8 th World Research Congress of the European Association for Palliative Care
|
|
- Madeleine Goodwin
- 8 years ago
- Views:
Transcription
1 Centro Interdipartimentale di Ricerche sul Cancro «Giorgio Prodi» Is the surprise question a useful trigger to predict those advanced cancer patients who could benefit from early palliative care? A prospective study among general practitioners. Giulia Galli 8 th World Research Congress of the European Association for Palliative Care Lleida, 5 7 June 2014 The Academy of Sciences of Palliative Medicine is coordinated by the Isabella Seràgnoli Foundation Bologna
2 WOULD YOU BE SURPRISED IF THIS PATIENT DIED WITHIN A YEAR? WOULD YOU BE THE SURPRISE SURPRISED IF THIS QUESTION PATIENT DIED WITHIN A YEAR? Della Penna R. Asking the right question, J Pall Med 2001 GSF Prognostic Indicator Guidance, Version 4, 2011
3 METHODS 2 METHODS 1 Design: Prospective cohort study Aim of the study: assessment of the reliability of the fase 1: clinical assessment of patients and answer to the SQ GP s answer to the 1 year surprise question. THE STUDY fase 2: patients status at 12 month interval Statistical Subjectsanalysis: of the study: 50 randomly selected general practitioners METHODS from the Bologna area in Comparison of variables in the two groups: Fisher s Test and t test; Italy. Sensitivity, specificity, PPV and NPV of the answer given to the SQ; MCC; Patients 1 year who survival were curves: cared Kaplan Meier by the method; GP and who had advanced stage cancer (stage IV), excluding those Determination of the prognostic factors influencing the risk of death at 1 with onco-haematological disorders. year: univariate and multivariate Cox proportional hazard regression models; Measurement of the risk of death at 1 year for the SQ s answer: odds ratio (OR).
4 Patients Mean age (years±se) All (N = 231) Yes (N = 105) No (N = 126) The Surprise Question RESULTS 1 DEMOGRAPHICS AND CANCER SITE OF PATIENTS THE STUDY P value 70.2 (0.9) 69.5 (1.3) 70.7 (1.2) 0.47 Men, n (%) 117 (50.6) 57 (54.3) 60 (47.6) 0.36 RESULTS Cancer, n (%) Lung 47 (20) 16 (15) 31 (25) Breast 46 (20) 28 (27) 18 (14) Colon 33 (14) 17 (16) 16 (13) Prostate 18 (8) 13 (12) 5 (4) Pancreas 15 (6) 2 (2) 13 (10) Ovary Uterus 15 (6) 6 (6) 9 (7) Other sites 57 (25) 23 (22) 34 (27) Moroni M et al, Palliat Med, March 2014
5 RESULTS 2 RESULTS 3 DAYS OF SURVIVAL IN 1 YEAR FOR YES AND NO GROUPS 100 SURPRISE QUESTION (231 evaluable cases) Yes SURVIVAL % Group Alive Deceased Yes Mean (+SE) Days Alive No Yes = No = Sensitivity = 69.3% (C.I ) Specificity = 83.6% (C.I ) MCC = 0.53 Log rank P < MONTHS FROM SURPRISE QUESTION PREDICTIVE VALUE PPV 83.8% (C.I ) No NPV 69.0% (C.I ) Moroni M et al, Palliat Med, March 2014
6 Hazard Variable 95% CI p value MULTIVARIATE RatioCOX REGRESSION Age (years) (0.994, 1.036) Sex (reference=male) (0.484, 1.241) Site of cancer (reference=lung) Hazard (0.392, 1.121) Variabile (reference=breast) Ratio (0.986, 3.993) (reference =colon) (0.662, 2.884) (reference Site of cancer =pancreas) (0.176, 0.714) (reference=prostate) (pancreas) (0.862, ) (reference=ovary uterus) (0.615, 6.216) Specialisation (reference=yes) (0.727, 2.162) (reference=yes) surprise question (reference=yes) (3.747, ) Doctor s experience (0.963, 1.042) The Surprise Question RESULTS 5 RESULTS 4 UNIVARIATE COX REGRESSION TO PREDICT STATUS AT1 YEAR surprise question TO PREDICT STATUS AT 1 YEAR 95% CI p value (0.772, 6.432) (2.418, ) Moroni M et al, Palliat Med, March 2014
7 CONCLUSIONS 1 The answer to the 1 year surprise question given by generalists is a fairly accurate predictorofadvancedcancerpatients status at 12 months. THE STUDY When the answer to the SQ was positive, physicians accurately predicted survival in more than 4/5 of the patients. CONCLUSIONS At the univariate Cox analysis the hazard ratio (HR) of a negative response to the surprise question was 6.99 (95% CI: ). Patients in the No group had an odds ratio of (95%CI: ) of being dead within the year, when compared to those in the Yes group (p=0.000).
