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  1. Article: Return on Investment (ROI) of Three Vaccination Programmes in Italy: HPV at 12 Years, Herpes Zoster in Adults, and Influenza in the Elderly.

    Barbieri, Marco / Boccalini, Sara

    Vaccines

    2023  Volume 11, Issue 5

    Abstract: The calculation of the return on investment (ROI) allows the estimation of the opportunity cost of a series of interventions and can therefore help to make allocative choices. The objective of this study is to estimate the ROI of three vaccinations (HPV ... ...

    Abstract The calculation of the return on investment (ROI) allows the estimation of the opportunity cost of a series of interventions and can therefore help to make allocative choices. The objective of this study is to estimate the ROI of three vaccinations (HPV for adolescents, HZ for adults, and influenza for the elderly) in the Italian context, considering the impact of increasing vaccination coverage based on target objectives of the National Immunization Plan (PNPV) 2017-2019 and accounting for different eligibility criteria of each vaccination. Three separate static cohort models were constructed, including the eligible population for these vaccinations on the basis of the PNPV 2017-2019 and following this population until death (lifetime horizon) or until vaccination waning. Each model compares the level of investment at current vaccine coverage rates (current VCRs scenario) with that of optimal NIP target VCRs with a non-vaccination scenario. The ROI for HPV vaccination was the highest among the programs compared and was always above 1 (range: 1.4-3.58), while lower values were estimated for influenza vaccination in the elderly (range 0.48-0.53) and for vaccination against HZ (range: 0.09-0.27). Our analysis showed that a significant proportion of savings generated by vaccination programs occurred outside the NHS perspective and might often not be estimated with other forms of economic evaluation.
    Language English
    Publishing date 2023-04-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2703319-3
    ISSN 2076-393X
    ISSN 2076-393X
    DOI 10.3390/vaccines11050924
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Spectral photon counting CT: Not just a pimped-up new version of dual-energy CT.

    Boccalini, Sara / Si-Mohamed, Salim

    Diagnostic and interventional imaging

    2022  Volume 104, Issue 2, Page(s) 51–52

    MeSH term(s) Humans ; Tomography, X-Ray Computed ; Contrast Media ; Phantoms, Imaging
    Chemical Substances Contrast Media
    Language English
    Publishing date 2022-11-22
    Publishing country France
    Document type Editorial ; Comment
    ZDB-ID 2648283-6
    ISSN 2211-5684 ; 2211-5684
    ISSN (online) 2211-5684
    ISSN 2211-5684
    DOI 10.1016/j.diii.2022.10.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Spectral photon-counting CT: Hype or hope for colorectal peritoneal metastases imaging?

    Grange, Rémi / Si-Mohamed, Salim / Kepenekian, Vahan / Boccalini, Sara / Glehen, Olivier / Rousset, Pascal

    Diagnostic and interventional imaging

    2024  Volume 105, Issue 3, Page(s) 118–120

    MeSH term(s) Humans ; Peritoneal Neoplasms/diagnostic imaging ; Tomography, X-Ray Computed/methods ; Peritoneum ; Colorectal Neoplasms/diagnostic imaging ; Phantoms, Imaging
    Language English
    Publishing date 2024-01-22
    Publishing country France
    Document type Letter
    ZDB-ID 2648283-6
    ISSN 2211-5684 ; 2211-5684
    ISSN (online) 2211-5684
    ISSN 2211-5684
    DOI 10.1016/j.diii.2024.01.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Cost-effectiveness analysis of seasonal influenza vaccination during pregnancy: A systematic review.

    Ostad-Ahmadi, Zakieh / Boccalini, Sara / Daemi, Amin / Mahboub-Ahari, Alireza

    Travel medicine and infectious disease

    2023  Volume 55, Page(s) 102632

    Abstract: Background: Seasonal influenza vaccination is clinically important and reduces hospitalization costs for pregnant women. However, is it also a cost-effective intervention?: Method: We conducted a systematic search of Medline (via PUBMED), EMBASE, ... ...

