Marina Davoli Department of Epidemiology Lazio Region/Italian National Agency for Regional Health Services
|
|
- Samuel Shaw
- 6 years ago
- Views:
Transcription
1 Marina Davoli Department of Epidemiology Lazio Region/Italian National Agency for Regional Health Services
2 Main objectives of the PNE include: comparative evaluation among healthcare providers; comparative evaluation among subgroups of patients - stratified, for example, for socioeconomic level or area of residence - in order to promote equity in the delivery of health services identification of the variables of healthcare Outcome measures by Hospital/ Local Health Unit The National Outcome Evaluation Programme measures the outcome variability among providers and/or health care local units in Italy Audit tools Report Card ER Information by Hospital/ System Local Health Unit Pilot studies pathways that influence outcomes -for example, the estimate of thresholds of volume activity associated with an improved outcome and its use as a criterion in the process of accreditation of facilities Internal and External Auditing
3 Overview of systematic reviews Search strategy febr 2012
4 Positive Association between hospital volume in trahospital /30 days mortality (N=25) 1 AIDS 14 Chirurgia CA prostata 2 Aneurisma aorta addominale non 15 Chirurgia CA rene rotto 3 Aneurisma aorta addominale rotto 16 Chirurgia CA stomaco 4 Angioplastica coronarica 17 Chirurgia CA vescica 5 Artroplastica ginocchio 18 Chirurgia cardiaca pediatrica 6 Bypass aorto-coronarico 19 Colecistectomia 7 Chirurgia CA colon retto 20 Emorragia sub aracnoidea 8 Chirurgia CA colon 21 Endoarterectomia carotidea 9 Chirurgia CA esofago 22 Frattura femore 10 Chirurgia CA fegato 23 Infarto del miocardio 11 Chirurgia CA mammella 24 Rivascolarizzazione arti inferiori 12 Chirurgia CA pancreas 25 Terapia intensiva neonatale 13 Chirurgia CA polmone
5 e&panno 37 (2-3) marzo-giugno 2013
6
7
8 1. Ogni breast unit deve effettuare almeno 150 interventi chirurgici all anno (si intendono solo casi di tumore diagnosticati presso il centro). 2. Ogni chirurgo, specializzato nella cura delle neoplasie benigne e maligne della mammella, deve effettuare almeno 50 interventi all anno. E auspicabile che i chirurghi appartenenti alla breast unit effettuino soltanto interventi alla mammella
9 HOSPITAL/UNIT VOLUME Author N. patients outcome Volume threshold Heil J et al ,863 mastectomy 150 Mc Dermott et al Siesling S et al ,000 BCS SLD 10 yrs surveillance 70
10 SURGEON VOLUME Author N. patients outcome Volume threshold Peltomieni et al 2012 BCS SLD 100 Mc Dermott et al Taben et al ,000 BCS SLD SLD, quality of care score 50 5
11 Breast Cancer. Proportion of new resection surgery within 120 days since conservative surgery. PNE 2014
12 Breast Cancer. Immediate Breast reconstruction. PNE 2014
13
14 REGULATORY DOCUMENT ON QUALITATIVE, STRUCTURAL, TECNOLOCICAL AND QUANTITATIVE STANDARD OF HOSPITAL CARE
15 VOLUME OF INTERVENTIONS
16 Surgical intervention for breast cancer : Volume of admissions. Italy hospitals > % of hospitals> 10 70% of women
17 Surgical intervention for breast cancer : % surgery in UU.OO and hospitals with case load > 135. ITALIA 2014.
18 Surgical intervention for breast cancer: Hospitals with case load > 400. Analysis by ward of discharge. ITALIA Specialità chirurgia gen/pla/tor Altre specialità.
19 % Surgical intervention for breast cancer in high volume wards (=>135) - ITALIA 2014 REGIONE % Piemonte 57.5 Valle d'aosta 0 Lombardia 67.6 PA Bolzano 38.5 PA Trento 96.1 Veneto 59.2 FVG 62.4 Liguria 61.9 Emilia Romagna 74.7 Toscana 68.9 Umbria 67 Marche 56.1 Lazio 51.2 Abruzzo 70.6 Molise 0 Campania 58.6 Puglia 68 Basilicata 86 Calabria 48.1 Sicilia 61.2 Sardegna 64.2
