bear their disastrous consequences, also in terms of mental health. Their effects are even more complicated when intertwined with those of other disasters such as the current COVID-19 pandemic. To help them face such adverse events, lay adults can be supported by psychoeducational interventions involving simple tools to assist children and adolescents emotionally. Hence, we planned and implemented two public communication campaigns concerning wars to support adult carers such as parents, teachers, educators, psychologists, first responders, and others interested in young people's wellbeing. We developed psychoeducational materials to help children and adolescents cope with negative emotions related to indirect and direct exposure to wars. This study had the objective to identify the content for two pamphlets, testing their comprehensibility, usability, and utility, and monitoring their dissemination. First, based on classifications of coping strategies and on a previous campaign about COVID-19 pandemic, we decided to include in the psychoeducational materials basic information on news about wars and common reactions to wars, respectively; on emotions that might be experienced; and on coping strategies for dealing with negative emotions. For the first pamphlet, we identified the strategies involving 141 adults. They completed an online survey with open-ended questions concerning ways to help children and adolescents cope with negative emotions associated with the Russia-Ukraine war. For the second pamphlet, we selected the contents based on Psychological First Aid manuals. Through content analyses, we chose 24 strategies. Second, data gathered with 108 adults who had consulted the psychoeducational materials supported their comprehensibility, usability, and utility. Third, we monitored the visibility of the campaigns after the release of the pamphlets, using Google Analytics™ data from the HEMOT
® website through which we disseminated them. To conclude, our findings supported the comprehensibility, the usability, and the utility of the two pamphlets, to be disseminated as psychoeducational materials in the early phase of a disaster., Competing Interests: RH was employed by Environmetrics Pty Ltd. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Vicentini, Burro, Rocca, Lonardi, Hall and Raccanello.)- Published
- 2022
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35. Quality-of-Life Outcomes in Female Patients With Ileal Conduit or Orthotopic Neobladder Urinary Diversion: 6-Month Results of a Multicenter Prospective Study.
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Siracusano S, Zaka A, Bassi P, Gontero P, Mearini E, Imbimbo C, Simonato A, Dal Moro F, Giannarini G, Valotto C, Montorsi F, Colombo R, Porpiglia F, Bartoletti R, Vella M, Minervini A, Porcaro AB, Romantini F, Vicentini C, Talamini R, Ficarra V, and Lonardi C
- Abstract
Radical cystectomy (RC) often affects patients' life as this surgery is a traumatic and invasive event for the patients, with drawbacks on their daily, social, working, and sex life. Such changes in the quality of life (QoL) of patients are commonly studied through retrospective clinical evaluations and rarely with longitudinal studies. To date, studies focusing on functional outcomes, sexual function, and health-related QoL for female patients are lacking. We evaluated 37 patients using EORTC QLQ-C30 (QLQ-30) and Short-Form 36 (SF-36) questionnaires, before and after surgery, at 3 and 6 months of follow-up. The mean values for the emotional functioning in QLQ-C30 as well as the mental health in SF-36 were significantly higher in the ONB group compared to the IC group at 3 months of follow-up. These differences were not significant at 6 months of follow-up. At 6 months of follow-up, the ONB group showed a higher mean score in the physical and role functioning than the IC group. Although there was a statistically significant age difference at baseline of the two groups, none of the results are correlated with age, as demonstrated by Spearman's analysis. The ONB seems to represent the most advantageous solution compared to the IC in terms of QOL at the 6-month follow-up., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Siracusano, Zaka, Bassi, Gontero, Mearini, Imbimbo, Simonato, Dal Moro, Giannarini, Valotto, Montorsi, Colombo, Porpiglia, Bartoletti, Vella, Minervini, Porcaro, Romantini, Vicentini, Talamini, Ficarra and Lonardi.)
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- 2022
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36. Quality of Life in Female Patients Following Ileal Neobladder and Ileal Conduit: Where Are We?