    Abstract Background: Seasonal influenza vaccination is clinically important and reduces hospitalization costs for pregnant women. However, is it also a cost-effective intervention?
    Method: We conducted a systematic search of Medline (via PUBMED), EMBASE, SCOPUS, and Web of Science databases. We included any economic evaluation studies that reported Incremental Cost-Effectiveness Ratios for vaccinating pregnant women against influenza.
    Result: Out of 927 potentially eligible articles, only 14 full texts met our inclusion criteria. In almost all studies, vaccinating pregnant women was a cost-effective and cost-saving strategy. In one study, it was not cost-effective when the researchers used costs and probabilities related to other groups (healthy adults) due to the lack of data for pregnant women. The main factors influencing the cost-effectiveness of the studies were vaccine efficacy and vaccination cost.
    Conclusion: Influenza vaccination of pregnant women is a cost-effective intervention. More studies on the cost-effectiveness of this intervention in underdeveloped countries are needed.
    Language English
    Publishing date 2023-08-15
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2170891-5
    ISSN 1873-0442 ; 1477-8939
    ISSN (online) 1873-0442
    ISSN 1477-8939
    DOI 10.1016/j.tmaid.2023.102632
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Is it time to reconsider measles, mumps, and rubella immunisation strategies?

    Boccalini, Sara / Bechini, Angela

    The Lancet. Infectious diseases

    2020  Volume 21, Issue 2, Page(s) 160–161

    MeSH term(s) Humans ; Immunization ; Measles/epidemiology ; Measles/prevention & control ; Mumps/epidemiology ; Mumps/prevention & control ; Rubella/epidemiology ; Rubella/prevention & control ; Rubella Vaccine
    Chemical Substances Rubella Vaccine
    Keywords covid19
    Language English
    Publishing date 2020-09-01
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2061641-7
    ISSN 1474-4457 ; 1473-3099
    ISSN (online) 1474-4457
    ISSN 1473-3099
    DOI 10.1016/S1473-3099(20)30519-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Vaccination coverage during pregnancy and factors associated with refusal of recommended vaccinations: An Italian cross sectional study.

    Seravalli, Viola / Romualdi, Irene / Ammar, Oumaima / De Blasi, Chiara / Boccalini, Sara / Bechini, Angela / Di Tommaso, Mariarosaria

    Vaccine: X

    2024  Volume 18, Page(s) 100483

    Abstract: Background: The vaccines recommended during pregnancy are the Tdap, the influenza vaccine, and, during the SARS-CoV-2 pandemic, the vaccine against COVID-19. This survey aimed at determining vaccination coverage among pregnant women and adverse events, ... ...

    Abstract Background: The vaccines recommended during pregnancy are the Tdap, the influenza vaccine, and, during the SARS-CoV-2 pandemic, the vaccine against COVID-19. This survey aimed at determining vaccination coverage among pregnant women and adverse events, reasons for vaccine refusal, and factors associated with vaccine uptake.
    Methods: A single-center cross-sectional study was conducted on women who delivered between March and April 2022 at Careggi University Hospital in Florence, Italy. Information on the vaccinations (Tdap, influenza and COVID-19) received during pregnancy were collected through in-person interviews.
    Results: Among 307 enrolled women (response rate 99 % on a study population of 310 eligible women), 74 % of patients were vaccinated with Tdap, 82 % against COVID-19, and only 33 % against influenza. Vaccination coverage for Tdap and COVID-19 was significantly higher among Italian than foreign patients (80 % vs 51 %, p < 0.001 and 86 % vs 69 %, p = 0.002, respectively), and for Tdap was higher among patients followed in the private vs public care setting. The main reasons behind refusal of vaccinations were low risk perception of influenza (41 %), insufficient information received from the prenatal care provider regarding the Tdap (35 %), and, for the COVID-19, fear of vaccine side effects (64 %), and concerns about effects on the fetus (70 %).
    Conclusions: Adherence to the influenza vaccine was low because of reduced perception of the disease risks. The difference in vaccination coverage between Italians and foreigners is an example of healthcare disparity. Better information provided to patients about vaccines' efficacy and safety is advisable to increase acceptance of recommended vaccines.
    Language English
    Publishing date 2024-04-08
    Publishing country England
    Document type Journal Article
    ISSN 2590-1362
    ISSN (online) 2590-1362
    DOI 10.1016/j.jvacx.2024.100483
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Review of scientific evidence to support recommendations of the full-dose DTaP-IPV vaccination in pre-school age children in Italy.

