Pubblicazioni scientifiche

Abstract

Background

Details: Category: Pubblicazioni scientifiche

Recent research in the field of oncology has yielded important contributions concerning all the cancer disease phases. A growing amount of data is available regarding patient needs related to the physical and psychosocial sequelae of cancer and their association with overall quality of life (QoL). Such needs may be related to specific therapeutic steps and services provided (e.g., patients’ need for more information on their health status), as well as specific symptom management (e.g., pain, emotional distress). These needs have been documented worldwide, both in early- and advanced-stage illness, in adult and pediatric populations, and in survivors (Arnaboldi, 2022; Bonacchi et al., 2015; Chen et al., 2021; Karadag and Yüksel, 2021; Wang et al., 2021). Moreover, studies have also identified specific care necessities (including those associated with cancer-related cognitive impairment due to both cancer pathogenesis and conventional treatments) (Chang et al., 2019; Edwards et al., 2018; Harrison and Wefel, 2018). Additionally, research has highlighted the fact that the additional allostatic burden associated with the SARS-CoV2 pandemic requires further steps in managing cancer patients’ needs (Ebrahimabadi et al., 2021; Jones et al., 2020). Given these areas of need, it is not surprising to see a growing interest in complementary medicine (CM), with prevalence of use rates up to 51% among adults and ranging from 6% to 91% among children (Bishop et al., 2010; Keene et al., 2019). Patients seem to be using CM to better manage possible adverse effects of conventional anticancer treatments and cancer-related symptoms (Grant et al., 2019; Rossi et al., 2018; Rossi et al., 2018).

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Details: Category: Pubblicazioni scientifiche

Title of the practice: Multidisciplinary and integrative approach to cancer patients and disease

Organisation name: Institute for the Study, the Prevention and the Oncological Network (ISPRO) and Regional Center for Integrative Medicine (RCIM)

Region: Tuscany
Country: Italy
Total Region Population: 3,729,641 (2018)
Cooperation partners: Local Health Unit Tuscany Center; Local Health Unit Tuscany North West; Local Health Unit Tuscany South East – Healthcare Service, Region of Tuscany

Summary:
Over the last 25 years, the Region of Tuscany has started a process of integration of complementary medicine (CM) in the Regional Health Service, defining oncology as a priority area of intervention. Based on the scientific evidence, some integrative therapies have been included in the oncological network, aimed to reduce the side effects of conventional anticancer therapies and improve the quality of life of patients. In 2019, the Regional Guidelines (Diagnostic and Therapeutic Care Pathway, DTCP) on breast cancer included a section on complementary and integrative medicine as supportive cancer care. In November 2021, the document ‘DTCP - Integrative Medicine for Cancer Patients’ designed the principles and actions of the application of complementary integrative medicine in oncology. The aim is to ensure patients effective, safe, high quality and uniform treatments and improve their quality of life, reducing the side effects of anticancer therapy in a multidisciplinary and sustainable approach.

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Details: Category: Pubblicazioni scientifiche

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Details: Category: Pubblicazioni scientifiche

Elio Rossi, MD,1 Cristina Noberasco, MD,1 Marco Picchi, PsyD,1 Mariella Di Stefano, MA,1 Antonella Rossi, BS,1 Linda Nurra, PhD,1 and Leonardo Ventura, MS2

Abstract

Background: To address the side effects of anticancer treatments, the Clinic for Complementary Medicine and Diet in Oncology was opened, in collaboration with the oncology department, at the Hospital of Lucca (Italy) in 2013.

Aim: To present the results of complementary medicine treatment targeted toward reducing the adverse effects of anticancer therapy and cancer symptoms, and improving patient quality of life. Dietary advice was aimed at the reduction of foods that promote inflammation in favor of those with antioxidant and anti-inflammatory properties.

Methods: This is a retrospective observational study on 357 patients consecutively visited from September 2013 to December 2017. The intensity of symptoms was evaluated according to a grading system from G0 (absent) to G1 (slight), G2 (moderate), and G3 (strong). The severity of radiodermatitis was evaluated with the Radiation Therapy Oncology Group (RTOG) scale. Almost all the patients (91.6%) were receiving or had just finished some form of conventional anticancer therapy.

