Publications by authors named "E Parmelli"

Article Synopsis
  • A guideline panel in Italy created recommendations for breast cancer screening to align with European Breast Cancer Guidelines, following the ADOLOPMENT approach for adaptation.
  • The panel utilized the GRADE EtD framework, incorporating findings from a PubMed search specific to Italy, and included nine articles as contextual evidence.
  • Thirteen finalized recommendations emphasize organized screening every 2 years for women aged 50-69, conditional screening for those aged 70-74, and advise against annual mammography for women 50 and older to enhance standardized processes and promote health equity.
View Article and Find Full Text PDF
Article Synopsis
  • - The traditional healthcare approach often overlooks patients' personal experiences and strengths, focusing mainly on disease treatment. Person-centered care aims to align medical decisions with individual values and preferences, particularly for those with chronic conditions.
  • - This paper seeks to enhance care for rhinitis and asthma by developing digital care pathways and incorporating real-world evidence to create a more patient-centered approach.
  • - Key components of the review include advancements in mHealth, the integration of artificial intelligence, a novel classification system for airway diseases, and proposals for the ARIA 2024 guidelines, all targeting a sustainable and applicable healthcare model.
View Article and Find Full Text PDF

Background: Breast cancer clinical practice guidelines (CPGs) offer evidence-based recommendations to improve quality of healthcare for patients. Suboptimal compliance with breast cancer guideline recommendations remains frequent, and has been associated with a decreased survival. The aim of this systematic review was to characterize and determine the impact of available interventions to support healthcare providers' compliance with CPGs recommendations in breast cancer healthcare.

View Article and Find Full Text PDF

Objectives: Analytical frameworks are graphical representation of the key questions answered by a systematic review and can support the development of guideline recommendations. Our objectives were to a) conduct a systematic review to identify, describe and compare all analytical frameworks published as part of a systematic and guideline development process related to colorectal cancer (CRC), and b) to use this case study to develop guidance on how to conduct systematic reviews of analytical frameworks.

Methods: We developed a search strategy to identify eligible studies in Medline and Embase from 1996 until December 2020.

View Article and Find Full Text PDF

Background: Overlapping systematic reviews (SRs) are increasingly frequent in the medical literature. They can easily generate discordant evidence, as estimates of effect sizes and their interpretation might differ from one source to another.

Objective: To analyze how methodologists and clinicians make a decision when faced with discordant evidence formalized in structured tables.

View Article and Find Full Text PDF