20
21
22 Surgical intervention for breast cancer in high volume wards/ hospitals (=>135).
23 National Health Service (NHS) universal coverage -By central government -By regions -By local health authorities
24 BOLZANO
25 TRENTO
26 TM Mammella. Lazio 2014 LAZIO Centri di senologia + Osp San Giuseppe Marino
27 Centri di senologia TM Mammella. Roma 2014
28 Breast Cancer Proportion of new resection surgery within 120 days since conservative surgery. Italy 12,3% 9,6%
29 Proportion of new resection surgery within 120 days since conservative surgery by hospital. Italy 2014
30 Proportion of new resection surgery within 120 days since conservative surgery by hospital and Region. PNE 2014
31 Breast Cancer. Reconstructive surgery in the index admission. Italy 35,5% 44,6%
32 Breast Cancer. Immediate Breast Reconstrucion by hospital, Italy 2014
33 Breast Cancer. Immediate Breast Reconstruction by hospital and Region, Italy 2014
34 National Health Service (NHS) universal coverage -By central government -By regions -By local health authorities Additional clinical variables and surgeons ID registered on hospital discharge record nationally starting jan 2017
35
36
37
38 CONCLUSIONS The available evidence shows a positive association between hospital/unit/phisican volume of care and better outcomes There is no clear threshold for unit/surgeon volume Case load may be considered as a proxy indicator of quality measure of care necessary but not sufficent. Quality of health care information systems should be improved in order to allow more comprehensive outcome evaluation
The Italian decision to mandate. children vaccinations. Fortunato D Ancona, MD Italian Ministry of Health
The Italian decision to mandate children vaccinations Fortunato D Ancona, MD Italian Ministry of Health The ASSET FINAL EVENT Share and move for mobilization and mutual learning at local, national and
More informationPDTA: assistential and diagnostic-therapeutic paths
PDTA: assistential and diagnostic-therapeutic paths Salvatore Leone Amici Onlus, National Coalition of Associations for Patients suffering Chronic Diseases (CnAMC), Italy What is IBD? Crohn s disease and
More informationStatistical Table 20: Prevalence of antibodies against hepatitis B virus among injecting drug users in the EU (sample sizes in brackets)
Belgium, French Community 23.5 (5 23.8 (240 20.0 (95 5.7 (27 SR selfreported test results; > 80% missing data. Belgium, Flemish Community 7.9 (06 20.0 (55 2.7 (57 5.0 (33 7. (3 AHBs. Drug, 2 Belgium, Flemish
More informationL USO DELLA RISORSA ALBUMINA LA PROSPETTIVA DEL CLINICO
AISF-SIMTI POSITION PAPER - L USO APPROPRIATO DELL ALBUMINA Roma, 29 marzo 2016 L USO DELLA RISORSA ALBUMINA LA PROSPETTIVA DEL CLINICO Mauro Bernardi Semeiotica Medica Dipartimento di Scienze Mediche
More informationScreening di Popolazione. del Cancro Colorettale. C. Hassan
Screening di Popolazione del Cancro Colorettale C. Hassan The Present 1. Organized screening program - Active invitation (less inequality) - Rapid coverage of the target population (2 yrs) - Quality Assurance
More informationSpecial Olympics Family Leadership and Support. Family Program Example Special Olympics Italy
Special Olympics Family Leadership and Support Family Program Example Special Olympics Italy Special Olympics vision The new strategic plan Families are asked to become COMMUNITY BUILDERS National Organizing
More informationCONCLUSIONS (Random Thoughts and Take Home Questions) gianluigi casadei
CONCLUSIONS (Random Thoughts and Take Home Questions) gianluigi casadei IL SOLE 24 ORE (September 4, 2012) Sustainability of health spending is a known issue for a long time The current crisis has dramatized
More informationPAIN makes a difference
PAIN makes a difference 1 yester day. large problem small solutions 2 not just compassion. 3 opioid consumption 2006!0.35 National healthcare service per capita disbursement 4 opioid consumption 2007!0.67
More informationINCREASING VACCINATION IN CHILDREN. Susanna Esposito
INCREASING VACCINATION IN CHILDREN Susanna Esposito Pediatric Highly Intensive Care Unit, University of Milan, Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico Milan, Italy DISCLOSURE OF INTEREST
More informationPriority actions of the different Regional Prevention Plans: common features and innovations
Priority actions of the different Regional Prevention Plans: common features and innovations Francesca Russo (1), Federica Michieletto (1), Annarosa Pettenò (1), Chiara Postiglione (2), Giuseppina Napoletano
More informationA standardization study of the Italian version of Frenchay Aphasia Screening Test in aphasic patients and control subjects
9 th European Congress of Speech and Language Therapy Palazzo dei Congressi & Palazzo degli Affari, Florence, Italy 8/9 May 2015 A standardization study of the Italian version of Frenchay Aphasia Screening
More informationItalian Observatory on Healthcare Report 2014 Health status and quality of care in the Italian Regions
