Publications by authors named "Lara Monesi"

Article Synopsis
  • - The study analyzed the prescribing trends of antidiabetic and cardiovascular medications among diabetics in Lombardy, Italy, from 2000 to 2008, using health database data to assess drug use prevalence.
  • - Significant increases were observed in the use of biguanides (specifically metformin) and various cardiovascular medications, while the use of sulfonylureas declined significantly during this period.
  • - Despite improvements in prescription practices aligning with guidelines, metformin remained underused as a first-line treatment, and cardiovascular preventive measures were only partially implemented.
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Objective: To investigate the prescribing patterns and the prevalence of polypharmacy in community-dwelling elderly people, and to analyze the association of chronic medications and number of drug prescriptions with age and sex.

Methods: All prescriptions for people aged 65 years or older reimbursed by the Italian National Health Service (NHS) and dispensed by retail pharmacies of the 15 local health units (LHU) in the Lombardy Region during 2005 were analyzed. Logistic regression analysis was used to assess the association between drug prescription (overall, chronic drugs, and polypharmacy) and age, sex, and LHU of residence.

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Objectives: To assess the pharmacological treatment and the control of major modifiable cardiovascular risk factors in everyday practice according to the patients' cardiovascular risk level.

Methods: In a cross-sectional study general practitioners (GPs) had to identify a random sample of their patients with cardiovascular risk factors or diseases and collect essential data on the pharmacological treatment and control of hypertension, hyperlipidemia, and diabetes according to the patients' cardiovascular risk level and history of cardiovascular disease. Participants were subjects of both sexes, aged 40-80 years, with at least one known cardiovascular risk factor or a history of cardiovascular diseases.

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Objective: To evaluate the appropriate prescription of antiplatelets according to patients' global cardiovascular risk level in everyday practice.

Methods: In a cross-sectional study, general practitioners (GPs) identified a random sample of 10% of patients at cardiovascular risk among all subjects coming to the surgery and collected data on cardiovascular risk factors and history of atherosclerotic cardiovascular diseases (CVD). GPs were asked to do a physical examination and record the results of laboratory tests to define the global cardiovascular risk.

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Background: Although risk assessment charts have been proposed to identify patients at high cardiovascular risk, in everyday practice general practitioners (GPs) often use their knowledge of the patients to estimate the risk subjectively.

Design: A cross-sectional study aimed to describe how GPs perceive, qualify and grade cardiovascular risk in everyday practice.

Methods: General practitioners had to identify in a random sample of 10% of their contacts the first 20 consecutive patients perceived as being at cardiovascular risk.

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Unlabelled: Objectives 1. To assess if record linkage of two different databases could improve the quality and understand the epidemiology of diabetes and its complications. 2.

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