119 results match your criteria: "CEIS University of Rome "Tor Vergata"[Affiliation]"

This study aimed to evaluate the effectiveness of direct-acting antivirals (DAAs) on hepatitis C virus (HCV) hospitalisation trends in Italy, the country with not only the highest burden of HCV-related disease but also the highest number of patients treated for chronic HCV infection in Europe. Incident hospital discharge records in Italy from 2012 to 2019 that included a liver cirrhosis diagnosis without mention of alcohol, hepatocellular carcinoma (HCC), HCV and liver cirrhosis without mention of alcohol and/or HCC, cirrhosis with mention of alcohol, as defined by the International Classification of Diseases (ICD-9-CM) were reviewed. An interrupted time series analysis compared the incidence of cirrhosis and HCC before and after the introduction of DAAs (Year 2015).

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Introduction: The infections of multidrug-resistant organisms (MDROs) associated with duodenoscopes during endoscopic retrograde cholangiopancreatography (ERCP) procedure have become a significant cause for concern, especially in fragile patients. While the clinical impacts of these infections are well-documented, their economic implications remain underexplored. This study assesses the incidence and economic burden of post-ERCP infections in Italy using an administrative database.

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  • The study explores the gap between expected and actual spending on orphan drugs in Italy, focusing on financial aspects during the pricing and reimbursement negotiations.
  • The analysis involved 52 orphan drugs authorized by the European Medicines Agency and revealed that actual spending was generally 7.6% lower than anticipated after negotiations, particularly for innovative drugs.
  • Payment-by-result agreements were found to be a significant factor affecting the differences in expected spending before and after negotiations.
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  • A study in Italy found that a significant number of patients with metastatic urothelial cancer (mUC) do not receive systemic therapy, with only 27.6% of identified patients treated while 72.4% went untreated.
  • The study used national hospital data from 2017-2018 to analyze factors influencing treatment rates, revealing that older age, female sex, and higher comorbidity scores reduced the likelihood of receiving chemotherapy or radiotherapy.
  • The financial burden of untreated mUC patients was considerable, with projected national costs of approximately €34.3 million in the first year alone, highlighting the need for improved treatment access and healthcare resource allocation.
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Background: Breast cancer (BC) constitutes a significant public health challenge in Italy, with a considerable impact on healthcare resources and societal costs. Despite advancements in diagnostics and therapies, the economic burden of BC remains substantial, necessitating a comprehensive evaluation to inform healthcare policy and resource allocation. The aim of this study is to estimate both direct health costs and social security costs related to BC.

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Unlabelled: BACKGROUND AND OBJECTIVE: Untreated spinal muscular atrophy (SMA) is the leading genetic cause of death in children younger than 2 years of age. Early detection through newborn screening allows for presymptomatic diagnosis and treatment of SMA. With effective treatments available and reimbursed by the National Health Service, many regions in Italy are implementing newborn screening for SMA.

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  • - The study analyzes the cost-effectiveness of pembrolizumab combined with chemotherapy for treating metastatic non-small cell lung cancer and as an adjuvant treatment for stage III melanoma in Italy, aiming to provide insights for better healthcare management.
  • - A comprehensive cost-effectiveness model was constructed, evaluating the health outcomes and economic impacts (QALYs and DALYs) over a 40-year period from the perspective of the Italian National Health Service, including a significant number of patient cohorts.
  • - Findings indicate substantial cost savings linked to the use of pembrolizumab over traditional treatments, with notable direct cost offsets associated with squamous and non-squamous NSCLC and melanoma treatments.
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Background: The growing burden of chronic kidney disease (CKD) places substantial financial pressures on patients, healthcare systems, and society. An understanding of the costs attributed to CKD and kidney replacement therapy (KRT) is essential for evidence-based policy making. maps and projects the economic burden of CKD across 31 countries/regions from 2022 to 2027.

