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Bruno F, Franchino F, Chiavazza C, Pellerino A, Soffietti R, Rudà R. P05.49 Extra-neural metastases from a sacro-coccygeal myxopapillary ependymoma: a case report. Neuro Oncol 2018. [DOI: 10.1093/neuonc/noy139.375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- F Bruno
- Dept. of Neuro-Oncology, University and City of Health and Science Hospital, Turin, Italy
| | - F Franchino
- Dept. of Neuro-Oncology, University and City of Health and Science Hospital, Turin, Italy
| | - C Chiavazza
- Dept. of Neuro-Oncology, University and City of Health and Science Hospital, Turin, Italy
| | - A Pellerino
- Dept. of Neuro-Oncology, University and City of Health and Science Hospital, Turin, Italy
| | - R Soffietti
- Dept. of Neuro-Oncology, University and City of Health and Science Hospital, Turin, Italy
| | - R Rudà
- Dept. of Neuro-Oncology, University and City of Health and Science Hospital, Turin, Italy
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Masera S, Cavalla P, Prosperini L, Mattioda A, Mancinelli CR, Superti G, Chiavazza C, Vercellino M, Pinessi L, Pozzilli C. Parity is associated with a longer time to reach irreversible disability milestones in women with multiple sclerosis. Mult Scler 2014; 21:1291-7. [PMID: 25533293 DOI: 10.1177/1352458514561907] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [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: 07/16/2014] [Accepted: 11/04/2014] [Indexed: 11/17/2022]
Abstract
BACKGROUND Multiple sclerosis (MS) frequently affects women of childbearing age. While short-term effects of pregnancy on MS course are well-known, whether pregnancy may influence long-term disability progression is debated. METHODS A two-centre retrospective study to investigate long-term effect of pregnancy on disability was performed in a population of MS women. Survival analyses and multivariate Cox proportional regression models (including early predictors of MS severity and exposure to disease-modifying treatments) were performed to compare time to reach well-established disability milestones in nulliparous women and in those with pregnancies after MS onset ('parous'). Women with pregnancies before MS onset were excluded from analyses as they represent a heterogeneous group. RESULTS Data about 445 women (261 nulliparous, 184 'parous') were analysed. A longer time to reach Expanded Disability Status Scale (EDSS) 4.0 and 6.0 was observed in parous women; Cox regression models revealed a lower risk for 'parous' than nulliparous women in reaching EDSS 4.0 and 6.0 (HR = 0.552, p = 0.008 and HR = 0.422, p = 0.012 respectively). CONCLUSION Our findings suggest that pregnancy after MS onset is associated with a slower long-term disability progression. Whether this represents a biological/immunological effect, or reflects a higher propensity toward childbearing in women with milder disease, it remains uncertain deserving further investigations.
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Affiliation(s)
- S Masera
- MS Centre, Department of Neuroscience, University of Turin & City of Health and Science University Hospital of Turin, Italy
| | - P Cavalla
- MS Centre, Department of Neuroscience, University of Turin & City of Health and Science University Hospital of Turin, Italy
| | - L Prosperini
- Department of Neurology and Psychiatry, Sapienza University, Rome, Italy
| | - A Mattioda
- MS Centre, Department of Neuroscience, University of Turin & City of Health and Science University Hospital of Turin, Italy
| | - C R Mancinelli
- Department of Neurology and Psychiatry, Sapienza University, Rome, Italy
| | - G Superti
- MS Centre, Department of Neuroscience, University of Turin & City of Health and Science University Hospital of Turin, Italy
| | - C Chiavazza
- MS Centre, Department of Neuroscience, University of Turin & City of Health and Science University Hospital of Turin, Italy
| | - M Vercellino
- MS Centre, Department of Neuroscience, University of Turin & City of Health and Science University Hospital of Turin, Italy
| | - L Pinessi
- MS Centre, Department of Neuroscience, University of Turin & City of Health and Science University Hospital of Turin, Italy
| | - C Pozzilli
- Department of Neurology and Psychiatry, Sapienza University, Rome, Italy
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Masera S, Chiavazza C, Mattioda A, Superti G, Beggiato E, Crosasso P, Broganelli P, Pinessi L, Cavalla P. Occurrence of ecchymotic angioedema-like cutaneous lesions as a possible side effect of fingolimod. Mult Scler 2014; 20:1666-7. [PMID: 24603883 DOI: 10.1177/1352458514525872] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- S Masera
- MS Center, & I Division of Neurology, Department of Neuroscience, University of Turin & City of Health and Science of Turin University Hospital, Italy
