Publications by authors named "F Bortoluzzi"

Article Synopsis
  • The study examines the risk of colorectal cancer (CRC) after the removal of low-risk and high-risk adenomas in patients who tested positive for fecal immunochemical tests (FIT) and underwent colonoscopy in Italy from 2002 to 2017.
  • Researchers tracked 87,248 colonoscopy cases and found that those with high-risk adenomas had a significant increase in CRC incidence compared to those with negative colonoscopies, while those with low-risk adenomas did not show increased risk.
  • The presence of specific risk factors such as the location and morphology of the adenomas, particularly in high-risk cases, contributed to the higher incidences of CRC observed in the follow-up period.
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Background And Aims: Digestive endoscopy is a resource-intensive activity with a conspicuous carbon footprint and an estimated rate of inappropriateness. However, the carbon costs of inappropriate endoscopic procedures still remain obscure. Here we evaluated the environmental impact of inappropriate endoscopic examinations.

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Background: 'Choosing Wisely' is an international campaign against inappropriateness in medical practices that aims to promote a rational and evidence-based use of resources. The Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) joined the Campaign in 2017 releasing five recommendations.

Aims: To identify five new recommendations for a correct, evidence-based approach to the management of gastrointestinal diseases.

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Background: Colorectal cancer (CRC) screening programs based on fecal immunochemical tests (FITs) represent the standard of care for population-based interventions. Their benefit depends on the identification of neoplasia at colonoscopy after FIT positivity. Colonoscopy quality measured by adenoma detection rate (ADR) may affect screening program effectiveness.

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Climate crisis is dramatically changing life on earth. Environmental sustainability and waste management are rapidly gaining centrality in quality improvement strategies of healthcare, especially in procedure-dominant fields such as gastroenterology and digestive endoscopy. Therefore, healthcare interventions and endoscopic procedures must be evaluated through the 'triple bottom line' of financial, social, and environmental impact.

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