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Purpose: To evaluate the prevalence of chronic comorbidities according to BMI classes and assess the interplay between excess body weight and blood glucose abnormalities in increasing the risk of major chronic diseases.

Methods: The study is based on data from the Health Search/IQVIA Health LPD Longitudinal Patient Database, an Italian general practice registry, with data obtained from electronic clinical records of 800 general practitioners throughout Italy. Data relative to the year 2018 were analyzed.

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Introduction: This study aims to define the distribution of direct healthcare costs for people with diabetes treated in two healthcare regions in Italy, based on number of comorbidities and treatment regimen.

Methods: This was a retrospective analysis using data from two local health authority administrative databases (Campania and Umbria) in Italy for the years 2014-2018. Data on hospital care, pharmaceutical and specialist outpatient and laboratory assistance were collected.

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Current challenges in focal epilepsy treatment: An Italian Delphi consensus.

Epilepsy Behav

June 2024

Head of Paediatric Neurorehabilitation Department, IRCCS San Raffaele, Rome, Italy. Electronic address:

Background: Epilepsy, a globally prevalent neurological condition, presents distinct challenges in management, particularly for focal-onset types. This study aimed at addressing the current challenges and perspectives in focal epilepsy management, with focus on the Italian reality.

Methods: Using the Delphi methodology, this research collected and analyzed the level of consensus of a panel of Italian epilepsy experts on key aspects of focal epilepsy care.

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  • Gliomas are diverse tumors linked to significant health issues and healthcare costs, with poor survival rates for certain types like glioblastoma, often leading to less than a year of life after diagnosis.
  • The review discusses glioma's classification, epidemiology, treatment options, and gives specific recommendations for managing different types, emphasizing maximum safe resection followed by standard therapies.
  • Challenges persist in glioma treatment due to inadequate therapy post-surgery and disappointing results from newer immunotherapies, highlighting the need for better clinical practices and ongoing research for effective treatment strategies.
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Lifetime costs of overweight and obesity in Italy.

Econ Hum Biol

April 2024

Department of Economics and Finance, Tor Vergata University of Rome, Italy; Department Programming, Ministry of Health, Rome, Italy.

We use longitudinal electronic clinical data on a large representative sample of the Italian population to estimate the lifetime profile costs of different BMI classes - normal weight, overweight, and obese (I, II, and III) - in a primary care setting. Our research reveals that obese patients generate the highest cost differential throughout their lives compared to normal weight patients. Moreover, we show that overweight individuals spend less than those with normal weight, primarily due to reduced expenditures beginning in early middle age.

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Background And Aims: Italy has the greatest burden of hepatitis C virus (HCV) infection in Western Europe. The screening strategy represents a crucial prevention tool to achieve HCV elimination in Italy. We evaluated the cost-consequences of different screening strategies for the diagnosis of HCV active infection in the birth cohort 1948-1968 to achieve the HCV elimination goal.

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Differentiation through E-nose and GC-FID data modeling of rosé sparkling wines elaborated via traditional and Charmat methods.

J Sci Food Agric

February 2025

Department of Agricultural Chemistry, Edaphology and Microbiology, Marie Curie (C3) and Severo Ochoa (C6) Buildings, Agrifood Campus of International Excellence ceiA3, University of Córdoba, Córdoba, Spain.

Background: The growing demand for rosé sparkling wine has led to an increase in its production. Traditional or Charmat wine-making influence the aromatic profiles in wine. An analysis such as gas chromatography makes an accurate assessment of wines based on volatile detection but is resource intensive.

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Depressive disorders represent the largest proportion of mental illnesses, and by 2030, they are expected to be the first cause of disability-adjusted life years [1]. The COVID-19 pandemic exacerbated prevalence and burden of depression and increased the occurrence of depressive symptoms in general population [2]. The urgency of implementing mental health services to address new barriers to care persuaded clinicians to use telemedicine to follow patients and stay in touch with them, and to explore digital therapeutics (DTx) as potential tools for clinical intervention [2].