8 CONCLUSIONS 2 The SQ s PPV (83,8%) suggests that the surprise question is a good screening test to identify patients with an increased risk of death within the year, among a population affected by advanced stage cancer (stage IV). The study suggests that the GP s have a tendency to underestimate the prognosis of their patients with advanced neoplastic disease. 39 patients out of the 126 (30.7%) assigned to the No group resulted to have lived beyond the 12 month observation period
9 The 'surprise' question in advanced cancer patients: A prospective study among general practitioners Matteo Moroni, Donato Zocchi, Deborah Bolognesi, Amy Abernethy, Roberto Rondelli, Giandomenico Savorani, Marcello Salera, Filippo G. Dall Olio, Giulia Galli, Guido Biasco on behalf of the SUQ P Group. Published online 24 March 2014 Palliat Med; DOI: / THE AUTHORS WOULD LIKE TO THANK Surprise Question Practitioners group (SUQ P group) of the Emilia Romagna Region, Italy: Antonio Balduzzi, Giulio Bandi, Laura Baraldini, Salvatore Bauleo, Luigi Bertini, Paolo Borghi, Paolo Calzoni, Maurizio Camanzi, Antonino Cammarata, Piero Casarini, Roberto Cau, Cecilia Deni, Shirley Ehrlich, Giuliano Ermini, Livio Franco, Giancarlo Furlò, Marina Grandi, Antonio Luigi Lalli, Marco Maccaferri, Carla Marzo, Angelo Masi, Annunzio Matrà, Piero Mazzetti Gaito, Federico Montanari, Massimo Oggianu, Gianluca Ognibene, Maria Palasciano, Saida Palestini, Fernando Perrone, Stefano Quadrelli, Antonino Rappacciolo, Stefano Rubini, Marcello Salera, Sandra Santi, Giandomenico Savorani, Alberto Serio, Anna Maria Severino, Matteo Siena, Pietro Speziali, Luigi Spinnato, Cesare Tosetti, Pietro Velonà, Andrea Verri, Donato Zocchi. Contact author: guido.biasco@unibo.it
Annicka G. M. van der Plas. Kris C. Vissers. Anneke L. Francke. Gé A. Donker. Wim J. J. Jansen. Luc Deliens. Bregje D. Onwuteaka-Philipsen
CHAPTER 8. INVOLVEMENT OF A CASE MANAGER IN PALLIATIVE CARE REDUCES HOSPITALISATIONS AT THE END OF LIFE IN CANCER PATIENTS; A MORTALITY FOLLOW-BACK STUDY IN PRIMARY CARE. Annicka G. M. van der Plas Kris
More informationA new score predicting the survival of patients with spinal cord compression from myeloma
A new score predicting the survival of patients with spinal cord compression from myeloma (1) Sarah Douglas, Department of Radiation Oncology, University of Lubeck, Germany; sarah_douglas@gmx.de (2) Steven
More informationMeasures of Prognosis. Sukon Kanchanaraksa, PhD Johns Hopkins University
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this
More informationTemporal Trends in Demographics and Overall Survival of Non Small-Cell Lung Cancer Patients at Moffitt Cancer Center From 1986 to 2008
Special Report Temporal Trends in Demographics and Overall Survival of Non Small-Cell Lung Cancer Patients at Moffitt Cancer Center From 1986 to 2008 Matthew B. Schabath, PhD, Zachary J. Thompson, PhD,
More informationThe CASP8 rs3834129 polymorphism and breast cancer risk in BRCA1 mutation carriers.
