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M Geddes

Publications and source records attributed to M Geddes.

At least 37 records · Page 2Linked to original sources
PubMed1994

[The immigration of Italian patients to foreign countries. Analysis of the Gustave Roussy Institute series].

Most Italian patients who migrate to foreign countries to receive health care, choose France. The Gustave Roussy Institute (IGR) located in Villejuif, a town in the suburbs of Paris, is one of the most important center for cancer diagnosis and treatment in France. The aim of this issue has been to evaluate the admissions of Italian patients in terms of cause of admission, treatment and area of residence of the patients. We analysed the series of Italian patients admitted to IGR from 1988 to 1991; during that period 8159 Italian patients were hospitalized (2.8% younger than 15 years, 84.3% between 15 and 64 years and 12.9% older than 64 years). Most of those patients were resident in the South of Italy (more than 63%) and in particular they came from the region Sicily (27.4%) and Campania (18.8%). A different pattern seems to distinguish patients coming from the Center and the North of Italy from those from the South. In fact the aim of this migration was, for the former, a consultation on the therapy that they had, in large part, already undergone in Italy while the latter wanted to start their treatment there. The admissions related to the three most frequent cancers (breast, lung, lympho-hemopoietic system) have been analysed. The majority of patients were from the South of Italy. Breast cancer patients have migrated to the IGR looking for a post-surgical treatment while lung patients have been in large part treated for the first time at the IGR.

Adolescent↗
PubMed1993

Nasopharynx cancer in Italian migrants.

Incidence and mortality for nasopharynx cancer in Italian migrants to Australia, Brazil (Saõ Paulo), Canada, England and Wales, France, Uruguay, and the United States (Connecticut; Los Angeles and San Francisco, California) are analyzed. While the available incidence and mortality rates in the south of Italy--from where a large majority of migrants derive--are comparable to or lower than the other Western countries, the study shows a high risk in Italian migrants compared with the locally-born populations. These results are consistent in both sexes and in all host countries with the exception of the two South American ones. This finding possibly reflects a migration from some Italian sub-areas at higher risk, consistent with the high risk reported for some other Mediterranean populations (Maghreb, Malta).

Demography↗
PubMed1992

[Diffusion of smoking habit in the commune of Florence in 1989].

The results of a study on smoking habits of Florence inhabitants (14 years of age or more) are reported. A random sample of general population of the town (1744 males and 1977 females) was recruited throughout the registration office and interviewed by mail or telephone. General compliance was approximately 85%. Thirty-seven percent of males and 25% of females were current cigarette smokers, 29% of males and 11% of females were ex smokers. Males were heavier smokers both as concerns duration of the habit and daily amount of cigarettes. In males born after 1930 the smoking prevalence decreased gradually by period of birth, while it increased in females born before 1960. As a result the smoking habits of younger cohorts were similar in males and in females. In each sex age-adjusted smoking prevalence showed important differences by educational groups and in respect to national averages.

Adolescent↗
PubMed1992

Female tumours in Italy: an example of quantitative assessment of disease burden and preventive strategies.

Female tumours (ie cancers of the female genital tract and breast) represent alone about 40% of new cases and 30% of cancer deaths in Italy (approximately 44,500 new cancer diagnoses and 17,800 deaths in 1991). An attempt to identify major issues in the primary and secondary prevention of these malignancies has disclosed several important points. Firstly, concerning epidemiology, excesses of mortality from cancers of the breast and ovaries exist in the northern part of Italy as compared to the centre and south, whereas mortality rates from uterine cancer are almost equally distributed. However, a tendency towards increasing similarity of various Italian regions emerges. Risk factors most amenable to intervention are overweight, contraceptive methods and dietary habits. Secondly, concerning screening, the number of mammograms (about 552) and the number of Pap smears taken every year (about 4 million) are approximately sufficient to provide a complete coverage of the target subset of the female population as concerns breast and cervical cancer screening. Still, on account of no one carrying out primary call procedures and checks, the actual situation is unsatisfactory. The present article, in addition to quantifying the present status of female cancer prevention in Italy, tries to define a framework for similar exercises in other European countries.

Adult↗
PubMed1992

[Use of mortality data for the study of the distribution of respiratory tract tumors in Italy: characteristics and quality of the data].

This paper reviews Italian studies that deal with the accuracy of death certificates in patients with cancers of the respiratory system, particularly cancers of the larynx, lung, and pleura. These studies consider death certificates vs postmortem examinations, diagnoses histologically confirmed, and clinical and cancer registry records. The large number of cases cured by surgery is reflected in the lower levels of larynx cancers mortality vs incidence. Site misclassifications, and erroneous reports of cancer on death certificates for patients cured of the disease, lead to an overreporting of death certification vs autopsies. The death certificates for lung cancer have a high agreement with clinical diagnoses, but present underreporting when compared to autopsies, which frequently discover tumors at postmortem examination. Pleura cancer is often misclassified as lung cancer. Improvement in death certification over time could have influenced the observed increase in the mortality trend for this tumor.

