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Cermisoni GC, Minetto S, Marzanati D, Alteri A, Salmeri N, Rabellotti E, Nova A, Salonia A, Pozzi E, Candiani M, Papaleo E, Pagliardini L. Effect of ejaculatory abstinence period on fertilization and clinical outcomes in ICSI cycles: a retrospective analysis. Reprod Biomed Online 2024; 48:103401. [PMID: 37976657 DOI: 10.1016/j.rbmo.2023.103401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 08/08/2023] [Accepted: 09/05/2023] [Indexed: 11/19/2023]
Abstract
RESEARCH QUESTION Does ejaculatory abstinence impact fertilization outcomes in intracytoplasmic sperm injection (ICSI) cycles in infertile couples? DESIGN This single-centre retrospective observational study included 6919 ICSI cycles from 2013 to 2022. The primary outcome was the assessment of oocyte fertilization, measured in terms of the rate of formation of two-pronuclear (2PN), 3PN and 1PN zygotes. Secondary outcomes were blastulation, cumulative positive β-human chorionic gonadotrophin test and clinical pregnancy rates. Relationships between ejaculatory abstinence and fertilization outcomes, and ejaculatory abstinence and clinical outcomes were evaluated with multivariable analysis, including possible confounders. RESULTS A positive association was observed between ejaculatory abstinence and semen sample volume (P < 0.001), sperm concentration (P < 0.001) and total motile sperm count (P < 0.001). No association was found between the 1PN zygote rate and ejaculatory abstinence (P = 0.97). Conversely, for each additional day of ejaculatory abstinence, the likelihood of obtaining 2PN zygotes from all inseminated oocytes decreased by 3% [adjusted odds ratio (aOR) 0.97, 95% CI 0.94-0.99], whilst the likelihood of obtaining 3PN zygotes from all inseminated oocytes increased significantly by 14% (aOR 1.14, 95% CI 1.07-1.22). No significant associations were found between ejaculatory abstinence and blastulation, cumulative pregnancy or miscarriage rates. CONCLUSIONS A longer ejaculatory abstinence period significantly decreases the rate of 2PN zygotes, and increases the rate of 3PN zygotes without directly affect blastulation and pregnancy rates.
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Affiliation(s)
- G C Cermisoni
- Obstetrics and Gynaecology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - S Minetto
- Obstetrics and Gynaecology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - D Marzanati
- Reproductive Sciences Laboratory, Obstetrics and Gynaecology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - A Alteri
- Obstetrics and Gynaecology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy
| | - N Salmeri
- Obstetrics and Gynaecology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - E Rabellotti
- Obstetrics and Gynaecology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - A Nova
- Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy
| | - A Salonia
- University Vita-Salute San Raffaele, Milan, Italy; Division of Experimental Oncology/Unit of Urology, URI; IRCCS Ospedale San Raffaele, Milan, Italy
| | - E Pozzi
- Division of Experimental Oncology/Unit of Urology, URI; IRCCS Ospedale San Raffaele, Milan, Italy
| | - M Candiani
- Obstetrics and Gynaecology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy
| | - E Papaleo
- Obstetrics and Gynaecology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - L Pagliardini
- Reproductive Sciences Laboratory, Obstetrics and Gynaecology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy.
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Manuele SJ, Yap MBH, Lin SC, Pozzi E, Whittle S. Associations between paternal versus maternal parenting behaviors and child and adolescent internalizing problems: A systematic review and meta-analysis. Clin Psychol Rev 2023; 105:102339. [PMID: 37793269 DOI: 10.1016/j.cpr.2023.102339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Revised: 07/24/2023] [Accepted: 09/22/2023] [Indexed: 10/06/2023]
Abstract
There is a large evidence base supporting an important role of parenting behavior in influencing youth mental health; however, this literature often fails to capture the potentially unique and interactive role of mothers and fathers. This systematic review and meta-analysis aimed to investigate the role of maternal and paternal parenting behaviors in relation to child and adolescent internalizing problems. Following PRISMA (2020) guidelines, 88 studies were identified. Of these, 47 studies and upward of 65 parent-behavior and child-outcome combinations were examined. Findings indicated a unique role of maternal overprotection in the prediction of child anxiety symptoms. For other parenting behaviors, largely similar associations were found for maternal and paternal parenting behaviors with child and adolescent anxiety, depressive symptoms and broader internalizing problems. There was preliminary support for the interaction of maternal and paternal parenting being important in predicting youth symptoms. Although findings did not strongly substantiate differences in the effects of maternal and paternal parenting practices, with only one significant difference identified, further research would benefit from stronger representation of fathers, to enable a more rigorous and comprehensive understanding of each parent's role, and their interactive influence on internalizing outcomes of their children.
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Affiliation(s)
- S J Manuele
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, & Melbourne Health, Melbourne, Australia.
| | - M B H Yap
- School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
| | - S C Lin
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, & Melbourne Health, Melbourne, Australia
| | - E Pozzi
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, & Melbourne Health, Melbourne, Australia; Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia; Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia
| | - S Whittle
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, & Melbourne Health, Melbourne, Australia
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Belladelli F, Pozzi E, Fallara G, Cilio S, Corsini C, Lanzaro F, Candela L, Bertini A, Raffo M, Negri F, Cella L, Fantin M, Cannoletta D, Boeri L, Capogrosso P, D’Arma A, Montorsi F, Salonia A. The association between testosterone and psychological well-being: Findings from a real-life cross-sectional study. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00263-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Cilio S, Pozzi E, Belladelli F, Fallara G, Candela L, Bertini A, Corsini C, Lanzaro F, Cannoletta D, Raffo M, Negri F, Cella L, Fantin M, Boeri L, Capogrosso P, D’Arma A, Montorsi F, Salonia A. Cancer survivorship in male patients: The importance of involving the andrologist in the real-life world. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00603-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Belladelli F, Pozzi E, Fallara G, Cilio S, Corsini C, Lanzaro F, Candela L, Bertini A, Raffo M, Negri F, Cella L, Fantin M, Capogrosso P, Boeri L, D’Arma A, Eisenberg M, Pagliardini L, Montorsi F, Salonia A. A Machine Learning-derived Nomogram to predict pregnancy in Infertile couples with male factor infertility undergoing medically assisted reproduction techniques. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00277-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Cilio S, Belladelli F, Pozzi E, Fallara G, Candela L, Bertini A, Corsini C, Lanzaro F, Cannoletta D, Raffo M, Negri F, Cella L, Fantin M, Boeri L, Capogrosso P, D’Arma A, Montorsi F, Salonia A. Prevalence of and predictors of unrecognized orgasmic dysfunction in men with new onset erectile dysfunction – Findings from a cross-sectional, real-life study. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00606-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Capogrosso P, Pozzi E, Belladelli F, Fallara G, Cilio S, Raffo M, Negri F, Cella L, Fantin M, Bertini A, Boeri L, Corsini C, Lanzaro F, Candela L, D’Arma A, Dehò F, Montorsi F, Salonia A. Compliance to oral treatment for premature ejaculation – data from a single academic center. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00611-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Capogrosso P, Salonia A, Fallara G, Pozzi E, Ventimiglia E, Schifano N, Belladelli F, Bertini A, Boeri L, Lanzaro F, Candela L, Dehò F, Montorsi F. Orgasmic function worsening could lead to erectile function decrease after holep – Results from a prospective trial (expho). Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00067-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Boeri L, Pozzi E, Belladelli F, Fallara G, Cilio S, Bertini A, Raffo M, Negri F, Cella L, Fantin M, Corsini C, Lanzaro F, Candela L, Capogrosso P, D’Arma A, Montorsi F, Salonia A. The definition of idiopathic male infertility should include sperm DNA fragmentation values: Findings from a cross-sectional study. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00714-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Belladelli F, Pozzi E, Fallara G, Cilio S, Corsini C, Lanzaro F, Candela L, Bertini A, Raffo M, Negri F, Cella L, Fantin M, Cannoletta D, Boeri L, Capogrosso P, D’Arma A, Montorsi F, Salonia A. Are bothersome sleep disturbances predictors of severe ED at first visit? Findings from a real-life cross-sectional study. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00600-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Pozzi E, Fallara G, Belladelli F, Cilio S, Corsini C, Lanzaro F, Bertini A, Raffo M, Negri F, Cella L, Fantin M, Candela L, Capogrosso P, Boeri L, D’Arma A, Montorsi F, Salonia A. Clinical characteristics at presentation of Peyronie’s disease patients have changed over the last 20 years. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01296-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Boeri L, Pozzi E, Belladelli F, Fallara G, Cilio S, Bertini A, Lanzaro F, Candela L, Corsini C, Raffo M, Negri F, Cella L, Fantin M, Capogrosso P, D’Arma A, Montorsi F, Salonia A. The clinical profile of men with premature ejaculation at presentation has changed over the last fifteen years: analysis from a longitudinal study. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00613-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Pozzi E, Belladelli F, Fallara G, Cilio S, Corsini C, Bertini A, Raffo M, Negri F, Cella L, Fantin M, Lanzaro F, Candela L, Capogrosso P, Boeri L, D’Arma A, Montorsi F, Salonia A. Follicle stimulating hormone-to-Inhibin B ratio in primary infertile men with hypergonadotropic hypogonadism — a clinical marker of testosterone deficiency severity? Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00265-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Monzani A, Savastio S, Manzo A, Scalogna A, Pozzi E, Sainaghi PP, Della Corte F, Rabbone I. Not only for caregivers: intranasal glucagon for severe hypoglycaemia in a simulation study. Acta Diabetol 2022; 59:1479-1484. [PMID: 35951133 DOI: 10.1007/s00592-022-01952-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Accepted: 07/27/2022] [Indexed: 11/01/2022]
Abstract
AIMS To evaluate: (i) the propensity of paediatrics and emergency medicine residents to select different therapeutic options and (ii) the speed and administration success in a high-fidelity simulation of severe hypoglycaemia in a child with type 1 diabetes (T1DM). METHODS In this single-centre high-fidelity simulation study, 51 paediatrics or emergency medicine residents were exposed to a scenario of severe hypoglycaemia in a T1DM child attending an ambulatory setting, before and after a training on the preparation and administration of both injectable and IN glucagon. Time for drug delivery and its effectiveness were collected. RESULTS Before training, 45.1% of participants chose to administer injectable glucagon, 43.1% intravenous glucose solution, 5.9% intranasal (IN) glucagon, and 5.9% took no action. Administration was successful in 74% of injectable glucagon, 33.3% intravenous glucose solution, and 22.7% IN glucagon. After training, 58.8% of participants chose IN and 41.2% injectable glucagon, with 100% of successful administrations for IN glucagon and 90.5% for injectable glucagon. Time to successful administration was shorter for IN than injectable glucagon (23 ± 10 vs. 38 ± 7 s, p < 0.0001). CONCLUSIONS IN glucagon is an easy and effective option for severe hypoglycaemia treatment, with an almost zero possibility of failure provided that adequate training is imparted.
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Affiliation(s)
- A Monzani
- Division of Paediatrics, Department of Health Sciences, University of Piemonte Orientale, via Solaroli 17, 28100, Novara, Italy
| | - S Savastio
- Division of Paediatrics, Department of Health Sciences, University of Piemonte Orientale, via Solaroli 17, 28100, Novara, Italy
| | - A Manzo
- Division of Paediatrics, Department of Health Sciences, University of Piemonte Orientale, via Solaroli 17, 28100, Novara, Italy
| | - A Scalogna
- SIMNOVA Interdepartmental Centre for Innovative Learning and Simulation in Medicine and Allied Health Professions, University of Piemonte Orientale, via Lanino 1, 28100, Novara, Italy
| | - E Pozzi
- Division of Paediatrics, Department of Health Sciences, University of Piemonte Orientale, via Solaroli 17, 28100, Novara, Italy
| | - P P Sainaghi
- Department of Translational Medicine, University of Piemonte Orientale, via Solaroli 17, 28100, Novara, Italy
| | - F Della Corte
- SIMNOVA Interdepartmental Centre for Innovative Learning and Simulation in Medicine and Allied Health Professions, University of Piemonte Orientale, via Lanino 1, 28100, Novara, Italy
- Department of Translational Medicine, University of Piemonte Orientale, via Solaroli 17, 28100, Novara, Italy
| | - I Rabbone
- Division of Paediatrics, Department of Health Sciences, University of Piemonte Orientale, via Solaroli 17, 28100, Novara, Italy.
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Capogrosso P, Ventimiglia E, Fallara G, Costa A, De Angelis M, Colandrea G, Belladelli F, Pellegrino F, Candela L, Pozzi E, Cignoli D, Schifano N, Cazzaniga W, Matloob R, Dehò F, Scattoni V, Salonia A, Montorsi F. Prostate volume is associated with optimal “trifecta” outcomes after holep – results from a prospective trial (EXPHO). EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01064-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Silvani C, Turetti M, Jannello L, Galbiati G, Garbagnati S, Pozzi E, Lucignani G, Bebi C, Ripa F, Malfatto M, Zanetti S, Longo F, de Lorenzis E, Albo G, Montanari E, Boeri L. Comparison between spinal and general anesthesia in patients undergoing endoscopic enucleation of the prostate: is there a clinical advantage? EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01073-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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17
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Fallara G, Boeri L, Candela L, Costa A, Capogrosso P, Cazzaniga W, Schifano N, Pozzi E, Belladelli F, Cignoli D, Colandrea G, Cornelius J, Mattei A, Montorsi F, Salonia A. Impact of urinary incontinence on sexual function in patients presenting for lower urinary tract symptoms. J Sex Med 2022. [DOI: 10.1016/j.jsxm.2022.03.462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Boeri L, Capogrosso P, Cazzaniga W, Candela L, Fallara G, Pozzi E, Belladelli F, Schifano N, Cignoli D, Colandrea G, Massimiliano R, Abbate C, Montorsi F, Salonia A. Prevalence and predictors of unrecognized low sexual desire in men with new onset erectile dysfunction – findings from a cross-sectional, real-life study. J Sex Med 2022. [DOI: 10.1016/j.jsxm.2022.03.376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Fallara G, Capogrosso P, Boeri L, Cazzaniga W, Candela L, Schifano N, Costa A, Pozzi E, Belladelli F, Cignoli D, Raffo M, Matloob R, Cornelius J, Ventimiglia E, Mattei A, Montorsi F, Salonia A. Peyronie's disease in young adults: Symptomatic burden and clinical characteristics. J Sex Med 2022. [DOI: 10.1016/j.jsxm.2022.03.496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Boeri L, Capogrosso P, Cazzaniga W, Candela L, Fallara G, Pozzi E, Belladelli F, Schifano N, Cignoli D, Colandrea G, Abbate C, Montorsi F, Salonia A. Hyperestrogenism is associated with sexual function impairment in men – findings from a cross-sectional, real-life study. J Sex Med 2022. [DOI: 10.1016/j.jsxm.2022.03.372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Pozzi E, Fallara G, Candela L, Costa A, Boeri L, Capogrosso P, Schifano N, Cignoli D, Colandrea G, Raffo M, Cornelius J, Mattei A, Montorsi F, Salonia A. Primary organic vs. primary psychogenic erectile dysfunction: a cross-sectional study on patient's characteristics and sexual function from a tertiary referral center. J Sex Med 2022. [DOI: 10.1016/j.jsxm.2022.03.385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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22
