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Article ; Online: COVID-19 and non-Hodgkin's lymphoma: A common susceptibility pattern?

Sara, De Matteis / Minelli, Cosetta / Broccia, Giorgio / Vineis, Paolo / Cocco, Pierluigi

2023 Volume 18, Issue 3, Page(s) e0277588

Abstract: Objective: To explore the link between COVID-19 incidence, socio-economic covariates, and NHL incidence.: Design: Ecological study design.: Setting: Sardinia, Italy.: Participants: We used official reports on the total cases of COVID-19 in 2020, ...

Abstract	Objective: To explore the link between COVID-19 incidence, socio-economic covariates, and NHL incidence. Design: Ecological study design. Setting: Sardinia, Italy. Participants: We used official reports on the total cases of COVID-19 in 2020, published data on NHL incidence, and socio-economic indicators by administrative unit, covering the whole regional population. Main outcomes and measures: We used multivariable regression analysis to explore the association between the natural logarithm (ln) of the 2020 cumulative incidence of COVID-19 and the ln-transformed NHL incidence in 1974-2003, weighing by population size and adjusting by socioeconomic deprivation and other covariates. Results: The cumulative incidence of COVID-19 increased in relation to past incidence of NHL (p < 0.001), socioeconomic deprivation (p = 0.006), and proportion of elderly residents (p < 0.001) and decreased with urban residency (p = 0.001). Several sensitivity analyses confirmed the finding of an association between COVID-19 and NHL. Conclusion: This ecological study found an ecological association between NHL and COVID-19. If further investigation would confirm our findings, shared susceptibility factors should be investigated among the plausible underlying mechanisms.
MeSH term(s)	Humans ; Aged ; COVID-19/epidemiology ; Lymphoma, Non-Hodgkin/epidemiology ; Incidence ; Italy/epidemiology
Language	English
Publishing date	2023-03-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0277588
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Article ; Online: Epidemiology of Chronic Lymphocytic Leukemia in Sardinia, Italy (1974-2003).

Broccia, Giorgio / Carter, Jonathan / Ozsin-Ozler, Cansu / De Matteis, Sara / Cocco, Pierluigi

Experimental hematology

2023 Volume 125-126, Page(s) 37–44

Abstract: Several reports have described a worldwide increasing incidence of chronic lymphocytic leukemia (CLL) dating back seven to eight decades. Although genetic susceptibility would be an implausible explanation, the determinants of this upward trend and its ... ...

Abstract	Several reports have described a worldwide increasing incidence of chronic lymphocytic leukemia (CLL) dating back seven to eight decades. Although genetic susceptibility would be an implausible explanation, the determinants of this upward trend and its spatial coordinates are poorly understood. We explored CLL incidence in Sardinia, Italy, using a validated database including the 1700 CLL cases diagnosed during 1974-2003. We applied Bayesian methods to map the CLL probability by administrative unit and Poisson regression analysis to investigate socioeconomic and environmental determinants adjusting by possible confounders. The standardized (Standard European population) incidence rate for the Sardinian population over the study period was 5.1 per 100,000 (95% confidence interval [CI] 4.9-5.3), increased annually by 5.8% (95% CI 5.7-6.0) consistently by sex and age, and was more noticeable in urban areas. Five administrative units exceeded the 95% posterior probability of an elevated CLL incidence: these were rural areas spread over the regional territory, not suggestive of spatial clustering. The Poisson regression analysis showed that the risk was elevated in urban areas (RR = 1.11, 95% CI 1.05-1.17), among residents ≥ 30 km from the nearest hospital (RR = 1.09, 95% CI 1.06-1.12), and with the local prevalence of cork harvesting (RR = 1.62, 95% CI 1.12-2.34). Our results suggest that better access to health care facilities and improvements in diagnostic efficacy might have generated the observed upward trend in CLL incidence, along with contributing environmental factors.
MeSH term(s)	Humans ; Leukemia, Lymphocytic, Chronic, B-Cell/epidemiology ; Bayes Theorem ; Incidence ; Prevalence ; Italy/epidemiology
Language	English
Publishing date	2023-08-09
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	185107-x
ISSN	1873-2399 ; 0531-5573 ; 0301-472X
ISSN (online)	1873-2399
ISSN	0531-5573 ; 0301-472X
DOI	10.1016/j.exphem.2023.08.002
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Article ; Online: Incidence and Bayesian Mapping of Myeloid Hematologic Malignancies in Sardinia, Italy.

