A5003681911- Cancer survivorship and care
- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Global Cancer Incidence and Screening
- COVID-19 and Mental Health
- COVID-19 and healthcare impacts
- Cancer-related cognitive impairment studies
- Biomedical Text Mining and Ontologies
- Childhood Cancer Survivors' Quality of Life
- Geriatric Care and Nursing Homes
- Clinical practice guidelines implementation
- Frailty in Older Adults
- Bacterial Identification and Susceptibility Testing
- Interpreting and Communication in Healthcare
- Hospital Admissions and Outcomes
- Long-Term Effects of COVID-19
- Telemedicine and Telehealth Implementation
- Advanced Breast Cancer Therapies
- Quality and Safety in Healthcare
- Cancer Treatment and Pharmacology
- Psychosomatic Disorders and Their Treatments
- Ethics in Clinical Research
- Acute Ischemic Stroke Management
- Ethics in medical practice
University of Parma
2010-2025
Ospedale di Parma
2005-2023
Istituti Ospitalieri di Cremona
2009
University of Bologna
2009
Over 20% of hospital bed use is inappropriate, implying a waste resources and the increase patient iatrogenic risk. This cluster, pragmatic, randomised controlled trial, carried out in large University Hospital Northern Italy, aiming to evaluate effect strategy reduce unnecessary days. The primary outcome was percentage patient-days compatible with discharge. Among secondary objectives, describe strategy's long-term, as well on readmissions, considered be marker quality care. 12 medical...
Abstract Background Negative variation in the management of patients with same clinical condition is frequent, and affects quality care. Recent studies indicate that single interventions are not an effective solution. We aim to demonstrate a multifaceted strategy can favor introduction research into practice, assess its long-term effects on set common medical conditions exhibiting significant negative at our institution. Methods The strategy, devised agreed upon by multidisciplinary group,...
Question Prompt Lists (QPLs) have proven very effective in encouraging cancer patients to ask questions, allowing them take up a more active role during visits with the oncologist. As no such tool has yet been validated for Italian-speaking users, we carried out cross-cultural adaptation and evaluation of an existing Australian List. Cross-cultural was performed accordance five steps described by Guillemin Beaton. Forward back translations original were out, products discussed Expert...
No structured modality for providing information and support to patients in oncology wards has been validated clinical trials.This is a pragmatic, two-arm, cluster randomized trial, with the ward as random assignment unit. Centers were allocated implement Point of Information Support (PIS) or control group. The PIS included library cancer specifically trained nurse. End points, measured at patient level, psychological distress satisfaction received information. Both intent-to-treat...
Introduction Nursing home residents represent a particularly vulnerable population experiencing high risk of unplanned hospital admissions, but few interventions have proved effective in reducing this risk. The aim research will be to verify the effects hospital-based multidisciplinary mobile unit (MMU) team intervention delivering urgent care nursing directly at their bedside. Methods and analysis Four homes based Parma province, Northern Italy, involved prospective, pragmatic, multicentre,...
Psychosocial morbidity can have negative consequences for cancer patients, including maladaptive coping, poor treatment adherence, and lower quality of life. Evidence shows that psychosocial interventions positively impact life, as well symptoms side effects; however, they are not always offered to patients who might benefit from them. These guidelines were produced by a multidisciplinary panel 16 experts, following GRADE methodology. The framed clinical questions voted on outcomes...
Background: The rapid pace of progress in medical research, the consequent need for timely transfer new knowledge into practice, and increasing ethics support, is making work Ethics Committees (ECs) ever more complex demanding. As a response, ECs many countries exhibit large variation number, mandate, organization member competences. This cross-sectional study aims to give an overview different types activities Italian favour discussion at European level. Methods: A questionnaire was emailed...
<h3>Importance</h3> Many patients with cancer who would benefit from psychosocial care do not receive it. Implementation strategies may favor the integration of into practice and improve patient outcomes. <h3>Objective</h3> To evaluate effectiveness Humanization in Cancer Care (HuCare) Quality Improvement Strategy vs standard as improvement at least 1 2 domains (emotional or social function) health-related quality life baseline 3 months. A key secondary aim included investigation long-term...
Introduction: US National Cancer Institute’s (NCI) Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE ® ) is a library 78 symptom terms and 124 items enabling patient reporting symptomatic adverse events in cancer trials. This multicenter study used mixed methods to develop an Italian language this widely accepted measure, describe content validity reliability diverse sample Italian-speaking patients. Methods: All PRO-CTCAE were translated...
To devise an adverse event (AE) detection system and assess its validity utility. Observational, retrospective study. Six public hospitals in Northern Italy including a Teaching Hospital. Eligible cases were all patients with at least one admission to surgical ward, over 3-month period. Computerized screening of administrative data review flagged charts by independent panel. Number records needed identify AE using this system. Out the 3310 eligible cases, 436 (13%) extracted computerized...
Patients' self-reporting is increasingly considered essential to measure quality-of-life and treatment-related side-effects. However, if multiple patient-reported instruments are used, redundancy may represent an overload for patients. Patient-Reported Outcomes Common Terminology Criteria Adverse Events (PRO-CTCAE) a tool allowing direct patients' reporting of We tested psychometric properties selected list PRO-CTCAE items, in cohort 303 breast cancer patients, using validated quality life...
e14554 Background: Everolimus (EV) is an oral inhibitor of mammalian target rapamicin (mTOR), recently approved in combination with exemestane (EX) for the treatment hormonal positive metastatic breast cancer (MBC) progressed to a non steroideal aromatase Methods: 63 consecutive patients (pts) were retrospectively evaluated and treated EV plus EX from July 2012 April 2015. At beginning EV’s therapy median age was years (range 45-80); pts older than 70 15. Visceral metastases present 35 (56%)...
8121 Background: Prevalence of psychological distress and its determining factors are not well known need to be studied further allow adequate interventions. We present the results a nation-wide survey establishing, for first time, prevalence anxiety depression in unselected italian cancer patients association between clinical social-demographic variables. Methods: 3293 consecutive patients, waiting visit or chemotherapy session 38 oncology clinics nationwide (3 NCI, 25 large cities 10...
9120 Background: Incorporating psychosocial research into practice is challenging. Aim of this study to assess the feasibility and effectiveness in real life interventions which have been tested RCTs demonstrated improve pts conditions Methods: This an implementation five EBM conducted 28 centers. We adopted model Pronovost (BMJ 2008), includes context analysis identify local barriers; introduction interventions, evaluation how many receive recommended interventions. Primary EPs: degree...