    Bechini, Angela / Zanella, Beatrice / Bonito, Benedetta / Bonanni, Paolo / Boccalini, Sara

    Expert review of vaccines

    2022  Volume 21, Issue 12, Page(s) 1819–1830

    Abstract: Introduction: Two vaccine formulations are available to prevent diphtheria, tetanus, pertussis, and poliomyelitis: the pediatric full-dose (DTaP-IPV) and the reduced dose formulation (dTap-IPV). Different immunization schedules are internationally ... ...

    Abstract Introduction: Two vaccine formulations are available to prevent diphtheria, tetanus, pertussis, and poliomyelitis: the pediatric full-dose (DTaP-IPV) and the reduced dose formulation (dTap-IPV). Different immunization schedules are internationally recommended for the pre-school booster dose.
    Areas covered: International and Italian recommendations, scientific evidence on immunogenicity and safety of DTaP/dTap vaccines to support the full dose as a pre-school booster and Italian vaccination coverage (VC) up to adolescence.
    Expert opinion: The WHO recommends a '3+1' schedule with DTaP vaccine for primary immunization, followed by a pre-school booster with DTaP or dTap vaccine. In Italy, a '2+1' schedule, with no booster in the second year, and a pre-school booster dose are recommended with DTPa-IPV vaccines. Studies showed a non-inferior immunogenicity in dTap vaccinees in pre-school age; nevertheless, the antibody titers were usually greater in children vaccinated with DTaP, while lower frequencies of adverse events were recorded in children receiving dTap. Italian VCs for pre-school and adolescent boosters have not been satisfactory, which further reduced during the COVID-19 period. In Italy, the pre-school booster offers the last chance to receive a full dose of DTaP vaccine, thus, representing the most suitable intervention to provide lasting protection in children.
    MeSH term(s) Adolescent ; Child, Preschool ; Child ; Humans ; Infant ; Diphtheria-Tetanus-acellular Pertussis Vaccines ; Poliovirus Vaccine, Inactivated ; Immunization, Secondary ; Antibodies, Bacterial ; Antibodies, Viral ; COVID-19/prevention & control ; Diphtheria-Tetanus-Pertussis Vaccine ; Vaccination ; Vaccines, Combined ; Haemophilus Vaccines
    Chemical Substances Diphtheria-Tetanus-acellular Pertussis Vaccines ; Poliovirus Vaccine, Inactivated ; Antibodies, Bacterial ; Antibodies, Viral ; Diphtheria-Tetanus-Pertussis Vaccine ; Vaccines, Combined ; Haemophilus Vaccines
    Language English
    Publishing date 2022-11-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 2181284-6
    ISSN 1744-8395 ; 1476-0584
    ISSN (online) 1744-8395
    ISSN 1476-0584
    DOI 10.1080/14760584.2022.2130770
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Comprehensive Imaging of Coronary Stent Using Ultra-High Resolution Spectral Photon Counting CT: A Multimodality Validation.

    Fahrni, Guillaume / Boccalini, Sara / Prieur, Cyril / Douek, Philippe / Si-Mohamed, Salim A

    JACC. Cardiovascular interventions

    2023  Volume 16, Issue 19, Page(s) 2466–2468

    Language English
    Publishing date 2023-09-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2452157-7
    ISSN 1876-7605 ; 1936-8798
    ISSN (online) 1876-7605
    ISSN 1936-8798
    DOI 10.1016/j.jcin.2023.07.035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Spectral dual-energy CT: A new tool to monitor lung perfusion recovery in acute pulmonary embolism after mechanical thrombectomy.

    Martineau, Lorraine / Branchu, Arthur / Boccalini, Sara / Boussel, Loic / Douek, Philippe / Si-Mohamed, Salim A

    Diagnostic and interventional imaging

    2023  

    Language English
    Publishing date 2023-08-01
    Publishing country France
    Document type Letter
    ZDB-ID 2648283-6
    ISSN 2211-5684 ; 2211-5684
    ISSN (online) 2211-5684
    ISSN 2211-5684
    DOI 10.1016/j.diii.2023.07.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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