Broccia, Giorgio / Carter, Jonathan / Ozsin-Ozler, Cansu / De Matteis, Sara / Cocco, Pierluigi

Cancer control : journal of the Moffitt Cancer Center

2023 Volume 30, Page(s) 10732748231202906

Abstract: Background: The epidemiology of myeloid hematologic malignancies in Italy has been poorly investigated.: Methods: We used a validated database of 1974-2003 incident cases of hematologic malignancies among the resident population (all ages) of ... ...

Abstract	Background: The epidemiology of myeloid hematologic malignancies in Italy has been poorly investigated. Methods: We used a validated database of 1974-2003 incident cases of hematologic malignancies among the resident population (all ages) of Sardinia, Italy, to describe the incidence of myeloid malignancies overall (N = 4389 cases) and by subtype. We investigated the time trend of acute myeloid leukemia (N = 1227 cases), chronic myeloid leukemia (N = 613 cases), and myelodysplastic syndrome (N = 1296 cases), and used Bayesian methods to explore their geographic spread, and Poisson regression analysis to estimate their association with environmental and socio-economic factors. Results: The annual standardized (world population) incidence rate (IR) of myeloid malignancies over the study period was 6.5 per 100,000 (95% CI 6.2-6.7). Myelodysplastic syndromes were the most prevalent subgroup (IR = 1.7, 95% CI 1.5-1.8). Incidence of all myeloid malignancies combined increased sharply during the study period with an annual percent change (APC) of 10.06% (95% CI 9.51-10.61), 19.77% for myelodysplastic syndromes (95% CI 19.63-19.91), and 3.18% (95% CI 2.99-3.37) for acute myeloid leukemia. Chronic myeloid leukemia did not show an upward trend. Apart from sporadic excesses in small rural communities and the major urban area, there was no evidence of spatial clustering. The risk of myeloid malignancies increased with increasing prevalence of sheep breeding. Conclusions: Our results might prompt further research on the local genetic and environmental determinants of myeloid hematologic malignancies.
MeSH term(s)	Humans ; Animals ; Sheep ; Incidence ; Bayes Theorem ; Hematologic Neoplasms/epidemiology ; Myelodysplastic Syndromes/epidemiology ; Myelodysplastic Syndromes/complications ; Myelodysplastic Syndromes/genetics ; Myeloproliferative Disorders/epidemiology ; Leukemia, Myeloid, Acute/epidemiology ; Leukemia, Myeloid, Acute/complications ; Leukemia, Myeloid, Acute/genetics ; Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Language	English
Publishing date	2023-11-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1328503-8
ISSN	1526-2359 ; 1073-2748
ISSN (online)	1526-2359
ISSN	1073-2748
DOI	10.1177/10732748231202906
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Article ; Online: Incidence of non-Hodgkin's lymphoma among adults in Sardinia, Italy.

Broccia, Giorgio / Carter, Jonathan / Ozsin-Ozler, Cansu / Meloni, Federico / De Matteis, Sara / Cocco, Pierluigi

PloS one

2022 Volume 17, Issue 2, Page(s) e0260078

Abstract: The causes of the peculiar time trend in the incidence of non-Hodgkin's lymphoma (NHL) in most parts of the world and of its geographic distribution are still unknown. We used the data base of 1974-2003 incident cases of hematological malignancies to ... ...

Abstract	The causes of the peculiar time trend in the incidence of non-Hodgkin's lymphoma (NHL) in most parts of the world and of its geographic distribution are still unknown. We used the data base of 1974-2003 incident cases of hematological malignancies to explore the time trend of NHL incidence in the region of Sardinia, Italy, and we used Bayesian methods to plot the probability of NHL incidence by residential unit on the regional map. In 1974-2003, 4109 NHL cases were diagnosed among resident adults in Sardinia, with an incidence rate of 13.38 x 10-5 (95% CI 12.97-13.80). NHL incidence showed an upward trend along the study period with an average annual percent change (APC) of 4.94 (95% CI -5.39-16.4), which did not vary by gender or by age-group. Cancer registry data, covering part of the region starting from 1993, suggest that the increasing trend did not persist in the subsequent years. Areas with the highest probability of an excess incidence tended to cluster in the north-eastern part of the region and in two major urban centers, with the low incidence areas located in the south, confirming previous observations. Prevalence of viral infections, environmental and occupational exposures, or socio-economic deprivation would not explain the peculiar geographic distribution we observed. These findings provide convincing arguments for extending the coverage of routine cancer registration over the whole Sardinian population, while prompting further research on the genetic and environmental determinants of NHL in the risk areas.
MeSH term(s)	Adult ; Aged ; Bayes Theorem ; Databases, Factual ; Female ; Humans ; Incidence ; Italy/epidemiology ; Linear Models ; Lymphoma, Non-Hodgkin/epidemiology ; Male ; Middle Aged ; Spatial Analysis
Language	English
Publishing date	2022-02-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0260078
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Article ; Online: Time trend and Bayesian mapping of multiple myeloma incidence in Sardinia, Italy.