The CASP8 rs3834129 polymorphism and breast cancer risk in BRCA1 mutation carriers. Irene Catucci 1,2,12, Paolo Verderio 3,12, Sara Pizzamiglio 3,12, Siranoush Manoukian 4, Bernard Peissel 4, Daniela Zaffaroni
More informationA new score predicting the survival of patients with spinal cord compression from myeloma
A new score predicting the survival of patients with spinal cord compression from myeloma (1) Sarah Douglas, Department of Radiation Oncology, University of Lubeck, Germany; sarah_douglas@gmx.de (2) Steven
More informationMediterranean School of Oncology
Mediterranean School of Oncology Organized and supported by: CINBO Consorzio Interuniversitario Nazionale per la Bioncologia HIGHLIGHTS IN THE MANAGEMENT OF COLORECTAL CANCER, February 1-2, 2007 Domus
More informationCancer in Ireland 2013: Annual report of the National Cancer Registry
Cancer in 2013: Annual report of the National Cancer Registry ABBREVIATIONS Acronyms 95% CI 95% confidence interval APC Annual percentage change ASR Age standardised rate (European standard population)
More informationFinnish Cancer Registry Institute for Statistical and Epidemiological Cancer Research. Survival ratios of cancer patients by area in Finland
Survival ratios of cancer patients by area in Finland Pages 2 14 present the relative survival ratios for patients diagnosed in 2005 2012 and followed-up in 2010 2012 (see Methods p. 15) on different university
More informationNumber. Source: Vital Records, M CDPH
Epidemiology of Cancer in Department of Public Health Revised April 212 Introduction The general public is very concerned about cancer in the community. Many residents believe that cancer rates are high
More informationSection 8» Incidence, Mortality, Survival and Prevalence
Section 8» Incidence, Mortality, Survival and Prevalence 8.1. Description of Statistics Reported This section focuses on the regional distribution of cancer with data derived from the BC Cancer Registry
More information16.30 Kaposi s Sarcoma (KS): an interesting model for studying clinico-pathological relationship in tumorigenesis events
VIII th M.O.M.T. MEDITERRANEAN CONGRESS ON ONCOLOGICAL PATHOLOGY GALLIPOLI (LE) October 2015, 9-10 Convention Center - Grand Hotel Costa Brada Gallipoli (LE), ITALY 1 st day, Friday, October 2015, 9 8.30
More informationPATTERNS OF MORTALITY IN ASBESTOS FACTORY WORKERS IN LONDON*
PATTERNS OF MORTALITY IN ASBESTOS FACTORY WORKERS IN LONDON* M. L. Newhouse TUC Centenary Institute of Occupational Health London School of Hygiene and Tropical Medicine London WCIE 7HT. England G. Berry
More informationTips for surviving the analysis of survival data. Philip Twumasi-Ankrah, PhD
Tips for surviving the analysis of survival data Philip Twumasi-Ankrah, PhD Big picture In medical research and many other areas of research, we often confront continuous, ordinal or dichotomous outcomes
More informationSurvival Rate of Childhood Leukemia in Shiraz, Southern Iran
Original Article Iran J Pediatr Feb 23; Vol 23 (No ), Pp: 5358 Survival Rate of Childhood Leukemia in Shiraz, Southern Iran AlmasiHashiani, Amir, MSc; Zareifar, Soheil 2, MD; Karimi, Mehran 2, MD; Khedmati,
More informationLong-term survival of children with cerebral palsy in Okinawa, Japan
DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY ORIGINAL ARTICLE Long-term survival of children with cerebral palsy in Okinawa, Japan MAYUMI TOUYAMA 1 JUN TOUYAMA 1 YASUO OCHIAI 2 SATOSHI TOYOKAWA 3 YASUKI KOBAYASHI
More informationL Lang-Lazdunski, A Bille, S Marshall, R Lal, D Landau, J Spicer
Pleurectomy/decortication, hyperthermic pleural lavage with povidone-iodine and systemic chemotherapy in malignant pleural mesothelioma. A 10-year experience. L Lang-Lazdunski, A Bille, S Marshall, R Lal,
More informationRandomized trials versus observational studies
Randomized trials versus observational studies The case of postmenopausal hormone therapy and heart disease Miguel Hernán Harvard School of Public Health www.hsph.harvard.edu/causal Joint work with James
More informationDisclosures for Elena Zamagni
Prognostic relevance of 18F-FDG PET/CT in newly diagnosed multiple myeloma patients receiving upfront autologous stem-cell transplantation: a prospective study Zamagni E. 1, Nanni C. 2, Patriarca F. 3,
More informationLow level viremia and HIV-1 drug resistance in patients with virological rebound after suppression with a first line antiretroviral regimen
Low level viremia and HIV-1 drug resistance in patients with virological rebound after suppression with a first line antiretroviral regimen Manuela Colafigli Catholic University of S. Heart Rome, Italy
More informationFocus on Emergency and Essential Care (EEC) at District Hospital
MASTER IN INTERNATIONAL HEALTH AND MEDICINE FOR COOPERATION WITHDEVELOPING COUNTRIES Focus on Emergency and Essential Care (EEC) at District Hospital February 2010 - December 2010 2nd Academic year University
More informationLa sopravvivenza dei tumori maligni nei confronti internazionali: anticipazione della diagnosi o modifica del decorso naturale della malattia?
La sopravvivenza dei tumori maligni nei confronti internazionali: anticipazione della diagnosi o modifica del decorso naturale della malattia? Paola Pisani Registro Tumori Infantili Piemonte Università
More informationAdvanced Quantitative Methods for Health Care Professionals PUBH 742 Spring 2015
1 Advanced Quantitative Methods for Health Care Professionals PUBH 742 Spring 2015 Instructor: Joanne M. Garrett, PhD e-mail: joanne_garrett@med.unc.edu Class Notes: Copies of the class lecture slides
More informationLa Chemioterapia Adiuvante Dose-Dense. Lo studio GIM 2. Alessandra Fabi
La Chemioterapia Adiuvante Dose-Dense Lo studio GIM 2 Alessandra Fabi San Antonio Breast Cancer Symposium -December 10-14, 2013 GIM 2 study Epirubicin and Cyclophosphamide (EC) followed by Paclitaxel (T)
More informationFirst Announcement Preliminary program
Università degli Studi di Firenze Facoltà di Medicina e Chirurgia Azienda Ospedaliera Universitaria Careggi FC Barcelona ACF Fiorentina First Announcement 1 th European Meeting on Sports Medicine and Exercise
More informationThe VEdeTTE cohort study: Effectiveness of treatments for heroin addiction in retaining patients and reducing mortality
The VEdeTTE cohort study: Effectiveness of treatments for heroin addiction in retaining patients and reducing mortality Federica Vigna-Taglianti www.oed.piemonte.it Piedmont Centre for Drug Addiction Epidemiology
More informationMedTASS 2013 12-13 3 MEDITERRANEAN TRANSPLANTATION ANESTHESIOLOGY AND SIMULATION SYMPOSIUM. Villa Igiea - PALERMO. April 2013.