Italian Observatory on Healthcare Report 2014 Health status and quality of care in the Italian Regions Summary by Dr. Alessandro Solipaca e Dr. Marta Marino Osservasalute Report 2013 Summary Since 12 years,
More informationTables 1-6 show a summary of main results related on screen detected cases during (age 50-69). Table 7 shows time trends
Audit system on Quality of breast cancer diagnosis and Treatment (QT): results from the survey on screen-detected lesions in Italy, Antonio Ponti, Maria Piera Mano, Vito Distante, Rita Bordon, Luigi Cataliotti,
More informationPrEPararsi alla PrEP: indagine sulla propensione dei medici di malattie infettive
UOC Infezioni emergenti e Centro di riferimento AIDS Dipartimento di Epidemiologia Istituto Nazionale per le Malattie Infettive L. Spallanzani - IRCCS, Rome, Italy Profilassi con antiretrovirali pre- e
More informationAUDIT SYSTEM ON QUALITY OF BREAST CANCER DIAGNOSIS AND TREATMENT (QT)
AUDIT SYSTEM ON QUALITY OF BREAST CANCER DIAGNOSIS AND TREATMENT (QT) Audit system on Quality of breast cancer diagnosis and Treatment (QT): results of quality indicators on screen-detected lesions in
More informationABRCAdaBRA:Opening the Way to Women with a BRCA Mutation in Italy. Ornella Campanella February 5, 2016
ABRCAdaBRA:Opening the Way to Women with a BRCA Mutation in Italy Ornella Campanella February 5, 2016 Who we are? Everythings was born on Facebook two years ago. Then we met in Pavia during the 4 Pavia
More informationBLUETONGUE IN ITALY: RISK ANALYSIS ON THE INTRODUCTION INTO FREE TERRITORIES OF VAC- CINATED ANIMALS FROM RE- STRICTED ZONES.
BLUETONGUE IN ITALY: RISK ANALYSIS ON THE INTRODUCTION INTO FREE TERRITORIES OF VAC- CINATED ANIMALS FROM RE- STRICTED ZONES. Bruxelles, 3 Dicembre 2002 INTRODUCTION...1 Italian strategy against bluetongue...
More informationStatistical Table 13: Prevalence of HIV infection (%) among injecting drug users under age 25, in the EU (sample sizes between brackets)
Statistical Table 3: Prevalence of HIV infection (%) among injecting drug users under, in the EU (sample sizes between brackets) HIV IDUs under Belgium, French Community 99 992 993 994 995 996 997 998
More informationStatistical Table 17: Prevalence of hepatitis C infection among injecting drug users under age 25 in the EU (%) (sample sizes between brackets)
Belgium, French Community 99 992 993 994 995 996 997 998 999 2000 200 / 40.9 (22) 47.4 (38) 3.9 (38) 26.7 (5) SR centres; self-reported test results. > 80% missing data. Belgium, French Community - Charleroi
More information2nd International Expert Meeting on Gluten Sensitivity Munich, December 1st 2012
2nd International Expert Meeting on Gluten Sensitivity Munich, December 1st 2012 NON CELIAC GLUTEN SENSITIVITY IN ADULTS: CLINICAL AND SEROLOGICAL ASPECTS Umberto Volta Coeliac Disease and Malabsorption
More informationAn Italian experience of training teachers* under the School Fruit and Vegetables Scheme
An Italian experience of training teachers* under the School Fruit and Vegetables Scheme Laura Gennaro Research Centre for Food and Nutrition (CREA-AN) laura.gennaro@crea.gov.it *Project funded by the
More informationAn Italian survey on the attitudes in treating breakthrough cancer pain in hospice
Support Care Cancer (2011) 19:979 983 DOI 10.1007/s00520-010-0919-5 ORIGINAL ARTICLE An Italian survey on the attitudes in treating breakthrough cancer pain in hospice Sebastiano Mercadante & Patrizia
More informationITALY New Development, Trends and in-depth information on selected issues
Focal Point Logo 2006 NATIONAL REPORT (2005 data) TO THE EMCDDA by the Reitox National Focal Point ITALY New Development, Trends and in-depth information on selected issues REITOX !"$ % &"!"'$(" ) $"$$(
More informationAim of the project. costs/expenditure, output, productivity, health outcomes, 1 The main aim of this project is to provide a quantitative analysis on:
Aim of the project 1 The main aim of this project is to provide a quantitative analysis on: costs/expenditure, output, productivity, health outcomes, of the Italian health care system based on patient
More informationWhat s the seismic risk perception in Italy?
What s the seismic risk perception in Italy? Crescimbene Massimo 1, La Longa Federica 1, Camassi Romano 2, Pino Nicola Alessandro 3, Peruzza Laura 4 1 INGV, Via di Vigna Murata 65, 143, Rome, Italy 2 INGV,
More informationFocus on PD. Roberto Russo. Azienda Ospedaliera Policlinico di Bari
Focus on PD Roberto Russo Azienda Ospedaliera Policlinico di Bari Peritoneal Dialysis Access Our meta-analysis clearly demonstrates benefits for catheters with a straight intraperitoneal segment Kidney
More informationFourth Report Better data quality. Addendum BETTER DATA QUALITY. Italian Arthroplasty Registry Project. English version of Tables and Figures
ITALIAN ARTHROPLASTY REGISTRY PROJECT Fourth Report 2017 Italian Arthroplasty Registry Project Better data quality BETTER DATA QUALITY for FOR better BETTER PATIENT patient SAFETY safety Fourth Report
More informationData and CRF management: P. Vaghi (Saronno), P. Calisi (Arenzano - GE), C. Chiavetta (Genova), Aristea SpA (Genova), Segno & Forma SpA (Milano).