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Capogrosso P, Candela L, Cazzaniga W, Costa A, Fallara G, Boeri L, Pozzi E, Belladelli F, Schifano N, Cignoli D, Dehò F, Abbate C, Montorsi F, Salonia A. Are patients really willing to undergo surgery for Peyronie's disease? J Sex Med 2022. [DOI: 10.1016/j.jsxm.2022.03.494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Quaquarini E, Sottotetti F, Agustoni F, Pozzi E, Malovini A, Teragni CM, Palumbo R, Saltalamacchia G, Tagliaferri B, Balletti E, Rinaldi P, Canino C, Pedrazzoli P, Bernardo A. Clinical and Biological Variables Influencing Outcome in Patients with Advanced Non-Small Cell Lung Cancer (NSCLC) Treated with Anti-PD-1/PD-L1 Antibodies: A Prospective Multicentre Study. J Pers Med 2022; 12:jpm12050679. [PMID: 35629102 PMCID: PMC9144987 DOI: 10.3390/jpm12050679] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 04/10/2022] [Accepted: 04/21/2022] [Indexed: 02/04/2023] Open
Abstract
Introduction: Immune checkpoint inhibitors (ICIs) have become the standard of treatment for patients with non-small cell lung cancer (NSCLC). However, there are still many uncertainties regarding the selection of the patient who could benefit more from this treatment. This study aims to evaluate the prognostic and predictive role of clinical and biological variables in unselected patients with advanced NSCLC candidates to receive ICIs. Methods: This is an observational and prospective study. The primary objective is the evaluation of the relationship between clinical and biological variables and the response to ICIs. Secondary objectives included: safety; assessment of the relationship between clinical and biological parameters/concomitant treatments and progression-free survival at 6 months and overall survival at 6 and 12 months. Nomograms to predict these outcomes have been generated. Results: A total of 166 patients were included. An association with response was found in the presence of the high immunohistochemical PD-L1 expression, squamous cell histotype, and early line of treatment, whereas a higher probability of progression was seen in the presence of anemia, high LDH values and neutrophil/lymphocyte ratio (NLR), pleural involvement, and thrombosis before treatment. The nomogram showed that anemia, PD-L1 expression, NLR, and LDH represented the most informative predictor as regards the three parameters of interest. Conclusions: In the era of personalized medicine, the results are useful for stratifying the patients and tailoring the treatments, considering both the histological findings and the clinical features of the patients.
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Affiliation(s)
- Erica Quaquarini
- Medical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy; (F.S.); (C.M.T.); (R.P.); (G.S.); (B.T.); (E.B.); (A.B.)
- Correspondence: ; Tel.: +39-0382-592202
| | - Federico Sottotetti
- Medical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy; (F.S.); (C.M.T.); (R.P.); (G.S.); (B.T.); (E.B.); (A.B.)
| | - Francesco Agustoni
- Medical Oncology Unit, IRCCS San Matteo Hospital Foundation, 27100 Pavia, Italy; (F.A.); (C.C.); (P.P.)
| | - Emma Pozzi
- Oncology Unit, Ospedale Civile, 27058 Voghera, Italy;
| | - Alberto Malovini
- Laboratory of Informatics and System Engineering for Clinical Research, ICS Maugeri-IRCCS SpA SB, Via Maugeri 10, 27100 Pavia, Italy;
| | - Cristina Maria Teragni
- Medical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy; (F.S.); (C.M.T.); (R.P.); (G.S.); (B.T.); (E.B.); (A.B.)
| | - Raffaella Palumbo
- Medical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy; (F.S.); (C.M.T.); (R.P.); (G.S.); (B.T.); (E.B.); (A.B.)
| | - Giuseppe Saltalamacchia
- Medical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy; (F.S.); (C.M.T.); (R.P.); (G.S.); (B.T.); (E.B.); (A.B.)
- Department of Internal Medicine and Therapeutics, University of Pavia, 27100 Pavia, Italy
| | - Barbara Tagliaferri
- Medical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy; (F.S.); (C.M.T.); (R.P.); (G.S.); (B.T.); (E.B.); (A.B.)
| | - Emanuela Balletti
- Medical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy; (F.S.); (C.M.T.); (R.P.); (G.S.); (B.T.); (E.B.); (A.B.)
| | - Pietro Rinaldi
- Unit of Thoracic Surgery, IRCCS San Matteo Hospital Foundation, 27100 Pavia, Italy;
| | - Costanza Canino
- Medical Oncology Unit, IRCCS San Matteo Hospital Foundation, 27100 Pavia, Italy; (F.A.); (C.C.); (P.P.)
- Department of Internal Medicine and Therapeutics, University of Pavia, 27100 Pavia, Italy
| | - Paolo Pedrazzoli
- Medical Oncology Unit, IRCCS San Matteo Hospital Foundation, 27100 Pavia, Italy; (F.A.); (C.C.); (P.P.)
- Department of Internal Medicine and Therapeutics, University of Pavia, 27100 Pavia, Italy
| | - Antonio Bernardo
- Medical Oncology Unit, ICS Maugeri-IRCCS SpA SB, 27100 Pavia, Italy; (F.S.); (C.M.T.); (R.P.); (G.S.); (B.T.); (E.B.); (A.B.)
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24
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Fallara G, Pozzi E, Belladelli F, Corsini C, Raffo M, Candela L, Costa A, Cignoli D, Schifano N, D'Arma A, Capogrosso P, Boeri L, Cazzaniga W, Matloob R, Mirone V, Dehó F, Montorsi F, Salonia A. Relevance of self-masturbation-related vs. coital erectile function in the real-life management of patients with erectile dysfunction. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00617-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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25
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Capogrosso P, Ventimiglia E, Fallara G, Costa A, De Angelis M, Colandrea G, Belladelli F, Pellegrino F, Candela L, Pozzi E, Cignoli D, Schifano N, Cazzaniga W, Matloob R, Dehò F, Scattoni V, Salonia A, Montorsi F. Prostate volume is associated with optimal TRIFECTA outcomes after HoLEP – results from a prospective trial (ExpHo). Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00950-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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26
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Belladelli F, Fallara G, Pozzi E, Corsini C, Raffo M, Candela L, Costa A, Cignoli D, Schifano N, D'Arma A, Capogrosso P, Boeri L, Ventimiglia E, Matloob R, Pagliardini L, Montorsi F, Salonia A. The effect of historical CMV infection on sperm parameters in white-European infertile men: Findings from a real-life cross-sectional study. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00885-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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27
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Capogrosso P, Ventimiglia E, Fallara G, Costa A, Pellegrino F, Candela L, Pozzi E, Belladelli F, De Angelis M, Colandrea G, Cazzaniga W, Cignoli D, Schifano N, Matloob R, Degò F, Scattoni V, Salonia A, Montorsi F. Risk of orgasmic function impairment after HoLEP – findings of a prospective real-life trial (ExpHo). Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00626-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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28
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Boeri L, Pozzi E, Belladelli F, Fallara G, Raffo M, Corsini C, Candela L, Costa A, Cignoli D, Schifano N, D'Arma A, Ventimiglia E, Capogrosso P, Dehó F, Mirone V, Pagliardini L, Papaleo E, Montorsi F, Salonia A. The impact of different WHO reference criteria for semen analysis in clinical practice: Who will benefit from the new 2021 cutoffs for normal sperm parameters? Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00886-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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29
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Boeri L, Belladelli F, Pozzi E, Fallara G, Raffo M, Corsini C, Candela L, Costa A, Cignoli D, Schifano N, D'Arma A, Capogrosso P, Ventimiglia E, Pagliardini L, Papaleo E, Mirone V, Dehó F, Montorsi F, Salonia A. Low birth weight is associated with sperm dna fragmentation and assisted reproductive technology outcomes in primary infertile men – results of a cross-sectional study. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00889-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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30
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Fallara G, Boeri L, Candela L, Costa A, Capogrosso P, Belladelli F, Pozzi E, Raffo M, Corsini C, Cignoli D, Schifano N, Cazzaniga W, Colandrea G, D'Arma A, Matloob R, Mirone V, Montorsi F, Salonia A. Impact of urinary incontinence on sexual function in patients presenting for lower urinary tract symptoms. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00914-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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31