MedTASS 2013 rd 3 MEDITERRANEAN TRANSPLANTATION ANESTHESIOLOGY Villa Igiea - PALERMO th th 12-13 April 2013 1 MedTASS 2013 MedTASS 2013 Dear colleagues, It is our honor and privilege to invite you to the
More informationMissing data and net survival analysis Bernard Rachet
Workshop on Flexible Models for Longitudinal and Survival Data with Applications in Biostatistics Warwick, 27-29 July 2015 Missing data and net survival analysis Bernard Rachet General context Population-based,
More informationBig data size isn t enough! Irene Petersen, PhD Primary Care & Population Health
Big data size isn t enough! Irene Petersen, PhD Primary Care & Population Health Introduction Reader (Statistics and Epidemiology) Research team epidemiologists/statisticians/phd students Primary care
More informationLL.M. Program Business and Company Law: European and International Perspectives LUISS Guido Carli School of Law Academic Year 2013/2014
LL.M. Program Business and Company Law: European and International Perspectives LUISS Guido Carli School of Law Academic Year 2013/2014 Academic Director Prof. Barbara De Donno (LUISS Guido Carli ) Scientific
More informationCancer research in the Midland Region the prostate and bowel cancer projects
Cancer research in the Midland Region the prostate and bowel cancer projects Ross Lawrenson Waikato Clinical School University of Auckland MoH/HRC Cancer Research agenda Lung cancer Palliative care Prostate
More informationPRELIMINARY PROGRAMME I ACT. Bologna, 30 th November - 1 st December. Aula Chiantore
PRELIMINARY PROGRAMME I ACT Bologna, 30 th November - 1 st December 2012 Aula Chiantore Institute of Hematology L. e A. Seràgnoli Sant Orsola - Malpighi University Hospital PAV. 8 PROMOTED BY SCIENTIFIC
More informationKomorbide brystkræftpatienter kan de tåle behandling? Et registerstudie baseret på Danish Breast Cancer Cooperative Group
Komorbide brystkræftpatienter kan de tåle behandling? Et registerstudie baseret på Danish Breast Cancer Cooperative Group Lotte Holm Land MD, ph.d. Onkologisk Afd. R. OUH Kræft og komorbiditet - alle skal
More informationDoctorate in Money and Finance
University of Rome Tor Vergata Doctorate in Money and Finance Director Prof. Gustavo Piga Key facts The Doctorate in Money and Finance at Tor Vergata University is the first Italian doctoral program in
More informationIntroduction Objective Methods Results Conclusion
Introduction Objective Methods Results Conclusion 2 Malignant pleural mesothelioma (MPM) is the most common form of mesothelioma a rare cancer associated with long latency period (i.e. 20 to 40 years),
More informationPRELIMINARY PROGRAMME I ACT. Bologna, 30 th November - 1 st December. Aula Chiantore
PRELIMINARY PROGRAMME I ACT Bologna, 30 th November - 1 st December 2012 Aula Chiantore Institute of Hematology L. e A. Seràgnoli Sant Orsola - Malpighi University Hospital PAV. 8 PROMOTED BY SCIENTIFIC
More informationEast Midlands Cancer Clinical Network Improving Lung Cancer Outcomes. Dr Paul Beckett Royal Derby Hospital
East Midlands Cancer Clinical Network Improving Lung Cancer Outcomes Dr Paul Beckett Royal Derby Hospital Number of resections Five year net survival Background to the Workshop Survival for lung cancer
More informationEffect of Risk and Prognosis Factors on Breast Cancer Survival: Study of a Large Dataset with a Long Term Follow-up
Georgia State University ScholarWorks @ Georgia State University Mathematics Theses Department of Mathematics and Statistics 7-28-2012 Effect of Risk and Prognosis Factors on Breast Cancer Survival: Study
More informationD4A - DOCTORS FOR AFRICA. Objectives of the MA Program
MAY 2008 - MAY 2009 D4A - DOCTORS FOR AFRICA Objectives of the MA Program The objective of the Master is to create the figure of a doctor able to operate in organizations linked to international cooperation,
More informationNOME ROLE DEGREE TEACHING AREA INSTITUTION. Chiara Tonelli Faculty Advisor Aggregate Professor Environmental Design Architecture Department Roma Tre
Credits - teamrhome MANAGEMENT NOME DEGREE TEACHING AREA INSTITUTION Chiara Tonelli Faculty Advisor Aggregate Professor Environmental Design Stefano Converso Project Manager Research Fellow Parametric
More informationStephen R. Veach, M.D.