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Although biosimilar uptake has increased (at a variable pace) in many countries, there have been recent concerns about the long-term sustainability of biosimilar markets. The aim of this manuscript is to assess the sustainability of policies across the biosimilar life cycle in selected countries with a view to propose recommendations for supporting biosimilar sustainability. The study conducted a comparative analysis across 17 countries from North America, South America, Asia-Pacific, Europe and the Gulf Cooperation Council.

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The prognostic impact of coronary artery disease (CAD) after transcatheter aortic valve implantation (TAVI) is controversial. The aim of this study is to investigate the impact of CAD and different revascularization strategies on clinical outcomes in patients who underwent TAVI with third generation devices. Patients enrolled in the national observational Observational Study of Effectiveness of SAVR-TAVI Procedures for Severe Aortic Stenosis Treatment II study were stratified according to the presence of CAD (CAD+, n = 1,130) versus no CAD (CAD-, n = 1,505), and compared using a propensity matched analysis.

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Article Synopsis
  • The study focused on the financial impact of transcatheter aortic valve implantation (TAVI) therapy due to a growing eligible patient population, comparing costs over two different time periods.
  • A Markov model was used to analyze costs from two patient groups: 1,898 with old-generation TAVI devices and 1,417 with newer devices, highlighting significant cost differences.
  • Results showed new-generation TAVI led to 30% fewer rehospitalizations and a 20% decrease in 1-year mortality, resulting in total cost savings of €23.8 million, primarily driven by reduced rehospitalization costs.
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Background: To evaluate outpatient healthcare expenditure associated with different levels of BMI and glucose metabolism alterations.

Methods: The study is based on a representative national sample of adults, with data obtained from electronic clinical records of 900 Italian general practitioners. Data relative to the year 2018 were analyzed.

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[Not Available].

Glob Reg Health Technol Assess

October 2022

Faculty of Economics, Economic Evaluation and HTA (EEHTA), CEIS, University of Rome "Tor Vergata", Rome - Italy.

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[Not Available].

Glob Reg Health Technol Assess

April 2022

Faculty of Economics, Economic Evaluation and HTA (EEHTA), CEIS, University of Rome "Tor Vergata", Rome - Italy.

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The potential impact of PNNR on the management of patients with epilepsy.

Glob Reg Health Technol Assess

June 2022

Economic Evaluation and HTA (EEHTA), CEIS, DEF Department, Faculty of Economics, University of Rome 'Tor Vergata', Rome - Italy; Institute of Leadership and Management in Health, Kingston University, London - UK; Italian Society of HTA (SiHTA), Rome - Italy.

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Socio-economic impact of epilepsy in Italy.

Glob Reg Health Technol Assess

June 2022

Economic Evaluation and HTA (EEHTA-CEIS), DEF Department, Faculty of Economics, University of Rome 'Tor Vergata', Rome - Italy.

Article Synopsis
  • The World Health Assembly highlights the significant economic and societal impact of neurological disorders, particularly epilepsy, which contributes to disability and mortality rates globally.
  • In Italy, from 2009 to 2015, disability pensions for epilepsy saw a 26% increase, revealing high long-term costs for social security and health services, as well as burden on caregivers.
  • A study of hospital data from 2015-2018 showed that most epilepsy admissions were acute, leading to substantial hospital expenses; implementing better organizational strategies and early treatment could reduce costs and enhance patients' quality of life.
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Background: Hesitancy remains one of the major hurdles to vaccination, regardless of the fact that vaccines are indisputable preventive measures against many infectious diseases. Nevertheless, vaccine hesitancy or refusal is a growing phenomenon in the general population as well as among healthcare workers (HCWs). Many different factors can contribute to hesitancy to COVID-19 vaccination in the HCWs population, including socio-demographic characteristics (female gender, low socio-economical status, lower age), individual beliefs regarding vaccine efficacy and safety, as well as other factors (occupation, knowledge about COVID-19, etc.

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