Publications by authors named "Luca Cisbani"
Article Synopsis
- The study aimed to evaluate how the COVID-19 pandemic affected breastfeeding rates, examining data before, during, and after strict lockdown measures.
- Overall, the prevalence of full breastfeeding at 3 months slightly decreased, while it increased at 5 months from 2019 to 2021, showing varying effects over time.
- Although the pandemic did not significantly affect breastfeeding rates, it did highlight that the number of children in high vulnerability categories increased, indicating a need for targeted support for these vulnerable groups during crises.
Article Synopsis
- The study evaluated a quality improvement project in Italy aimed at improving antibiotic prescribing practices in pediatric primary care from 2005 to 2016.
- Multilevel interventions, including developing guidelines and public campaigns, led to a significant drop in overall antibiotic prescriptions for children, specifically decreasing from 1307 to 881 per 1000 children.
- The results showed a better preference for amoxicillin over other antibiotics and suggested that the project's effectiveness may not be the same in other regions of Italy.
Objective: An efficient breast-feeding monitoring system should be in place in every country to assist policy makers and health professionals plan activities to reach optimal breast-feeding rates. Design/Setting/Subjects From March to June 2015, breast-feeding rates at 3 and 5 months of age were monitored in Emilia-Romagna, an Italian region, using four questions added to a newly developed paediatric immunization database with single records for each individual. Data were collected at primary-care centres.
View Article and Find Full Text PDFBackground: Although population-based screening has the potential to reduce inequalities in breast cancer survival, evidence on this topic is controversial. The objective of this study was to evaluate whether the full implementation of a mammography screening programme in Emilia-Romagna in Italy had an impact on variations in breast cancer survival by educational level.
Methods: A cohort study was performed, including all women <70 years and residing in Emilia-Romagna who had infiltrating breast cancer registered in 1997-2000 (transitional screening period) or 2001-03 (consolidation screening period).
Aims And Background: This study examines the patterns of follow-up care for breast cancer survivors in one region in Italy.
Methods And Study Design: This retrospective analysis included 10,024 surgically treated women, with incident cases of breast cancer in the years 2002-2005 who were alive 18 months after their incidence date. Rates of use of follow-up mammograms, abdominal echogram, bone scans and chest x-rays were estimated from administrative data and compared by Local Health Unit (LHU) of residence.
Objective: To devise an adverse event (AE) detection system and assess its validity and utility.
Design: Observational, retrospective study.
Setting: Six public hospitals in Northern Italy including a Teaching Hospital.
Aims And Background: The study evaluated the use of Italian hospital discharge data (SDO, scheda di dimissione ospedaliera) for identifying women with incident breast cancer, determining stage at diagnosis and assessing quality of care.
Study Design: Women aged 20+ years residing in the Regione Emilia-Romagna, Italy, between 2002 and 2005 were studied. Case identification using algorithms based on ICD-9-CM codes on hospital discharge data were compared with AIRTUM-accredited cancer registry data.
[Public reporting on individual hospitals' quality: the risk of misinformation].
Epidemiol Prev
November 2006
Objective: increasingly information on individual hospital' clinical performance is disclosed to the general public through lay mass media. Usually the explicit goal of those initiatives is to guide citizens' choice identifying the "best", centres. However, these efforts rely either on simplistic approaches in comparing the clinical performance of individual hospitals or on inadequate quality indicators.
View Article and Find Full Text PDFBackground: Point-count measures of clinical priority are increasingly put forward for managing waiting lists. However, their development does not consider explicitly the appropriateness of the indications. Furthermore, an estimate of their effect in clinical practice is needed, assessing the amount of gains and losses in terms of time waited for patients with different priority scores.
View Article and Find Full Text PDFBackground: Health services and teams of professionals should be able to monitor the process and outcomes of the care provided, in order to assess and maintain quality. In this paper the application of the control chart technique as a tool for the evaluation of in-hospital mortality of patients with acute myocardial infarction is presented and discussed.
Methods: The control chart technique, based on the comparison between the outcome observed and the one expected in each individual patient, taking into account prognostic factors, has been applied in the evaluation of in-hospital mortality of 193 patients cared for at four centers of one of the AUSL of Bologna, during the year 2000.