Monaldi Arch Chest Dis 2007; 68: 193-198 ISYDE 2008 ISYDE-2008 Study presentation The Italian SurveY on cardiac rehabilitation: a snapshot of current cardiac rehabilitation programmes and provides in Italy
More informationTemporal and regional trends of choking injuries in children in Italy,
Lorenzoni et al. Injury Epidemiology (2018) 5:30 https://doi.org/10.1186/s40621-018-0160-0 ORIGINAL CONTRIBUTION Open Access Temporal and regional trends of choking injuries in children in Italy, 2001
More informationPaolo Giorgi Rossi. Consensus Conference : Definzione del percorso di Screening del Cervico-Carcinoma nelle donne vaccinate contro l HPV
(CIN3) and cancers due to HPV 16 and 18 in Italy: Estimating the number of non-preventable cancer in different scenarios of age for starting screening in vaccinated women Paolo Giorgi Rossi Rationale Cervical
More informationPOSITION PAPER PALLIATIVE CARE, PEDIATRIC PALLIATIVE CARE AND PAIN THERAPY: HUMANIZATION OF CARE
POSITION PAPER 1 PALLIATIVE CARE, PEDIATRIC PALLIATIVE CARE AND PAIN THERAPY: HUMANIZATION OF CARE GROUP LEADER: Basilicata Region OTHER PARTNERS: Calabria; Campania; Lazio; Marche; Piemonte; Prov. Aut.
More informationMelanoma in the Italian Population and Regional Environmental Influences: A National Retrospective Survey on Hospitalization Records
Int. J. Environ. Res. Public Health 2015, 12, 9102-9118; doi:10.3390/ijerph120809102 OPEN ACCESS Article International Journal of Environmental Research and Public Health ISSN 1660-4601 www.mdpi.com/journal/ijerph
More informationPharmaco-economic aspects of in-vitro fertilization in Italy Mantovani L G, Belisari A, Szucs T D
Pharmaco-economic aspects of in-vitro fertilization in Italy Mantovani L G, Belisari A, Szucs T D Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion
More informationCountry Delegates Workshop March, 2013 Overview of existing breast cancer screening guidelines
Country Delegates Workshop 13-14 March, 2013 Overview of existing breast cancer screening guidelines Federici Antonio Ministry of Health- Italy AGENDA THE STUDY (Quality appraisal of of guidelines for
More informationThe Seismic Risk Perception Questionnaire Crescimbene M. 1, La Longa F. 1, Camassi R. 1, Pino N.A. 1.
The Seismic Risk Perception Questionnaire Crescimbene M. 1, La Longa F. 1, Camassi R. 1, Pino N.A. 1 1 Istituto Nazionale di Geofisica e Vulcanologia, Rome, Italy (massimo.crescimbene@ingv.it, +390651860808)
More informationCastelfranco Veneto. La prevenzione primaria dell ictus
Castelfranco Veneto 19 Novembre 2004 La prevenzione primaria dell ictus Achille C. Pessina Dipartimento di Medicina Clinica e Sperimentale Università di Padova American Heart Association-2004 Update Percentage
More informationImpact of HPV vaccination: health gains in the Italian female population
Marcellusi Population Health Metrics (2017) 15:36 DOI 10.1186/s12963-017-0154-0 RESEARCH Impact of HPV vaccination: health gains in the Italian female population Andrea Marcellusi 1,2,3 Open Access Abstract
More informationUpdate of the universal vaccination programme in Italy
Update of the universal vaccination programme in Italy Progress in the prevention and control of hepatitis B in Italy, 12 years after the implementation of universal vaccination. Duration of immunity and
More informationClinical Research. The impact of economic crisis on mental and physical health in Italy
103 The impact of economic crisis on mental and physical health in Italy M. Ruggeri; S. Tomassi Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement, University of Verona, Italy
More informationItalians and Alcohol: Consumption, Trend and Attitudes in Italy and in the Regions
Indagine DOXA IV Italians and Alcohol: Consumption, Trend and Attitudes in Italy and in the Regions IV National DOXA National Survey Index 1. Introduction 2. Consumers and non-consumers of alcoholic beverages:
More informationProvided in Cooperation with: Institute for Social and Economic Research (ISER), University of Essex
econstor www.econstor.eu Der Open-Access-Publikationsserver der ZBW Leibniz-Informationszentrum Wirtschaft The Open Access Publication Server of the ZBW Leibniz Information Centre for Economics Rondinelli,
More informationClinicalTrials.gov Protocol and Results Registration System (PRS) Receipt Release Date: 09/30/2015. ClinicalTrials.gov ID: NCT
ClinicalTrials.gov Protocol and Results Registration System (PRS) Receipt Release Date: 09/30/2015 ClinicalTrials.gov ID: NCT01378962 Study Identification Unique Protocol ID: ML25514 Brief Title: A Study
More informationRhynchophorus ferrugineus in Europe survey results Nándor Pete