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Boeri L, Capogrosso P, Fallara G, Cazzaniga W, Candela L, Belladelli F, Pozzi E, Massimiliano R, Costa A, Christian C, Daniele C, Nicolò S, Gianmarco C, Alessia D, Ventimiglia E, Matloob R, Dehò F, Montorsi F, Salonia A. Hyperestrogenism is associated with sexual function impairment in men – findings from a cross-sectional, real-life study. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00481-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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32
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Schifano N, Capogrosso P, Fallara G, Pozzi E, Belladelli F, Candela L, Corsini C, Raffo M, Costa A, Cignoli D, D'Arma A, Boeri L, Ventimiglia E, Matloob R, Mirone V, Deho' F, Montorsi F, Salonia A. Predictors of phosphodiesterase type 5 Inhibitors (PDE5I)-discontinuation – Is a previous PDE5I-exposure at first clinical evaluation related with a higher PDE5I-drop-out risk? Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00619-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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33
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Capogrosso P, Candela L, Cazzaniga W, Costa A, Fallara G, Boeri L, Pozzi E, Belladelli F, Schifano N, Cignoli D, Costantino A, Montosi F, Salonia A. Are patients really willing to undergo surgery for Peyronie’s disease? EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00726-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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34
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De Gobbi A, Aiello G, Pozzi E, Agostini A, Andrisano A, Fulcoli V, Guttilla A, Invidiato F, Massari D, Costa G, Fiorello M. Self-removal double J stent proposal after endourological procedures during Sars-Cov-2 emergency. EUR UROL SUPPL 2021. [PMCID: PMC8487691 DOI: 10.1016/s2666-1683(21)00739-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
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35
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Ventimiglia E, Boeri L, Pozzi E, Belladelli F, Fallara G, Candela L, Capogrosso P, Schifano N, Cignoli D, Colandrea G, Cornelius J, Mattei A, Abbate C, Montorsi F, Salonia A. P–089 Paternal age affects the performance of EAU guidelines for genetic testing in infertile men: implications for candidate selection. Hum Reprod 2021. [DOI: 10.1093/humrep/deab130.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Study question
We aimed at challenge EAU Guidelines for genetic testing performance in infertile men according to normal vs. advanced paternal age (APA).
Summary answer
EAU Guidelines perform better in karyotype analysis (KA) and Y-chromosome microdeletions (YCM) investigation in men above 35 years of age.
What is known already
EAU Guidelines for genetic testing in infertile men recommend specific threshold for candidate selection for both KA (<10 million spermatozoa/ml) and YCM (<5 million spermatozoa/ml). However, paternal age is not taken into account for candidate selection in this setting.
Study design, size, duration
Data from 2188 infertile men (according to WHO definition) consecutively evaluated at a single academic centre were analysed.
Participants/materials, setting, methods
Demographic, clinical and laboratory data were analysed. Semen analyses were based on 2010 WHO criteria. Advanced age was defined as above 35. All men underwent KA and YCM testing. EAU Guidelines were validated in our cohort and according to APA. Specificity, sensitivity, and AUC were estimated for all scenarios. A Wald-type test compared AUC according to APA for KA and YCM. Decision curve analysis (DCA) estimated the benefit of using EAU Guidelines according to APA.
Main results and the role of chance
Median (IQR) paternal age was 37 (34–41) years. Advanced paternal age was found in 1306 (60%) of included men. Prevalence of KA and YCM was 4% (48 men) and 1% (13 men), respectively. EAU Guidelines sensitivity, specificity and AUC in the overall population were 85%, 47% and 66% for KA, whereas they were 100%, 57% and 80% for YCM. When stratifying according to APA, EAU Guidelines performed better in men over 35 both in terms of KA and YCM detection. Specifically, AUC for KA detection in men with APA was 70% vs. 63% in younger men (p = 0.04). AUC for YCM detection in men with APA was 82% vs. 79% in younger men (p = 0.03). DCA confirmed higher net benefit in using EAU Guidelines in old vs. young men for the detection of both KA and YCM.
Limitations, reasons for caution
It is a retrospective analysis at a single, tertiary-referral academic centre, thus raising the possibility of selection biases.
Wider implications of the findings: EAU Guidelines for genetic testing in infertile men perform differentially according to APA. KA and YCM are better detected in older men, likely due to a wider pool of confounding etiological factors in young men. These results suggest the implementation of more accurate predictive models in younger men.
Trial registration number
Not applicable
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Affiliation(s)
- E Ventimiglia
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI, Milan, Italy
| | - L Boeri
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI, Milan, Italy
| | - E Pozzi
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI, Milan, Italy
| | - F Belladelli
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI, Milan, Italy
| | - G Fallara
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI, Milan, Italy
| | - L Candela
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI, Milan, Italy
| | - P Capogrosso
- ASST Sette Laghi – Circolo e Fondazione Macchi Hospital, Unit of Urology, Varese, Italy
| | - N Schifano
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI, Milan, Italy
| | - D Cignoli
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI, Milan, Italy
| | - G Colandrea
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI, Milan, Italy
| | - J Cornelius
- Luzerner Kantonsspital, Unit of Urology, Lucerne, Switzerland
| | - A Mattei
- Luzerner Kantonsspital, Unit of Urology, Lucerne, Switzerland
| | - C Abbate
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI, Milan, Italy
| | - F Montorsi
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI, Milan, Italy
| | - A Salonia
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI, Milan, Italy
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36
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Boeri L, Candela L, Pozzi E, Belladelli F, Capogrosso P, Cazzaniga W, Costa A, Fallara G, Schifano N, Cignoli D, Ventimiglia E, Alfano M, Abbate C, Montorsi F, Salonia A. O-151 Detailed characterization of infertile men with idiopathic versus unexplained infertility: a single-center experience. Hum Reprod 2021. [DOI: 10.1093/humrep/deab127.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Study question
We aimed to investigate the rate of and the clinical characteristics of men with idiopathic versus unexplained infertility from a cohort of white-European men.
Summary answer
Approximately 20% and 5% of men evaluated for primary couple’s infertility depicted characteristics suggestive for idiopathic and unexplained infertility, respectively.
What is known already
Male factor infertility (MFI) can be associated with clinical, hormonal and genetic diseases, but MFI is idiopathic in almost 30% of cases.
Study design, size, duration
Data from 3098 infertile men (according to WHO definition) consecutively evaluated between 2003-2020 at a single academic centre were analysed and compared with those of 103 fertile controls. Health-significant comorbidities were scored with the Charlson Comorbidity Index (CCI). Idiopathic infertility was defined for pathological semen analysis but normal physical examination and endocrine, genetic and biochemical laboratory testing. Unexplained infertility is defined as infertility of unknown origin with normal sperm parameters.
Participants/materials, setting, methods
Testicular volume (TV) was assessed with a Prader’s orchidometer. Serum hormones and sperm DNA fragmentation index (SDF) were measured in every patient. Vitamin D3 (VitD) deficiency was considered for vitD levels <20 ng/mL. Semen analyses were based on the 2010 WHO reference criteria. Health-significant comorbidities were scored with the Charlson Comorbidity Index (CCI).