| | - C Chiavazza
- MS Center, & I Division of Neurology, Department of Neuroscience, University of Turin & City of Health and Science of Turin University Hospital, Italy
| | - A Mattioda
- MS Center, & I Division of Neurology, Department of Neuroscience, University of Turin & City of Health and Science of Turin University Hospital, Italy
| | - G Superti
- MS Center, & I Division of Neurology, Department of Neuroscience, University of Turin & City of Health and Science of Turin University Hospital, Italy
| | - E Beggiato
- Oncoematology and Dermatology Department, City of Health and Science of Turin University Hospital, Italy
| | - P Crosasso
- Hospital Pharmacy Department, City of Health and Science of Turin University Hospital, Italy
| | - P Broganelli
- Oncoematology and Dermatology Department, City of Health and Science of Turin University Hospital, Italy
| | - L Pinessi
- MS Center, & I Division of Neurology, Department of Neuroscience, University of Turin & City of Health and Science of Turin University Hospital, Italy
| | - P Cavalla
- MS Center, & I Division of Neurology, Department of Neuroscience, University of Turin & City of Health and Science of Turin University Hospital, Italy
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Giordano A, Lugaresi A, Confalonieri P, Granella F, Radice D, Trojano M, Martinelli V, Solari A, Giordano A, Martinelli V, Lugaresi A, Pucci E, Granella F, Trojano M, Solari A, Martinelli V, Pucci E, Messmer Uccelli M, Lugaresi A, Giordano A, Granella F, Solari A, Giordano A, Ferrari G, Martini F, Solari A, Radice D, D’Annunzio G, Lugaresi A, Farina D, Travaglini D, Pietrolongo E, Onofrj M, Torri Clerici V, Bonanno S, Brambilla L, Confalonieri P, Martinelli V, Radaelli M, Messina J, Comi G, Tortorella C, Luciannatelli E, Trojano M, Senesi C, Tsantes E, Granella F, Conti MZ, Rottoli MR, Bellantonio P, Fischetti M, Fantozzi R, Pala A, Traccis S, Di Battista G, Bianchi M, Benedetti MD, Gaetani L, Di Filippo M, Carolei A, Totaro R, Lanzillo R, Brescia Morra V, Coppola R, Cottone S, Chiavazza C, Cavalla P, Leonardi C, Aguglia U, Ziuliani C, Valla P, Sasanelli F, Valentino P, Quattrone A, Martino PG, Russo M, Vita G, Immovilli P. Implementation of the ‘Sapere Migliora’ information aid for newly diagnosed people with multiple sclerosis in routine clinical practice: a late-phase controlled trial. Mult Scler 2014; 20:1234-43. [DOI: 10.1177/1352458513519180] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2013] [Accepted: 12/11/2013] [Indexed: 11/16/2022]
Abstract
Background: The SIMS-Trial showed that the ‘Sapere Migliora’ information aid (IA) for newly diagnosed people with multiple sclerosis (PwMS) effectively improved patient knowledge and satisfaction with care. Objectives: The objectives of this paper are to assess the effectiveness of the IA in clinical practice and to compare the whole IA with the take-home booklet/website component alone. Methods: After updating the IA and replacing the CD with a website, a prospective, open-label non-randomised controlled trial compared the whole IA (group A, five SIMS-Trial centres) to take-home (group B, 16 centres). One month after the intervention, participants completed the MS Knowledge Questionnaire (MSKQ), care satisfaction questionnaire (COSM-R) (primary study outcomes), Hospital and Anxiety Depression Scale, and ad hoc questionnaire appraising the IA. Results: We enrolled 159 newly diagnosed PwMS (May 2012–March 2013). Drop-outs were four of 77 (5%, group A) and 11/82 (13%, group B). Primary endpoint (highest tertile both for MSKQ and COSM-R section 2 scores) was achieved by 38/77 (49%) group A and 33/82 (40%) group B ( p = 0.25). Attainment of secondary outcomes was also similar between groups. Conclusions: This study shows that the entire IA is not superior to the booklet/website alone, and that both are comparable in efficacy to the intervention arm of the SIMS-Trial. Trial registration number: ISRCTN78940214.
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Affiliation(s)
- A Giordano
- Unit of Neuroepidemiology, Foundation IRCCS Neurological Institute C. Besta, Italy
| | - A Lugaresi
- Department of Neuroscience and Imaging, University G. d’Annunzio of Chieti-Pescara, Italy
| | - P Confalonieri
- Department of Neuroimmunology, Foundation IRCCS Neurological Institute C. Besta, Italy
| | - F Granella
- Department of Neurosciences, Neurology Unit, University of Parma, Italy
| | - D Radice
- Division of Epidemiology and Biostatistics, European Institute of Oncology, Italy
| | - M Trojano
- Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari, Italy
| | - V Martinelli
- Department of Neurology, Scientific Institute Hospital San Raffaele, Italy
| | - A Solari
- Unit of Neuroepidemiology, Foundation IRCCS Neurological Institute C. Besta, Italy
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