The Burden of Diabetes-Related Preventable Hospitalization: 11-Year Trend and Associated Factors in a Region of Southern Italy

Giovanni

et al. 2023

Pathogens

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(1) Background: The human papillomavirus (HPV) is the most common agent related to sexually transmitted infections in the general population. Its genotypes are classified into two main classes, high-risk genotypes and low-risk genotypes, according to their capacity to induce cancers. The low-risk class (types 6 and 11) is associated with anogenital and genital lesions. The high-risk class is responsible for up to 4.5% of all new cancer cases yearly. The aim of this study was to evaluate the incidence of HPV-related hospitalizations and its trend in a southern Italian region for the years 2015–2021. (2) Methods: This was a retrospective study performed in the Abruzzo region, Italy. All admissions for the period 2015–2021 were extracted from the hospital discharge record (HDR). (3) Results: During the study period (2015–2021), a total of 5492 hospitalizations attributable to HPV infection occurred in the Abruzzo region, Italy. A significant number of admissions were related to cervical cancer (3386 cases) and genital warts (638 cases). The trend declined for all diagnoses except for penile cancer admissions. Considering the first year of the pandemic (year 2020), a decrease in the standardized incidence of the majority of the diseases considered was reported, particularly among cases of cervical cancer. (4) Conclusions: HPV-related hospitalizations decreased in Abruzzo during study period. These results could be useful to LHAs and policy-makers in improving vaccination coverage and screening adherence.

Section: Methodsmentioning

confidence: 99%

The Burden of HPV-Related Hospitalizations: Analysis of Hospital Discharge Records from the Years 2015–2021 from a Southern Italian Region

Giovanni

et al. 2023

Pathogens

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“…Abruzzo’s population counts more than 1.2 million inhabitants and its healthcare service is organized into four different local health authorities (LHA). Each LHA has a referral tertiary hospital [ 13 ]. All tertiary hospitals have a general surgery ward where major oncological surgeries are performed.…”

Section: Methodsmentioning

confidence: 99%

Impact of COVID-19 Pandemic on Oncological Surgery Activities: A Retrospective Study from a Southern Italian Region

Giovanni

et al. 2022

Healthcare

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(1) Background: The pandemic had a strong impact on healthcare for other diseases, the so-called collateral damage. This situation heavily impacted the health care system, causing a deferment of surgical admissions. This situation had an immediate and long-term impact on millions of patients with surgical diseases all over the world. The objective of this study was to evaluate the incidence of hospitalizations for colorectal and breast cancers in an Italian region in the year 2020 and compare it with the years 2018–2019. (2) Methods: This retrospective study was performed in the region of Abruzzo, Italy. Monthly number of hospitalizations in the year 2020 was compared with a control period consisting of the average of admissions that occurred in the years 2018–2019 using Poisson regression. (3) Results: A reduction in hospital admissions for all diseases considered was found. In particular, compared with years 2018–2019, admissions for colorectal cancer were 35.71% lower (HRR 0.915; p < 0.001), and admissions for breast cancer were 10.36% lower (HRR 0.895; p < 0.001) (4) Conclusions: The results of this study showed the decrease of admissions for elective oncological surgery during pandemic, suggesting the need of strategic measures to face the burden of future years’ hospitalizations.

“…In males, there are no other significant associations of mental illness neither with preventable hospitalizations for chronic conditions nor specifically for hospitalizations related to diabetes. Chronic conditions such as those included in PQI-92 and PQI-93 (diabetes, COPD, asthma, hypertension, and heart failure) offer a longer period between the onset of symptoms and the occurrence of complications worthy of hospitalization [ 12 ]. This means that there is more time for the general practitioner or for other specialists to intercept the disease and take care of the patient, even with mental health comorbidities.…”

Section: Discussionmentioning

confidence: 99%

“…However, this result could be influenced by the low number of women with addictions included in PQI groups. On the contrary, in men, whose numerical representativeness is greater in PQI groups, the protective role of alcohol abuse is even stronger and extends to PQI-93 diabetes-related preventable admissions [ 12 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…We carried out a retrospective observational study by analyzing the admissions that occurred in the Local Health Authority (LHA) of Pescara, the most populated city in Abruzzo, a region of Southern Italy. The LHA of Pescara serves a catchment area of about 320,000 inhabitants and is organized with a large hub hospital and two spoke hospitals [ 12 ]. Data were collected from hospital discharge records (HDRs) of all hospital admissions that occurred from 1 January 2015 to 31 December 2021.…”

Section: Methodsmentioning

confidence: 99%

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The Role of Gender in the Association between Mental Health and Potentially Preventable Hospitalizations: A Single-Center Retrospective Observational Study

Catalini

Stacchini

et al. 2022

IJERPH

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Psychiatric disorders and substance abuse are barriers that limit access to timely treatment and can lead to Potentially Preventable Hospitalizations (PPH). The aim of this study is to identify the role played by gender in the association between mental health and PPH. Hospital discharge records (HDRs) from the Local Health Authority of Pescara (Italy) from 2015 to 2021 were examined and PPH were measured according to Prevention Quality Indicators (PQIs) provided by the Agency for Healthcare Research and Quality. In total, 119,730 HDRs were eligible for the study and 21,217 patients fell into the PQI categories. Mental health disorders and addictions were extracted from the HDRs through the Elixhauser Enhanced ICD-9-CM algorithm. The association between PQI hospitalization and some predictors considered was evaluated with multivariate logistic regression models. In males and females, alcohol abuse showed a protective role towards preventable admissions for PQI-90 (all types of conditions) and PQI-92 (chronic conditions). In contrast, there is a gender gap in accessibility to primary health care, especially for acute conditions leading to PPH. Indeed, in males, PQI-91 admissions for acute conditions were found to be positively associated with drug abuse, psychosis, and depression, whereas this was not the case for females.