Broccia, Giorgio / Carter, Jonathan / Ozsin-Ozler, Cansu / Meloni, Federico / Pilia, Ilaria / De Matteis, Sara / Cocco, Pierluigi

Scientific reports

2022 Volume 12, Issue 1, Page(s) 2736

Abstract: A few reports have described increasing trends and spatial distribution of multiple myeloma (MM). We used a validated database including the 1606 cases of MM diagnosed in Sardinia in 1974-2003 to explore its time trend, and we applied Bayesian methods to ...

Abstract	A few reports have described increasing trends and spatial distribution of multiple myeloma (MM). We used a validated database including the 1606 cases of MM diagnosed in Sardinia in 1974-2003 to explore its time trend, and we applied Bayesian methods to plot MM probability by administrative unit on the regional map. Over the 30 years of observation, the MM standardized incidence rate (standard world population, all ages) was 2.17 × 10
MeSH term(s)	Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Databases, Factual ; Female ; Humans ; Infant ; Infant, Newborn ; Italy/epidemiology ; Male ; Middle Aged ; Multiple Myeloma/epidemiology
Language	English
Publishing date	2022-02-17
Publishing country	England
Document type	Journal Article
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-022-06745-z
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Article ; Online: Author Correction: Time trend and Bayesian mapping of multiple myeloma incidence in Sardinia, Italy.

Broccia, Giorgio / Carter, Jonathan / Ozsin-Ozler, Cansu / Meloni, Federico / Pilia, Ilaria / De Matteis, Sara / Cocco, Pierluigi

Scientific reports

2022 Volume 12, Issue 1, Page(s) 3779

Language	English
Publishing date	2022-03-02
Publishing country	England
Document type	Published Erratum
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-022-07811-2
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Article ; Online: COVID-19 and non-Hodgkin’s lymphoma: a common susceptibility pattern?

Sara, De Matteis / Minelli, Cosetta / Broccia, Giorgio / Vineis, Paolo / Cocco, Pierluigi

medRxiv

Abstract: Objective To explore the link between COVID-19 incidence, socio-economic covariates, and NHL incidence. Design Ecological study design. Setting Sardinia, Italy. Participants We used official reports on the total cases of COVID-19 in 2020, published data ... ...

Abstract	Objective To explore the link between COVID-19 incidence, socio-economic covariates, and NHL incidence. Design Ecological study design. Setting Sardinia, Italy. Participants We used official reports on the total cases of COVID-19 in 2020, published data on NHL incidence, and socio-economic indicators by administrative unit, covering the whole regional population. Main outcomes and measures We used multivariable regression analysis to explore the association between the natural logarithm (ln) of the 2020 cumulative incidence of COVID-19 and the ln-transformed NHL incidence in 1974-2003, weighing by population size and adjusting by socioeconomic deprivation and other covariates. Results The cumulative incidence of COVID-19 increased in relation to past incidence of NHL (p < 0.001), socioeconomic deprivation (p = 0.006), and proportion of elderly residents (p < 0.001) and decreased with urban residency (p = 0.001). Several sensitivity analyses confirmed the finding of an association between COVID-19 and NHL. Conclusion This ecological study found an ecological association between NHL and COVID-19. If further investigation would confirm our findings, shared susceptibility factors should be investigated among the plausible underlying mechanisms.
Keywords	covid19
Language	English
Publishing date	2022-11-03
Publisher	Cold Spring Harbor Laboratory Press
Document type	Article ; Online
DOI	10.1101/2022.11.01.22281794
Database	COVID19

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Article ; Online: Haemolymphatic cancer among children in Sardinia, Italy: 1974-2003 incidence.