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Siracusano S, Zaka A, Romantini F, Porcaro AB, Vicentini C, and Lonardi C
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Women undergoing a radical cystectomy (RC) followed by a urinary diversion (UD) for bladder cancer (BC), experience a substantial reduction in health-related quality of life (HRQOL). At present, studies comparing long-term QOL outcomes for different UD methods in female patients are lacking. We summarize the current state of the QoL assessment in female patients after an RC.
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- 2021
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37. Quality of life following urinary diversion: Orthotopic ileal neobladder versus ileal conduit. A multicentre study among long-term, female bladder cancer survivors.
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Siracusano S, D'Elia C, Cerruto MA, Gacci M, Ciciliato S, Simonato A, Porcaro A, De Marco V, Talamini R, Toffoli L, Saleh O, Serni S, Visalli F, Niero M, Lonardi C, Imbimbo C, Verze P, Mirone V, Racioppi M, Iafrate M, Cacciamani G, De Marchi D, Bassi P, and Artibani W
- Subjects
- Adult, Aged, Aged, 80 and over, Cancer Survivors, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Italy epidemiology, Middle Aged, Surveys and Questionnaires, Survival Rate trends, Time Factors, Urinary Bladder Neoplasms mortality, Ileum surgery, Quality of Life, Urinary Bladder Neoplasms surgery, Urinary Diversion methods, Urinary Reservoirs, Continent
- Abstract
Introduction: Women undergoing radical cystectomy (RC) followed by urinary diversion (UD) for bladder cancer experience a substantial reduction in health-related quality of life (HRQOL). At present, studies comparing long-term QOL outcomes for different UD methods, needed to inform evidence-based choices of bladder reconstruction for female patients, are sparse. Our objective was to compare two common UD methods in terms of their HRQOL outcomes in women., Materials and Methods: We retrospectively analysed HRQOL in 73 consecutive female bladder cancer patients having undergone orthotopic ileal neobladder (IONB, N = 24) or ileal conduit (IC, N = 49) following RC between 2007 and 2013 in six Italian academic urological centres. Patients had no evidence of tumour recurrence and were actively followed up. Validated Italian versions of the European Organisation for Research and Treatment of Cancer (EORTC) generic (QLQ-C30) and bladder-cancer-specific (QLQ-BLM30) questionnaires were used to evaluate HRQOL., Results: Patients in the IONB group were significantly younger than those in the IC group (median age: 67 and 73 years, respectively, p = 0.02). Barring that, the two groups did not present statistically significant differences in median length of follow-up (43 vs 54 months), pathological stage, grading of the neoplasm, or adjuvant chemo - or radiotherapy. No significant differences in QOL were found between the groups, with the exception of financial difficulties, affecting IONB patients significantly more than IC patients (mean score on a scale of 0-100: 33.3 ± 29.5 vs 18.4 ± 19.3, respectively; p = 0.05)., Conclusion: Financial difficulties was the only HRQOL item to differ between the two UD groups., (Copyright © 2018 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.)
- Published
- 2019
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38. Health-Related Quality of Life after Radical Cystectomy for Bladder Cancer in Elderly Patients with Ileal Orthotopic Neobladder or Ileal Conduit: Results from a Multicentre Cross-Sectional Study Using Validated Questionnaires.