Food and Veterinary Office Rhynchophorus ferrugineus in Europe survey results Nándor Pete Topics General situation in the EU Specific situation of the Member States Interceptions Conclusions R. ferrugineus
More informationCONFERENCE THE NEW GUARANTEE SYSTEM AND THE INTEGRATED CARE PATHWAYS (ICP) EVALUATION March 2018 Turin, C.so Regina Margherita, 174
CONFERENCE Integrated services: organizational healthcare models in the framework of chronic diseases. THE NEW GUARANTEE SYSTEM AND THE INTEGRATED CARE PATHWAYS (ICP) EVALUATION 26-27 March 2018 Turin,
More informationGeographic and socio-economic variation of sodium and potassium intake in Italy. Results from the MINISAL-GIRCSI programme. For peer review only
Geographic and socio-economic variation of sodium and potassium intake in Italy. Results from the MINISAL-GIRCSI programme. Journal: Manuscript ID: bmjopen-0-00 Article Type: Research Date Submitted by
More informationSUNFRAIL PROJECT Understanding and Caring for Frailty and Multimorbidity. Speaker/Conference/Date
SUNFRAIL PROJECT Understanding and Caring for Frailty and Multimorbidity Speaker/Conference/Date ACKNOWLEDGEMENT This presentation is part of SUNFRAIL (project 664291), which has received funding from
More informationMaking the Most of Your Cancer Registry
www.champsods.com Making the Most of Your Cancer Registry Presenter: Toni Hare, Vice President CHAMPS Oncology Data Services Picture of girl here December 11, 2009 Learning Objectives Upon completion of
More informationA new method for estimating the illicit cigarette market at the subnational level and its application to Italy
This is an Accepted Manuscript of an article published in Global Crime on 21 February 2014, available online: http://www.tandfonline.com/ 10.1080/17440572.2014.882777 A new method for estimating the illicit
More informationHospital Burden and Gastrointestinal Surgery in Inflammatory Bowel Disease Patients in Italy: A Retrospective Observational Study
Journal of Crohn's and Colitis, 2015, 853 862 doi:10.1093/ecco-jcc/jjv104 Advanced Access publication June 11, 2015 Original Article Original Article Hospital Burden and Gastrointestinal Surgery in Inflammatory
More informationChildhood vaccine coverage in Italy after the new law on mandatory immunization
Ann Ig 2018; 30 (Suppl. 1): 1-10 doi:10.7416/ai.2018.2227 Childhood vaccine coverage in Italy after the new law on mandatory immunization C. Signorelli 1,2, A. Odone 2, P. Cella 1, S. Iannazzo 3 Key words:
More informationFrail elderly people Earthquake emergency in Central Italy Hotel Project
Frail elderly people Earthquake emergency in Central Italy Hotel Project Serrani Virginia Berardinelli Manuela Cipollari Susanna Coluccini Letizia Pascarella Marco Ridolfi Chiara BERLIN, GERMANY - 2-4
More informationMESOTHELIOMA MORTALITY SURVEILLANCE IN ITALY
MESOTHELIOMA MORTALITY SURVEILLANCE IN ITALY Lucia Fazzo, Pietro Comba Dipartimento di Ambiente e Connessa Prevenzione Primaria. Istituto Superiore di Sanità, Rome Introduction The objective of the present
More informationEuroTrak Italy Results
Results EuroTrak Italy 2015 1. Introduction 2. Market overview 3. Analysis of hearing aid owners 4. Analysis of hearing impaired non-owners 5. Appendix Research to create value Summary 1. Introduction
More informationEvaluation of care services provided to female patients by Drug Addiction Department: a national explorative survey
Journal of Applied Medical Sciences, vol. 2, no. 1, 2013, 11-23 ISSN: 2241-2328 (print version), 2241-2336 (online) Scienpress Ltd, 2013 Evaluation of care services provided to female patients by Drug
More informationCENTRI DI RIFERIMENTO PER IL TRATTAMENTO DEL CARCINOMA INVASIVO. CARATTERISTICHE CLINICO STRUTTURALI
CENTRI DI RIFERIMENTO PER IL TRATTAMENTO DEL CARCINOMA INVASIVO. CARATTERISTICHE CLINICO STRUTTURALI Gruppo Italiano Screening del Cervicocarcinoma Napoli, 11 Dicembre 2006 P. Zola, Torino - T. Maggino,
More informationAnnual Report. Public Health Screening Programmes TO 31 MARCH Extract: Chapter 3 : Planning for Bowel Screening Programme
Public Health Screening Programmes Annual Report TO 31 MARCH 2007 Extract: Chapter 3 : Planning for Bowel Screening Programme Version 1.0 Published: 18 December 2007 1 Contents INTRODUCTION...3 SUMMARY...5
More informationWEST NILE DISEASE IN ITALY
Epidemiological bulletin 2011 WEST NILE DISEASE IN ITALY Introduction 2 Epidemiological situation - in humans - 3 Equids Surveillance 7 Surveillance of resident and wild birds 9 Epidemiological situation
More information2015 Public Outcomes Report Cancer Program Practice Profile Reports 2013 Breast and Colon Cancer