Main results and the role of chance
Overall, 570 (18.5%) and 154 (5.0%) patients depicted criteria suggestive for either idiopathic or unexplained primary infertility, respectively. Groups were similar in terms of age, BMI, CCI, recreational habits, circulating serum hormones and SDF. Testicular volume was lower in men with idiopathic vs. unexplained infertility [median (IQR) 20 (15-25) vs. 20 (17-25); p < 0.001]; more idiopathic than unexplained infertile men depicted TV < 15ml (23.4% vs. 12%; p < 0.01). Similarly, vitD levels were lower [22 (17-28) vs. 27 (21-42) ng/mL; p < 0.001] in idiopathic vs. unexplained infertile men, with a higher rate of pathologic VitD levels in the same group (42.1% vs. 10%; p = 0.04). When compared to fertile controls, groups were similar in terms of age, BMI, CCI and serum hormones values. TV was larger in fertile controls than idiopathic and unexplained infertile men (all p < 0.01). At multivariable logistic regression analysis only vitD deficiency (OR 8.1, p = 0.03) was found to be associated with idiopathic infertility after accounting for age, BMI, testosterone values and TV.
Limitations, reasons for caution
The small number of fertile controls may raise the possibility of biases.
Wider implications of the findings
Idiopathic and unexplained infertility were identified in approximately 20% and 5% of men evaluated, respectively. Idiopathic infertile men showed lower TV and lower vitD values compared to men with unexplained infertility. Future studies are needed to develop a more tailored management to these difficult MFI cases.
Trial registration number
.
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Affiliation(s)
- L Boeri
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - L Candela
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - E Pozzi
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - F Belladelli
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - P Capogrosso
- Ospedale di Circolo and Macchi Foundation- Varese., Department of Urology and Andrology, Varese, Italy
| | - W Cazzaniga
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - A Costa
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - G Fallara
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - N Schifano
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - D Cignoli
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - E Ventimiglia
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - M Alfano
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - C Abbate
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - F Montorsi
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
| | - A Salonia
- Università Vita-Salute San Raffaele, Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy- University Vita-Salute San Raffaele- Milan- Italy., Milan, Italy
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Boeri L, Capogrosso P, Pozzi E, Candela L, Belladelli F, Cazzaniga W, Fallara G, Cignoli D, Schifano N, Ventimiglia E, Alfano M, Colandrea G, Abbate C, Montorsi F, Salonia A. P–108 Which infertile men with normal semen analysis deserve a second semen analysis in the real-life setting? Hum Reprod 2021. [DOI: 10.1093/humrep/deab130.107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Study question
Guidelines suggest that one semen analysis is sufficient during the diagnostic work-up of an infertile man in the case of normality as for WHO criteria.
Summary answer
We investigated the rate and the clinical features of men with abnormal sperm parameters at a second test, after a normal first semen analysis.
What is known already
A second test is recommended when the first semen analysis depicted abnormal sperm parameters.
Study design, size, duration
Complete demographic, clinical and laboratory data from 1358 consecutive primary infertile men (infertility as for WHO definition) were analysed. Health-significant comorbidities were scored with the Charlson Comorbidity Index (CCI). Serum hormones were measured in every patient. Patients underwent two consecutive semen analyses at the same laboratory, which followed 2010 WHO reference criteria.
Participants/materials, setting, methods
Descriptive statistics and logistic regression models tested the association between clinical variables and semen parameters. Receiver operative characteristic (ROC) curves were used to assess the relationship between clinical variables and to create a composite risk score for pathological sperm parameters at a second test.
Main results and the role of chance
At first analysis, 212 (15.6%) infertile men had normal semen parameters. Of 212, 87 (41.0%) had a second normal semen analysis, while 80 (37.7%), 35 (16.5%) and 10 (4.7%) men showed 1, 2 and 3 pathological sperm parameters at second test. Men with a pathological second semen analysis had higher CCI scores (p < 0.001), smaller testicular volume (p < 0.001) and higher FSH values (p < 0.01) than those with normal second samples. Overall, despite being within normal ranges, sperm concentration was lower [34 (23–57) vs. 62 (35–94); p < 0.01] in men with an abnormal second sample compared to those with confirmed normality. At multivariable logistic regression analysis, smaller testicular volume (OR 0.9, p = 0.03), FSH (OR 1.2, p < 0.01), and lower sperm concentration (OR 0.9, p < 0.01) were associated with pathological second semen analyses, after accounting for age and CCI. ROC curves showed that testicular volume <15 ml, FSH values >6 mUI/ml and sperm concentration <40 mil/ml had good predictive ability for pathologic second sperm parameters (all AUC >0.8). Considering 1-point for each of the previous variables, the chances of a pathological second analysis increased from 38.8% to 74.6%, 77.3% and 100% among patients with risk scores of 0, 1, 2 and 3, respectively (p < 0.001).
Limitations, reasons for caution
It is a retrospective analysis at a single, tertiary-referral academic centre, thus raising the possibility of selection biases. In spite of this, all patients have been consistently analysed over time with a rigorous follow-up, thus limiting potential heterogeneity in terms of data reporting.
Wider implications of the findings: Approximately 60% of infertile men with a normal semen analysis depicted a pathological second test. Smaller testicles, higher FSH, lower sperm concentrations were independently associated with a pathologic second test. These features could be useful to identify those infertile men with a normal semen analysis who deserve a second test.
Trial registration number
Not applicable
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Affiliation(s)
- L Boeri
- UOC Urologia Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico- Dipartimento di Scienze Cliniche e di Comunità- Università degli Studi di Milano, Urology, Milan, Italy
| | - P Capogrosso
- ASST Sette Laghi – Circolo e Fondazione Macchi Hospital, Urology, Varese, Italy
| | - E Pozzi
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
| | - L Candela
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
| | - F Belladelli
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
| | - W Cazzaniga
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
| | - G Fallara
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
| | - D Cignoli
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
| | - N Schifano
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
| | - E Ventimiglia
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
| | - M Alfano
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
| | - G Colandrea
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
| | - C Abbate
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
| | - F Montorsi
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
| | - A Salonia
- Università Vita-Salute San Raffaele- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele, Urology, Milan, Italy
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Fallara G, Boeri L, Candela L, Pozzi E, Belladelli F, Capogrosso P, Cazzaniga W, Ventimiglia E, Schifano N, Costa A, Cignoli D, Cornelius J, Mattei A, Montorsi F, Salonia A. P–094 Kidney function impairment in primary infertile men. Hum Reprod 2021. [DOI: 10.1093/humrep/deab130.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Study question
We investigated the prevalence of kidney function impairment in a homogeneous cohort of white-European primary infertile men.
Summary answer
Mild kidney function impairment characteristics were found in 9% of asymptomatic and unaware patients presenting for primary infertility investigation.
What is known already
Infertile men have shown a worse overall health status compared to the fertile counterpart. We investigated the prevalence of kidney function impairment in a homogeneous cohort of white-European primary infertile men.
Study design, size, duration
In this corss-sectional study, complete clinical and laboratories data from a cohort of 557 consecutive men aged >18 years, presenting for primary infertility investigation were analyzed.
Participants/materials, setting, methods
Comorbidities (as scored with the Charlson Comorbidity Index (CCI)) were collected in each patient. Primary outcome was the presence of functional impairment of the kidney (defined as an estimated glomerular filtration rates <90 ml/min/1.73m², according to the Kidney Outcomes Quality Initiative). The Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) function was used for eGFR calculation. Logistic regression analyses tested the association between kidney function impairment and clinical and semen features.