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Cerruto MA, D'Elia C, Siracusano S, Saleh O, Gacci M, Cacciamani G, De Marco V, Porcaro AB, Balzarro M, Niero M, Lonardi C, Iafrate M, Bassi P, Imbimbo C, Racioppi M, Talamini R, Ciciliato S, Serni S, Carini M, Verze P, and Artibani W
- Subjects
- Aged, Aged, 80 and over, Cognition, Cross-Sectional Studies, Emotions, Female, Follow-Up Studies, Humans, Male, Middle Aged, Multivariate Analysis, Retrospective Studies, Surgically-Created Structures, Surveys and Questionnaires, Treatment Outcome, Urinary Bladder surgery, Urinary Diversion methods, Urinary Reservoirs, Continent, Cystectomy methods, Cystectomy standards, Ileum surgery, Quality of Life, Urinary Bladder Neoplasms psychology, Urinary Bladder Neoplasms surgery, Urinary Diversion psychology
- Abstract
Objective: To evaluate health-related quality of life (HR-QoL) outcomes in elderly patients with different type of urinary diversion (UD), ileal conduit (IC) and ileal orthotopic neobladder (IONB), after radical cystectomy (RC) for bladder cancer, by using validated self-reported cancer-specific instruments., Patients and Methods: We retrospectively reviewed 77 patients who received an IC or an IONB after RC. HR-QoL was assessed with specific and validated disease questionnaires, administered at last follow-up., Result: At univariate analysis, at a mean follow-up of 60.91 ± 5.63 months, IONB results were favourable with regard to the following HR-QoL aspects: nausea and vomiting (p = 0.045), pain (p = 0.049), appetite loss (p = 0.03), constipation (p = 0.000), financial impact (p = 0.012) and cognitive functioning (p = 0.000). This last functional aspect was significantly worse in female patients (p = 0.029). Emotional functioning was significantly better in patients without long-term complications (p = 0.016). At multivariate analysis, male gender and IONB were independent predictors of better cognitive functioning, while long-term complications negatively affected emotional functioning., Conclusions: Obtained results suggest that an IONB can also be suitable for elderly patients compared with an IC with few and selected advantages in favour of the former UD. Preoperative patient's selection, counselling, education and active participation in the decision-making process lead to a more suitable choice of treatment., (© 2018 S. Karger AG, Basel.)
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- 2018
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39. Quality of Life in Patients with Bladder Cancer Undergoing Ileal Conduit: A Comparison of Women Versus Men.
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Siracusano S, D'Elia C, Cerruto MA, Saleh O, Serni S, Gacci M, Ciciliato S, Simonato A, Porcaro A, DE Marco V, Talamini R, Toffoli L, Visalli F, Niero M, Lonardi C, Imbimbo C, Verze P, Mirone V, Racioppi M, Iafrate M, Cacciamani G, DE Marchi D, Bassi P, and Artibani W
- Subjects
- Aged, Female, Humans, Male, Middle Aged, Outcome Assessment, Health Care methods, Outcome Assessment, Health Care statistics & numerical data, Sex Factors, Surveys and Questionnaires, Urinary Bladder pathology, Quality of Life, Urinary Bladder surgery, Urinary Bladder Neoplasms surgery, Urinary Diversion methods
- Abstract
Background/aim: Studies comparing health-related quality of life (HR-QoL) between patients who underwent radical cystectomy (RC) and those who underwent a different form of urinary diversion has not reached yet univocal and reliable conclusions. The aim of our study was to evaluate bladder-specific long-term HR-QoL after radical cystectomy and ileal conduit., Patients and Methods: A multicenter study was carried out on 145 consecutive patients (112 males and 33 females) undergoing RC and ileal conduit (IC). HR-QoL assessment was conducted using Italian versions of European Organisation for Research and Treatment of Cancer QLQ-C30 and EORTC BLM-30 questionnaires., Results: Our data showed that women who underwent IC presented greater problems than men in cognitive functioning (mean score±SD: 77.3±27.9 vs. 87.8±18.6) as well in future perspective (score: 42.4±34.4 vs. 21.9±24.6). Nevertheless, men undergoing IC had more problems in sexual functioning than women (score: 23.3±24.5 vs. 7.0±20.3) (all p<0.05)., Conclusion: In our series, female patients presented a greater burden than male patients in cognitive functioning as well in future perspective, but lower concerns with regard to sexual function., (Copyright© 2018, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.)
- Published
- 2018
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40. Health-related Quality of Life After Radical Cystectomy: A Cross-sectional Study With Matched-pair Analysis on Ileal Conduit vs Ileal Orthotopic Neobladder Diversion.