Broccia, Giorgio / Carter, Jonathan / Ozsin-Ozler, Cansu / Meloni, Federico / Pilia, Ilaria / Satta, Giannina / Murgia, Giulio / Campagna, Marcello / Cocco, Pierluigi

BMJ open

2020 Volume 10, Issue 11, Page(s) e037163

Abstract: Objectives: To explore the time trend and geographical distribution of childhood leukaemia incidence over the territory of the Italian region of Sardinia.: Setting: All hospitals departments, diagnostic centres and social security agencies in ... ...

Abstract	Objectives: To explore the time trend and geographical distribution of childhood leukaemia incidence over the territory of the Italian region of Sardinia. Setting: All hospitals departments, diagnostic centres and social security agencies in Sardinia were regularly screened in 1974-2003 to identify, register and review the diagnoses of incident cases of haematological malignancies (HM). Participants: The whole child population aged 0-14 resident in Sardinia. Primary and secondary outcome measures: Incidence and time trend of childhood HM and childhood acute lymphoblastic leukaemia (ALL) over the study period, and use of Bayesian methods to plot the probability of areas with excess incidence on the regional map. Results: Overall, 675 HM cases, including 378 ALL cases, occurred among children aged 0-14 years resident in Sardinia in 1974-2003, with an incidence rate of 6.97×10 Conclusions: Our results might serve as convincing arguments for extending the coverage of routine cancer registration over the whole Sardinian population, while prompting further research on the genetic and environmental determinants in the areas at risk.
MeSH term(s)	Adolescent ; Bayes Theorem ; Child ; Child, Preschool ; Female ; Humans ; Incidence ; Infant ; Infant, Newborn ; Italy/epidemiology ; Male ; Neoplasms/epidemiology
Language	English
Publishing date	2020-11-03
Publishing country	England
Document type	Journal Article
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2020-037163
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Article ; Online: Newly diagnosed cases of hematologic malignancies in Sardinia in the early 2000: an estimation of their number, age and geographic distribution on the basis of a previous epidemiologic survey.

Broccia, Giorgio / Gabbas, Attilio / Longinotti, Maurizio

Haematologica

2005 Volume 90, Issue 3, Page(s) 429–430

Abstract: We estimate the number of cases of hematologic malignancies expected to be newly diagnosed in the resident population of Sardinia during the year 2001, and classify the predicted cases according to disease, age and geographic distribution. The ... ...

Abstract	We estimate the number of cases of hematologic malignancies expected to be newly diagnosed in the resident population of Sardinia during the year 2001, and classify the predicted cases according to disease, age and geographic distribution. The implications of these predictions for the Sardinian health care system are discussed, particularly with respect to the development of policies aimed to ensure the most adequate medical care.
MeSH term(s)	Age Factors ; Data Collection ; Hematologic Neoplasms/epidemiology ; Humans ; Italy/epidemiology ; Prevalence ; Topography, Medical
Language	English
Publishing date	2005-03
Publishing country	Italy
Document type	Letter
ZDB-ID	2333-4
ISSN	1592-8721 ; 0017-6567 ; 0390-6078
ISSN (online)	1592-8721
ISSN	0017-6567 ; 0390-6078
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Article ; Online: Autologous stem cell transplantation after complete remission and first consolidation in acute myeloid leukemia patients aged 61-70 years: results of the prospective EORTC-GIMEMA AML-13 study.

Thomas, Xavier / Suciu, Stefan / Rio, Bernard / Leone, Giuseppe / Broccia, Giorgio / Fillet, George / Jehn, Ulrich / Feremans, Walter / Meloni, Giovanna / Vignetti, Marco / de Witte, Theo / Amadori, Sergio

Haematologica

2007 Volume 92, Issue 3, Page(s) 389–396

Abstract: Background and objectives: The optimal post-remission treatment for elderly patients with acute myeloid leukemia (AML) is presently unknown. Recent studies have reported the feasibility of autologous peripheral blood stem cell transplantation (PBSCT) in ...