Main results and the role of chance
Of 557, 51 (9.3%) patients depicted at least a mild loss of kidney function (eGFR<90 ml/min /1.73m²). Median [interquartile (IQR)] age was 38 (35–42) years for normal kidney function group vs. 41 (36–46.5) years for those with impaired renal function (p < 0.001). Those with impaired renal function had also a higher BMI [26.1 (24.4–27.8) vs. 24.9 (23.2–26.8); p = 0.002] and higher numbers of comorbidities [CCI≥ 1 in 11 (21.5%) vs. 40 (7.9%) patients (p < 0.001)]. Of note, they had more frequently history of hypertension [10 (19.6%) vs. 31 (6.1%), p = 0.001]. Groups did not differ in terms of hormonal and semen features. At logistic regression analysis, older age and CCI≥1 were associated with a higher risk of impaired eGFR (OR 1.06; 95%CI 1.01–1.11; p = 0.016 and OR 2.41; 95%CI 1.06–5.15; p = 0.028, respectively)(table). No association was found between sperm parameters and eGFR impairment (all p > 0.05), after accounting for age, CCI, BMI, FSH, testicular volume, and varicocele.
Limitations, reasons for caution
Mild kidney function impairment characteristics were found in 9% of asymptomatic and unaware patients presenting for primary infertility investigation. Age and the rate of comorbidities are associated with reduced eGFR. Wider implications of the findings: This novel finding confirms growing data on a significant association of male infertility with a poorer overall male health status.
Trial registration number
Not applicable
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Affiliation(s)
- G Fallara
- San Raffaele Hospital, Division of Experimental Oncology/Unit of Urology, Milan, Italy
| | - L Boeri
- San Raffaele Hospital, Division of Experimental Oncology/Unit of Urology, Milan, Italy
| | - L Candela
- San Raffaele Hospital, Division of Experimental Oncology/Unit of Urology, Milan, Italy
| | - E Pozzi
- San Raffaele Hospital, Division of Experimental Oncology/Unit of Urology, Milan, Italy
| | - F Belladelli
- San Raffaele Hospital, Division of Experimental Oncology/Unit of Urology, Milan, Italy
| | - P Capogrosso
- ASST Sette Laghi – Circolo e Fondazione Macchi Hospital, Unit of Urology, Milan, Italy
| | - W Cazzaniga
- San Raffaele Hospital, Division of Experimental Oncology/Unit of Urology, Milan, Italy
| | - E Ventimiglia
- San Raffaele Hospital, Division of Experimental Oncology/Unit of Urology, Milan, Italy
| | - N Schifano
- San Raffaele Hospital, Division of Experimental Oncology/Unit of Urology, Milan, Italy
| | - A Costa
- San Raffaele Hospital, Division of Experimental Oncology/Unit of Urology, Milan, Italy
| | - D Cignoli
- San Raffaele Hospital, Division of Experimental Oncology/Unit of Urology, Milan, Italy
| | - J Cornelius
- Luzerner Kantonsspital, Unit of Urology, Milan, Italy
| | - A Mattei
- Luzerner Kantonsspital, Unit of Urology, Milan, Italy
| | - F Montorsi
- San Raffaele Hospital, Division of Experimental Oncology/Unit of Urology, Milan, Italy
| | - A Salonia
- San Raffaele Hospital, Division of Experimental Oncology/Unit of Urology, Milan, Italy
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Pozzi E, Boeri L, Candela L, Cignoli D, Colandrea G, Raffo M, Cazzaniga W, Schifano N, Capogrosso P, Ventimiglia E, Abbate C, Montorsi F, Salonia A. O-207 Which infertile patients mostly deserve to have a sperm DNA fragmentation index done? Findings from a cross-sectional study. Hum Reprod 2021. [DOI: 10.1093/humrep/deab128.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Study question
Current scientific guidelines do not clearly suggest which patients would benefit the most from a sperm DNA fragmentation (SDF) test.
Summary answer
We aimed to investigate potential predictive factors for altered SDF in a homogenous cohort of white-European men presenting for primary couple’s infertility.
What is known already
High SDF has been associated with reduced fertilization rates, reduced chances of natural conception and an increased risk of early pregnancy loss.
Study design, size, duration
Data from 478 consecutive men with normal or altered SDF were analysed. Infertility was defined according to the WHO criteria. Semen analysis, SDF (according to SCSA) and serum hormones were measured in every patient. Health significant comorbidities were scored with the Charlson Comorbidity Index (CCI). Altered SDF was considered with a threshold of > 30%.
Participants/materials, setting, methods
Descriptive statistics compared the overall characteristics of patients with normal SDF and altered SDF. Logistic regression analysis tested potential predictors of altered SDF. ROC curve was used to test the accuracy of the model in predicting SDF alteration
Main results and the role of chance
Of 478 patients, 253 (57.7%) had altered SDF. Median (IQR) age and BMI of the whole cohort were 38 (35-42) years and 25.1 (23.3-27.1) kg/m2 respectively. Patients with altered SDF were older (median (IQR) age: 39 (36-43) vs. 37 (34-38) years, p < 0.0001), had lower sperm concentration (5 (1.1–18) vs. 17 x106/mL (6–38.8), p < 0.0001), testicular volume (15.1 (12 –20) vs. 16.8 (12 – 25) Prader, p = 0.0005), and total motile sperm count (TMSC) (1.8 (0.21–10.71) vs. 11.8x106 (2–37.26), p < 0.0001). Conversely, men with altered SDF had higher FSH (6.1 (3.85–9.7) vs. 4.8 (3.85 – 7.9) mIU/mL, p < 0.0001) and prolactin levels (9.8 (7.43–14.04) vs. 8.3 (6.6–11.3) pg/mL, p = 0.0004) than those with normal SDF. At multivariable logistic regression analysis, patients’ age >35 years (OR: 2.45, p = 0.0009), FSH > 8.0 mIU/mL (OR: 2.23, p < 0.0001) and lower TMSC (OR: 2.04, p = 0.002) were identified as indipendent predictors of altered SDF, after adjusting for testicular volume and CCI≥1. ROC curve (Figure 1) revealed that the model has a good predictive ability to identify patients with SDF alteration (AUC: 0.72, 95%CI: 0.67 - 0.77).
Limitations, reasons for caution
It is a retrospective analysis at a single, tertiary-referral academic centre, thus raising the possibility of selection biases. In spite of this, all patients have been consistently analysed over time with a rigorous follow-up, thus limiting potential heterogeneity in terms of data reporting
Wider implications of the findings
Primary infertile men older than 35 years, with high serum FSH and low TMSC at baseline are the ones who mostly deserve a SDF test over their diagnostic work-up and that would potentially benefit the most of certain treatments to improve SDF value, thus increasing chances of conceiving.
Trial registration number
Not applicable
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Affiliation(s)
- E Pozzi
- Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI-, Milano, Italy
| | - L Boeri
- Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI-, Milano, Italy
| | - L Candela
- Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI-, Milano, Italy
| | - D Cignoli
- Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI-, Milano, Italy
| | - G Colandrea
- Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI-, Milano, Italy
| | - M Raffo
- Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI-, Milano, Italy
| | - W Cazzaniga
- Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI-, Milano, Italy
| | - N Schifano
- Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI-, Milano, Italy
| | - P Capogrosso
- ASST Sette Laghi – Circolo e Fondazione Macchi Hospital, Urology, Varese, Italy
| | - E Ventimiglia
- Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI-, Milano, Italy
| | - C Abbate
- Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI-, Milano, Italy
| | - F Montorsi
- Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI-, Milano, Italy
| | - A Salonia
- Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology- URI-, Milano, Italy
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Belladelli F, Pozzi E, Boeri L, Fallara G, Capogrosso P, Cignoli D, Candela L, Schifano N, Raffo M, Colandrea A, Montorsi F, Salonia A. P–027 Does air pollution impact on semen parameters? Findings from a real-life cross-sectional study in white-European infertile men. Hum Reprod 2021. [DOI: 10.1093/humrep/deab130.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Study question
We aimed to investigate the association between air pollutants levels and semen parameters in a cohort of white-European men seeking medical attention for couple’s infertility.
Summary answer
We found that Pm10, Pm 2.5, and NO2 levels were negatively associated with sperm morphology.
What is known already
Air pollutants levels have been monitored closely for environmental and research issues in industrialized countries.