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Cerruto MA, D'Elia C, Siracusano S, Saleh O, Gacci M, Cacciamani G, De Marco V, Porcaro AB, Balzarro M, Niero M, Lonardi C, Iafrate M, Bassi P, Imbimbo C, Racioppi M, Talamini R, Ciciliato S, Serni S, Carini M, Verze P, and Artibani W
- Subjects
- Aged, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Male, Matched-Pair Analysis, Middle Aged, Retrospective Studies, Surveys and Questionnaires, Treatment Outcome, Urinary Bladder physiopathology, Urinary Bladder Neoplasms physiopathology, Urinary Bladder Neoplasms psychology, Urination physiology, Cystectomy methods, Health Status, Quality of Life, Urinary Bladder surgery, Urinary Bladder Neoplasms surgery, Urinary Diversion methods, Urinary Reservoirs, Continent
- Abstract
Objective: To examine the different and health-related quality of life (HR-QoL) outcomes between ileal conduit (IC) and ileal orthotopic neobladder (IONB) in patients who underwent radical cystectomy (RC), by using validated self-reported cancer-specific instruments., Patients and Methods: This retrospective, cross-sectional, multicenter cohort study included 148 and 171 patients with either IC or IONB. HR-QoL was evaluated with Quality of Life Core Questionnaire and bladder module (BLM)-30 European Organisation for Research and Treatment of Cancer questionnaires. Baseline HR-QoL scores were dichotomized at the median to give "good" or "poor" score profiles. A matched-pair analysis compared HR-QoL aspects between 79 IC patients and 79 IONB patients., Results: At univariate analysis IONB resulted favorable for physical functioning, emotional functioning, cognitive functioning (CF), fatigue, dyspnea, appetite loss, constipation (CO), and abdominal bloating flatulence (AB). At multivariate analyses, IONB showed better scores for emotional functioning (85 vs 79, P = .023), CF (93 vs 85, P <.001), CO (16 vs 31, P <.001), and AB (12 vs 25, P <.001). A significant worsening of sexual and urinary function was observed for IONB patients in the long-term. At matched-pair analysis, global health status was similar (65 vs 62, P = .385). Significantly better scores were observed in the IONB group for the following items: CF (P = .007), fatigue (P = .003), pain (P = .019), dyspnea (P = .016), CO (P = .001), and AB (P = .00)., Conclusion: IONB and IC after RC were similar in terms of global health status. IONB provides better results in some aspects of HR-QoL related to bowel function, but a worsening of urinary and sexual functions. Further randomized controlled trials are needed to confirm these data., (Copyright © 2017 Elsevier Inc. All rights reserved.)
- Published
- 2017
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41. Is Health-Related Quality of Life after Radical Cystectomy Using Validated Questionnaires Really Better in Patients with Ileal Orthotopic Neobladder Compared to Ileal Conduit: A Meta-Analysis of Retrospective Comparative Studies.
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Cerruto MA, D'Elia C, Siracusano S, Porcaro AB, Cacciamani G, De Marchi D, Niero M, Lonardi C, Iafrate M, Bassi P, Belgrano E, Imbimbo C, Racioppi M, Talamini R, Ciciliato S, Toffoli L, Rizzo M, Visalli F, Verze P, and Artibani W
- Abstract
Introduction: From the most recent systematic revision of the literature, an orthotopic neobladder would seem to show marginally better health related quality of life (HR-QoL) scores compared with an ileal conduit. The aim of this study was to review all relevant published studies about the comparison between ileal orthotopic neobladder (IONB) and ileal conduit using validated HR-QoL questionnaires., Materials and Methods: Studies were identified by searching multiple literature databases. Data were synthesized using meta-analytic methods conformed to the PRISMA statement., Results: The literature search identified 10 papers; pooled effect sizes of combined quality of life outcomes for ileal conduit versus IONB showed a significantly better HR-QoL in patients with IONB (Hedges' g = 0.278; p = 0.000);. The present study has an important limitation due to the type of the analyzed comparative studies, all retrospective and not randomized., Conclusion: This meta-analysis of not-randomized, retrospective comparative studies on the impact of ileal conduit versus IONB on HR-QoL showed a significant advantage of IONB subgroups.