Stephen R. Veach, M.D. Memorial Sloan-Kettering Cancer Center International Oncology Programs 160 E. 53 rd Street New York, NY 10022 212-610 610-08780878 - tel 212-308 308-7063 - fax veachs@mskcc.org SCREENING
More informationSezione di Oncologia. [Workshop] LEARNING at the LEANING tower Pisa Colorectal Cancer 2015
[Workshop] LEARNING at the LEANING tower Pisa Colorectal Cancer 2015 Pisa, 16-17 Novembre 2015 [ Programma preliminare] Lunedì, 16 novembre 13.30 Registration 13.45 Introduction and welcome Alfredo Falcone,
More informationGuide to Biostatistics
MedPage Tools Guide to Biostatistics Study Designs Here is a compilation of important epidemiologic and common biostatistical terms used in medical research. You can use it as a reference guide when reading
More informationBreast, Cervical and Colorectal Cancer Survival Rates for Northern. Saskatchewan Residents and First Nations. Graduate Studies and Research
Breast, Cervical and Colorectal Cancer Survival Rates for Northern Saskatchewan Residents and First Nations A Thesis Submitted to the College of Graduate Studies and Research in Partial Fulfillment of
More informationRisk Factors for Alcoholism among Taiwanese Aborigines
Risk Factors for Alcoholism among Taiwanese Aborigines Introduction Like most mental disorders, Alcoholism is a complex disease involving naturenurture interplay (1). The influence from the bio-psycho-social
More informationAlba Leasing Company Profile 2014
Alba Leasing Company Profile 2014 Company at a glance Alba Leasing The partner for small and medium-sized enterprises Alba Leasing is a financial company founded in 2010 on the initiative of some of the
More informationESTIMATED AND OBSERVED CANCER INCIDENCE IN ITALY: A VALIDATION STUDY
Tumori, 93: 387-391, 27 ESTIMATED AND OBSERVED CANCER INCIDENCE IN ITALY: A VALIDATION STUDY Riccardo Capocaccia 1, Carlotta Buzzoni 2, Enrico Grande 1, Riccardo Inghelmann 1, Francesco Bellù 3, Tiziana
More informationGlossary of Methodologic Terms
Glossary of Methodologic Terms Before-After Trial: Investigation of therapeutic alternatives in which individuals of 1 period and under a single treatment are compared with individuals at a subsequent
More informationCHILDHOOD CANCER SURVIVOR STUDY Analysis Concept Proposal
CHILDHOOD CANCER SURVIVOR STUDY Analysis Concept Proposal 1. STUDY TITLE: Longitudinal Assessment of Chronic Health Conditions: The Aging of Childhood Cancer Survivors 2. WORKING GROUP AND INVESTIGATORS:
More informationBIOM611 Biological Data Analysis
BIOM611 Biological Data Analysis Spring, 2015 Tentative Syllabus Introduction BIOMED611 is a ½ unit course required for all 1 st year BGS students (except GCB students). It will provide an introduction
More informationKey facts. The Program enrols highly qualified students (10 at most each year) in Italy and worldwide. English is the official language.
Doctorate in Money and Finance University of Rome Tor Vergata Key facts The Doctorate in Money and Finance at Tor Vergata University is the first Italian doctoral program in this field; it is based on
More informationDoes Radiation Treatment of Prostate Cancer Increase Risk for Rectal Cancer? The Perfect Storm
NAACCR Conference, Austin, TX June 13, 2013 In Collaboration with: Does Radiation Treatment of Prostate Cancer Increase Risk for Rectal Cancer? The Perfect Storm John W. Morgan, DrPH, CPH, Brice Jabo,
More informationBPER Ordinary Shareholders' Meeting
PRESS RELEASE BPER Ordinary Shareholders' Meeting Approval of the 2011 financial statements Distribution of a dual dividend approved, made up of an amount of Euro 0.03 for each of the 332,720,994 shares
More informationMediterranean School of Oncology
Mediterranean School of Oncology www.mso.cinbo.org C.M.E. requested HIGHLIGHTS IN THE MANAGEMENT OF BREAST CANCER Rome, June 17, 2011 CINBO Consorzio Interuniversitario Nazionale per la Bio-Oncologia Mediterranean
More informationGreen and Blue Infrastructures, Virtual, Cultural and Social Networks
9 INU Study Day of INU Italian National Institute of Urban Planning Green and Blue Infrastructures, Virtual, Cultural and Social Networks Naples, 18 December 2015 IV edition Inu Planning Literature Award
More informationThe effect of the introduction of ICD-10 on cancer mortality trends in England and Wales
The effect of the introduction of ICD-10 on cancer mortality trends in Anita Brock, Clare Griffiths and Cleo Rooney, Offi ce for INTRODUCTION From January 2001 deaths in have been coded to the Tenth Revision
More informationFrom Objects to Agents
Matteo Baldoni, Cristina Baroglio Federico Bergenti, Alfredo Garro (eds.) From Objects to Agents XIV Workshop, WOA 2013 Torino, Italy, December 2nd-3rd, 2013 Workshop Notes WOA 2013 Home Page: http://di.unito.it/woa2013
More informationProstate Cancer Screening in Taiwan: a must
Prostate Cancer Screening in Taiwan: a must 吳 俊 德 基 隆 長 庚 醫 院 台 灣 醫 學 會 105 th What is the PSA test? The blood level of PSA is often elevated in men with prostate cancer, and the PSA test was originally
More informationCancer Survival - How Long Do People Survive?
