Publications by authors named "Simona Migliazza"

Article Synopsis
  • The study looks at how different types of medications, called biological drugs and biosimilars, affect health care costs for patients with certain diseases, especially in rheumatology.
  • Researchers examined 145 patients and found that most were using the original biological drugs instead of the biosimilars, even though patients using biosimilars showed better adherence to treatment.
  • The total health costs for these patients over one year was quite high, with a large portion going toward medications, and the study suggests that better communication among health professionals could help more people use biosimilars.
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Background And Aim: Asthma and chronic obstructive pulmonary disease (COPD) are leading causes of morbidity and mortality worldwide. Globally, 545 million people suffer from chronic respiratory diseases with a wide geographical variability. Risk factors for asthma are both genetic and related to several environmental factors (internal and external pollutants); these also have an important role in the occurrence of COPD.

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Article Synopsis
  • This study explored the relationship between low-dose glucocorticoids (GCs) and mortality in patients with early arthritis, specifically rheumatoid arthritis (RA) or undifferentiated arthritis, using linked clinical and administrative data.
  • A total of 449 patients were enrolled, with a follow-up period averaging about 104 months; 11.36% of participants died during the study.
  • The analysis indicated that low-dose GCs did not significantly predict mortality, regardless of dosage (≤7.5 mg/day or >7.5 mg/day), suggesting no clear impact on overall survival in these patients.
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The COVID-19 pandemic had an unfavorable impact on overall mortality in Italy, with the strongest consequences in northern Italy. Scant data are available on cause-specific mortality. This study aims at investigating the impact of the pandemic on the overall and cause-specific mortality in one province in northern Italy, Pavia.

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Objectives: to evaluate time and spatial distribution of hospitalization due to neurological diseases in the province of Pavia (Lombardy Region, Northern Italy).

Design: ecological study.

Setting And Participants: the study was performed on aggregate data of people residing in the province of Pavia in the period 2005-2014.

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Background: Acute kidney injury (AKI) is emerging as a predictor of poor stroke outcome, however, it is often not recognized. The aim of our study was to evaluate post-stroke AKI burden, AKI risk factors and their influence in post-stroke outcome.

Methods: From 2013 to 2016, 440 individuals with stroke diagnosis admitted in Stroke Unit, Foundation IRCCS Policlinico San Matteo (Pavia, Italy), were retrospectively enrolled.

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Objectives: To develop and validate a new algorithm to identify patients with rheumatoid arthritis (RA) and estimate disease prevalence using administrative health databases (AHDs) of the Italian Lombardy region.

Design: Case-control and cohort diagnostic accuracy study.

Methods: In a randomly selected sample of 827 patients drawn from a tertiary rheumatology centre (training set), clinically validated diagnoses were linked to administrative data including diagnostic codes and drug prescriptions.

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