As a Commission on Cancer (CoC)-accredited cancer program, HealthEast ensures that patients with cancer are treated according to nationally accepted measures. Measures for Quality of Cancer Care Each year,
More informationNCIN Breast Cancer Workshop 13 March 2014 Hilton Metropole, NEC, Birmingham. Kieran Horgan, Dick Rainsbury, Mark Sibbering, Gill lawrence
NCIN Breast Cancer Workshop 13 March 2014 Hilton Metropole, NEC, Birmingham Kieran Horgan, Dick Rainsbury, Mark Sibbering, Gill lawrence 1 Interactive Workshop Session Professor Kieran Horgan Workshop
More informationOutcomes Report: Accountability Measures and Quality Improvements
Outcomes Report: Accountability Measures and Quality Improvements The FH Memorial Medical Center s Cancer Committee ensures that patients with cancer are treated according to the nationally accepted measures.
More informationDisclosure: Member of the advisory board of EUPHAS 2
Disclosure: Member of the advisory board of EUPHAS 2 SEPSI SEVERA confronto con altre patologie maggiori (USA) MORTALITA Mortality of Severe Sepsis Morti / anno AIDS* CANCRO mammella IMA SEPSI SEVERA
More informationCOMMISSION ON CANCER 2013 Cancer Program Practice Profile Reports (CP 3 R)
COMMISSION ON CANCER 2013 Cancer Program Practice Profile Reports (CP 3 R) Women often choose to have a mastectomy with breast reconstruction surgery instead of breast conservation following a breast cancer
More informationA National Quality Assurance program for breast immunohistochemistry: an Italian perspective
PATHOLOGICA 208;0:83-9 Original article A National Quality Assurance program for breast immunohistochemistry: an Italian perspective E. GUADAGNO, G. DE ROSA *, O. NAPPI 2 Department of Advanced Biomedical
More informationBluetongue in Italy: Part II
Vet. Ital., 4 (3), 22-29 Bluetongue in Italy: Part II A. Giovannini (1), P. Calistri (1), D. Nannini (1), C. Paladini (1), U. Santucci (2), C. Patta (3) & V. Caporale (1) (1) Istituto Zooprofilattico Sperimentale
More informationHTA commissioned call
HTA commissioned call BACKGROUND 2002 NICE Guidance for Early Breast Cancer Discharge asymptomatic patients from hospital follow-up by 3 years. 2007 Questioning specialists attitudes to breast cancer follow-up
More informationARISS International meeting Houston, Texas 2016 ARISS Europe - Proposal for 2017 Nespoli mission
ARISS International meeting Houston, Texas 2016 ARISS Europe - Proposal for 2017 Nespoli mission Gianpietro Ferrario IZ2GOJ Francesco De Paolis IKØWGF Approved by ASI Educational Office Education Plans
More informationTrends for Influenza-related Deaths during Pandemic and Epidemic Seasons, Italy,
RESEARCH Trends for Influenza-related Deaths during Pandemic and Epidemic Seasons, Italy, 1969 2001 Caterina Rizzo,* Antonino Bella,* Cécile Viboud, Lone Simonsen, Mark A. Miller, Maria Cristina Rota,*
More informationImplemetation status of Law 38 of March 15th, 2010
Implemetation status of Law 38 of March 15th, 2010 Dr. Marco Spizzichino Ministero della Salute Direzione della Programmazione Sanitaria Ufficio XI «Cure palliative e terapia del dolore» Ministry of Health
More informationWNV surveillance and prevention of transfusion transmission in Italy
Ministero del Lavoro, della Salute e delle Politiche Sociali Istituto Superiore di Sanità Centro Nazionale Sangue Via Giano della Bella, 27 00162 Roma Tel: 06 4990 4953 / 4954 Fax: 06 4990 4975 E-mail:
More informationMEMBER CARD. World s Best Medical Treatments & Wellness
MEMBER CARD World s Best Medical Treatments & Wellness WORLD S BEST MEDICAL TREATMENTS & WELLNESS Swiss Health Care International Swiss Health Care International is a company in Switzerland established
More informationResearch Article Epidemiology of Thyroid Cancer in an Area of Epidemic Thyroid Goiter
Cancer Epidemiology Volume 213, Article ID 584768, 4 pages http://dx.doi.org/.1155/213/584768 Research Article Epidemiology of Thyroid Cancer in an Area of Epidemic Thyroid Goiter Antonio Cossu, 1 Mario
More informationLevothyroxine and lung cancer in females: the importance of oxidative stress
Cornelli et al. Reproductive Biology and Endocrinology 2013, 11:75 RESEARCH Open Access Levothyroxine and lung cancer in females: the importance of oxidative stress Umberto Cornelli 1, Gianni Belcaro 2,
More informationRound table: Potential implementation in the Italian diabetes prevention and care. Italian stakeholders
Round table: Potential implementation in the Italian diabetes prevention and care. Italian stakeholders Marco Comaschi Diabetologist The primary care system About 60000 GPs 60% solo in office Usually a