- Published
- 2017
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42. Quality of Life Assessment With Orthotopic Ileal Neobladder Reconstruction After Radical Cystectomy: Results From a Prospective Italian Multicenter Observational Study.
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Imbimbo C, Mirone V, Siracusano S, Niero M, Cerruto MA, Lonardi C, Artibani W, Bassi P, Iafrate M, Racioppi M, Talamini R, Ciciliato S, Toffoli L, Visalli F, Massidda D, D'Elia C, Cacciamani G, De Marchi D, Silvestri T, Creta M, Belgrano E, and Verze P
- Subjects
- Adult, Age Factors, Aged, Aged, 80 and over, Carcinoma, Transitional Cell mortality, Carcinoma, Transitional Cell pathology, Carcinoma, Transitional Cell psychology, Female, Humans, Ileum surgery, Italy, Male, Middle Aged, Postoperative Complications physiopathology, Postoperative Complications therapy, Prospective Studies, Risk Assessment, Sex Factors, Treatment Outcome, Urinary Bladder Neoplasms mortality, Urinary Bladder Neoplasms pathology, Urinary Bladder Neoplasms psychology, Urinary Incontinence prevention & control, Carcinoma, Transitional Cell surgery, Cystectomy methods, Quality of Life, Urinary Bladder Neoplasms surgery, Urinary Reservoirs, Continent physiology
- Abstract
Objective: To assess health-related quality of life (HRQoL) parameters in patients who received radical cystectomy (RC) with ileal orthotopic neobladder (IONB) reconstruction and to identify clinic-pathologic predictors of HRQoL., Patients and Methods: From January 2010 to December 2013, a multicenter, retrospective on 174 RC-IONB patients was carried out. All patients completed the following questionnaires: the European Organization for Research and Treatment of Cancer (EORTC) generic (QLQ-C30) and bladder cancer-specific instruments (QLQ-BLM30) and the IONB-Patient Reported Outcome (IONB-PRO). Univariate and multivariate analyses were computed to identify clinic-pathologic predictors of HRQoL., Results: Median age was 66 years (range, 31-83), and 91.4% of patients were men. Median follow-up period was 37 months (range, 3-247). The EORTC QLQ-C30 revealed that age >65 years, absence of urinary incontinence, and absence of peripheral vascular disease were independent predictors of deteriorated body image. A follow-up > 36 months and the presence of urinary incontinence were independent predictors of worsened urinary symptoms, whereas the absence of urinary incontinence was an independent predictor of a worsened body image according to EORTC QLQ-BLM30 results. A follow-up >36 months and the absence of urinary incontinence were independent predictors of better functioning in terms of relational life, emotional life, and fatigue as revealed by the IONB-PRO., Conclusion: Age, presence of urinary incontinence, length of follow-up, and comorbidity status may influence postoperative HRQoL and should all be taken into account when counseling RC-IONB patients., (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Published
- 2015
- Full Text
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43. Development of a questionnaire specifically for patients with Ileal Orthotopic Neobladder (IONB).