A research briefing paper by Macmillan Cancer Support Introduction Key findings 3 People with cancer are surviving longer 4 Median survival time has seen dramatic improvement for some cancers 5 Median
More informationThe cooperative enterprise between national taxation and the european market
The cooperative enterprise between national taxation and the european market 11-12 September 2008 ww.euricse.eu with the patronage of International Seminar The cooperative enterprise between national taxation
More informationDefinitions Here follows a description of the meaning of some of the terms used in the information note:
Information Document on Eni s compensation plans based on financial (article 84-bis of Consob Regulation no. 11971) Stock plan 2002-2005 This document provides a description of the Stock plan 2002-2005
More informationTable 1 of Outline 7, Annex 3A to Regulation 11971/1999 is attached.
Press Release PRESS RELEASE PURSUANT TO ARTICLE 84-BIS, PARAGRAPH 5, CONSOB RESOLUTION 11971 OF 14 MAY 1999, AS SUBSEQUENTLY AMENDED AND SUPPLEMENDED ( REGULATIONS FOR ISSUERS ) WITH REGARD TO SHARE- BASED
More informationProstate Cancer. Screening and Diagnosis. Screening. Pardeep Kumar Consultant Urological Surgeon
The Royal Marsden Prostate Cancer Screening and Diagnosis Pardeep Kumar Consultant Urological Surgeon Prostate Cancer Screening and Diagnosis 08 02 2013 2 Screening 1 3 Q1.Lots of men have prostate cancer
More informationControversites: Screening for Prostate Cancer in Older Adults
Controversites: Screening for Prostate Cancer in Older Adults William Dale, MD, PhD University of Chicago Sections of Geriatrics & Palliative Medicine and Hematology/Oncology Director, Specialized Oncology
More informationElu Epidemic outbreaks and Their Effect on the Global Economy
International Congress NEW EPIDEMIC AND PANDEMIC PHENOMENA: SOCIO- ECONOMIC IMPACTS AND POLICY RESPONSES Milan, 27 October 2015 organized in co-operation with European Project ASSET- Action Plan on Science
More informationPEER REVIEW HISTORY ARTICLE DETAILS VERSION 1 - REVIEW. Elizabeth Comino Centre fo Primary Health Care and Equity 12-Aug-2015
PEER REVIEW HISTORY BMJ Open publishes all reviews undertaken for accepted manuscripts. Reviewers are asked to complete a checklist review form (http://bmjopen.bmj.com/site/about/resources/checklist.pdf)
More informationSocial inequalities impacts of care management and survival in patients with non-hodgkin lymphomas (ISO-LYMPH)
Session 3 : Epidemiology and public health Social inequalities impacts of care management and survival in patients with non-hodgkin lymphomas (ISO-LYMPH) Le Guyader-Peyrou Sandra Bergonie Institut Context:
More informationIf several different trials are mentioned in one publication, the data of each should be extracted in a separate data extraction form.
General Remarks This template of a data extraction form is intended to help you to start developing your own data extraction form, it certainly has to be adapted to your specific question. Delete unnecessary
More informationCOURSE DIRECTORS SCIENTIFIC COMMITTEE. A Better Way to Guide Appropriate Coronary Interventions. Massimo Fineschi Policlinico Le Scotte, Siena
A Better Way to Guide Appropriate Coronary Interventions COURSE DIRECTORS Giulio Guagliumi Ospedali Riuniti di Bergamo SCIENTIFIC COMMITTEE Carlo Pierli Davide Capodanno Massimo Fineschi Policlinico Le
More information(1) Comparison of studies with different follow-up periods
(1) Comparison of studies with different follow-up periods Is the absolute potency of amphiboles and relative potency of chrysotile underestimated because of studies with substantially incomplete follow-up?