Adult↗
PubMed1991

Cancer in Italian migrants.

Migration of Italians to other parts of the world has a long history and has involved very large numbers of individuals. The study of the health consequences of this migration is made possible by the availability of statistics on mortality and morbidity, both in Italy and in the host countries, and of social and economic information on the various Italian communities abroad. The results of the major studies are reviewed, comparing the rates in immigrants with those in the host countries and in Italy. The differences in cancer rates between Italian and local-born populations--for stomach cancer in both sexes, and for cancer of the colon, lung, and breast in females, and for prostate cancer--are consistent with the direction of differences between rates in Italy and those in the host countries. For colon and rectum cancer in males, there are unexpected findings in most of the United States' studies. Analysis by duration of residence shows changes in the risk for several sites in males, but not in females, according to length of stay in the host country. This finding possibly reflects greater stability of habits and lifestyle in females compared to males.

Australia↗
PubMed1991

[Problems of codification of cause of death: comparison of the mortality data of the ISTAT and the Regional Mortality Registry of Tuscany].

A two-part study was undertaken to assess the comparability of the coding of underlying cause of death between ISTAT (Central Statistics Office providing "national" mortality statistics) and RMR (Mortality Registry of Tuscany Region providing "local" mortality statistics). In Part I was compared mortality data of the Province of Florence (years 1985-1986) from the files of ISTAT with those of RMR. The source of the cause of death is the same for both systems (ISTAT certificate), but the data collection and coding of RMR are different from those of ISTAT. In Part II was compared a set of 219 Tuscany death certificates (year 1988) coded by ISTAT and RMR. The results showed an high degree of completeness of RMR (only--0.65% vs. ISTAT) and a satisfactory level of correspondence in the number of deaths for circulatory diseases, for neoplasms and for cancers of most important sites (lung, stomach, intestine, pancreas, breast). Discrepancies were found for some other diseases; for some of these causes of death, also age-adjusted mortality rates showed discrepancies (for example ischaemic heart disease). The cause of these differences have been analyzed.

Adolescent↗
PubMed1990

[Analysis of temporal distribution of suicides. Methodological notes on comparison of dates of death and dates of suicidal act].

The short-term temporal cycles in the frequency of suicide for the Province of Florence 1985-1987 has been analyzed. The authors initially present a comparison between the Date of Suicidal Act and the recorded Death Certificate Date. In their data the difference, still debated in the literature, appears of no practical importance. The results show that suicides peak on Spring and Fall, with a temporal variation with regard to the first decade of the month, high at the beginning and low at the end. No evident pattern has been explained by day of the week, unlikely any reports from the literature. On the contrary, the effect of the National Holidays are striking, showing a decrease on the holidays and a sharp rise on the subsequent day.

Death Certificates↗
PubMed1990

[Mortality according to the birthplace in a Turin longitudinal study].

Mortality 1981-85 in the Turin Longitudinal Study population, 25-74 years old, was analyzed according to selected geographic areas of birth and socioeconomic status. People born in the Southern Regions and in the Isles, when compared with people ever resident in Turin, have low mortality from malignancies and accidents and in general from all causes of death but respiratory diseases. People born in the North-Eastern Regions have high mortality, mainly due to malignancies, and respiratory and digestive diseases. Such differences are stronger among men in low socio-economic status and tend to weaken with time from migration.

Adult↗
PubMed1987

A case-referent study of lung tumors in non-asbestos textile workers.

A case series in the Province of Florence showed an increased risk of mesothelioma in textile workers (nonasbestos) and a survey of working conditions confirmed potential exposure to asbestos. In order to investigate the risk in textile workers, including some specific job titles, a case-referent study on lung tumors was carried out. The lung cancer cases included 441 males with histologically confirmed primary lung cancer during the period 1980-1983. Referents included 1,075 males selected from two hospitals and matched for age, sex, and smoking habits. Those who had "ever worked" in the textile industry showed an adjusted odds ratio of 1.52 (95% C.I. 1-2.25) compared with other "industrial workers." This moderately increased risk is maintained in selected jobs in the textile industry. An analysis of the modifying effect of time factors showed an increased risk in the period of 15-35 years from the date of first employment in the industry. The results support the hypothesis that a probable risk of lung cancer in textile workers in the Prato area was related to asbestos exposure.

Aged↗