Publications by authors named "Francesco Cerza"

Background: Data on the incidence and survival of central nervous system (CNS) tumour entities in adolescents and young adults (15-39 years at cancer diagnosis [AYA]) are scarce. Our objective is to provide incidence, survival and survival trends of CNS tumours in European AYAs and compare with older and younger patients with the same tumours.

Methods: We used the EUROCARE-6 database, calculating incidence rates (IR) per 1000,000 individuals/year in the European population (years of diagnosis: 2006-2013), 1-,2-,3-,4- and 5-year relative survival (RS), 5-year RS conditional to surviving the first year after diagnosis, for the follow-up period 2010-2014 (cases diagnosed in 2006-2013) and changes in survival in the years 2000-2013.

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Introduction: In Europe, cancer survival rates are high and improving for children (0-14 years) and AYAs (15-39 years). However, AYAs often have worse outcomes than children but better than adults. Using EUROCARE data, this study analyzes 5-year relative survival rates across age groups, highlighting age-specific differences and survival trends over time to address persistent disparities.

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Background: Epidemiological data for sarcoma in adolescents and young adults (AYAs) and across age groups are limited. We aim to: 1) update sarcoma incidence, survival, and changes over time in European AYAs; 2) provide an updated comparison of sarcoma survival in AYAs versus children and mature adults.

Methods: We calculated crude incidence rates (IR) per 100,000 European population per year from 2006 to 2013.

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Article Synopsis
  • The study focused on the financial impact of transcatheter aortic valve implantation (TAVI) therapy due to a growing eligible patient population, comparing costs over two different time periods.
  • A Markov model was used to analyze costs from two patient groups: 1,898 with old-generation TAVI devices and 1,417 with newer devices, highlighting significant cost differences.
  • Results showed new-generation TAVI led to 30% fewer rehospitalizations and a 20% decrease in 1-year mortality, resulting in total cost savings of €23.8 million, primarily driven by reduced rehospitalization costs.
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Background: Because of poor knowledge of risks and benefits, prophylactic explantation of high BIA-ALCL risk breast implant (BI) is not indicated. Several surgical risks have been associated with BI surgery, with mortality being the most frightening. Primary aim of this study is to assess mortality rate in patients undergoing breast implant surgery for aesthetic or reconstructive indication.

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Background: Data reflecting the benefit of procedural improvements in real-world transcatheter aortic valve implantation (TAVI) practice are sparse.

Aims: To compare outcomes and trends of two TAVI eras from real Italian practice.

Methods: A total of 1811 and 2939 TAVI patients enrolled in the national, prospective OBSERVANT and OBSERVANT II studies in 2010-2012 and 2016-2018, respectively, were compared in a cohort study.

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Importance: Some recently proposed frontline therapies for malignant pleural mesothelioma (MPM) are very costly, yet their impact on quality of life and overall survival of these patients remains arguable. Given the high social toll of this aggressive occupational cancer, it is paramount to establish the real clinical benefit of these treatments.

Objective: To directly compare and analyze the statistical robustness of the 3 randomized clinical trials (RCTs) of frontline therapies recommended for MPM since 2003.

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Unlabelled: Since its enactment on 2 April 2015, the Decree of the Ministry of Health no.70 has provided a key framework for the reorganization of services to enhance the quality and safety of care. This decree presents the volume thresholds for a series of nosological areas and diagnostic-therapeutic procedures, aiming to improve healthcare outcomes.

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Background: The outcome of patients with acute myocardial infarction (AMI) may vary substantially based on baseline risk. We aimed at analyzing the impact of gender, age and heart failure (HF) on mortality trends, based on a nationwide, comprehensive and universal administrative database of AMI.

Methods: This is a nationwide cohort study of patients admitted with AMI from 2009 to 2018 in all Italian hospitals.

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Objectives: To compare clinical outcomes of balloon-expandable (BE) and self-expanding (SE) transcatheter aortic valves (TAVs) up to 5 years.

Background: To date, no robust, comparative data of BE and SE TAVs at long-term are available.

Methods: We considered a total of 1,440 patients enrolled in the multicenter OBSERVANT study and undergoing transfemoral transcatheter aortic valve implantation (TF-TAVI) with either supra-annular SE (n = 830, 57.

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Objectives: We sought to develop and validate a novel risk assessment tool for the prediction of 30-day mortality after surgical aortic valve replacement incorporating a patient's frailty.

Methods: Overall, 4718 patients from the multicentre study OBSERVANT was divided into derivation (n = 3539) and validation (n = 1179) cohorts. A stepwise logistic regression procedure and a criterion based on Akaike information criteria index were used to select variables associated with 30-day mortality.

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In Italy, few multicentre population-based studies on pregnancy outcomes are available. Therefore, we established a network of population-based birth cohorts in the cities of Turin, Reggio Emilia, Modena, Bologna, and Rome (northern and central Italy), to study the role of socioeconomic factors and air pollution exposure on term low birthweight, preterm births and the prevalence of small for gestational age. In this article, we will report the full methodology of the study and the first descriptive results.

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Background: Few studies have explored the role of air pollution in neurodegenerative processes, especially various types of dementia. Our aim was to evaluate the association between long-term exposure to air pollution and first hospitalization for dementia subtypes in a large administrative cohort.

Methods: We selected 350,844 subjects (free of dementia) aged 65-100 years at inclusion (21/10/2001) and followed them until 31/12/2013.

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Background: Living in areas with higher levels of surrounding greenness and access to urban green areas have been associated with beneficial health outcomes. Some studies suggested a beneficial influence on mortality, but the evidence is still controversial.

Objectives: We used longitudinal data from a large cohort to estimate associations of two measures of residential greenness exposure with cause-specific mortality and stroke incidence.

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Article Synopsis
  • The study analyzed the link between long-term exposure to air pollutants (particulate matter, nitrogen oxides, and ozone) and the prevalence and incidence of type 2 diabetes in over 1.4 million people in Rome, Italy, over six years.
  • Researchers found that higher exposure to nitrogen oxides was positively associated with the prevalence of diabetes, suggesting a potential risk factor.
  • They also observed some associations between nitrogen oxides and ozone exposure with new cases of diabetes, particularly stronger effects noted in women and younger individuals under 50.
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Background: The effect of long-term exposure to metal components in particulate matter on mortality are still controversial.

Objectives: To study the association between long-term exposure to PM, PM, PM absorbance, particulate matter components (copper, iron, zinc, sulfur, silicon, potassium, nickel, and vanadium) and non-accidental, cardiovascular (CVD), and ischemic heart disease (IHD) mortality.

Methods: All 30+ year olds from the Rome Longitudinal Study were followed for vital status from October 2001 until December 2010.

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