Abstract	Background and objectives: The optimal post-remission treatment for elderly patients with acute myeloid leukemia (AML) is presently unknown. Recent studies have reported the feasibility of autologous peripheral blood stem cell transplantation (PBSCT) in this population. We evaluate the outcome of this post-remission approach after complete remission (CR) and consolidation in elderly patients included in the EORTC-GIMEMA AML-13 trial. Design and methods: PBSCT after induction and consolidation chemotherapy was evaluated in patients aged 61 to 70 years with a WHO performance status 0-1. The induction therapy was mitoxantrone, etoposide and cytarabine (MICE) with or without granulocyte colony-stimulating factor (G-CSF) during and/or after chemotherapy. The consolidation therapy consisted of non-infusion or infusional idarubicin, etposide and cytarabine (mini-ICE). Results: Sixty-one patients were scheduled for stem cell harvest by leukapheresis after s.c. recombinant human G-CSF administration initiated after hematopoietic recovery from consolidation. Stem cells were effectively harvested from 54 patients. A median of two aphereses (range, 1-5) were performed, resulting in a median collection of 11.7 x 10(8) nucleated cells/kg (range, 2.4-99.8) containing 40.2 x 10(4) CFU-GM/kg (range, 0-786.8), and 5 x 10(6) CD34+ cells/kg (range, 0.1-99.8). For the whole group of 61 patients, the median disease-free survival (DFS) was 1.0 years and the 3-year DFS rate was 21%, while the median overall survival (OS) was 1.4 years and the 3-year OS rate was 32%. A total of 26 patients could not be autografed due to inadequate/no harvest (21 patients), early relapse (3 patients), or treatment refusal (2 patients). Autologous transplantation was performed in 35 patients following conditioning with the BAVC regimen. The median time for granulocyte recovery >0.5 109 yen/L was 24 days and for platelets >20 x10(9)/L was 23 days following transplantation. After a median follow-up of 5.0 years from transplantation, the median DFS and OS were 1.1 and 1.6 years respectively, and the 3-year rates were 28% and 39% respectively. Eight autografted patients were still in continuous complete remission, 22 patients had relapsed and five had died in CR. Interpretation and conclusions: Intensification of remission including autologous PBSCT is feasible in about half of harvested patients aged 61 to 70 years old, and did not improve the general outcome. This shows the limitations of autologous PBSCT and other intensive treatment modalities in elderly AML patients. Key words: acute myeloid leukemia, elderly, autologous stem cell transplantation.
MeSH term(s)	Administration, Oral ; Aged ; Aged, 80 and over ; Amsacrine/administration & dosage ; Amsacrine/adverse effects ; Amsacrine/pharmacology ; Antineoplastic Combined Chemotherapy Protocols/administration & dosage ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Antineoplastic Combined Chemotherapy Protocols/pharmacology ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Carmustine/administration & dosage ; Carmustine/adverse effects ; Carmustine/pharmacology ; Combined Modality Therapy ; Cytarabine/administration & dosage ; Cytarabine/adverse effects ; Cytarabine/pharmacology ; Disease-Free Survival ; Etoposide/administration & dosage ; Etoposide/adverse effects ; Etoposide/pharmacology ; Feasibility Studies ; Female ; Graft Survival ; Granulocyte Colony-Stimulating Factor/administration & dosage ; Granulocyte Colony-Stimulating Factor/pharmacology ; Hematopoietic Stem Cell Transplantation ; Humans ; Idarubicin/administration & dosage ; Infusions, Intravenous ; Injections, Subcutaneous ; Kaplan-Meier Estimate ; Lenograstim ; Leukemia, Myeloid/drug therapy ; Leukemia, Myeloid/surgery ; Leukemia, Myeloid/therapy ; Male ; Middle Aged ; Peripheral Blood Stem Cell Transplantation/mortality ; Prospective Studies ; Recombinant Proteins/administration & dosage ; Recombinant Proteins/pharmacology ; Survival Analysis ; Transplantation Conditioning/adverse effects ; Transplantation Conditioning/methods ; Transplantation Conditioning/mortality ; Transplantation, Autologous ; Treatment Outcome
Chemical Substances	Recombinant Proteins ; Amsacrine (00DPD30SOY) ; Cytarabine (04079A1RDZ) ; Granulocyte Colony-Stimulating Factor (143011-72-7) ; Etoposide (6PLQ3CP4P3) ; Lenograstim (6WS4C399GB) ; Carmustine (U68WG3173Y) ; Idarubicin (ZRP63D75JW)
Language	English
Publishing date	2007-03-06
Publishing country	Italy
Document type	Clinical Trial, Phase III ; Comparative Study ; Journal Article ; Multicenter Study ; Randomized Controlled Trial
ZDB-ID	2333-4
ISSN	1592-8721 ; 0017-6567 ; 0390-6078
ISSN (online)	1592-8721
ISSN	0017-6567 ; 0390-6078
DOI	10.3324/haematol.10552
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