Results: The main types of cancer were breast (57.1%), colon (7.3%), lung (5.0%), ovary (3.9%), stomach (2.5%), prostate (2.2%), and uterus (2.5%). Comparison of clinical conditions before and after treatment showed a significant amelioration of nausea, insomnia, depression, anxiety, fatigue, mucositis, hot flashes, joint pain, dysgeusia, neuropathy, and all symptoms. Moreover, in a subgroup of 17 patients in radiotherapy undergoing integrative treatment, the level of toxicities and the severity of radiodermatitis were much lower than in the 13 patients without integrative treatment. Twenty-one cancer patients (6.2%) either refused (18) or discontinued (3) conventional anticancer treatment against the recommendation of their oncologist; after the integrative oncology (IO) visit, 7 (41.2%) out of 17 patients with follow-up decided to accept standard oncologic treatments.

Conclusions: An IO clinic may contribute to reducing the adverse effects of anticancer therapy and improving the quality of life of cancer patients.

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Details: Category: Pubblicazioni scientifiche

6

Interventi Dott. Cracolici

III Convegno Nazionale sul Mistero della Coscienza

14:00

On-Line

Intelligenza o follia artificiale?

Date : 06 May 2023

7

Interventi Dott. Cracolici

III Convegno Nazionale sul Mistero della Coscienza

14:00

On-Line

Intelligenza o follia artificiale?

Date : 07 May 2023

19

Interventi Dott. Cracolici

I sistemi biologici, psicologici e sociali. Verso un’idea di salute integrata

08:30

Auditorium al Duomo Via de’ Cerretani, 54/R 50123 Firenze

Partendo dal presupposto che ogni condizione di salute e/o di malattia sia la conseguenza dell’interazione tra fattori biologici, psicologici e sociali/culturali, perseguendo un approccio alla persona bio-psico-sociale, l’unica vera strategia oggi più che mai nel processo di presa in carico di una persona, è quella di prevedere attività integrate tra équipes multiprofessionali. Ciò consente di guardare al paziente nella sua “complessità” superando dicotomie come quella tra corpo e psiche, che lo riducono ad oggetto/unità d’analisi troppo semplicistica, dunque non funzionale. Il modello bio-psico-sociale-ambientale è la vera sfida del nostro secolo: pone l’individuo al centro di un ampio sistema influenzato da molteplici variabili

Date : 19 May 2023

20

Interventi Dott. Cracolici

I sistemi biologici, psicologici e sociali. Verso un’idea di salute integrata

08:30

Auditorium al Duomo Via de’ Cerretani, 54/R 50123 Firenze

Partendo dal presupposto che ogni condizione di salute e/o di malattia sia la conseguenza dell’interazione tra fattori biologici, psicologici e sociali/culturali, perseguendo un approccio alla persona bio-psico-sociale, l’unica vera strategia oggi più che mai nel processo di presa in carico di una persona, è quella di prevedere attività integrate tra équipes multiprofessionali. Ciò consente di guardare al paziente nella sua “complessità” superando dicotomie come quella tra corpo e psiche, che lo riducono ad oggetto/unità d’analisi troppo semplicistica, dunque non funzionale. Il modello bio-psico-sociale-ambientale è la vera sfida del nostro secolo: pone l’individuo al centro di un ampio sistema influenzato da molteplici variabili

Date : 20 May 2023

28

Eventi Scuola Agopuntura con intervento del Dott. Cracolici

L'INTERAZIONE COMPLESSA DI RACHIDE, DIAFRAMMA E RESPIRO NEL MANTENIMENTO DELLA SALUTE

09:00

SEMINARI SPECIALI

Date : 28 May 2023

29

Interventi Dott. Cracolici

Research and Training Tools for Enhancing and Strengthening Integrative Oncology in Cyprus and Other European Union Countries

09:00

Cyprus University of Technology | Limassol, Cyprus

ARTOI organizza un workshop in collaborazione con la Society of Integrative Oncology (S.I.O.) e con German Oncology Center, in programma il 29 e 30 maggio 2023 a Cipro. Il Presidente, Dottor Massimo Bonucci, quale co-Presidente della Global Task Force mondiale per l’oncologia integrata ed i soci Dottor Cracolici Franco e Dottor Ferri H. Ivano parleranno, insieme ad altri esponenti S.I.O. di ricerca e formazione come strumenti per valorizzare e potenziare l’integrazione in oncologia a Cipro e in altri paesi europei I partecipanti avranno l’opportunità di fare rete con i colleghi, condividere conoscenze e discutere le ultime ricerche sull’integrazione in oncologia. Per ulteriori informazioni e registrarsi all’evento è possibile consultare il sito web SIO.