- Author
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Siracusano S, Niero M, Lonardi C, Cerruto MA, Ciciliato S, Toffoli L, Visalli F, Massidda D, Iafrate M, Artibani W, Bassi P, Imbimbo C, Racioppi M, Talamini R, D'Elia C, Cacciamani G, De Marchi D, Silvestri T, Verze P, and Belgrano E
- Subjects
- Adult, Aged, Cystectomy, Female, Follow-Up Studies, Humans, Ileum surgery, Interviews as Topic, Male, Middle Aged, Psychometrics, Reproducibility of Results, Health Status Indicators, Quality of Life, Surveys and Questionnaires, Urinary Diversion methods, Urinary Diversion psychology
- Abstract
Background: The ileal orthotopic neobladder (IONB) is often used in patients undergoing radical cystectomy. The IONB allows to void avoiding the disadvantages of the external urinary diversion.In IONB patients the quality of life (QoL) appears compromised by the need to urinate voluntarily. The patients need to wake up at night interrupting the sleep-wake rhythm with consequences on social and emotional life.At present the QoL in IONB patients is evaluated by generic questionnaires. These are useful when IONB patients are compared with patients with different urinary diversions but they are less effective when only IONB patients are evaluated. To address this problem a specific questionnaire-the IONB-PRO-was developed., Methods: A) Based on a conceptual framework, narrative-based interviews were conducted on 35 IONB patients. A basic pool of 43 items was produced and organized throughout two clinical and four QoL dimensions. An additional 15 IONB patients were interviewed for face validity testing.B) Psychometric testing was conducted on 145 IONB patients. Both classic test strategy and Rasch analysis were applied. Psychometric properties of the resulting scales were comparatively tested against other QoL-validated scales., Results: The IONB-PRO questionnaire includes two sections: one on the QoL and a second section on the capability of the patient to manage the IONB. For evaluation of the QoL, three versions were delivered: 1) a basic 23-item QoL version (3 domains 23-items; alpha 0.86÷ 9.69), 2) a short-form 12-item QoL scale (alpha = 0.947), and 3) a short-form 15-item Rasch QoL scale (alpha = 0.967). Correlations of the long version scales with the corresponding dimensions of the EORTC-QLQ C30 and the EORTC-BLM30 were significant. The short forms exhibited significant correlations with the global health dimension of the EORTC-QLQ and with the urinary subscales of the EORTC-BLM30. The effect size was approximately 1.00 between patients at the 1-year follow-up period and those with 3, 5, and > 5-year follow-up periods for all scales. No relevant differences were observed between the 12-item short-form and the Rasch scale., Conclusions: The IONB-PRO long and short-forms demonstrated a high level of internal consistency and reliability with an excellent discriminanting validity.
- Published
- 2014
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44. Behavioural profile and human adaptation of survivors after radical cystectomy and ileal conduit.
- Author
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Cerruto MA, D'Elia C, Cacciamani G, De Marchi D, Siracusano S, Iafrate M, Niero M, Lonardi C, Bassi P, Belgrano E, Imbimbo C, Racioppi M, Talamini R, Ciciliato S, Toffoli L, Rizzo M, Visalli F, Verze P, and Artibani W
- Subjects
- Activities of Daily Living psychology, Aged, Aged, 80 and over, Cross-Sectional Studies, Cystectomy adverse effects, Female, Humans, Male, Patient Satisfaction, Qualitative Research, Quality of Life psychology, Survivors psychology, Urinary Bladder Neoplasms psychology, Urinary Bladder Neoplasms surgery, Urinary Diversion adverse effects, Adaptation, Psychological, Cystectomy psychology, Urinary Diversion psychology
- Abstract
Background: There is a lack of good data in the literature evaluating the Health-Related Quality of Life (HR- QoL) in patients with urinary diversions. The aim of this study was to examine the changes in expectation and needs in terms of human adaptation and behavioural profiles in patients with ileal conduit (IC) after radical cystectomy (RC) for bladder cancer (BC)., Materials and Methods: A qualitative, multicenter cross-sectional study using a "narrative based" approach was planned. We proceed with a sampling reasoned choice (purposive), selecting groups of patients with follow-up from one up to more than 7 years after surgery. Data were collected through individual interviews., Results: Thirty patients participated in the study. The processing of the interviews allowed us to identify 2 major profiles: positive and negative. Patients with a positive profile resumed normal daily activities with no or limited restrictions both on the personal and the social level. This profile reflects a good HR-QoL. The negative profile reflects the patients for whom the ostomy has meant a worsening of HR-QoL. A positive profile was statistically more frequent in older patients (p = 0.023), with a longer follow-up (p = 0.042) and less complications rates (p = 0.0002). According to the length of follow-up and the occurrence of complitations, we identified further 5 intermediate profiles., Conclusions: Patients' satisfaction is related to the degree of adaptation to their new life with an urinary stoma and its correct management. Live "with urinary diversion" represents a new phase of life and not a deterioration.