More informationSurgical Site Infection (SSI) Surveillance Update (with special reference to Colorectal Surgeries)
Surgical Site Infection (SSI) Surveillance Update (with special reference to Colorectal Surgeries) Where we started and where we re going Anjum Khan MBBS MSc CIC Infection Control Professional Department
More informationThe impact of real practice inappropriateness and devices inefficiency to variability in growth hormone consumption
J Endocrinol Invest (2014) 37:979 990 DOI 10.1007/s40618-014-0138-x ORIGINAL ARTICLE The impact of real practice inappropriateness and devices inefficiency to variability in growth hormone consumption
More informationItaliani (FLI), which assisted in sensitizing members of the most problematic regions. Finally, Q3 was sent only to SLT.
Inquiry on Stuttering in Italy: Characteristics of the public service (regarding university education and health care) and characteristics of logopedic practice Marianna Stella, Carla Lazzari #, Pasqualina
More informationAre people in the South less intelligent than in the North? IQ and the North-South disparity in Italy
Are people in the South less intelligent than in the North? IQ and the North-South disparity in Italy Vittorio Daniele a and Paolo Malanima b ABSTRACT - Socioeconomic disparity between North and South
More informationHighland NHS Board 6 October 2015 Item 5.1 NEW VACCINATION PROGRAMMES
Highland NHS Board 6 October 2015 Item 5.1 NEW VACCINATION PROGRAMMES Report by Abhayadevi Tissington, Nurse Consultant Health Protection and Ken Oates, Consultant in Public Health on behalf of Hugo Van
More informationTreating pre-cirrhotic patients now Why to treat now
Treating pre-cirrhotic patients now Why to treat now Giuliano Rizzardini Dipartimento Malattie Infettive Ospedale Luigi Sacco, Milano School of Clinical Medicine, Faculty of Health Science, University
More informationNational Breast Cancer Audit next steps. Martin Lee
National Breast Cancer Audit next steps Martin Lee National Cancer Audits Current Bowel Cancer Head & Neck Cancer Lung cancer Oesophagogastric cancer New Prostate Cancer - undergoing procurement Breast
More informationAn outbreak of STEC O26 linked to water
An outbreak of STEC O26 linked to water Gaia Scavia 1 Gabriella Conedera 2 1- Istituto Superiore di Sanità (ISS) National Reference Lab. for E.coli Italian National Registry for HUS, Rome (Italy) 2- Istituto
More informationCOMMUNITY BASED testing in Italy: from demonstration projects to routine offer
COMMUNITY BASED testing in Italy: from demonstration projects to routine offer L. Cosmaro 1, M. Oldrini 2, L. Rancilio 3, M. Breveglieri 4, G.M. Corbelli 5, M. Farinella 6 E. Girardi 7 1 Fondazione LILA
More informationChallenge Your Expert: Supportive Care in Breast Cancer The Significance of Life Style. Alessandra Fabi
Challenge Your Expert: Supportive Care in Breast Cancer The Significance of Life Style Alessandra Fabi Bologna, 29-30 Marzo 2017 VOLONTA WILL VOLUNTAD WERDEN VOLONTE Cause Prevenibili di Neoplasia Abuso
More informationTreatment of minor and severe traumatic brain injury. National reference guidelines
MINERVA ANESTESIOL 2008;74:583-616 GUIDELINES Treatment of minor and severe traumatic brain injury. National reference guidelines B., R. VILLANI and the Working Group* Foreword *B. Rusticali (ASSR Guideline
More informationIntegration of homeopathy and complementary medicine in the public health system in Italy: national regulation and regional experiences
J Med Pers (2015) 13:45 54 DOI 10.1007/s12682-014-0187-0 HOMEOPATHY AND INTEGRATIVE MEDICINE Integration of homeopathy and complementary medicine in the public health system in Italy: national regulation
More informationBreast Surgery: the English experience
Breast Surgery: the English experience G Querci Della Rovere Royal Marsden Hospital En memoria de un excelente cirujano, pionero en la cirugía oncoplástica del cáncer de mama (Fernando Hernanz) The first
More informationBreastScreen Aotearoa Annual Report 2015
BreastScreen Aotearoa Annual Report 2015 EARLY AND LOCALLY ADVANCED BREAST CANCER PATIENTS DIAGNOSED IN NEW ZEALAND IN 2015 Prepared for Ministry of Health, New Zealand Version 1.0 Date November 2017 Prepared
More informationAMORAL FAMILISM, SOCIAL CAPITAL, OR TRUST? THE BEHAVIOURAL FOUNDATIONS OF THE ITALIAN NORTH SOUTH DIVIDE*
The Economic Journal, 126 (August), 1318 1341. Doi: 10.1111/ecoj.12292 Published by John Wiley & Sons, 9600 Garsington Road, Oxford OX4 2DQ, UK and 350 Main Street, Malden, MA 02148, USA. AMORAL FAMILISM,
More informationGENERAL PROJECT S.r.l.