Interventi Dott. Cracolici

Research and Training as Tools for enhancing and strengthening Integrative Oncology in Cyprus and other European Union Countries

09:00

Cyprus University of Technology | Limassol, Cyprus

This workshop will provide an opportunity to open a dialogue with investigators interested on integrative oncology research and hopefully generate enough enthusiasm to investigate further in this area of research. The main aims of the workshop are: to 1) discuss the integration of traditional, complementary and integrative medicine (TCIM) with conventional cancer prevention and treatment approaches in global health and particularly in Cyprus and other European Union (EU) Countries thus forming new approaches to integrative oncology practice, and 2) discuss concrete approaches for strengthening integrative oncology research and training in Cyprus and other EU countries. More Information

Date : 29 May 2023

30

Interventi Dott. Cracolici

Research and Training Tools for Enhancing and Strengthening Integrative Oncology in Cyprus and Other European Union Countries

09:00

Cyprus University of Technology | Limassol, Cyprus

ARTOI organizza un workshop in collaborazione con la Society of Integrative Oncology (S.I.O.) e con German Oncology Center, in programma il 29 e 30 maggio 2023 a Cipro. Il Presidente, Dottor Massimo Bonucci, quale co-Presidente della Global Task Force mondiale per l’oncologia integrata ed i soci Dottor Cracolici Franco e Dottor Ferri H. Ivano parleranno, insieme ad altri esponenti S.I.O. di ricerca e formazione come strumenti per valorizzare e potenziare l’integrazione in oncologia a Cipro e in altri paesi europei I partecipanti avranno l’opportunità di fare rete con i colleghi, condividere conoscenze e discutere le ultime ricerche sull’integrazione in oncologia. Per ulteriori informazioni e registrarsi all’evento è possibile consultare il sito web SIO.

Interventi Dott. Cracolici

Research and Training as Tools for enhancing and strengthening Integrative Oncology in Cyprus and other European Union Countries

09:00

Cyprus University of Technology | Limassol, Cyprus

This workshop will provide an opportunity to open a dialogue with investigators interested on integrative oncology research and hopefully generate enough enthusiasm to investigate further in this area of research. The main aims of the workshop are: to 1) discuss the integration of traditional, complementary and integrative medicine (TCIM) with conventional cancer prevention and treatment approaches in global health and particularly in Cyprus and other European Union (EU) Countries thus forming new approaches to integrative oncology practice, and 2) discuss concrete approaches for strengthening integrative oncology research and training in Cyprus and other EU countries. More Information

Date : 30 May 2023

Since 2011, the Tuscany Regional Authority has been funding the use of Integrated Medicine (IM) in a clinical setting in Pitigliano Hospital, with the aim of testing the true efficacy of complementary and alternative medicine (CAM) in a hospital setting. The clinical setting also comprises the Manciano rehabilitation facility whose services include post-stroke rehabilitation.

This study aims to establish if IM helps to improve the rehabilitation performance of stroke patients. The study compared 212 patients divided into two groups: 94 treated with IM (conventional therapy plus homeopathy and acupuncture) and 118 treated with conventional therapy alone. All patients were evaluated with the rehabilitation scores in use at the center (Trunk Control Test and Barthel Index) before and after completing the rehabilitation course. The results demonstrate a considerable benefit for the use of IM with a significance of p = 0.001 for the Trunk Control Test difference and p < 0.001 for the Barthel Index difference.

No side effects were documented in any patient treated with IM. The level acceptance of the integrated therapies was high (accepted by 95.94% of patients: 94 out of 98 inpatients).