Study design, size, duration
Data from 156 infertile men consecutively assessed between 01/2019 and 12/2020 were analysed.
Participants/materials, setting, methods
Semen analyses were based on 2010 WHO reference criteria. We analysed the annual average level of the main markers of air pollution (Pm10, Pm2.5, and NO2) between 2014–2018 (Legambiente, 2020, Annual dossier series on air quality in Italy) relative to patients’ addresses of the last 5 years. Health-significant comorbidities were scored with the Charlson Comorbidity Index (CCI). Descriptive statistics and linear regression analyses were used to test the association between air pollutants and semen parameters.
Main results and the role of chance
Overall, median (IQR) age and BMI were 37 (33–41) years and 25.1 (23.4–27.3) kg/m2, respectively. A CCI≥1 was found in 12 (7.7%) men, and 47 (30.1%) participants were smokers. As for sperm parameters, semen volume, sperm concentration, sperm progressive motility and normal sperm morphology were 3 (2–4) ml, 18 (5–45.5) x106/ml, 32 (22–45)% and 2 (1–3)%, respectively. Pm10 was negatively associated with sperm morphology (ß: –0.580, p = 0.001). Furthermore, Pm10 was found to be an independent predictor for sperm morphology worsening (ß: –0.729, p = 0.006) (Fig.1A), after adjusting for age, BMI, CCI and smoking status. Similarly, Pm2.5 levels were negatively associated with sperm morphology (ß: –0.595, p = 0.009) (Fig.1B). After adjusting for the same variables, the association between Pm2 and sperm morphology remained significant (ß: –0.724, p = 0.015) (Fig.1C). NO2 levels were found to be associated with sperm morphology worsening after adjusting for age, BMI, CCI, and smoking status (ß: –0.471, p = 0.006).
Limitations, reasons for caution
It is a retrospective analysis at a single, tertiary-referral academic centre, thus raising the possibility of selection biases. Moreover, markers of air pollutions divided by residence may not completely evaluated the single patient exposure.
Wider implications of the findings: In this cross-sectional study we found that Pm10, Pm 2.5, and NO2 levels were negatively associated with sperm morphology, while they were not consistently associated with an increased risk of other abnormal sperm parameters in infertile men. Further studies are needed to characterize air pollution effects on sperm parameters.
Trial registration number
Not applicable
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Affiliation(s)
- F Belladelli
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology, Milano, Italy
| | - E Pozzi
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology, Milano, Italy
| | - L Boeri
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology, Milano, Italy
| | - G Fallara
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology, Milano, Italy
| | - P Capogrosso
- ASST Sette Laghi – Circolo e Fondazione Macchi Hospital, Unit of Urology, Varese, Italy
| | - D Cignoli
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology, Milano, Italy
| | - L Candela
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology, Milano, Italy
| | - N Schifano
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology, Milano, Italy
| | - M Raffo
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology, Milano, Italy
| | - A Colandrea
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology, Milano, Italy
| | - F Montorsi
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology, Milano, Italy
| | - A Salonia
- IRCCS Ospedale San Raffaele, Division of Experimental Oncology/Unit of Urology, Milano, Italy
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Saracino L, Bortolotto C, Tomaselli S, Fraolini E, Bosio M, Accordino G, Agustoni F, Abbott DM, Pozzi E, Eleftheriou D, Morbini P, Rinaldi P, Primiceri C, Lancia A, Comoli P, Filippi AR, Stella GM. Integrating data from multidisciplinary Management of Malignant Pleural Mesothelioma: a cohort study. BMC Cancer 2021; 21:762. [PMID: 34210265 PMCID: PMC8252222 DOI: 10.1186/s12885-021-08532-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Accepted: 06/23/2021] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Malignant pleural mesothelioma (MPM) is a rare and aggressive malignancy that most commonly affects the pleural layers. MPM has a strong association with asbestos, mainly caused by exposure to its biopersistent fibers in at least 80% of cases. Individuals with a chronic exposure to asbestos might develop disease with a 20-40-year latency with few or no symptoms. Such has been the case in the Italian regions of Piedmont and Lombardy, where industrial production of materials laden with asbestos, mainly cements, has been responsible for the onset of a large epidemic. Since 2018, a multidisciplinary team at San Matteo hospital in Pavia has been collecting data on over 100 patients with MPM. The main goal of this project is to define and describe an integrated profile for each MPM case at diagnosis by using data mining and partition analysis. METHODS Here we bring together exhaustive epidemiologic, histologic and radiologic data of 88 MPM patients that came to our observation and draw correlations with predictive and prognostic significance. RESULTS The median overall survival (OS) was 15.6 months. Most patients presented with pleural effusion, irrespective of disease stage. Quite unexpectedly, no statistically significant association was demonstrated between OS and TNM disease stage at diagnosis. Although average OS is similar in male and female patients, partition analysis of data underlined a significant differential hierarchy of predictor categories based on patient gender. In females with no smoking history, full chemotherapeutic regimens are associated with better outcomes. Moreover, concerning second line treatments, vinorelbine emerged as the most advantageous choice for female patients, whereas in the male subgroup no statistically significant difference resulted between gemcitabine and vinorelbine. CONCLUSION A multidisciplinary approach to MPM is mandatory to define better therapeutic approaches, personalize the management and improve patient outcomes.
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Affiliation(s)
- Laura Saracino
- Department of Medical Sciences and Infective Diseases, Unit of Respiratory Diseases, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, 27100, Pavia, Italy
| | - Chandra Bortolotto
- Department of Intensive Medicine, Unit of Radiology, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, Pavia, Italy
| | - Stefano Tomaselli
- Department of Medical Sciences and Infective Diseases, Unit of Respiratory Diseases, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, 27100, Pavia, Italy
| | - Elia Fraolini
- Department of Medical Sciences and Infective Diseases, Unit of Respiratory Diseases, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, 27100, Pavia, Italy
| | - Matteo Bosio
- Department of Medical Sciences and Infective Diseases, Unit of Respiratory Diseases, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, 27100, Pavia, Italy
| | - Giulia Accordino
- Department of Medical Sciences and Infective Diseases, Unit of Respiratory Diseases, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, 27100, Pavia, Italy
| | - Francesco Agustoni
- Department of Medical Sciences and Infective Diseases, Unit of Oncology, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, 27100, Pavia, Italy
| | - David M Abbott
- Department of Anesthesia and Intensive Care, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, 27100, Pavia, Italy
| | - Emma Pozzi
- Department of Medical Sciences and Infective Diseases, Unit of Oncology, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, 27100, Pavia, Italy
| | | | - Patrizia Morbini
- Department of Molecular Medicine, Unit of Pathology, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, Pavia, Italy
| | - Pietro Rinaldi
- Department of Intensive Medicine, Unit of Cardiothoracic Surgery, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, Pavia, Italy
| | - Cristiano Primiceri
- Department of Intensive Medicine, Unit of Cardiothoracic Surgery, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, Pavia, Italy
| | - Andrea Lancia
- Department of Medical Sciences and Infective Diseases, Unit of Radiation Therapy, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, Pavia, Italy
| | - Patrizia Comoli
- Cell Factory and Pediatric Hematology-Oncology Unit, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy
| | - Andrea R Filippi
- Department of Medical Sciences and Infective Diseases, Unit of Radiation Therapy, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, Pavia, Italy
| | - Giulia M Stella
- Department of Medical Sciences and Infective Diseases, Unit of Respiratory Diseases, IRCCS Policlinico San Matteo Foundation and University of Pavia Medical School, 27100, Pavia, Italy.