More informationMesothelioma Trends as Predictors of the Asbestos- Related Lung Cancer Burden
Mesothelioma Trends as Predictors of the Asbestos- Related Lung Cancer Burden Valerie McCormack UICC World Cancer Congress Montreal August 2012 Outline Background Estimating the lung cancer mortality burden
More informationCHAPTER TWO. The Cost of Obesity
CHAPTER TWO The Cost of Obesity T he obesity epidemic accounts for a growing share of the nation s health expenditures. U.S. health care costs due to obesity were estimated at $74.2 billion in 1998, or
More informationITALY S EXTERNAL COMPETITIVENESS
MINISTERO DELL ECONOMIA E DELLE FINANZE DIPARTIMENTO DEL TESORO Direzione Analisi Economico-Finanziaria ITALY S EXTERNAL COMPETITIVENESS CONFERENCE AGENDA Rome, 24-25 November 2009 Ministero dell Economia
More informationMUSCULOSKELETAL ONCOLOGY COURSE
MUSCULOSKELETAL ONCOLOGY COURSE A Course of University of Padova Department of Orthopedics and Orthopedic Oncology September 16 18, 2016 MESTRE (Venezia, Italy) This is the first edition of the Musculoskeletal
More informationSummer School Italian Language & Culture. 6-18 July 2015. Detailed Programme
Summer School Italian Language & Culture 6-18 July 2015 Detailed Programme Directors Nunzio Allocca Lucilla Anselmino Scientific Commitee Claudia Cieri Via Giovannella Desideri Paola Giunchi Sabine Koesters
More informationThe S. Giovanni Battista Molinette Hospital Experience with Patent Foramen Ovale Transcatheter Closure
The S. Giovanni Battista Molinette Hospital Experience with Patent Foramen Ovale Transcatheter Closure Paolo Scacciatella, MD Fulvio Orzan, MD Dipartimento Cardiovascolare e Toracico Università degli Studi
More informationPSA screening in asymptomatic men the debate continues www.bpac.org.nz keyword: psa
PSA screening in asymptomatic men the debate continues www.bpac.org.nz keyword: psa Key messages: PSA is present in the benign and malignant prostate There is currently no national screening programme
More informationLung Cancer: More than meets the eye
Lung Cancer Education Program November 23, 2013 Lung Cancer: More than meets the eye Shantanu Banerji MD, FRCPC Presenter Disclosure Faculty: Shantanu Banerji Relationships with commercial interests: Grants/Research
More informationNational Workshop of Hematology The TP53 Workshop
PRELIMINARY PROGRAMME National Workshop of Hematology The TP53 Workshop Bologna, 10 th May 2013 Aemilia Hotel Via G. Zaccherini Alvisi, 16 Bologna PROMOTED BY Workshop Presidents Michele Cavo Giovanni
More informationSingapore Cancer Registry Annual Registry Report Trends in Cancer Incidence in Singapore 2009 2013. National Registry of Diseases Office (NRDO)
Singapore Cancer Registry Annual Registry Report Trends in Cancer Incidence in Singapore 2009 2013 National Registry of Diseases Office (NRDO) Released November 3, 2014 Acknowledgement This report was
More informationMaria Iachina, Anders Green, Erik Jakobsen, Anders Mellemgaard, Mark Krasnik, Margreet Lüchtenborg, Henrik Møller
The effect of different comorbidity groups on the survival of patients with non-small cell lung cancer Maria Iachina, Anders Green, Erik Jakobsen, Anders Mellemgaard, Mark Krasnik, Margreet Lüchtenborg,
More informationASSOCIAZIONE NAZIONALE ALPINI
ASSOCIAZIONE NAZIONALE ALPINI Sezione di Toronto, Gruppo Centro 54 th Annual Dinner Dance The DNA Alpini Project Keeping The Alpini Name Alive! To Remember & Celebrate... Per Ricordare e Celebrare... INTRODUCTION
More informationCOPD: from the first cigarette to mechanical ventilation. 12. 13 june 2015. Pav. 5. Nuove Patologie. Policlinico S.