e / 1 di / of 8 Certificato CE del Sistema di Garanzia della Qualità EC Quality Assurance System Certificate Si certifica che, sulla base dei risultati degli audit effettuati, il Sistema completo di garanzia
More informationMarch 2012: Next Review September 2012
9.13 Falls Falls, falls related injuries and fear of falling are crucial public health issues for older people. Falls are the most common cause of accidental injury in older people and the most common
More informationHow to treat an infected aortic endograft by in-situ reconstruction with pericard tube grafts
How to treat an infected aortic endograft by in-situ reconstruction with pericard tube grafts H.-H. Eckstein Department for Vascular and Endovascular Surgery Klinikum rechts der Isar (MRI), Munich, Germany
More informationCancer Endorsement Maintenance 2011-Maintenance Measures
Measure Number Title Description Measure Steward 0210 Proportion receiving chemotherapy in the last 14 days of life 0211 Proportion with more than one emergency room visit in the last days of life 0212
More informationDRG 183 AND 184: ANALYSIS ON THE APPROPRIATNESS OF HOSPITAL ADMISSIONS ACCORDING TO PROTOCOL PRUO. A LOCAL EXPERIENCE
CASEMIX Quarterly, Volume 1 Number 4, 31st December 1999 DRG 183 AND 184: ANALYSIS ON THE APPROPRIATNESS OF HOSPITAL ADMISSIONS ACCORDING TO PROTOCOL PRUO. A LOCAL EXPERIENCE Cinthia Manganaro, Erika Sampognaro,
More informationWales Abdominal Aortic Aneurysm Screening Programme (WAAASP) Policies
Wales Abdominal Aortic Aneurysm Screening Programme (WAAASP) Policies Author: Llywela Wilson, Programme Lead Policy lead: Llywela Wilson, Programme Lead Executive lead: Dr Rosemary Fox, Acting Director
More informationEpidemiologia dell HPV e cancro della cervice nel mondo. Silvia Franceschi
Epidemiologia dell HPV e cancro della cervice nel mondo Silvia Franceschi Infezione da HPV: dalla diagnosi precoce alla prevenzione primaria. Roma, 27 Giugno 2012 Cancer incidence 2008 attributable to
More informationDepartment of Political Science. Bachelor in Politics, Philosophy and Economics. Chair of Statistics
Department of Political Science Bachelor in Politics, Philosophy and Economics Chair of Statistics What about Italy abroad? A statistical analysis about Il Bel Paese among young international people Supervisor
More informationEIP AHA Valencia 2016 Towards an Active and Healthy Ageing. Emilia-Romagna Region - Reference Site EIP-AHA
EIP AHA Valencia 2016 Towards an Active and Healthy Ageing Emilia-Romagna Region - Reference Site EIP-AHA A Regional Model to Predict Identify and Manage Multimorbidity and Frailty Mirca Barbolini Valencia
More informationRICERCA FINALIZZATA 2009
Application resume RICERCA FINALIZZATA 2009 Ministero della Salute Direzione Generale della Ricerca Scientifica e Tecnologica Title: OBSERVANT - OBservational Study of Effectiveness of avr-tavi procedures
More informationThe National Accreditation Program for Breast Centers American Program Considerations
The National Accreditation Program for Breast Centers American Program Considerations Cary S. Kaufman, MD, FACS Chair, National Accreditation Program for Breast Centers NAPBC Mission Statement* The National
More information