- Published
- 2014
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45. Serological survey of Encephalitozoon cuniculi infection in commercially reared rabbit does in Northern Italy.
- Author
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Lonardi C, Grilli G, Ferrazzi V, Dal Cin M, Rigolin D, and Piccirillo A
- Subjects
- Animals, Encephalitozoonosis epidemiology, Encephalitozoonosis microbiology, Female, Italy epidemiology, Encephalitozoon cuniculi isolation & purification, Encephalitozoonosis veterinary, Rabbits
- Abstract
The aim of the study was to carry out a serological survey of Encephalitozoon cuniculi in commercially reared rabbit does (Oryctolagus cuniculi) in Veneto region (Northern Italy). Two hundred and sixty blood samples from 13 farms were examined by a carbon immunoassay (CIA test) to detect the presence of antibodies anti-E. cuniculi. All sampled rabbit does were clinically healthy. Seropositivity against E. cuniculi was found in 196/260 (75.4%) sera and in all the sampled farms (100%). Logistic regression analysis showed that the size of the farm had no statistically significant effect on E. cuniculi positivity; whereas rabbits of the hybrid X showed a higher seropositivity (p<0.01) than rabbits belonging to other commercial breeds. Moreover, the age seemed to influence the seropositivity (p<0.05). This serological survey showed a high prevalence of E. cuniculi infection suggesting that this parasite may be endemic in industrial rabbitries in Northern Italy., (Copyright © 2012 Elsevier Ltd. All rights reserved.)
- Published
- 2013
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46. Absence of thermophilic Campylobacter species in commercially reared rabbit does (Oryctolagus cuniculi) in Italy.
- Author
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Piccirillo A, Giacomelli M, Lonardi C, Menandro ML, Martini M, and Grilli G
- Subjects
- Animals, Italy, Campylobacter isolation & purification, Meat microbiology, Rabbits microbiology, Rectum microbiology
- Published
- 2011
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47. The passing dilemma in socially invisible diseases: narratives on chronic headache.
- Author
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Lonardi C
- Subjects
- Adult, Aged, Anecdotes as Topic, Female, Humans, Interpersonal Relations, Interviews as Topic, Italy, Male, Middle Aged, Social Identification, Headache Disorders, Self Disclosure
- Abstract
This contribution concerns the experience of chronic diseases and how it disrupts the trajectory of a person's biography, undermining his/her identity, self-reliance and social relationships. The study focuses particular attention on those diseases which have not yet been fully acknowledged and can, therefore, be considered a socially invisible disease: chronic headache is one of these. Thirty-one life stories were collected from patients attending a specialized headache centre in Northern Italy, and selected in order to include all common varieties of chronic headache. Following the principles of grounded theory, interviews began by adopting a minimal theoretical framework which consisted of asking people how they became aware of the objective (disease), subjective (illness) and social (sickness) aspects of their condition. The analysis highlighted particular points in the patients' life trajectories: first, the biographical disruption that takes place because of the disease; second, how people succeed or fail in identity negotiation, which is vital for developing an acceptable social representation of the disease. Results show that patient's choices follow a vicious circle, where a partial social representation of the disease is produced. People who suffer from chronic headache face a dilemma in social relationships: should they conceal their disease, or make it evident? If they conceal, any possible social representation of the disease is denied, which could lead to carrying the burden of the disease alone, with no social support. On the other hand, making chronic headache visible could result in stigma.
- Published
- 2007
- Full Text
- View/download PDF
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