COPD: from the first cigarette to mechanical ventilation. Bologna 12. 13 june 2015 ADVANCED PROGRAMME Aula Magna Nuove Patologie Pav. 5 Policlinico S. Orsola Malpighi faculty. Nicolino Ambrosino Scientific
More informationEarly Detection Research Network: Validation Infrastructure. Jo Ann Rinaudo, Ph.D. Division of Cancer Prevention
Early Detection Research Network: Validation Infrastructure Jo Ann Rinaudo, Ph.D. Division of Cancer Prevention 15 October 2015 Mission The NCI Early Detection Research Network s (EDRN) mission is to implement
More informationDoes referral from an emergency department to an. alcohol treatment center reduce subsequent. emergency room visits in patients with alcohol
Does referral from an emergency department to an alcohol treatment center reduce subsequent emergency room visits in patients with alcohol intoxication? Robert Sapien, MD Department of Emergency Medicine
More informationHindrik Vondeling Department of Health Economics University of Southern Denmark Odense, Denmark
Health technology assessment: an introduction with emphasis on assessment of diagnostic tests Hindrik Vondeling Department of Health Economics University of Southern Denmark Odense, Denmark Outline λ Health
More informationTranslating Science to Health Care: the Use of Predictive Models in Decision Making
Translating Science to Health Care: the Use of Predictive Models in Decision Making John Griffith, Ph.D., Associate Dean for Research Bouvé College of Health Sciences Northeastern University Topics Clinical
More informationFirst Call for Papers and Announcement
VIII National Congress of SOCIETAS HERPETOLOGICA ITALICA September 22-26, 2010, Chieti, Historical Museum of Biomedical Science. First Call for Papers and Announcement The VIII National Congress of the
More informationCompeting-risks regression
Competing-risks regression Roberto G. Gutierrez Director of Statistics StataCorp LP Stata Conference Boston 2010 R. Gutierrez (StataCorp) Competing-risks regression July 15-16, 2010 1 / 26 Outline 1. Overview
More informationRecent trends in cerebral palsy survival. Part I: period and cohort effects
DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY ORIGINAL ARTICLE Recent trends in cerebral palsy survival. Part I: period and cohort effects JORDAN C BROOKS 1 DAVID J STRAUSS 1 ROBERT M SHAVELLE 1 LINH M TRAN
More informationQuantifying Life expectancy in people with Type 2 diabetes
School of Public Health University of Sydney Quantifying Life expectancy in people with Type 2 diabetes Alison Hayes School of Public Health University of Sydney The evidence Life expectancy reduced by
More informationQUESTIONS FOR YOUR LUNG CANCER CARE TEAM
What should I ask my doctor? Thinking about lung cancer brings up many questions. Sometimes it is difficult to keep all of your questions straight. Many patients have topics in mind they want to discuss
More informationIIR 2013. Proceedings of the Fourth Italian Information Retrieval Workshop. Roberto Basili, Fabrizio Sebastiani, Giovanni Semeraro (Eds.
Roberto Basili, Fabrizio Sebastiani, Giovanni Semeraro (Eds.) Proceedings of the Fourth Italian Information Retrieval Workshop IIR 2013 National Council of Research campus, Pisa, Italy 16 17 January 2013
More informationIn the mid-1960s, the need for greater patient access to primary care. Physician Assistants in Primary Care: Trends and Characteristics
Physician Assistants in Primary Care: Trends and Characteristics Bettie Coplan, MPAS, PA-C 1 James Cawley, MPH, PA-C 2 James Stoehr, PhD 1 1 Physician Assistant Program, College of Health Sciences, Midwestern
More informationInvestigating Community Cancer Concerns--Deer Park Community Advisory Council, 2008
Investigating Community Cancer Concerns--Deer Park Community Advisory Council, 2008 David R. Risser, M.P.H., Ph.D. David.Risser@dshs.state.tx.us Epidemiologist Cancer Epidemiology and Surveillance Branch
More informationIntroductio Ad Regnum Tarantulae Music by Ludovico Einaudi. Taranta Music by Ludovico Einaudi and Mauro Durante, lyrics by Mauro Durante
Introductio Ad Regnum Tarantulae Music by Ludovico Einaudi Bag Pipe Giulio Bianco Accordion Roberto Gemma Bouzouki Emanuele Licci Mandola Gianluca Longo Kora Ballaké Sissoko Banjo Leo Einaudi Violin Laura
More informationSurvey of Nurses. End of life care
Survey of Nurses 28 End of life care HELPING THE NATION SPEND WISELY The National Audit Office scrutinises public spending on behalf of Parliament. The Comptroller and Auditor General, Tim Burr, is an
More informationorkshop 3 rd Edition Innovation in HIV and Viral Hepatitis Preliminary Programme
3 rd Edition Preliminary Programme Call deadline December 9, 2014 for Abstract orkshop Scientific Coordinators Antonella d Arminio Monforte (Milan, I) Carlo Federico Perno (Rome, I) Massimo Puoti (Milan,
More informationCancer in Northeastern Pennsylvania: Incidence and Mortality of Common Cancers
Cancer in Northeastern Pennsylvania: Incidence and Mortality of Common Cancers Samuel M. Lesko, MD, MPH Medical Director Karen Ryczak, RN Surveillance Coordinator November 2015 334 Jefferson Avenue, Scranton,
More informationColorectal cancer xenopatients: A preclinical platform for precision medicine
Colorectal cancer xenopatients: A preclinical platform for precision medicine Livio Trusolino, MD PhD Laboratory of Molecular Pharmacology IRCC, Institute for Cancer Research and Treatment University of
More information