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Pozzi E, Fallara G, Candela L, Costa A, Boeri L, Capogrosso P, Schifano N, Belladelli F, Cignoli D, Colandrea G, Raffo M, Cornelius J, Costantino A, Mattei A, Montorsi F, Salonia A. Primary organic vs. primary psychogenic erectile dysfunction: A cross-sectional study on patient’s characteristics and sexual function from a tertiary referral centre. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00866-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Ventimiglia E, Boeri L, Pozzi E, Belladelli F, Fallara G, Candela L, Capogrosso P, Schifano N, Cignoli D, Colandrea G, Raffo M, Cornelius J, Mattei A, Abbate C, Montorsi F, Salonia A. Paternal age affects the performance of EAU guidelines for genetic testing in infertile men: Implications for candidate selection. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00888-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Boeri L, Capogrosso P, Cazzaniga W, Candela L, Fallara G, Pozzi E, Belladelli F, Schifano N, Cignoli D, Colandrea G, Raffo M, Abbate C, Montorsi F, Salonia A. Prevalence and predictors of unrecognized low sexual desire in men with new onset erectile dysfunction – Findings from a cross-sectional, real-life study. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00865-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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45
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Capogrosso P, Candela L, Cazzaniga W, Costa A, Fallara G, Boeri L, Pozzi E, Belladelli F, Schifano N, Cignoli D, Abbate C, Montorsi F, Salonia A. Are patients really willing to undergo surgery for Peyronie’s disease? Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00875-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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46
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Pozzi E, Cakir O, Castiglione F, Schifano N, Hadway P, Nigam R, Rees R, Albersen M, Parnham A, Lau M, Alnajjar H, Vijai S, Muneer A. Long term outcomes of Dynamic Sentinel Lymph Node Biopsy (DSNB) for clinically impalpable (cN0) penile cancer patients- an eUROGEN study. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01044-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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47
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Pozzi E, Ventimiglia E, Fallara G, Boeri L, Belladelli F, Cignoli D, Candela L, Capogrosso P, Schifano N, Raffo M, Colandrea G, Cornelius J, Mattei A, Abbate C, Montorsi F, Salonia A. Haemospermia in the real-life setting: Challenging the EAU guidelines. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00861-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Armani G, Pozzi E, Pagani A, Porta C, Rizzo M, Cicognini D, Rovati B, Moccia F, Pedrazzoli P, Ferraris E. The heterogeneity of cancer endothelium: The relevance of angiogenesis and endothelial progenitor cells in cancer microenvironment. Microvasc Res 2021; 138:104189. [PMID: 34062191 DOI: 10.1016/j.mvr.2021.104189] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2020] [Revised: 05/18/2021] [Accepted: 05/22/2021] [Indexed: 01/02/2023]
Abstract
Tumor-associated vessels constitution is the result of angiogenesis, the hallmark of cancer essential for tumor to develop in dimension and to spread throughout the organism. Tumor endothelium is configured as an active functioning organ capable of determine interaction with the immune response and all the other components of the variegate cancer microenvironment, determining reciprocal influence. Angiogenesis is here analyzed in its molecular and cellular mechanisms, multiple mediators and principal players, represented by Endothelial Cells. It is discussed the striking heterogeneity of cancer endothelium, due to morphological and molecular aberrations that it often presents and its multiple origin. Among the cells that participate to the composition of tumor vasculature, Endothelial Progenitor Cells represent an important source for physical sustain and paracrine signaling in the process of angiogenesis. Treatment options are reviewed, with particular focus on novel therapeutic strategies for overcoming tumor resistance to anti-angiogenic agents.
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Affiliation(s)
- Giovanna Armani
- Division of Medical Oncology, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Italy..
| | - Emma Pozzi
- Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - Anna Pagani
- Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - Camillo Porta
- Division of Translational Oncology, IRCCS Istituti Clinici Scientifici Maugeri, Pavia, Italy
| | - Mimma Rizzo
- Division of Translational Oncology, IRCCS Istituti Clinici Scientifici Maugeri, Pavia, Italy
| | - Daniela Cicognini
- Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - Bianca Rovati
- Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - Francesco Moccia
- Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - Paolo Pedrazzoli
- Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - Elisa Ferraris
- Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
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Candiloro F, Borioli V, Borsellino G, Picozza M, Pellini R, Cereda E, Gargano F, Caraccia M, Nardi MT, Bellu L, Tondulli L, Imarisio I, Pozzi E, Pedrazzoli P, Caccialanza R, Battistini L. Influence of different lipid emulsions on specific immune cell functions in head and neck cancer patients receiving supplemental parenteral nutrition: An exploratory analysis. Nutrition 2021; 86:111178. [PMID: 33631618 DOI: 10.1016/j.nut.2021.111178] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 01/05/2021] [Accepted: 01/21/2021] [Indexed: 12/28/2022]
Abstract
OBJECTIVES The effect of diet on immune responses is an area of intense investigation. Dietary lipids have been shown to differently influence and fine-tune the reactivity of immune cell subsets, thus potentially affecting clinical outcomes. Patients with head and neck squamous cell carcinoma face malnutrition, due to swallowing impairment related to the tumor site or to treatment sequalae, and may need supplemental parenteral nutrition (SPN) in addition to oral feeding when enteral nutrition is not feasible. Additionally, immune depression is a well-known complication in these patients. Parenteral nutrition (PN) bags contain amino acids, minerals, electrolytes and mostly lipids that provide calories in a concentrated form and are enriched with essential fatty acids. The aim of this study was to investigate multiple parameters of the immune responses in a cohort of patients with head and neck squamous cell carcinoma undergoing supplemental PN with bags enriched in ω-3 or ω-9 and ω-6 fatty acids. METHODS To our knowledge, this was the first exploratory study to investigate the effects of two different PN lipid emulsions on specific immune cells function of patients with advanced head and neck squamous carcinoma. ω-3-enriched fish-oil-based- and ω-6- and ω-9-enriched olive-oil-basedSPN was administered to two groups of patients for 1 wk in the context of an observational multicentric study. Polychromatic flow cytometry was used to investigate multiple subsets of leukocytes, with a special focus on cellular populations endowed with antitumor activity. RESULTS Patients treated with olive-oil-based PN showed an increase in the function of the innate (natural killer cells and monocytes) and adaptive (both CD4 and CD8 cells) arms of the immune response. CONCLUSION An increase in the function of the innate and adaptive arms of the immune response may favor antitumoral responses.
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Affiliation(s)
| | - Valeria Borioli
- Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Italy
| | | | - Mario Picozza
- Neuroimmunology Unit, IRCCS Fondazione Santa Lucia, Rome, Italy
| | - Raul Pellini
- Department of Otolaryngology Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Italy
| | - Emanuele Cereda
- Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Italy
| | | | - Marilisa Caraccia
- Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Italy
| | - Maria Teresa Nardi
- Nutritional Support Unit and Department of Clinical & Experimental Oncology, Medical Oncology 1, Veneto Institute of Oncology, IRCCS, Italy
| | - Luisa Bellu
- Nutritional Support Unit and Department of Clinical & Experimental Oncology, Medical Oncology 1, Veneto Institute of Oncology, IRCCS, Italy
| | - Luca Tondulli
- Medical Oncology, Azienda Ospedaliera Universitaria Integrata (AOUI), Italy
| | - Ilaria Imarisio
- Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Italy
| | - Emma Pozzi
- Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Italy
| | - Paolo Pedrazzoli
- Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Italy; Department of Internal Medicine, University of Pavia, Pavia, Italy
| | - Riccardo Caccialanza
- Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Italy
| | - Luca Battistini
- Neuroimmunology Unit, IRCCS Fondazione Santa Lucia, Rome, Italy.
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Boeri L, Capogrosso P, Cazzaniga W, Alfano M, Pederzoli F, Pozzi E, Belladelli F, Baudo A, Ventimiglia E, Abate C, Montanari E, Montorsi F, Salonia A. infertile men have higher PSA values than aged-matched fertile controls: Potential implications for personalized prevention strategies. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35348-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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